Objective. CGP 47969A is a novel and potent inhibitor of cytokine bios
ynthesis in human and murine monocytic cells. The effect of CGP 47969A
on collagen induced arthritis (CIA) in DBA/1 mice was investigated an
d compared to that of prednisolone. Methods. CIA was induced by intrad
ermal injection of type II collagen in CFA at Day 0. CGP 47969A was ap
plied orally, 5 times/week, starting at Day 15 after immunization. Art
hritic signs were recorded 3 times/week for clinical scoring and radio
graphic analysis was performed at the end of the experiment at Day 60.
Serum amyloid P (SAP) and anticollagen antibody titers were determine
d by ELISA at Day 60. Results. CGP 47969A dose dependently reduced the
incidence of arthritis from 93% in the positive control group to 60,
40, 30 and 10% at doses of 1, 5, 25 and 60 mg/kg/day, respectively. At
a dose of 120 mg/kg, CGP 47969A totally prevented the occurrence of a
rthritis (ED(50) between 1 and 5 mg/kg). Prednisolone at 3 and 30 mg/k
g reduced the arthritis incidence to 70 and 30%, respectively. CGP 479
69A dose dependently inhibited the joint destruction, as measured by r
adiographic scoring and its potency was comparable to that of predniso
lone. The elevated serum levels of the positive acute phase protein SA
P in arthritic animals were completely normalized by CGP 47969A at a d
ose of 60 mg/kg, however, neither CGP 47969A nor prednisolone influenc
ed the plasma levels of anticollagen antibodies (IgG). Conclusion. Our
results demonstrate that CGP 47969A is highly effective in CIA with a
potency comparable to that of prednisolone. These promising results j
ustify the expectation that this novel antiarthritic compound now unde
r development might also be effective in the treatment of rheumatoid a
rthritis in man.