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Vecuronium (ORG-NC-45)

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New Neuromuscular Blocking Agents

Part of the book series: Handbook of Experimental Pharmacology ((HEP,volume 79))

Abstract

For several years, anesthesiologists have stated that two new types of neuromuscular blocking drugs (curare-like drugs, muscle relaxants) are needed in clinical anesthesia (Savarese and Kitz 1975). One type of neuromuscular blocking drug would be one that is nondepolarizing with a very rapid onset time (time from muscle relaxant administration until peak effect) and short duration of action, similar to that of succinylcholine, but without the latter drug’s well-known side effects and complications. BW 785U seemed to meet these qualifications (Savarese et al. 1980). However, because of significant histamine release (Rosow et al. 1980), clinical trials with BW 785U were terminated. Thus, the goal of developing this type of neuromuscular blocking drug for clinical anesthesiology has yet to be realized.

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References

  • Agoston S, Salt P, Newton D, Bencini A, Boomsma P, Erdmann P (1980) The neuromuscular blocking action of ORG NC45, a new pancuronium derivative, in anaesthetized patients. Br J Anaesth 52:53S-60S

    Article  PubMed  Google Scholar 

  • Baird WLM, Bowman WC, Kerr WJ (1982) Some actions of ORG NC45 and of edrophonium in the anaesthetized cat and in man. Br J Anaesth 54:375–386

    Article  PubMed  CAS  Google Scholar 

  • Barnes PK, Smith GB, White WD, Tennant R (1982) Comparison of the effects of ORG NC45 and pancuronium on heart rate and arterial pressure in anaesthetized man. Br J Anaesth 54:435–440

    Article  PubMed  CAS  Google Scholar 

  • Booij LHDJ, Edwards RP, Sohn YJ, Miller RD (1980) Cardiovascular and neuromuscular effects of ORG NC45, pancuronium, metocurine and d-tubocurarine in dogs. Anesth Analg 59:26–31

    PubMed  Google Scholar 

  • Cronnelly R, Fisher DM, Miller RD, Gencarelli PJ, Nguyen-Gruenki L, Castagnoli N Jr (1983) Pharmacokinetics and pharmacodynamics of vecuronium (ORG NC45) and pancuronium in anesthetized humans. Anesthesiology 58:405–408

    Article  PubMed  CAS  Google Scholar 

  • Crul JF, Booij LHDJ (1980) First clinical experience of ORG NC45. Br J Anaesth 5249S-52S

    Google Scholar 

  • Donlon JV Jr, Savarese JJ, Ali HH, Teplik RS (1980) Human dose-response curves for neuromuscular blocking drugs. Anesthesiology 53:161–166

    Article  PubMed  CAS  Google Scholar 

  • Duncalf D, Nagashima H, Hollinger I, Badola RP, Kaplan R, Foldes FF (1981) Relaxation with ORG NC45 during enflurane anesthesia. Anesthesiology 55:A203 (abstract)

    Article  Google Scholar 

  • Durant NN, Marshall IG, Savage DS, Nelson DJ, Sleigh T, Carlyle IC (1979) The neuromuscular and autonomic blocking activities of pancuronium, ORG NC45, and other pancuronium analogues, in the cat. J Pharm Pharmacol 31:831–836

    Article  PubMed  CAS  Google Scholar 

  • Fahey MR, Morris RB, Miller RD, Sohn YJ, Cronnelly R, Gencarelli P (1981 a) Clinical pharmacology of ORG NC45 (Nocuron™): A new nondepolarizing muscle relaxant. Anesthesiology 55:6–11

    Article  PubMed  CAS  Google Scholar 

  • Fahey MR, Morris RB, Miller RD, Nguyen T-L, Upton RA (1981b) Pharmacokinetics of ORG NC45 (Nocuron) in patients with an without renal failure. Br J Anaesth 53:1049–1053

    Article  PubMed  CAS  Google Scholar 

  • Fisher DM, Fahey MR, Cronnelly R, Miller RD (1982) Potency determination for vecuronium (ORG NC45): Comparison of cummulative and single-dose techniques. Anesthesiology 51:309–310

    Article  Google Scholar 

  • Foldes FF, Yun H, Radnay PH, Badola RP, Kaplan R, Nagashima H (1981) Antagonism of the neuromuscular effect of ORG-NC45 by edrophonium. Anesthesiology 55:A201 (abstract)

    Google Scholar 

  • Gencarelli PJ, Miller RD (1982) Antagonism of ORG NC45 (vecuronium) and pancuronium neuromuscular blockade by neostigmine. Br J Anaesth 54:53–56

    Article  PubMed  CAS  Google Scholar 

  • Gencarelli PJ, Roizen MF, Miller RD, Hoyce J, Hunt TK, Tyrrell JB (1981) ORG NC45 (Nocuron™) and pheochromocytoma: A report of three cases. Anesthesiology 55:690–693

    Article  PubMed  CAS  Google Scholar 

  • Harrison P, Feldman SA (1981) Intubating conditions with ORG NC45. Anaesthesia 36:874–877

    Article  PubMed  CAS  Google Scholar 

  • Krieg N, Crul JF, Booij LHDJ (1980) Relative potency of ORG NC45, pancuronium, al-curonium and tubocurarine in anaesthetized man. Br J Anaesth 52:783–787

    Article  PubMed  CAS  Google Scholar 

  • Marshall RJ, McGrath JC, Miller RD, Docherty JR, Lamar J-C (1980) Comparison of the cardiovascular actions of ORG NC45 with those produced by other non-depolarizing neuromuscular blocking agents in experimental animals. Br J Anaesth 52:21S-32S

    PubMed  CAS  Google Scholar 

  • Morris RB, Wilkinson PL, Miller RD, Cahalan M, Quasha A, Robinson SL (1981 a) Cardiovascular effects of ORG NC45 (Nocuron™) in patients undergoing coronary artery bypass grafting. Anesthesiology 55:A205 (abstract)

    Google Scholar 

  • Morris RM, Cronnelly R, Miller RD, Stanski DR, Fahey MR (1981 b) Pharmacokinetics of edrophonium and neostigmine when antagonizing a d-tubocurarine neuromuscular blockade in man. Anesthesiology 54:399–403

    Article  PubMed  CAS  Google Scholar 

  • Nagashima H, Kaplan R, Radnay P, Yun H, Duncalf D, Foldes FF (1981) Relaxation with ORG NC45 during neurolept anesthesia. Anesthesiology 54:A200 (abstract)

    Google Scholar 

  • Rosow CE, Basta SJ, Savarese JJ, Ali HH, Kniffer KJ, Moss J (1980) BW785U — correlations of cardiovascular effects with increases in plasma histamine. Anesthesiology 53:S270 (abstract)

    Article  Google Scholar 

  • Savarese JJ, Kitz RJ (1975) Does clinical anesthesia need new neuromuscular blocking agents? Anesthesiology 42:236–238

    Article  PubMed  CAS  Google Scholar 

  • Savarese JJ, Ali HH, Basta SJ, Ramsey FM, Rosow CE, Lebowitz PW, Lineberry CG, Cloutier G (1980) Clinical neuromuscular pharmacology of BW785, an ultra-short-acting nondepolarizing ester neuromuscular blocking agent. Anesthesiology 53:S274 (abstract)

    Article  Google Scholar 

  • Sohn YJ, Scaf AHJ, Bencini A, Gregoretti S, Agoston S (1982) The comparative pharmacokinetics of vecuronium (ORG NC45) and pancuronium in man. Fed Proc 41:1336 (abstract)

    Google Scholar 

  • Somogyi AA, Shanks A, Triggs EJ (1976) Clinical pharmacokinetics of pancuronium bromide. Eur J Clin Pharmacol 10:367–372

    Article  PubMed  CAS  Google Scholar 

  • Somogyi AA, Shanks A, Triggs EJ (1977) The effect of renal failure on the disposition and neuromuscular blocking action of pancuronium bromide. Eur J Clin Pharmacol 12:23–29

    Article  PubMed  CAS  Google Scholar 

  • Upton RA, Nguyen T-L, Miller RD, Castagnoli N Jr (1982) Renal and biliary elimination of vecuronium (ORG NC45) and pancuronium in rats. Anesth Analg 61:313–316

    Article  PubMed  CAS  Google Scholar 

  • Van der Veen F, Bencini A (1980) Pharmacokinetics and pharmacodynamics of ORG NC45 in man. Br J Anaesth 52:37S-42S

    PubMed  Google Scholar 

  • Walts LF, Stirt JA, Katz RL (1981) A comparison of neuromuscular blocking effects of norcuron and pancuronium. Anesthesiology 55:A210 (abstract)

    Article  Google Scholar 

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© 1986 Springer-Verlag Berlin Heidelberg

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Miller, R.D. (1986). Vecuronium (ORG-NC-45). In: Kharkevich, D.A. (eds) New Neuromuscular Blocking Agents. Handbook of Experimental Pharmacology, vol 79. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-70682-0_28

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  • DOI: https://doi.org/10.1007/978-3-642-70682-0_28

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-70684-4

  • Online ISBN: 978-3-642-70682-0

  • eBook Packages: Springer Book Archive

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