NS-21 ((+/-)-4-diethylamino-1,1-dimethylbut-2-yn-1-yl 2-cyclohexyl-2-hydroxy-2-
phenylacetate monohydrochloride monohydrate, CAS 129927-33-4) is a novel compound designed for the treatment of bladder dysfunction. The effects of
NS-21 and its active metabolite,
RCC-36 ((+/-)-4-ethylamino-1,1-dimethylbut-2-yn-1-yl 2-cyclohexyl-2-hydroxy-2-
phenylacetate monohydrochloride), on the urodynamics of decerebrated dogs are reported. Dogs were decerebrated at the precollicular-postmamillary level and the urodynamic effects of intravenously administered
NS-21,
RCC-36, and various reference drugs were compared by cystometry.
NS-21 (0.3-1 mg/kg) and
RCC-36 (0.1 mg/kg) caused an increase in bladder capacity without affecting the micturition pressure or residual volume, and thus caused a significant increase in functional bladder capacity.
Oxybutynin caused a dose-dependent increase in bladder capacity at 0.1 mg/ kg and higher doses; however, the associated decrease in micturition pressure resulted in a significant increase in residual volume and a decrease in functional bladder capacity. These effects of
oxybutynin were similar to those of
atropine.
Propiverine (0.1-10 mg/kg) and
terodiline (0.1-10 mg/kg) caused no significant increase in bladder capacity. In conclusion, in decerebrated dogs,
NS-21 and
RCC-36 increased the bladder capacity without increasing the residual volume.
NS-21 thus had more favorable
therapeutic effects than any of the reference drugs tested and is therefore a promising candidate
drug for the treatment of pollakiuria and
urinary incontinence.