Cadralazine is a new and potent antihypertensive vasodilator drug (22) that has slow onset and long duration of action. It is well tolerated after long-term administration. Cadralazine is almost completely absorbed orally, its biotransfonnation is limited, and its hypotensive response is consistent. The research program that led to the development of cadralazine started about 16 years ago. The aim was to find an antihypertensive drug that would reduce vascular smooth muscle tone directly and specifically and would normalize the increased peripheral vascular resistance. At that time the only direct vasodilator drug available for the therapy of hypertension was hydralazine, and various approaches were in progress to discover new derivatives that would be more potent and safer than hydralazine.In our laboratory several hundred hydrazinopyridazines have been synthesized and submitted to pharmacological screening. During the early stage of the research some interesting structure-activity relations were detected, and a potent antihypertensive vasodilator, pildralazine, was selected (15,23,25). Subsequent chemical efforts were devoted to optimization of the pharmacological profile of pildralazine; they led to the discovery of cadralazine in 1978 (7,24).
CHEMISTRYThe chemical name of cadralazine (ISF 2469) is ethyl 2-[6-[ethyl-(2-hydroxypropyl)amino]-3-pyridazinyl]hydrazinecarboxylate. The structural formula is shown in Fig. 1. The empirical formula is C,2H21N,03, and the molecular weight is 283.33. The product is a pale yellow, crystalline powder with a melting point range of 161" to 164°C. It is slightly soluble in water but freely soluble in acid. Cadralazine is a 6-substituted derivative of 3-hydrazino-pyridazine, which shares with hydralazine the structural features required for antihypertensive activity (19). However, the highly reactive hydrazino moiety in cadralazine is masked by the ethoxycarbonyl group. This structure prevents the hydrazine group from reacting with carbonyl groups, which are ubiquitous in the body. Moreover, the ethoxycarbonyl group protects the hydrazino moiety from being acetylated, a reaction that is a capacity-limiting step in the first-pass metabolism of hydralazine (34).
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