To evaluate the influence of
T-1032 (methyl2-(4-aminophenyl)-1,2-dihydro-1-oxo-7-(2-pyridylmethoxy)-4-(3,4,5-trimethoxyphenyl)-3-isoquinoline carboxylate sulfate), a potent and relatively selective
phosphodiesterase 5 inhibitor, on chronic
heart failure, we examined the acute hemodynamic profile of
T-1032 and its chronic effect on the survival of Bio 14.6 cardiomyopathic hamsters. In the acute study,
T-1032 (1, 10, 100 microg/kg) was administered intravenously by means of a dose-escalating procedure in 55-week-old hamsters.
T-1032 significantly reduced both the right and left ventricular end-diastolic pressure in a dose-dependent manner.
T-1032 modestly reduced the systemic arterial pressure at the highest dose (100 microg/kg i.v.).
T-1032 did not change the heart rate or left ventricular dp/dt(max). In the survival study, chronic administration of
T-1032 (50 and 500 ppm in a diet) increased survival, and the survival rate was 24.2%, 45.4% and 48.5% in the control, 50 and 500 ppm-treated groups, respectively. The median survival was 55, 58 and 58 weeks in control, 50 and 500 ppm-treated groups, respectively. Analysis of the survival curves revealed that
T-1032 (500 ppm) significantly increased the survival of these hamsters (P<0.05 vs. control). It was concluded that
T-1032 had beneficial hemodynamic effects on
heart failure in Bio 14.6 cardiomyopathic hamsters, and the favorable hemodynamic changes induced by
T-1032 were partly related to the increase in the survival of these hamsters.
Phosphodiesterase type 5 inhibitors may have therapeutic potential for the treatment of chronic
heart failure.