Effect of treatment at night with S-1452, a thromboxane A2 receptor antagonist, on the morning rise in platelet aggregation

Eur J Clin Pharmacol. 1992;43(5):501-5. doi: 10.1007/BF02285091.

Abstract

It is well known that platelet aggregation shows a morning rise, which may contribute to the increase in the onset of ischaemic heart diseases during the morning period. The present study was undertaken to determine whether nocturnal dosage with S-1452, a thromboxane A2 receptor antagonist, would blunt the morning rise in platelet aggregability. S-1452 50 mg or placebo were given orally to 8 healthy subjects at 10.00 h (day trial) or 22.00 h (night trial) according to a cross-over design. Plasma concentrations of S-1452 and its metabolites, bisnor-(+)-S-145 and tetranor-(+)-S-145, and platelet aggregation were determined during the 12-hour period following the dose. Mean plasma concentrations of S-1452, bisnor-(+)-S-145 and tetranor-(+)-S-145 during the absorption phase were lower after the nocturnal dose than after the morning dose. The maximum plasma concentration and area under the plasma concentration-time curve of the compounds were also lower and the time to the maximum concentration were delayed after the treatment at night. A morning rise in platelet aggregation was observed following placebo treatment. The inhibitory effect of S-1452 on platelet aggregation was observed at 3 hours and persisted for up to 9 h in both trials. The results suggest that S-1452 is absorbed more slowly after the nocturnal dose than after the morning dose. However nocturnal treatment with 50 mg S-1452 may blunt the morning rise in platelet aggregability.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • 15-Hydroxy-11 alpha,9 alpha-(epoxymethano)prosta-5,13-dienoic Acid
  • Adult
  • Bridged Bicyclo Compounds / administration & dosage
  • Bridged Bicyclo Compounds / blood
  • Bridged Bicyclo Compounds / pharmacokinetics
  • Bridged Bicyclo Compounds / pharmacology*
  • Circadian Rhythm / physiology*
  • Collagen / pharmacology
  • Fatty Acids, Monounsaturated / administration & dosage
  • Fatty Acids, Monounsaturated / blood
  • Fatty Acids, Monounsaturated / pharmacokinetics
  • Fatty Acids, Monounsaturated / pharmacology*
  • Humans
  • Male
  • Platelet Aggregation / drug effects*
  • Platelet Aggregation / physiology
  • Platelet Count / drug effects
  • Prostaglandin Endoperoxides, Synthetic / pharmacology
  • Receptors, Thromboxane / antagonists & inhibitors*

Substances

  • Bridged Bicyclo Compounds
  • Fatty Acids, Monounsaturated
  • Prostaglandin Endoperoxides, Synthetic
  • Receptors, Thromboxane
  • S 145
  • 15-Hydroxy-11 alpha,9 alpha-(epoxymethano)prosta-5,13-dienoic Acid
  • Collagen