NT-702 (
parogrelil hydrochloride, NM-702), 4-bromo-6-[3-(4-chlorophenyl)propoxy]-5-[(pyridin-3-ylmethyl)amino]pyridazin-3(2H)-one hydrochloride, a novel
phosphodiesterase (PDE) inhibitor synthesized as a potent vasodilatory and
antiplatelet agent, is being developed for the treatment of
intermittent claudication (IC) in patients with
peripheral arterial disease. We assessed the efficacy of
NT-702 in an experimental IC model as compared with
cilostazol and additionally investigated the pharmacological property in vitro and ex vivo.
NT-702 selectively inhibited PDE3 (IC(50)=0.179 and 0.260 nM for PDE3A and 3B) more potently than
cilostazol (IC(50)=231 and 237 nM for PDE3A and 3B) among recombinant human PDE1 to PDE6.
NT-702 inhibited in vitro human platelet aggregation induced by various agonists (IC(50)=11 to 67 nM) and
phenylephrine-induced rat aortic contraction (IC(50)=24 nM). Corresponding results for
cilostazol were 4.1 to 17 microM and 1.0 microM, respectively.
NT-702 (3 mg/kg or more) significantly inhibited ex vivo rat platelet aggregation after a single oral dose. For
cilostazol, 300 mg/kg was effective. In a rat femoral artery
ligation model,
NT-702 at 5 and 10 mg/kg repeated oral doses twice a day (BID) for 13 days significantly improved the reduced walking distance while the lowered plantar surface temperature was improved at 2.5 mg/kg and more.
Cilostazol also improved the walking distance and surface temperature at 300 mg/kg BID but significant difference was only observed for surface temperature on day 8. These results suggest that
NT-702 can be expected to have therapeutic advantage for IC.