SCH00013, a novel Ca²⁺ sensitizer with positive inotropic and no chronotropic action in heart failure

We investigated the effects of the agent SCH00013 on Ca²⁺- induced force generation in rabbit skinned cardiac muscle fibers and in vivo cardiac function in high-pacing-induced heart failure dogs. The Ca ²⁺-induced force generation in skinned cardiac muscle fibers was determined at pH 6.2-7.4, and SCH00013 was found to have a significant Ca ²⁺ sensitizing effect at pH 7.2 to 7.4. There was no significant difference in the Ca²⁺ sensitizing action between the enantiomers of SCH00013. The Ca²⁺ sensitizing effect of SCH00013 was dependent on the sarcomere length, being significant only at a long sarcomere length. SCH00013 elicited a positive inotropic effect at more than 0.3 and 1 mg/kg, i.v. in normal and heart failure dogs, respectively, with no chronotropic action. These results strongly suggested that SCH00013 is a novel Ca²⁺ sensitizer that elicits a positive inotropic and no chronotropic effect in heart failure, probably through enhancing the Frank-Starling mechanism.