Page last updated: 2024-10-23

bepridil and Torsade de Pointes

bepridil has been researched along with Torsade de Pointes in 17 studies

Bepridil: A long-acting calcium-blocking agent with significant anti-anginal activity. The drug produces significant coronary vasodilation and modest peripheral effects. It has antihypertensive and selective anti-arrhythmia activities and acts as a calmodulin antagonist.
bepridil : A tertiary amine in which the substituents on nitrogen are benzyl, phenyl and 3-(2-methylpropoxy)-2-(pyrrolidin-1-yl)propyl.

Research Excerpts

ExcerptRelevanceReference
"Bepridil hydrochloride (Bpd) has attracted attention as an effective drug for atrial fibrillation (AF) and atrial flutter (AFL)."9.12Clinical evaluation of adverse effects during bepridil administration for atrial fibrillation and flutter. ( Daida, H; Kawano, Y; Nakazato, K; Nakazato, Y; Sasaki, A; Tokano, T; Yasuda, M, 2006)
"Bepridil has multiple ion-channel blocking effects and is expected to be useful for managing atrial fibrillation (AF)."9.12Efficacy and safety of the additional bepridil treatment in patients with atrial fibrillation refractory to class I antiarrhythmic drugs. ( Fukushima Kusano, K; Hashimoto, T; Hiramatsu, S; Kaseno, K; Miyaji, K; Naito, S; Nakamura, K; Ohe, T; Oshima, S; Tada, H; Tadokoro, K; Taniguchi, K, 2007)
"In order to bridge the gap of information between the in silico model and human subjects, we evaluated torsadogenic risk of cisapride, dl-sotalol, bepridil and verapamil selected from 12 training compounds in the comprehensive in vitro proarrhythmia assay using the chronic atrioventricular block monkeys."8.02Torsadogenic Action of Cisapride, dl-Sotalol, Bepridil, and Verapamil Analyzed by the Chronic Atrioventricular Block Cynomolgus Monkeys: Comparison With That Reported in the CiPA In Silico Mechanistic Model. ( Goto, A; Izumi-Nakaseko, H; Kambayashi, R; Kanda, Y; Kawai, S; Matsumoto, A; Nunoi, Y; Sakamoto, K; Sugiyama, A; Takei, Y, 2021)
"Although bepridil is a useful anti-arrhythmic agent for atrial fibrillation, the appearance of serious ventricular arrhythmia, such as torsades de pointes, might be a problem."5.14Importance of morphological changes in T-U waves during bepridil therapy as a predictor of ventricular arrhythmic event. ( Ishikawa, S; Izumi, T; Kiryu, M; Kosukegawa, T; Kurokawa, S; Moriguchi, M; Murakami, M; Niwano, H; Niwano, S; Yumoto, Y, 2010)
"Bepridil hydrochloride (Bpd) has attracted attention as an effective drug for atrial fibrillation (AF) and atrial flutter (AFL)."5.12Clinical evaluation of adverse effects during bepridil administration for atrial fibrillation and flutter. ( Daida, H; Kawano, Y; Nakazato, K; Nakazato, Y; Sasaki, A; Tokano, T; Yasuda, M, 2006)
"Bepridil has multiple ion-channel blocking effects and is expected to be useful for managing atrial fibrillation (AF)."5.12Efficacy and safety of the additional bepridil treatment in patients with atrial fibrillation refractory to class I antiarrhythmic drugs. ( Fukushima Kusano, K; Hashimoto, T; Hiramatsu, S; Kaseno, K; Miyaji, K; Naito, S; Nakamura, K; Ohe, T; Oshima, S; Tada, H; Tadokoro, K; Taniguchi, K, 2007)
"Bepridil prolongs the QT interval and can induce torsade de pointes."4.02Relationship between serum bepridil concentration and corrected QT interval. ( Hayakawa, N; Hosomi, K; Kawabata, A; Kusano, K; Matsui, K; Mukai, Y; Nakamura, T; Sakakura, K; Takada, M; Terakawa, N; Wada, K; Yokoyama, S, 2021)
"In order to bridge the gap of information between the in silico model and human subjects, we evaluated torsadogenic risk of cisapride, dl-sotalol, bepridil and verapamil selected from 12 training compounds in the comprehensive in vitro proarrhythmia assay using the chronic atrioventricular block monkeys."4.02Torsadogenic Action of Cisapride, dl-Sotalol, Bepridil, and Verapamil Analyzed by the Chronic Atrioventricular Block Cynomolgus Monkeys: Comparison With That Reported in the CiPA In Silico Mechanistic Model. ( Goto, A; Izumi-Nakaseko, H; Kambayashi, R; Kanda, Y; Kawai, S; Matsumoto, A; Nunoi, Y; Sakamoto, K; Sugiyama, A; Takei, Y, 2021)
"Bepridil is highly effective in the treatment of atrial fibrillation, but its clinical usefulness is limited by a potential risk for the drug-induced Torsades de pointes (TdP) in association with its Class III action."3.75Opposing effects of bepridil on ventricular repolarization in humans. Inhomogeneous prolongation of the action potential duration vs flattening of its restitution kinetics. ( Hasebe, H; Kodama, I; Kuroda, Y; Kushiyama, Y; Osaka, T; Suzuki, T; Yokoyama, E, 2009)
"Bepridil is a calcium antagonist with a unique electrophysiologic profile, a long elimination half-life, and demonstrated efficacy as an antianginal agent in the setting of chronic stable angina."2.38Bepridil therapy: guidelines for patient selection and monitoring of therapy. ( Singh, BN, 1992)
" The QT interval was prolonged after the administration of bepridil and amiodarone, and torsades de pointes arrhythmia was induced in 3 out of 4 dogs after the bepridil administration, which was not observed during the chronic administration of amiodarone."1.35Beat-to-beat variability of repolarization differentiates the extent of torsadogenic potential of multi ion channel-blockers bepridil and amiodarone. ( Nakamura, Y; Sugiyama, A; Takahara, A, 2008)
"She was diagnosed as having sick sinus syndrome and a permanent pacemaker was therefore implanted."1.32A case of sick sinus syndrome that developed torsades de pointes, pacing failure and sensing failure during administration of bepridil. ( Chiba, N; Hiramori, K; Hotta, K; Kunugita, F; Nakamura, M; Ohsawa, M; Saito, H; Shiroto, T; Tanaka, F, 2003)
" The 9-year French experience suggests that bepridil is a safe and effective agent for treatment of angina pectoris in properly selected patients."1.28Safety of bepridil: from review of the European data. ( Coumel, P, 1992)

