生物活性 | |||
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描述 | Adenosine receptor plays important roles in the fertilization process, kidney function and ethanol intoxication as well as angina and heart failure, thus becoming a promising target in clinic. Capadenoson is a selective agonist of adenosine receptor showing Ki of 4.2 nM when binding on rat cortical brain membranes. Capadenoson could also decrease neurotransmitter norepinephrine (NE) releasing at very low concentration. At a concentration of 0.15 mg/kg, capadenoson treatment led to 15% increasing in heart rate during stress[1]. In another investigation, sixty-two male patients with stable angina were studied and treated with capadenoson at oral doses of 1, 2.5, 5, 10 and 20 mg respectively and placebo group was settled as the control. In 10 mg group heart rate was reduced by 12.2 bpm which was 6.8 bpm in 20 mg group in the primary efficacy analysis. Mean HR reduction after dosing for 24 h were 9.9 and 10.3 bpm for 10 mg and 20 mg respectively. In terms of safety, 32% of these patients had suffered at least one adverse events (AE), which was 36%, 30%, 20% and 30% in the control, the 5 mg, 10 mg and 20 mg respevtively, suggesting the 10 mg dose could be the best concentration to reduce heart rate in clinic[2][3]. | ||
作用机制 | Capadenoson binding to the adenosine-A1 receptor that can inhibit adenylcyclase and decrease cAMP production by activating A1-coupled Gi protein[3] . |
临床研究 | |||||
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NCT号 | 适应症或疾病 | 临床期 | 招募状态 | 预计完成时间 | 地点 |
NCT00568945 | Atrial Fibrillation | Phase 2 | Completed | - | Germany ... 展开 >> Erfurt, Thüringen, Germany, 99084 收起 << |
NCT00518921 | Chronic Stable Angina | Phase 2 | Withdrawn | November 2008 | Czech Republic ... 展开 >> Brno, Czech Republic, 656 91 Hodonin, Czech Republic, 695 26 Kromeriz, Czech Republic, 767 55 Olomouc, Czech Republic, 775 20 Ostrava, Czech Republic, 708 52 Plzen, Czech Republic, 30599 Praha 13, Czech Republic, 158 00 Praha 6, Czech Republic, 169 02 Hungary Balatonfured, Hungary, 8230 Kecskemet, Hungary, 6000 Miskolc, Hungary, 3526 Pecs, Hungary, 7624 Zalaegerszeg, Hungary, 8900 Israel Hadera, Israel, 38100 Rehovot, Israel, 76100 Safed, Israel, 13100 Italy Mestre, Venezia, Italy, 30174 Genova, Italy, 16132 Pavia, Italy, 27100 Trieste, Italy, 34100 Poland Bialystok, Poland, 15-276 Gdansk, Poland, 80-952 Gdynia, Poland, 81-519 Katowice, Poland, 40-635 Krakow, Poland, 30-501 Legnica, Poland, 59-220 Lodz, Poland, 91-347 Starogard Gdanski, Poland, 83-200 Szczecin, Poland, 70-111 Warszawa, Poland, 03-401 Wroclaw, Poland, 50-420 Wroclaw, Poland, 50-981 Slovakia Bratislava, Slovakia, 811 04 Bratislava, Slovakia, 813 69 Nitra, Slovakia, 949 01 Nove Zamky, Slovakia, 940 34 收起 << |
实验方案 | |||
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1mg | 5mg | 10mg | |
1 mM 5 mM 10 mM |
1.92mL 0.38mL 0.19mL |
9.61mL 1.92mL 0.96mL |
19.23mL 3.85mL 1.92mL |
参考文献 |
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