Double pharmacological challenge on repolarization opens new avenues for drug safety research.

Abstract:

:The pharmaceutical industry is testing new potential drugs for their propensity to prolong human cardiac repolarization, and regards this as a sign of proarrhythmic risk. Many studies have dethroned the common perception that prolonged repolarization is a reliable surrogate marker for torsades de pointes (TdP) arrhythmia. Both the pharmaceutical industry and the regulatory bodies are neglecting the available proarrhythmia models. In vitro studies have suggested that combined pharmacological hits on repolarization will produce a superior substrate for in vivo proarrhythmia, compared to the single-drug assessment. By using consecutive pharmacological challenges, a simple model is proposed, in which combinatorial pharmacology is employed to provoke TdP in the conscious dog. The pharmaceutical industry interested in evaluating the proarrhythmic potential of their present and future drugs now has a simple means of doing so.

journal_name

Br J Pharmacol

authors

Thomsen MB

doi

10.1038/sj.bjp.0707299

subject

Has Abstract

pub_date

2007-08-01 00:00:00

pages

909-11

issue

7

eissn

0007-1188

issn

1476-5381

pii

0707299

journal_volume

151

pub_type

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