CGS 15435A, a novel
thromboxane (Tx)
synthetase inhibitor (5-chloro-1-methyl-2-(3-pyridyl)-3-indolhexanoic acid HCl), had a selectivity for Tx
synthetase 100,000-fold greater than that for
cyclooxygenase,
PGI2 synthetase and
lipoxygenase enzymes. In conscious beagles, 1 h following a single 3 mg/kg p.o. dose, serum TxB2 was inhibited 95% by CGS 15435 and 82% by
dazoxiben (DAZ). Unlike the short acting Tx
synthetase inhibitor DAZ,
CGS 15435A significantly inhibited TxB2 formation 4, 6, 12 and 24 h after dosing. Serum levels of 6-keto
PGF1 alpha and
PGE2 were significantly increased following the administration of either
drug.
CGS 15435A and DAZ were further examined in a model with known Tx involvement. Thrombotic
sudden death, produced in anesthetized rabbits by injection of 0.75 mg/kg
arachidonic acid (AA) i.v. resulted in a 45% fall in the platelet count and 0% survival. Pretreatment with DAZ (8.6 mumol/kg i.v.) at 0.25 or 2 h pre-AA resulted in 3 and 42%
thrombocytopenia and 100 and 0% survival respectively.
CGS 15435A (8.6 mumol/kg i.v.) prevented the increases in plasma TxB2 levels,
thrombocytopenia and
sudden death with pretreatment at 0.25 h (0%
thrombocytopenia and 100% survival) or 24 h (11%
thrombocytopenia and 83% survival) before AA. These data indicate that
CGS 15435A is a potent and selective Tx
synthetase inhibitor with a long duration of action, and suggest that the compound could be useful in chronic, non-symptomatic indications of Tx involvement.