The
anti-emetic and pharmacological profile of
AS-8112 ((R)-5-bromo-N-(1-ethyl-4-methylhexahydro-1H-1,4-diazepin-6-yl)-2-methoxy-6-methylamino-3-pyridinecarboxamide.2 fumarate), a novel and potent
dopamine D2, D3 and 5-hydroxytryptamine-3 (5-HT3) receptors
ligand, was investigated in the present study. In guinea-pig isolated colon,
AS-8112 produced a rightward shift of the concentration-response curves of 2-methyl-5HT, a
5-HT3 receptor agonist (pA2 value of 7.04). Other
5-HT3 receptor antagonists also produced such a shift in the following antagonistic-potency order:
granisetron>
ondansetron=AS-8112>>
metoclopramide. In mice,
AS-8112 (1.0 - 3.0 mg kg(-1) s.c.) potently inhibited
hypothermia induced by the
dopamine D3 receptor agonist; R(+)-7-
OH-DPAT (R(+)-7-hydroxy-2-(N,N-di-n-propylamino)tetraline) (0.3 mg kg(-1) s.c.).
Domperidone and
haloperidol, which have affinity for
dopamine D3 receptor, also inhibited R(+)-7-
OH-DPAT-
induced hypothermia. In ferrets or dogs,
AS-8112 dose-dependently inhibited
emesis induced by R(+)-7-
OH-DPAT,
apomorphine,
morphine or
cisplatin with ID50 values of 2.22 microg kg(-1) s.c., 10.5 microg kg(-1) s.c., 14.2 microg kg(-1) i.v. and 17.6 microg kg(-1) i.v., respectively. Moreover,
oral administration of
AS-8112 significantly inhibited
emesis induced by these emetogens.
AS-8112 (0.3 mg kg(-1) i.v.) significantly inhibited
emesis induced by
cyclophosphamide and
doxorubicin. In conclusion,
AS-8112 is a potent
dopamine D2, D3 and 5-HT3 receptors antagonist, and a novel
anti-emetic agent with a broad-spectrum of
anti-emetic activity. These results suggest that this compound is worthy of clinical investigation.