We report here the preclinical anti-inflammatory profile of
CS-706 [2-(4-ethoxyphenyl)-4-methyl-1-(4-sulfamoylphenyl)-1H-
pyrrole], a novel
cyclooxygenase-2 (COX-2) selective inhibitor.
CS-706 selectively inhibited COX-2 in a human whole blood assay with an IC(50) of 0.31 microM, compared with an IC(50) of 2.2 microM for COX-1. The selectivity ratio of
CS-706 was higher than those of the conventional non-steroidal anti-inflammatory drugs
naproxen,
indomethacin, and
Diclofenac-Na, whereas it was lower than those of
rofecoxib,
valdecoxib and
etoricoxib. It was similar to that of
celecoxib. The pharmacokinetic profile of
CS-706 showed rapid absorption and dose-proportional exposure after
oral administration to rats.
CS-706 inhibited
prostaglandin E(2) production in inflamed tissue induced by yeast-injection in rats with potency similar to that of
indomethacin. However, it inhibited gastric mucosal
prostaglandin E(2) production in normal rats weakly compared with
indomethacin.
CS-706 ameliorated both yeast-induced inflammatory
acute pain (ED(50)=0.0090 mg/kg) and adjuvant-induced chronic arthritic
pain (ED(50)=0.30 mg/kg) in rats.
CS-706 showed more potent antinociceptive activity than
celecoxib and
rofecoxib in these models. In an adjuvant-induced arthritic model in rats,
CS-706 suppressed foot swelling prophylactically with an ID(50) of 0.10 mg/kg/day, and decreased foot swelling in the established
arthritis therapeutically in a dose range of 0.040 to 1.0 mg/kg/day. Single administration of up to 100 mg/kg of
CS-706 induced no significant gastric lesions in rats. In conclusion,
CS-706 is a COX-2-selective inhibitor with a potent antinociceptive and anti-inflammatory activity and a gastric safety profile.