Histamine-induced bronchospasm. Its reproducibility and usage in clinical evaluation of the sub-threshold bronchodilating dose of a new beta-agonist, KWD 2131

Allergy. 1980 Mar;35(2):113-21. doi: 10.1111/j.1398-9995.1980.tb01725.x.

Abstract

The reproducibility of the histamine challenge in seven asymptomatic patients with extrinsic asthma, provoked four times each with 1-2 weeks interval, was investigated. The method was thereafter used in order to find the sub-threshold bronchodilating dose of a new beta-agonist KWD 2131 with a preferably anti-allergic property. Selection of patients and methodology of the histamine challenge procedure were carefully standardized. Histamine was administered during quiet breathing at 3-min intervals in a step-wise cumulative manner up to a point where greater than 20% decrease in FEV 1.0 was reached. The pooled intra-individual standard deviation was 4.6% in FEV 1.0, 5.0% in PEFR, and 4.7% in FVC. Pretreatment with KWD 2131, before histamine challenge, showed that the subthreshold dose for bronchodilatation was 0.5 mg in nine patients and 0.25 mg in three patients compared with 1 mg in patients with intrinsic asthma. It was important to perform individualized dose-titration of the sub-threshold bronchodilating dose of KWD 2131 before initiation of a subsequent allergen provocation study.

Publication types

  • Clinical Trial

MeSH terms

  • Adrenergic beta-Agonists / administration & dosage
  • Adrenergic beta-Agonists / therapeutic use*
  • Adult
  • Asthma / drug therapy*
  • Bronchial Provocation Tests
  • Bronchial Spasm / chemically induced*
  • Bronchodilator Agents / therapeutic use*
  • Clinical Trials as Topic
  • Dose-Response Relationship, Drug
  • Female
  • Forced Expiratory Volume
  • Histamine*
  • Humans
  • Male
  • Middle Aged
  • Terbutaline / administration & dosage
  • Terbutaline / analogs & derivatives*
  • Terbutaline / therapeutic use

Substances

  • Adrenergic beta-Agonists
  • Bronchodilator Agents
  • KWD 2131
  • Histamine
  • Terbutaline