Preclinical studies have established that
Sch 37370 (1-acetyl-4-(8-chloro-5,6-dihydro-11H-benzo[5,6]-cyclohepta [1,2-b]pyridin-11-ylidene)
piperidine) is an orally active antagonist of
platelet-activating factor (PAF) and
histamine H1-receptors with potential
therapeutic use in the treatment of
asthma. To evaluate the efficacy and duration of anti-PAF and
antihistamine actions of oral
Sch 37370 in humans, a single dose (5 mg/kg) of
Sch 37370 was given orally to each of 10 male subjects in a placebo-controlled, double-blind crossover study. Blood samples were drawn before and at various times (2 to 48 hours) after
Sch 37370 or placebo. Plasma samples were analyzed for
Sch 37370 by a gas chromatographic method, for the anti-PAF activity by measuring the aggregation of platelets stimulated with PAF, and for the
antihistamine activity by measuring displacement of [3H]
pyrilamine from rat brain membrane binding sites. The plasma anti-PAF activity declined from high levels at 2 hours to barely detectable levels at 24 hours; however, significant activity was still present at 12 hours. The plasma levels of
Sch 37370 closely paralleled the anti-PAF profile. The plasma
antihistamine activity reached a maximum within 2 to 8 hours and declined thereafter. However, 48 hours after
Sch 37370, the
antihistamine activity was still present at a significant level in most subjects. It is concluded that, in humans, oral
Sch 37370 antagonizes both PAF and
histamine with plasma
antihistamine activity lasting longer than plasma anti-PAF activity.