PMID- 1446958 OWN - NLM STAT- MEDLINE DCOM- 19921229 LR - 20191210 IS - 0174-4879 (Print) IS - 0174-4879 (Linking) VI - 30 IP - 10 DP - 1992 Oct TI - Clinical effect of indolidan in congestive heart failure. PG - 405-9 AB - Indolidan (IN) experimentally inhibits type IV phosphodiesterase. It was administered to twelve patients (age 64 +/- 15 years) with New York Heart Association (NYHA) class 2-3 congestive heart failure in which digoxin and diuretic therapy were continued. IN was administered i.v. at 1,180 +/- 340 micrograms (15 micrograms/kg) over two hours. After 24 hours, IN was given p.o. at 231 +/- 44 micrograms. The time course effect of IN i.v. revealed an increase in cardiac index and a decrease in pulmonary capillary wedge pressure and blood pressure. Daily oral administration of IN or placebo was carried out for up to 3 months. There were no significant hemodynamic changes of chronically administered IN. The maximum oxygen uptake increased in placebo relative to IN therapy. IN tended to be arrhythmogenic as evidenced by a general increased frequency of ventricular premature contractions of both single and paired type. Therefore, IN had some hemodynamic efficacy on acute i.v. and p.o. administration but not during chronic therapy, and there was negative safety features of arrhythmias. FAU - Corder, C N AU - Corder CN AD - Clinical Pharmacology Division, Oklahoma Medical Research Foundation, Oklahoma City 73104. FAU - Puls, A AU - Puls A FAU - Wilson, M AU - Wilson M LA - eng PT - Clinical Trial PT - Clinical Trial, Phase II PT - Journal Article PT - Randomized Controlled Trial PL - Germany TA - Int J Clin Pharmacol Ther Toxicol JT - International journal of clinical pharmacology, therapy, and toxicology JID - 8003415 RN - 0 (Cardiotonic Agents) RN - 0 (Diuretics) RN - 0 (Indoles) RN - 0 (Oxindoles) RN - 0 (Pyridazines) RN - 0751ZOW7OR (indolidan) RN - 73K4184T59 (Digoxin) SB - IM MH - Administration, Oral MH - Aged MH - Cardiotonic Agents/*therapeutic use MH - Digoxin/therapeutic use MH - Diuretics/therapeutic use MH - Drug Therapy, Combination MH - Exercise Tolerance/drug effects MH - Heart Failure/*drug therapy/physiopathology MH - Hemodynamics/drug effects MH - Humans MH - Indoles/pharmacology/*therapeutic use MH - Injections, Intravenous MH - Middle Aged MH - Oxindoles MH - Oxygen Consumption MH - Pyridazines/pharmacology/*therapeutic use EDAT- 1992/10/01 00:00 MHDA- 1992/10/01 00:01 CRDT- 1992/10/01 00:00 PHST- 1992/10/01 00:00 [pubmed] PHST- 1992/10/01 00:01 [medline] PHST- 1992/10/01 00:00 [entrez] PST - ppublish SO - Int J Clin Pharmacol Ther Toxicol. 1992 Oct;30(10):405-9.