Table 1.
Control 1 | Moxifloxacin | Control 2 | Azithromycin | Control 3 | Dofetilide | |
---|---|---|---|---|---|---|
RR (ms) | 1162±238 | 1436±167*† | 1021±182 | 1044±149 | 1159±198 | 1251±252 |
QT (ms) | 480±95 | 594±75* | 452±49 | 420±52† | 478±84 | 622±143* |
QTc (ms) | 466±78 | 556±63* | 450±42 | 416±48† | 464±73 | 600±126* |
LV MAPD (ms) | 394±86 | 515±89* | 369±36 | 345±57† | 418±75 | 607±139* |
RV MAPD (ms) | 350±61 | 451±99* | 323±37 | 315±37† | 352±82 | 479±156* |
ΔMAPD (ms) | 43±40 | 64±63 | 46±13 | 30±37 | 66±42 | 128±43* |
STVLV (ms) | 2.0±0.9 | 3.0±1.3 | 2.2±0.6 | 2.3±0.5 | 1.8±0.7 | 3.8±1.5* |
PP (ms) | 597±137 | 681±112* | 531±53 | 521±38† | 573±46 | 666±82* |
Couplets | 0.3±0.5 | 9.5±14 | 0.0±0.0 | 1.2±1.6 | 2.4±3.6 | 77±75 |
Multiples | 0.3±0.8 | 0.0±0.0 | 0.0±0.0 | 0.0±0.0 | 0.0±0.0 | 2.5±3.5 |
TdP incidence | 0 | 0 | 0 | 0 | 0 | 100% |
[Drug]pl (μg ml−1)a | 0±0 | 8.0±0.8 | 0±0 | 4.7±0.8 | 0±0 | 0.035±0.005b |
Abbreviations: CAVB, chronic atrioventricular block; MAP, monophasic action potentials; MAPD, MAP to 90% repolarization; STV, short-term variability; TdP, torsades de pointes.
Analyses of experiments with moxifloxacin or azithromycin were performed before and 10 min after start of infusion of 8 mg kg−1, whereas dofetilide experiments were analysed before administration and before the first TdP (3±1 min). No statistically significant differences were identified within the control data. Singles and multiples, mean frequency of single and coupled (>2) extrasystoles, respectively, determined over 20 min. TdP incidence is relative to group size.
*P<0.05 versus control; †P<0.05 versus dofetilide-induced change.
Concentrations at 10 min are not peak-plasma concentrations (see text for details);
Plasma concentrations of dofetilide were acquired from another study performed under comparable conditions Thomsen et al. (2003).