Ator Nancy A, Griffiths Roland R
Department of Psychiatry and Behavioral Sciences, Behavioral Biology Research Center, Johns Hopkins School of Medicine, Hopkins Bayview Campus, 5510 Nathan Shock Drive, Ste. 3000, Baltimore, MD 21224-6823, USA.
Drug Alcohol Depend. 2003 Jun 5;70(3 Suppl):S55-72. doi: 10.1016/s0376-8716(03)00099-1.
This paper describes the rationale for use of preclinical assessments of abuse liability in laboratory animals, and then discusses "cross-cutting" methodological issues that apply to behavioral evaluations intended to contribute to an abuse liability evaluation package. Issues include use of: (1) positive and negative control conditions; (2) full dose-effect evaluations, (3) multiple dependent measures, (4) pharmacokinetic evaluations to guide choice of dose ranges, (5) a species for which good methodological and comparative data are available to aid interpretation of results, and (6) appropriate methods for the group or single-subject experimental design selected. The remainder of the paper describes basic methodology by which three core pieces of behavioral data required by the Food and Drug Administration for its use in the overall abuse liability analysis can be obtained preclinically. Reinforcing effects are assessed in study of drug self-administration; drug discrimination assesses degree of overlap of interoceptive stimulus effects with relevant comparison drugs; physical dependence potential is determined by assessing whether a withdrawal syndrome occurs after chronic drug administration. Background and methodological issues specific to each procedure are discussed. A key consideration for cross-cutting and specific methodological issues is that choices made enable confident interpretation of both positive and negative results.
本文描述了在实验动物中使用滥用可能性临床前评估的基本原理,然后讨论了适用于旨在为滥用可能性评估包做出贡献的行为评估的“交叉”方法学问题。这些问题包括:(1)阳性和阴性对照条件的使用;(2)全剂量效应评估;(3)多个相关测量指标;(4)用于指导剂量范围选择的药代动力学评估;(5)有良好方法学和比较数据可用于辅助结果解释的物种;以及(6)为所选的组或单受试者实验设计选择合适的方法。本文的其余部分描述了可以在临床前获得美国食品药品监督管理局在整体滥用可能性分析中使用所需的三项核心行为数据的基本方法。在药物自我给药研究中评估强化作用;药物辨别评估内感受性刺激效应与相关对照药物的重叠程度;通过评估长期给药后是否出现戒断综合征来确定身体依赖潜力。讨论了每个程序特有的背景和方法学问题。对于交叉和特定方法学问题的一个关键考虑因素是,所做的选择能够对阳性和阴性结果进行可靠的解释。