A DOUBLE-BLIND, PLACEBO-CONTROLLED EVALUATION OF (DL)-3,7-DIHYDRO-1,8-DIMETHYL-3-(2-METHYLBUTYL)-1H-PURINE-2,6-DIONE IN EXERCISE-INDUCED BRONCHOSPASM

  • 1 January 1981
    • journal article
    • research article
    • Vol. 19  (6) , 266-272
Abstract
The investigational drug, (dl)-3,7-dihydro-1,8-dimethyl-3-(2-methylbutyl)-1H-purine-2,6-dione, was an active bronchodilator and antiallergic compound in animal and clinical studies. Adult asthmatic patients who demonstrated .gtoreq. 20% improvement in FEV1 [forced expiratory volume at 1 s] after inhalation of aerosolized isoproterenol or its equivalent and .gtoreq. 20% reduction in FEV1 after a graded treadmill exercise received theophylline (3.6 mg/kg, every 6 h) for 4 days. Further selection of patients was made by demonstrating that theophylline effectively blocked exercise-induced reduction in FEV1 and was effective in increasing FEV1 by 20% when measured 2 h after oral administration. These adult asthmatics entered a double-blind, placebo-controlled, 2-dose cross-over study with the investigational drug at dosage 0.075 mg/kg twice daily and 0.125 mg/kg twice daily. At both dosages the investigational drug was an effective bronchodilator in blocking exercise-induced reduction in FEV1 by improving asthma disability scores and increasing FEV1 2 h after oral administration. The incidence and severity of the side effects observed were less than those observed with theophylline.