Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2005-2-17
pubmed:abstractText
In addition to breathlessness and cough, excessive mucus production is one of the main symptoms of chronic obstructive pulmonary disease (COPD). Excess mucus coupled with deteriorating mucociliary clearance is associated with a decline in lung function and an increased risk of death from pulmonary infection. The effect of Viozan (Sibenadet HCl, AR-C68397AA), a novel dual D2 dopamine receptor, beta2-adrenoceptor agonist, on mucociliary clearance was investigated together with that of a beta2-adrenoceptor agonist, salbutamol. Using a double blind, parallel group study design, 15 patients with COPD, all habitual smokers, were randomised to receive nebulised sidenadet (3mg tid; n = 7) or salbutamol (5mg tid; n = 8) for 10 days. Lung mucociliary clearance rates were measured, by a standard radioaerosol technique, before and after the treatment period, as were 24-h sputum volumes. Both sibenadet and salbutamol therapies resulted in significant (P<0.02) enhancement of lung mucociliary clearance. The 24-h sputum volume was significantly reduced following sibenadet therapy (P<0.03) whereas salbutamol therapy had no effect. Our results, in addition to illustrating the effects of a standard beta2 agonist on mucociliary clearance, strongly suggest the potential dual benefit of dual-agonist compounds in lessening sputum production whilst simultaneously enhancing mucociliary clearance. For reasons unconnected with the present study, development work on this specific formulation is no Longer proceeding.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
0954-6111
pubmed:author
pubmed:issnType
Print
pubmed:volume
99
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
145-51
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:15715181-Administration, Inhalation, pubmed-meshheading:15715181-Adrenergic beta-Agonists, pubmed-meshheading:15715181-Aged, pubmed-meshheading:15715181-Albuterol, pubmed-meshheading:15715181-Double-Blind Method, pubmed-meshheading:15715181-Female, pubmed-meshheading:15715181-Forced Expiratory Volume, pubmed-meshheading:15715181-Humans, pubmed-meshheading:15715181-Male, pubmed-meshheading:15715181-Middle Aged, pubmed-meshheading:15715181-Mucociliary Clearance, pubmed-meshheading:15715181-Peak Expiratory Flow Rate, pubmed-meshheading:15715181-Pulmonary Disease, Chronic Obstructive, pubmed-meshheading:15715181-Quality of Life, pubmed-meshheading:15715181-Risk Factors, pubmed-meshheading:15715181-Smoking, pubmed-meshheading:15715181-Sputum, pubmed-meshheading:15715181-Thiazoles, pubmed-meshheading:15715181-Treatment Outcome, pubmed-meshheading:15715181-Vital Capacity
pubmed:year
2005
pubmed:articleTitle
Mucociliary clearance in COPD can be increased by both a D2/beta2 and a standard beta2 agonists.
pubmed:affiliation
Department of Medical Physics and Thoracic Medicine, Royal Free and University College Medical School, London, UK. amer.alhasani@royalfree.nhs.uk
pubmed:publicationType
Journal Article, Clinical Trial, Comparative Study, Randomized Controlled Trial, Research Support, Non-U.S. Gov't