The
antihypertensive effect of dipotassium (Z)-2-[[5-ethyl-3-[2'-(1H- tetrazol-5-yl)
biphenyl-4-yl]methyl-1,3,4-thiadiazoline-2- ylidene]aminocarbonyl]-1-cyclopentenecarboxylate (CAS 169328-25-0, KRH-594), a new
angiotensin II type 1 (AT1) receptor antagonist, was studied in several experimental hypertensive models. The effects of
KRH-594 on the circulating reninangiotensin system and on renal function were also investigated.
Oral administration of
KRH-594 (0.3 or 1 mg/kg) dose-dependently inhibited the
angiotensin II-induced pressor response in common marmosets.
KRH-594 (1, 3, or 10 mg/kg p.o.) dose-dependently exerted a long-lasting
antihypertensive effect in spontaneously hypertensive rats (SHRs) and in 2-kidney 1-clip renal hypertensive rats (RHRs). Furthermore, repeated
oral administration of
KRH-594 (3 or 10 mg/kg/d) reduced blood pressure dose-dependently in SHRs, RHRs, and renal hypertensive dogs without
tachycardia and with no evidence of a rebound phenomenon following
drug withdrawal. On the other hand, in
deoxycorticosterone acetate salt rats and normotensive rats,
KRH-594 (10 or 30 mg/kg p.o.) did not have significant effects on systolic blood pressure. In SHRs,
KRH-594 (3 or 10 mg/kg/d p.o. for 2 weeks) dose-dependently increased both plasma
renin activity and the plasma
angiotensin I concentration, but had no effect on the urinary excretion of
sodium,
potassium, and
chloride or on
creatinine clearance. These results suggest that
KRH-594 should be effective in patients with essential or
renal hypertension.