Efficacy and safety of long-acting beta-2-agonists
https://doi.org/10.18093/0869-0189-2015-25-1-113-118
Abstract
Beta-2-adrenoreceptor agonists (#b2-АA) are one of the key drugs used for treatment of chronic obstructive pulmonary disease (COPD) and asthma. Recently, novel #b2-АA with ultra-long half-life which allows once-day administration have been developed such as indacaterol, olodaterol, vilanterol, carmoterol, PF-610355 and AZD-3199. Pharmacodynamics, pharmacokinetics and clinical effects of these drugs in COPD and asthma are reviewed in the article. Published data suggest that the rational and individualized use of novel ultralong-acting #b2-АA could increase safety and efficacy of treatment in patients with COPD and asthma.
About the Authors
L. V. Shul'zhenkoRussian Federation
MD, Professor, Head of Chair of Pulmonology, Postgraduate Education Faculty, State Budget High-Level Educational Institution “Kuban State Medical University”, Healthcare Ministry of Russia; tel.: (988) 244-82-49;
E. V. Bolotova
Russian Federation
MD, Professor, Chair of Pulmonology, Postgraduate Education Faculty, State Budget High-Level Educational Institution “Kuban State Medical University”, Healthcare Ministry of Russia; tel.: (862)252-73-93;
References
1. Cazzola M., Page C.P., Rogliani P., Matera M.G. #b2-agonist therapy in lung disease. Am. J. Respir. Crit. Care Med. 2013; 187 (7): 690–696.
2. Spina D. Current and novel bronchodilators in respiratory disease. Curr. Opin. Pulm. Med. 2014; 20 (1): 73–86.
3. Battram C., Charlton S.J., Cuenoud B. et al. In vitro and in vivo pharmacological characterization of 5-[(R)-2-(5,6-diethyl-indan-2-ylamino)-1-hydroxy-ethyl]-8-hydroxy-1H’-quinolm-2-one (indacaterol), a novel inhaled #b2-adrenoceptor agonist with a 24-h duration of action. J. Pharmacol. Exp. Ther. 2006; 317: 762–770.
4. Sturton R.G., Trifilieff A., Nicholson A.G., Barnes P.J. Pharmacological characterization of indacaterol, a novel once daily inhaled #b2-adrenoceptor agonist, on small airways in human and rat precision-cut lung slices. J. Pharmacol. Exp. Ther. 2008; 324: 270–275.
5. Naline E., Trifilieff A., Fairhurst R.A. et al. Effect of indacaterol, a novel long acting #b2-agonist, on isolated human bronchi. Eur. Respir. J. 2007; 29: 575–581.
6. Rosethorne E.M., Turner R.J., Fairhurst R.A., Charlton S.J. Efficacy is a contributing factor to the clinical onset of bronchodilation of inhaled #b2-adrenoceptor agonists. Naunyn. Schmiedebergs Arch. Pharmacol. 2010; 382: 255–263.
7. Cazzola M., Calzetta L., Page C.P., Matera M.G. Use of indacaterol for the treatment of COPD: a pharmacokinetic evaluation. Exp. Opin. Drug Metab. Toxicol. 2014; 10 (1): 129–137.
8. Renard D., Looby M., Kramer B. et al. Characterization of the bronchodilatory dose response to indacaterol in patients with chronic obstructive pulmonary disease using model-based approaches. Respir. Res. 2011; 12: 54.
9. O’Donnell D.E., Casaburi R., Vincken W. et al. Effect of indacaterol on exercise endurance and lung hyperinflation in COPD. Respir. Med. 2011; 105: 1030–1036.
10. Rossi A., Polese G. Indacaterol: a comprehensive review. Int. J. Chron. Obstruct. Pulm. Dis. 2013; 8: 353–363.
11. Cope S., Capkun-Niggli G., Gale R. et al. Comparative efficacy of indacaterol 150 / xg and 300 / xg versus fixed-dose combinations of formoterol + budesonide or salmeterol + fluticasone for the treatment of chronic obstructive pulmonary disease – a network meta-analysis. Int. J. Chron. Obstruct. Pulm. Dis. 2011; 6: 329–344.
