Pharmacological Evaluation of Ticlopidine, A Novel Inhibitor of Platelet Function

Open Access
Publisher Website
Google Scholar
Abstract
Ticlopidine (T), 5-(2-chlorobenzyl)-4,5,6,7-tetrahydrothieno(3,2-C)pyridine hydrochloride (a product of Parcor Research) has been evaluated as an antiplatelet agent in various animal species and in human volunteers. T was inactive in vitro, but inhibited platelet aggregation induced by ADP, collagen, thrombin, arachidonic acid and prostaglandin (PG) endoperoxide, when administered orally to mice, rats, rabbits, guinea pigs, pigs, dogs and baboons. Platelet adhesiveness was reduced but platelet survival time was normal in treated animals. Basal PG synthesis and platelet ultra-structure were unaffected by T.T protected against acute thrombocytopenia and death from pulmonary embolism induced by i. v. injection of ADP or collagen. Thrombus formation in experimental models of extra-corporeal circulation and deep venous thrombosis was also impaired.In man, a single oral dose of 500mg was shown to be a potent inhibitor of ADP, collagen, adrenaline, ristocetin, bovine fibrinogen and 5HT-induced aggregation. A dose-effect relationship was apparent, 250 and 500mg resulting in ~47 and 75% inhibition of ADP-induced aggregation respectively. Inhibition was sustained by chronic daily dosing.There was a delay in the onset of action of T in vivo, but which then persisted after withdrawal for at least 48 hours, with no evidence of rebound hyperactivity. The duration of action of T correlated with platelet survival time, suggesting an irreversible modification of platelet function. T is a potent platelet inhibitor, exhibiting a novel mode of action and lack of agonist specificity, which may be of value in the treatment of thrombotic conditions.

This publication has 0 references indexed in Scilit: