Awouters, F., C.J.E. Niemegeers and P.A.J. Janssen: Interaction of astemizole and other drugs with passive cutaneous anaphylactic and histamine-, serotonin-, and compound 48180-induced skin reactions in the rat. A procedure to determine anti-allergic effectiveness. Drug Dev. Res. 5:137-145, 1985. Passive cutaneous anaphylactic (PCA) reactions in rats were induced simultaneously with skin reactions to intradermally injected histamine, serotonin, and compound 48/80. In this test compounds with widely different pharmacological profiles were studied to evaluate the significance of anti-allergic activity. Five cromoglycatelike drugs, injected i.v. 5 min before antigen challenge, were either devoid of activity or significant inhibition of PCA reactions was associated to inhibition of histamine and compound 48/80 reactions. Two histamine HI-antagonists, astemizole and ketotifen; the serotonin S2-antagonist ketanserin; and the a-adrenergic blocking agent prazosin were tested over a wide dose range 2 hr after S.C. administration. Prazosin, as a result of systemic hemodynamic effects, significantly inhibited the four reactions (primarily PCA), but complete inhibition was not obtained. Ketanserin primarily inhibited serotonin reactions, and inhibition of other reactions required high doses. Ketotifen was a very potent and apparently competitive inhibitor of histamine reactions, with a significant effect on PCA and compound 48/80 reactions. Astemizole primarily inhibited histamine and PCA reactions; complete inhibition was reached for the Received final version July 12, 1984; accepted July 30, 1984. Address reprint requests to F. Awouters, Department of Pharmacology, Janssen Pharmaceutica, B-2340 Beerse, Belgium.
138Awouters, Niemegeers, and Janssen four reaction types. In terms of a practical definition of anti-allergic drugs, i.e., compounds capable of fully suppressing the consequences of allergen challenge in the absence of nonspecific systemic effects, astemizole appears to be a prototype.