Specific inhibition of the endothelin A receptor with ZD4054: clinical and pre-clinical evidence
2005

Inhibition of the endothelin A receptor with ZD4054

Sample size: 36 publication Evidence: high

Author Information

Author(s): Morris C D, Rose A, Curwen J, Hughes A M, Wilson D J, Webb D J

Primary Institution: AstraZeneca

Hypothesis

Specific blockade of the endothelin A receptor may have anticancer effects while retaining beneficial effects mediated by the endothelin B receptor.

Conclusion

ZD4054 is a potent and specific antagonist of the endothelin A receptor, with no evidence of endothelin B receptor blockade.

Supporting Evidence

  • ZD4054 specifically bound to the endothelin A receptor with high affinity.
  • A single oral dose of ZD4054 reduced forearm vasoconstriction in response to endothelin-1.
  • Mean plasma endothelin-1 concentrations remained within the placebo reference range after ZD4054 administration.

Takeaway

This study shows that a new drug called ZD4054 can block a specific receptor involved in cancer without affecting another receptor that helps with cell death.

Methodology

The study included receptor-binding assays and two randomized, placebo-controlled trials involving healthy volunteers to assess the effects of ZD4054.

Limitations

The study was limited to a small number of healthy volunteers and specific doses due to the invasive nature of the procedures.

Participant Demographics

Healthy adult male volunteers.

Statistical Information

P-Value

0.021

Confidence Interval

95% CI: 8.23, 8.32 nM

Statistical Significance

p=0.021

Digital Object Identifier (DOI)

10.1038/sj.bjc.6602676

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