Research

Studies (17)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's4 (23.53)18.2507
2000's6 (35.29)29.6817
2010's5 (29.41)24.3611
2020's2 (11.76)2.80

Authors

AuthorsStudies
Mirams, GR1
Cui, Y1
Sher, A1
Fink, M1
Cooper, J1
Heath, BM1
McMahon, NC1
Gavaghan, DJ1
Noble, D1
Wiśniowska, B1
Mendyk, A1
Fijorek, K1
Glinka, A1
Polak, S1
Kramer, J1
Obejero-Paz, CA1
Myatt, G1
Kuryshev, YA1
Bruening-Wright, A1
Verducci, JS1
Brown, AM1
Matsui, K1
Mukai, Y1
Sakakura, K1
Wada, K1
Nakamura, T1
Kawabata, A1
Terakawa, N1
Hayakawa, N1
Kusano, K1
Hosomi, K1
Yokoyama, S1
Takada, M1
Goto, A1
Sakamoto, K1
Kambayashi, R1
Nunoi, Y1
Izumi-Nakaseko, H1
Kawai, S1
Takei, Y1
Matsumoto, A1
Kanda, Y1
Sugiyama, A2
Takahara, A1
Nakamura, Y1
Osaka, T1
Yokoyama, E1
Kushiyama, Y1
Hasebe, H1
Kuroda, Y1
Suzuki, T1
Kodama, I1
Kurokawa, S1
Niwano, S1
Kiryu, M1
Murakami, M1
Ishikawa, S1
Yumoto, Y1
Moriguchi, M1
Niwano, H1
Kosukegawa, T1
Izumi, T1
Said, TH1
Wilson, LD1
Jeyaraj, D1
Fossa, AA1
Rosenbaum, DS1
Ohsawa, M1
Tanaka, F1
Kunugita, F1
Saito, H1
Nakamura, M1
Shiroto, T1
Hotta, K1
Chiba, N1
Hiramori, K1
Yasuda, M1
Nakazato, Y1
Sasaki, A1
Kawano, Y1
Nakazato, K1
Tokano, T1
Daida, H1
Miyaji, K1
Tada, H1
Fukushima Kusano, K1
Hashimoto, T1
Kaseno, K1
Hiramatsu, S1
Tadokoro, K1
Naito, S1
Nakamura, K1
Oshima, S1
Taniguchi, K1
Ohe, T1
Makkar, RR1
Fromm, BS1
Steinman, RT1
Meissner, MD1
Lehmann, MH1
Campens, D1
Viallon, A1
Laporte-Simitsidis, S1
Pouzet, V1
Venet, C1
Tardy, B1
Zéni, F1
Bertrand, JC1
Coumel, P1
Singh, BN1

Reviews

2 reviews available for bepridil and Torsade de Pointes

ArticleYear
Female gender as a risk factor for torsades de pointes associated with cardiovascular drugs.
    JAMA, 1993, Dec-01, Volume: 270, Issue:21

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Amiodarone; Bepridil; Cardiovascular Agents; Disopyramid

1993
Bepridil therapy: guidelines for patient selection and monitoring of therapy.
    The American journal of cardiology, 1992, Apr-09, Volume: 69, Issue:11

    Topics: Arrhythmias, Cardiac; Bepridil; Drug Synergism; Humans; Torsades de Pointes

1992

Trials

3 trials available for bepridil and Torsade de Pointes

ArticleYear
Importance of morphological changes in T-U waves during bepridil therapy as a predictor of ventricular arrhythmic event.
    Circulation journal : official journal of the Japanese Circulation Society, 2010, Volume: 74, Issue:5

