SC-52458, AN ORALLY-ACTIVE ANGIOTENSIN II-RECEPTOR ANTAGONIST - INHIBITION OF BLOOD-PRESSURE RESPONSE TO ANGIOTENSIN-II CHALLENGES AND PHARMACOKINETICS IN NORMAL VOLUNTEERS
M. Hagmann et al., SC-52458, AN ORALLY-ACTIVE ANGIOTENSIN II-RECEPTOR ANTAGONIST - INHIBITION OF BLOOD-PRESSURE RESPONSE TO ANGIOTENSIN-II CHALLENGES AND PHARMACOKINETICS IN NORMAL VOLUNTEERS, Journal of cardiovascular pharmacology, 29(4), 1997, pp. 444-450
This study was designed to assess in normal volunteers the potency, ef
ficacy, and tolerability of the new nonpeptidic, orally active, angiot
ensin (Ang) II subtype 1 (AT(1))-receptor antagonist SC-52458. After a
randomized, single-blind, placebo-controlled protocol, two groups of
eight healthy men ingested placebo or increasing single oral doses (10
, 25, and 50 mg or 100, 150, and 200 mg) of SC-52458. Finger blood pre
ssure (BP) was continuously monitored (Finapres), and BP response to r
epeated intravenous challenges with Ang II was compared with baseline
BP response to the same dose of Ang II. Up to 24 h after drug intake,
effects on plasma renin activity (PRA), Ang II, and aldosterone and ph
armacokinetics were estimated. One, 4, and 10 h after the 200-mg dose,
diastolic BP response to Ang II challenges was decreased from 30.3 to
2.6 mm Hg (mean +/- SEM; n = 8; i.e., to 8.3 +/- 1.1% of baseline res
ponse), 10.1 mm Hg (35.4 +/- 1.8%), and 17.5 mm Hg (58.7 +/- 1.8%), re
spectively. SC-52458 produced dose-related increases in PRA and Ang II
concentrations less than or equal to 10 h after drug intake. Plasma a
ldosterone concentrations tended to be decreased for less than or equa
l to 24 h after SC-52458 doses of greater than or equal to 100 mg. No
drug-related side effects were observed. The pharmacokinetics were lin
ear over the dose range of 10-150 mg (t(1/2) = 1.14-2.39 h). Efficacy
was dose dependent, with a peak effect after 1 h. In conclusion, the n
ovel AT(1)-receptor antagonist SC-52458 is well tolerated and orally a
ctive. II produces a rapid-onset inhibition of the renin-angiotensin s
ystem and reduces BP response to Ang II for greater than or equal to 1
0 h. These characteristics promise strong antihypertensive properties
for SC-52458.