Bedoradrine for treating asthma and chronic obstructive pulmonary disease.

Abstract

INTRODUCTION:

In severe asthma attacks or in severe chronic obstructive pulmonary disease (COPD) exacerbations, inhaled short-acting bronchodilators, such as salbutamol (albuterol), terbutaline or ipratropium, often have a limited effectiveness due to significantly impaired ventilation. For these reasons, the use of a systemic bronchodilator medication might be more appropriate as therapeutic options. However, such formulations, especially salbutamol, are usually, and unfortunately, associated with a high risk of cardiovascular events. For this reason, they are only seldom used, especially in the case of paediatric populations.

AREAS COVERED:

This drug evaluation paper reviews the potential therapeutic agent bedoradrine, an ultraselective β2 agonist, which is currently under development for treating exacerbated asthma and COPD. The article includes a review of both in vitro and in vivo studies as well as a review of the pharmacokinetics, efficacy, safety and tolerability.

EXPERT OPINION:

The intravenous use of bedoradrine has demonstrated promising preliminary efficacy in existing clinical trials for exacerbated asthma. However, the efficacy of bedoradrine is still uncertain in exacerbated COPD. Further clinical studies should assess the efficacy and safety of bedoradrine as an add-on therapy to usual standardised approach and exacerbation-related variables should be used as outcome measures.

• Authors: Sabina Antoniu
• Journal: Expert opinion on investigational drugs (Expert Opin Investig Drugs) Vol. 23 Issue 8 Pg. 1149-56 (Aug 2014) ISSN: 1744-7658 [Electronic] England
• PMID: 24938936 (Publication Type: Journal Article, Review)

Chemical References

• Acetamides
• Adrenergic beta-2 Receptor Agonists
• Bronchodilator Agents
• Naphthalenes
• bedoradrine

Topics

• Acetamides (adverse effects, pharmacology, therapeutic use)
• Adrenergic beta-2 Receptor Agonists (adverse effects, pharmacology, therapeutic use)
• Animals
• Asthma (drug therapy, physiopathology)
• Bronchodilator Agents (adverse effects, pharmacology, therapeutic use)
• Child
• Humans
• Naphthalenes (adverse effects, pharmacology, therapeutic use)
• Pulmonary Disease, Chronic Obstructive (drug therapy, physiopathology)
• Severity of Illness Index