    Topics: Aged; Anti-Arrhythmia Agents; Atrial Fibrillation; Bepridil; Electrocardiography; Female; Follow-Up

2010
Clinical evaluation of adverse effects during bepridil administration for atrial fibrillation and flutter.
    Circulation journal : official journal of the Japanese Circulation Society, 2006, Volume: 70, Issue:6

    Topics: Age Factors; Aged; Anti-Arrhythmia Agents; Atrial Fibrillation; Atrial Flutter; Bepridil; Bradycardi

2006
Efficacy and safety of the additional bepridil treatment in patients with atrial fibrillation refractory to class I antiarrhythmic drugs.
    Circulation journal : official journal of the Japanese Circulation Society, 2007, Volume: 71, Issue:8

    Topics: Aged; Anti-Arrhythmia Agents; Atrial Fibrillation; Bepridil; Drug Therapy, Combination; Electrocardi

2007

Other Studies

12 other studies available for bepridil and Torsade de Pointes

ArticleYear
Simulation of multiple ion channel block provides improved early prediction of compounds' clinical torsadogenic risk.
    Cardiovascular research, 2011, Jul-01, Volume: 91, Issue:1

    Topics: Action Potentials; Animals; Calcium Channel Blockers; Calcium Channels, L-Type; Computer Simulation;

2011
Predictive model for L-type channel inhibition: multichannel block in QT prolongation risk assessment.
    Journal of applied toxicology : JAT, 2012, Volume: 32, Issue:10

    Topics: Artificial Intelligence; Calcium Channel Blockers; Calcium Channels, L-Type; Cell Line; Computationa

2012
MICE models: superior to the HERG model in predicting Torsade de Pointes.
    Scientific reports, 2013, Volume: 3

    Topics: ERG1 Potassium Channel; Ether-A-Go-Go Potassium Channels; Humans; Models, Theoretical; Patch-Clamp T

2013
Relationship between serum bepridil concentration and corrected QT interval.
    International journal of clinical pharmacology and therapeutics, 2021, Volume: 59, Issue:1

    Topics: Bepridil; Electrocardiography; Humans; Japan; Long QT Syndrome; Retrospective Studies; Torsades de P

2021
Torsadogenic Action of Cisapride, dl-Sotalol, Bepridil, and Verapamil Analyzed by the Chronic Atrioventricular Block Cynomolgus Monkeys: Comparison With That Reported in the CiPA In Silico Mechanistic Model.
    Toxicological sciences : an official journal of the Society of Toxicology, 2021, 04-27, Volume: 181, Issue:1

    Topics: Animals; Atrioventricular Block; Bepridil; Cisapride; Computer Simulation; Macaca fascicularis; Sota

2021
Beat-to-beat variability of repolarization differentiates the extent of torsadogenic potential of multi ion channel-blockers bepridil and amiodarone.
    European journal of pharmacology, 2008, Oct-31, Volume: 596, Issue:1-3

    Topics: Amiodarone; Animals; Anti-Arrhythmia Agents; Atrioventricular Block; Bepridil; Dogs; Electrocardiogr

2008
Opposing effects of bepridil on ventricular repolarization in humans. Inhomogeneous prolongation of the action potential duration vs flattening of its restitution kinetics.
    Circulation journal : official journal of the Japanese Circulation Society, 2009, Volume: 73, Issue:9

    Topics: Action Potentials; Aged; Anti-Arrhythmia Agents; Atrial Fibrillation; Bepridil; Case-Control Studies

2009
Transmural dispersion of repolarization as a preclinical marker of drug-induced proarrhythmia.
    Journal of cardiovascular pharmacology, 2012, Volume: 60, Issue:2

    Topics: Action Potentials; Animals; Bepridil; Dogs; Dose-Response Relationship, Drug; Electrocardiography; E

2012
A case of sick sinus syndrome that developed torsades de pointes, pacing failure and sensing failure during administration of bepridil.
    Japanese heart journal, 2003, Volume: 44, Issue:5

    Topics: Aged; Anti-Arrhythmia Agents; Bepridil; Combined Modality Therapy; Electric Countershock; Electrocar

2003
Torsade de pointes.
    Anesthesia and analgesia, 1996, Volume: 83, Issue:4

    Topics: Anti-Arrhythmia Agents; Bepridil; Bradycardia; Electrocardiography; Heart Block; Humans; Hypokalemia

1996
[Bepridil: importance of serum level in treatment surveillance].
    Presse medicale (Paris, France : 1983), 2000, Apr-01, Volume: 29, Issue:12

    Topics: Aged; Aged, 80 and over; Bepridil; Dose-Response Relationship, Drug; Drug Monitoring; Electrocardiog

2000
Safety of bepridil: from review of the European data.
    The American journal of cardiology, 1992, Apr-09, Volume: 69, Issue:11

    Topics: Aged; Aged, 80 and over; Angina Pectoris; Bepridil; Clinical Trials as Topic; Female; France; Humans

1992