Details
Stereochemistry | RACEMIC |
Molecular Formula | C14H13N3O2S |
Molecular Weight | 287.337 |
Optical Activity | ( + / - ) |
Defined Stereocenters | 0 / 1 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
COC1=C(C=CC(=C1)[S+](C)[O-])C2=NC3=C(N2)C=CC=N3
InChI
InChIKey=XMFCOYRWYYXZMY-UHFFFAOYSA-N
InChI=1S/C14H13N3O2S/c1-19-12-8-9(20(2)18)5-6-10(12)13-16-11-4-3-7-15-14(11)17-13/h3-8H,1-2H3,(H,15,16,17)
Sulrnazole (the former AR-L 115 BS) is a benzimidazole derivative with positive inotropic, positive chronotropic and vasodilator effects. Sulrnazole also has been shown to improve cardiac index and reduce pulmonary capillary wedge pressure without significant change in heart rate or arterial pressure. Intravenous administration caused a 217 per cent increase in cardiac output with a 25 per cent decrease in pulmonary wedge pressure. Short-term oral administration resulted in a 317 per cent increase in cardiac index and a 317 per cent increase in ejection fraction. Side effects have included visual blurring and transient colour blindness. Sulmazol has been demonstrated to improve regional wall motion in patients with ischemic heart disease and to abolish pacing-induced ischemia. Sulrnazole is an A1 adenosine receptor antagonist. It is also a phosphodiesterase inhibitor.
CNS Activity
Sources: https://www.ncbi.nlm.nih.gov/pubmed/3004210
Curator's Comment: Side effects have included visual blurring and transient
color blindness.
Originator
Approval Year
Doses
Dose | Population | Adverse events |
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450 mg 4 times / day multiple, oral Dose: 450 mg, 4 times / day Route: oral Route: multiple Dose: 450 mg, 4 times / day Sources: |
unhealthy n = 2 Health Status: unhealthy Condition: heart attack Sex: M+F Food Status: UNKNOWN Population Size: 2 Sources: |
Disc. AE: Nausea and vomiting... AEs leading to discontinuation/dose reduction: Nausea and vomiting (2 patients) Sources: |
AEs
AE | Significance | Dose | Population |
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Nausea and vomiting | 2 patients Disc. AE |
450 mg 4 times / day multiple, oral Dose: 450 mg, 4 times / day Route: oral Route: multiple Dose: 450 mg, 4 times / day Sources: |
unhealthy n = 2 Health Status: unhealthy Condition: heart attack Sex: M+F Food Status: UNKNOWN Population Size: 2 Sources: |
PubMed
Title | Date | PubMed |
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A new non-glycoside, non-adrenergic cardiotonic agent AR-L 115 BS. Hemodynamic proof of its efficacy after both i.v. and oral administration. | 1981 |
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Effects of AR-L 115 BS on hemodynamics and contractility of the heart in cardiac patients. | 1981 |
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Ergometric and hemodynamic studies on a new cardiotonic agent AR-L 115 BS. | 1981 |
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Study of the acute effect of AR-L 115 BS, a new positive-inotropic agent in patients with exercise-induced heart failure. | 1981 |
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The acute effect of a new positive inotropic agent (AR-L 115 BS) on cardiac hemodynamics and contractility in patients with severe chronic congestive heart failure. | 1981 |
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Influence on hemodynamic parameters after parenteral administration of AR-L 115 BS in patients with acute myocardial infarction. | 1981 |
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The hemodynamic effect of AR-L 115 BS, a new positive-inotropic agent, in patients with left ventricular failure. | 1981 |
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Hemodynamic effects of single-dose administration of AR-L 115 BS in patients with coronary artery disease. | 1981 |
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A double blind crossover tolerance study of AR-L 115 BS in health volunteers. | 1981 |
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[Human pharmacokinetics of AR-L 115 BS (author's transl)]. | 1981 |
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[AR-L 115 BS, comparison of human metabolite pattern and biotransformation with other species]. | 1981 |
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[Animal studies on the tolerability of AR-L 115 BS (author's transl)]. | 1981 |
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[Pharmacokinetics of AR-L 115 BS in rhesus monkeys (author's transl)]. | 1981 |
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The absorption, metabolism and excretion of (14C)-AR-L 115 BS in the baboon. | 1981 |
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[Comparison of blood levels, excretion and metabolite pattern in rats non-pretreated and pretreated with subacute doses of AR-L 115 BS]. | 1981 |
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[Pharmacokinetics of AR-L 115 BS in the rat (author's transl)]. | 1981 |
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Effects of AR-L 115 BS on arterial and venous muscle tone in vitro. | 1981 |
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[Calcium transport in sarcoplasmic reticulum in the presence of AR-L 115 BS]. | 1981 |
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Activating effects of AR-L 115 BS on the Ca2+ sensitive force, stiffness and unloaded shortening velocity (Vmax) in isolated contractile structures from mammalian heart muscle. | 1981 |
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Experiments with AR-L 115 BS on skinned cardiac fibers. | 1981 |
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Interaction of AR-L 115 BS with isoprenaline on hemodynamic parameters in the isolated guinea pig heart. | 1981 |
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Analysis of the positive-inotropic activity of the benzimidazole derivative AR-L 115 BS in isolated guinea pig atria. | 1981 |
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Effects of AR-L 115 BS on hemodynamics, myocardial oxygen consumption and cardiac pumping efficiency. | 1981 |
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Action of AR-L 115 BS on myocardial oxygen consumption, cardiac performance and vascular resistance and capacitance. | 1981 |
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Effects of AR-L 115 BS, a new cardiotonic compound, on cardiac contractility, heart rate and blood pressure in anaesthetized and conscious animals. | 1981 |
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Comparative cardiovascular effects of three benzimidazole derivatives, AR-L 57 BS, AR-L 100 BS, and AR-L 115 BS. | 1981 |
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Application of the theory of sets to drug design. Development of a new cardiotonic drug AR-L 115 BS. | 1981 |
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[Mechanism of action of AR-L 115 BS compared to caffeine]. | 1981 |
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[The effect of the benzimidazole derivative AR-L 115 BS on the activities of myocardial adenylate cyclase and phosphodiesterase preparations (author's transl)]. | 1982 |
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The response of the calcium dependent myocardial contractility to the new cardiotonic agent sulmazole. | 1984 |
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Effects of the new cardiotonic agent sulmazole on the slow inward current of sheep cardiac Purkinje fibres. | 1984 |
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Pharmacology of LY175326: a potent cardiotonic agent with vasodilator activities. | 1985 May |
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Supply-to-demand ratio for oxygen determines formation of adenosine by the heart. | 1986 Feb |
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Sulmazole effects on mechanical performance of hypoxic and reoxygenated isolated mammalian myocardium. | 1986 Nov |
Patents
Sample Use Guides
In Vivo Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/7195230
Curator's Comment: Following oral administration (450 mg) in 12 other patients, cardiac performance was similarly improved. https://www.ncbi.nlm.nih.gov/pubmed/6519393
0.7 mg/kg, i.v. administration
Route of Administration:
Intravenous
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/3814219
Under normoxic conditions, sulmazole displayed a positive inotropic action with acceleration of relaxation of isolated mammalian myocardium at small concentrations ( 6.4 umol/L). Increasing doses led to a negative inotropic effect with slackened relaxation and loss of its load sensitivity (up to 390 umol/L for sulmazole).
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NCI_THESAURUS |
C78322
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C029758
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Sulmazole
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ACTIVE MOIETY