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Pharmacology of N-(3,5-dichloro-1-oxido-4-pyridinyl)-8-methoxy-2-(trifluoromethyl)-5-quinoline carboxamide (SCH 351591), a novel, orally active phosphodiesterase 4 inhibitor.

Abstract
N-(3,5-Dichloro-1-oxido-4-pyridinyl)-8-methoxy-2-(trifluoromethyl)-5-quinoline carboxamide (SCH 351591) has been identified as a potent (IC(50) = 58 nM) and highly selective type 4 phosphodiesterase (PDE4) inhibitor with oral bioactivity in several animal models of lung inflammation. N-(3,5-Dichloro-4-pyridinyl)-8-methoxy-2-(trifluoromethyl)-5-quinoline carboxamide (SCH 365351), the only significant in vivo metabolite, is also a potent and highly selective PDE4 inhibitor (IC(50) = 20 nM). Both SCH 351591 and SCH 365351 inhibited cytokine production in human blood mononuclear cell preparations. Oral SCH 351591 significantly attenuated allergen-induced eosinophilia and airway hyperreactivity in allergic guinea pigs at doses as low as 1 mg/kg. In this model, oral SCH 365351 showed similar potency. When SCH 351591 was administered orally to allergic cynomolgus monkeys at 3 mg/kg, Ascaris suum-induced lung eosinophilia was blocked. Hyperventilation-induced bronchospasm in nonallergic guinea pigs, a model for exercise-induced asthma, was also suppressed significantly by oral SCH 351591 at 0.3 mg/kg. Cilomilast (SB 207499; Ariflo), a PDE4 inhibitor currently being developed for asthma and chronic obstructive pulmonary disease (COPD), was 10- to 30-fold less potent than SCH 351591 at inhibiting guinea pig lung eosinophilia and hyperventilation-induced bronchospasm. In a ferret model of emesis, maximum nonemetic oral doses of SCH 351591 and cilomilast were 5 and 1 mg/kg, respectively. Comparison of plasma levels at these nonemetic doses in ferrets to those at doses inhibiting hyperventilation-induced bronchospasm in guinea pigs gave a therapeutic ratio of 16 for SCH 351591 and 4 for cilomilast. Thus, SCH 351591 exhibits a promising preclinical profile as a treatment for asthma and COPD.
AuthorsM Motasim Billah, Nicola Cooper, Michael Minnicozzi, Julie Warneck, Peng Wang, John A Hey, William Kreutner, Charles A Rizzo, Sidney R Smith, Simon Young, Richard W Chapman, Hazel Dyke, Nang-Yang Shih, John J Piwinski, Francis M Cuss, John Montana, Ashit K Ganguly, Robert W Egan
JournalThe Journal of pharmacology and experimental therapeutics (J Pharmacol Exp Ther) Vol. 302 Issue 1 Pg. 127-37 (Jul 2002) ISSN: 0022-3565 [Print] United States
PMID12065709 (Publication Type: Clinical Trial, Journal Article)
Chemical References
  • Anti-Asthmatic Agents
  • Bronchodilator Agents
  • Cyclic N-Oxides
  • Emetics
  • Interleukin-5
  • Phosphodiesterase Inhibitors
  • Quinolines
  • SCH 351591
  • Tumor Necrosis Factor-alpha
  • Interleukin-12
  • 3',5'-Cyclic-AMP Phosphodiesterases
  • Cyclic Nucleotide Phosphodiesterases, Type 4
  • Rolipram
Topics
  • 3',5'-Cyclic-AMP Phosphodiesterases (antagonists & inhibitors)
  • Adolescent
  • Adult
  • Aged
  • Animals
  • Anti-Asthmatic Agents (pharmacology)
  • Binding, Competitive (drug effects)
  • Bronchial Hyperreactivity (prevention & control)
  • Bronchial Spasm (prevention & control)
  • Bronchodilator Agents (pharmacology)
  • Cyclic N-Oxides (pharmacology)
  • Cyclic Nucleotide Phosphodiesterases, Type 4
  • Emetics (pharmacology)
  • Female
  • Ferrets
  • Guinea Pigs
  • Humans
  • Hyperventilation (physiopathology)
  • Interleukin-12 (biosynthesis)
  • Interleukin-5 (biosynthesis)
  • Macaca fascicularis
  • Male
  • Mice
  • Middle Aged
  • Phosphodiesterase Inhibitors (pharmacology)
  • Quinolines (pharmacology)
  • Rats
  • Rolipram (metabolism)
  • Tumor Necrosis Factor-alpha (biosynthesis)

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