12. Singh M.P. Indacaterol therapy in moderate-to-severe chronic obstructive pulmonary disease: findings from a single-center primary care cohort. Int. J. Chron. Obstruct. Pulm. Dis. 2013; 8: 613–619.
13. Ridolo E., Montagni M., Olivieri E. et al. Role of indacaterol and the newer very long-acting #b2-agonists in patients with stable COPD: A review. Int. J. Chron. Obstruct. Pulm. Dis. 2013; 8: 425–432.
14. Chowdhury B.A., Dal Pan G. The FDA and safe use of long-acting beta-agonists in the treatment of asthma. N. Engl. J. Med. 2010; 362: 1169–1171.
15. Kanniess F., Boulet L.P., Pierzchala W. et al. Efficacy and safety of indacaterol, a new 24-h #b2-agonist, in patients with asthma: a dose-ranging study. J. Asthma. 2008; 45: 887–892.
16. La Force C., Alexander M., Deckelmann R. et al. Indacaterol provides sustained 24 h bronchodilation on once-daily dosing in asthma: a 7-day dose-ranging study. Allergy. 2008; 63: 103–111.
17. Chowdhury B.A., Seymour S.M., and Levenson M.S. Assessing the safety of adding LABAs to inhaled corticosteroids for treating asthma. N. Engl. J. Med. 2011; 364: 2473–2475.
18. Cazzola M., Segreti A., Matera M.G. Novel bronchodilators in asthma. Curr. Opin. Pulm. Med. 2010; 16: 6–12.
19. Bouyssou T., Casarosa P., Naline E. et al. Pharmacological characterization of olodaterol, a novel inhaled #b2-adrenoceptor agonist exerting a 24-hour-long duration of action in preclinical models. J. Pharmacol. Exp. Ther. 2010; 334: 53–62.
20. McKeage K. Indacaterol: a review of its use as maintenance therapy in patients with chronic obstructive pulmonary disease. Drugs. 2012; 72 (4): 543–563.
21. Naline E., Ostermann A., Devillier P., Casarosa P. #b2-agonist intrinsic activity: comparison of BI 1744 and formoterol in different functional settings. Am. J. Respir. Crit. Care Med. 2010; 181: A4443.
22. Gibb A., Yang L.P. Olodaterol: first global approval. Drugs. 2013; 73 (16): 1841–1846.
23. Brown S.M., Barnes P.J., Donnelly L.E. Effect of olodaterol on the relaxation of small airways. Eur. Respir. J. 2011; 38: 308s.
24. Casarosa P., Kollak I., Kiechle T. et al. Functional and biochemical rationales for the 24-hour-long duration of action of olodaterol. J. Pharmacol. Exp. Ther. 2011; 337: 600–609.
25. van Noord J.A., Smeets J.J., Drenth B.M. et al. 24-Hour bronchodilation following a single dose of the novel #b2-agonist olodaterol in COPD. Pulm. Pharmacol. Ther. 2011; 24: 666–672.
26. Procopiou P.A., Barrett V.J., Bevan N.J. et al. Synthesis and structure-activity relationships of long-acting #b2-adrenergic receptor agonists incorporating metabolic inactivation: an antedrug approach. J. Med. Chem. 2010; 53: 4522–4530.
27. Ferguson G.T., Feldman G.J., Hofbauer P. et al. Efficacy and safety of olodaterol once daily delivered via Respimat#R in patients with GOLD 2–4 COPD: results from two replicate 48-week studies. Int. J. Chron. Obstruct. Pulm. Dis. 2014; 9: 629–645.
28. Costa L., Roth M., Miglino N. et al. Tiotropium sustains the anti-inflammatory action of olodaterol via the cyclic AMP pathway. Pulm. Pharmacol. Ther. 2014; 27 (1): 29–37.
29. Barrett V.J., Emmons A., Ford A.J., Knowles R. In vitro pharmacological characterisation of GW642444, a novel long acting #b-agonist (LABA) using human recombinant #b1/2/3-adrenoceptor cAMP assays. Am. J. Respir. Crit. Care Med. 2010; 181: A4451.
