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Comparative Effects of a Fixed Combination of Reproterol Hydrochloride and Disodium Cromoglycate with Each Agent Alone on Antigen-Induced Airway Responses in Sheep

The purpose of this study was to compare the effectiveness of an eight day treatment with clinically relevant doses of a fixed combination of theβ2mimetic reproterol hydrochloride and disodium cromoglycate with each agent given alone against antigen-induced early (EAR) and late airway responses (LAR...

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Published in:Pulmonary pharmacology & therapeutics 1998-08, Vol.11 (4), p.271-276
Main Authors: Abraham, W.M., Sabater, J.R., Szelenyi, S., Bähre, M.
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Language:English
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container_issue 4
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container_title Pulmonary pharmacology & therapeutics
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creator Abraham, W.M.
Sabater, J.R.
Szelenyi, S.
Bähre, M.
description The purpose of this study was to compare the effectiveness of an eight day treatment with clinically relevant doses of a fixed combination of theβ2mimetic reproterol hydrochloride and disodium cromoglycate with each agent given alone against antigen-induced early (EAR) and late airway responses (LAR) as well as post-antigen-induced airway hyperresponsiveness (AHR) in allergic sheep. Animals were treated in a randomized fashion with either the inhaled combination (n=6), reproterol hydrochloride alone (n=6), disodium cromoglycate alone (n=6), or placebo (n=8). Treatments (two puffs from a metered dose inhaler) were given three times a day for 7 days and once on the 8th day 1 h before airway challenge withAscaris suumantigen. In the placebo trial, antigen challenge resulted in EAR and LAR as measured by increases in specific lung resistance; these changes were followed 24 h later by AHR to inhaled carbachol. With respect to the placebo trial, treatment with reproterol hydrochloride reduced the EAR (P
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Animals were treated in a randomized fashion with either the inhaled combination (n=6), reproterol hydrochloride alone (n=6), disodium cromoglycate alone (n=6), or placebo (n=8). Treatments (two puffs from a metered dose inhaler) were given three times a day for 7 days and once on the 8th day 1 h before airway challenge withAscaris suumantigen. In the placebo trial, antigen challenge resulted in EAR and LAR as measured by increases in specific lung resistance; these changes were followed 24 h later by AHR to inhaled carbachol. With respect to the placebo trial, treatment with reproterol hydrochloride reduced the EAR (P<0.05) and blocked the LAR (P<0.05), but had no effect on the post-challenge AHR. Treatment with disodium cromoglycate also reduced the EAR (P<0.05), blocked the LAR (P<0.05), and blocked the post-antigen-induced AHR (P<0.05). Treatment with the fixed combination reduced the EAR (P<0.05), blocked the LAR (P<0.05), and blocked the post-antigen-induced AHR (P<0.05). Comparison of the different agents indicated that the fixed combination gave significantly increased protection against the EAR than either agent alone, gave slightly better (P<0.05) protection against the late response than cromolyn sodium and gave better protection against post-antigen-induced AHR than reproterol hydrochloride alone. 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Comparison of the different agents indicated that the fixed combination gave significantly increased protection against the EAR than either agent alone, gave slightly better (P<0.05) protection against the late response than cromolyn sodium and gave better protection against post-antigen-induced AHR than reproterol hydrochloride alone. 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derivatives</topic><topic>Metaproterenol - pharmacology</topic><topic>Metaproterenol - therapeutic use</topic><topic>Random Allocation</topic><topic>Sheep</topic><topic>Theophylline - analogs &amp; derivatives</topic><topic>Theophylline - pharmacology</topic><topic>Theophylline - therapeutic use</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Abraham, W.M.