30. Ford A.J., Hughes S., Morrison V.et al. In vitro and in vivo pharmacological characterisation of GW642444, a novel long-acting #b2-agonist (LABA), with fast onset and long duration in the guinea-pig. Am. J. Respir. Crit. Care Med. 2010; 181: A5677.
31. Slack R.J., Barrett V.J., Morrison V.S. et al. In vitro pharmacological characterization of vilanterol, a novel long-acting #b2-adrenoceptor agonist with 24-hour duration of action. J. Pharmacol. Exp. Ther. 2013; 344 (1): 218–230.
32. Ford A.J., Hughes S., Smith C. et al. The therapeutic index of vilanterol trifenatate. Eur. Respir. J. 2010; 24: 208s.
33. Kempsford R., Norris V., Siederer S. GW642444, a novel inhaled long-acting #b2-adrenoceptor agonist (LABA), at single doses of 25, 50 and 100 mcg, is well tolerated and demonstrates prolonged bronchodilation in asthmatic patients. Am. J. Respir. Crit. Care Med. 2010; 181: A5413.
34. Kempsford R., Norris V., Siederer S. Vilanterol trifenatate, a novel inhaled long-acting beta2-adrenoceptor agonist, is well tolerated in healthy subjects and demonstrates prolonged bronchodilation in subjects with asthma and COPD. Pulm. Pharmacol. Ther. 2013; 26 (2): 256–264.
35. Kempsford R., Norris V., Siederer S. GW642444, a novel inhaled long-acting #b2-adrenoceptor agonist (LABA), at single doses of 25, 50 and 100 mcg, is well tolerated and demonstrates prolonged bronchodilation in COPD patients. Am. J. Respir. Crit. Care Med. 2010; 181: A4447.
36. Lotvall J., Bateman E.D., Bleecker E.R. et al. Dose-related efficacy of vilanterol trifena- tate, a long-acting beta2 agonist with inherent 24-hour activity, in patients with persistent asthma. Eur. Respir. J. 2010; 24: 1013s.
37. Lotvall J., Bateman E.D., Bleecker E.R. et al. 24-h duration of the novel LABA vilanterol trifenatate in asthma patients treated with inhaled corticosteroids. Eur. Respir. J. 2012; 40 (3): 570–579.
38. Sterling R., Lim J., Frith L. et al. Dose-related efficacy and optimal once-daily (OD) dosing interval of the long-acting beta2-agonist (LABA), vilanterol trifenatate (VI), in adults with persistent asthma. Am. J. Respir. Crit. Care Med. 2011; 183: A4488.
39. Hanania N.A., Feldman G., Zachgo W. et al. The efficacy and safety of the novel long-acting #b2-agonist vilanterol in COPD patients: a randomized placebo-controlled trial. Chest. 2012; 142 (1): 119–127.
40. Kikkawa H., Naito K., Ikezawa K. Tracheal relaxing effects and #b2-selectivity of TA-2005, a newly developed bronchodilating agent, in isolated guinea-pig tissues. Jpn. J. Pharmacol. 1991; 57: 175–185.
41. Voss H.P., Donnell D., Bast A. Atypical molecular pharmacology of a new long-acting #b2-adrenoceptor agonist, TA-2005. Eur. J. Pharmacol. 1992; 227: 403–409.
42. Standifer K.M., Pitha J., Baker S.P. Carbostyril-based #b2-adrenergic agonists: evidence for long lasting or apparent irreversible receptor binding and activation of adenylate cyclase activity in vitro. Naunyn. Schmiedebergs Arch. Pharmacol. 1989; 339: 129–137.
43. Kikkawa H., Kanno K., Ikezawa K. TA-2005, a novel, long-acting and selective p2-adrenocepter agonist: characterization of its in vivo bronchodilating action in guinea pigs and cats in comparison with other #b2-agonists. Biol. Pharm. Bull. 1994; 17: 1047–1052.
44. Voss H.P. Long-acting #b2-adrenoceptor agonists in asthma: molecular pharmacological aspects. Vrije Universiteit: Amsterdam; 1994.
45. Kikkawa H., Isogaya M., Nagao T., Kurose H. The role of the seventh transmembrane region in high affinity binding of a #b2-selective agonist TA-2005. Mol. Pharmacol. 1998; 53: 128–134.
46. Cazzola M., Segreti A., Matera M.G. Novel bronchodilators in asthma. Curr. Opin. Pulm. Med. 2010; 16: 6–12.
47. Haeussermann S., Acerbi A., Brand P. et al. Lung deposition of carmoterol in healthy subjects, patients with asthma and patients with COPD. Eur. Respir. J. 2006; 28: 211s.
48. Kottakis I., Nandeuil A., Raptis H. et al. Efficacy of the novel very long-acting #b-agonist carmoterol following 7 days once daily dosing: comparison with twice daily formoterol in patient with persistent asthma. Eur. Respir. J. 2006; 28: 665s.
49. Nandeuil A., Kottakis I., Raptis H. et al. Safety and tolerability of the novel very long acting #b2-agonist carmoterol given as a 2 / xg qd dose; 8 days comparison with formoterol and placebo in patients with persistent asthma. Eur. Respir. J. 2006; 28: 665s.
50. Kanniess F., Make B.J., Petruzzelli S. Acute effect of carmoterol, a long-acting p2-agonist, in patients with COPD. Proc. Am. Thorac. Soc. 2008; 5: A655.
51. Make B.J., Kanniess F., Bateman E.D., Linberg S.E. Efficacy of 3 different doses of carmoterol, a long-acting #b2-agonist in patients with COPD. Proc. Am. Thorac. Soc. 2008; 5: A961.
52. Bateman E.D., Make B.J., Nandeuil M.A. Carmoterol – safety and tolerability of a long-acting #b2-agonist in patients with COPD. Proc. Am. Thorac. Soc. 2008; 5: A653.
53. Rossing T.H., Make B.J., Heyman E.R. Carmoterol does not induce tolerance in COPD. Proc. Am. Thorac. Soc. 2008; 5: A962.
54. Glossop P.A., Lane C.A., Price D.A. et al. Inhalation by design: novel ultra-long-acting #b2-adrenoreceptor agonists for inhaled once-daily treatment of asthma and chronic obstructive pulmonary disease that utilize a sulfonamide agonist headgroup. J. Med. Chem. 2010; 53: 6640–6652.
55. Li G.L., Mac Intyre F., Surujbally B. et al. Pharmacokinetics of PF-00610355, a novel inhaled long-acting #b2-adrenoreceptor agonist. Eur. Respir. J. 2009; 34: 777s.
56. Macintyre F., Jones I., Surujbally B. A randomised, double-blind study to determine the duration of action of lung pharmacodynamics by plethysmography (sGaw) of a #b2-adrenoreceptor agonist, PF-00610355. Eur. Respir. J. 2009; 34: 344s.
57. Ward J., Macintyre F., Jones I. et al. A randomised double-blind, study to determine the efficacy & safety of a once-daily inhaled #b2-adrenoreceptor agonist, PF-00610355 in asthmatic patients. Eur. Respir. J. 2009; 34: 778s.
58. Diderichsen P.M., Cox E., Martin S.W. et al. Predicted heart rate effect of inhaled PF-00610355, a long acting #b-adrenoceptor agonist, in volunteers and patients with chronic obstructive pulmonary disease. Br. J. Clin. Pharmacol. 2013; 76 (5): 752–762.
59. Young A., Nicholls D., Connolly S. et al. The in vivo profile ofAZD3199: a novel, fast acting #b2-agonist with a long duration of action (Abstract). Am. J. Respir. Crit. Care Med. 2011; 183: A1586.
60. Kuna P., Ivanov Y., Trofimov V. et al. Efficacy and safety of AZD3199, an inhaled ultra long-acting #b-agonist, in patients with COPD. Eur. Respir. J. 2011; 38: 148s.
Review
For citations:
Shul'zhenko L.V., Bolotova E.V. Efficacy and safety of long-acting beta-2-agonists. PULMONOLOGIYA. 2015;25(1):113-118. (In Russ.) https://doi.org/10.18093/0869-0189-2015-25-1-113-118