</creatorcontrib><creatorcontrib>Sabater, J.R.</creatorcontrib><creatorcontrib>Szelenyi, S.</creatorcontrib><creatorcontrib>Bähre, M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pulmonary pharmacology &amp; therapeutics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Abraham, W.M.</au><au>Sabater, J.R.</au><au>Szelenyi, S.</au><au>Bähre, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparative Effects of a Fixed Combination of Reproterol Hydrochloride and Disodium Cromoglycate with Each Agent Alone on Antigen-Induced Airway Responses in Sheep</atitle><jtitle>Pulmonary pharmacology &amp; therapeutics</jtitle><addtitle>Pulm Pharmacol Ther</addtitle><date>1998-08-01</date><risdate>1998</risdate><volume>11</volume><issue>4</issue><spage>271</spage><epage>276</epage><pages>271-276</pages><issn>1094-5539</issn><eissn>1522-9629</eissn><abstract><![CDATA[The purpose of this study was to compare the effectiveness of an eight day treatment with clinically relevant doses of a fixed combination of theβ2mimetic reproterol hydrochloride and disodium cromoglycate with each agent given alone against antigen-induced early (EAR) and late airway responses (LAR) as well as post-antigen-induced airway hyperresponsiveness (AHR) in allergic sheep. Animals were treated in a randomized fashion with either the inhaled combination (n=6), reproterol hydrochloride alone (n=6), disodium cromoglycate alone (n=6), or placebo (n=8). Treatments (two puffs from a metered dose inhaler) were given three times a day for 7 days and once on the 8th day 1 h before airway challenge withAscaris suumantigen. In the placebo trial, antigen challenge resulted in EAR and LAR as measured by increases in specific lung resistance; these changes were followed 24 h later by AHR to inhaled carbachol. With respect to the placebo trial, treatment with reproterol hydrochloride reduced the EAR (P<0.05) and blocked the LAR (P<0.05), but had no effect on the post-challenge AHR. Treatment with disodium cromoglycate also reduced the EAR (P<0.05), blocked the LAR (P<0.05), and blocked the post-antigen-induced AHR (P<0.05). Treatment with the fixed combination reduced the EAR (P<0.05), blocked the LAR (P<0.05), and blocked the post-antigen-induced AHR (P<0.05). Comparison of the different agents indicated that the fixed combination gave significantly increased protection against the EAR than either agent alone, gave slightly better (P<0.05) protection against the late response than cromolyn sodium and gave better protection against post-antigen-induced AHR than reproterol hydrochloride alone. These results suggest that a fixed combination of aβ2-mimetic and disodium cromoglycate provides some increased protection against antigen-induced airway responses when compared to either agent alone in a controlled laboratory setting.]]></abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>10101743</pmid><doi>10.1006/pupt.1998.0150</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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ispartof Pulmonary pharmacology & therapeutics, 1998-08, Vol.11 (4), p.271-276
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subjects Administration, Inhalation
Adrenergic beta-Agonists - pharmacology
Adrenergic beta-Agonists - therapeutic use
Aerosols
Airway Resistance - drug effects
Animals
Anti-Allergic Agents - pharmacology
Anti-Allergic Agents - therapeutic use
Area Under Curve
Asthma - drug therapy
Asthma - physiopathology
Asthma, Therapy, Allergen challenge, Airway hyperresponsiveness, Late phase response
Bronchial Hyperreactivity - physiopathology
Bronchial Hyperreactivity - prevention & control
Bronchial Provocation Tests
Bronchodilator Agents - pharmacology
Bronchodilator Agents - therapeutic use
Cromolyn Sodium - pharmacology
Cromolyn Sodium - therapeutic use
Drug Combinations
Drug Therapy, Combination
Metaproterenol - analogs & derivatives
Metaproterenol - pharmacology
Metaproterenol - therapeutic use
Random Allocation
Sheep
Theophylline - analogs & derivatives
Theophylline - pharmacology
Theophylline - therapeutic use
title Comparative Effects of a Fixed Combination of Reproterol Hydrochloride and Disodium Cromoglycate with Each Agent Alone on Antigen-Induced Airway Responses in Sheep
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