Thomas J M, Dourish C T, Tomlinson J W, Hassan-Smith Z, Higgs S
School of Psychology, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK,
Psychopharmacology (Berl). 2014 Jun;231(12):2449-59. doi: 10.1007/s00213-013-3409-x. Epub 2014 Jan 10.
The treatment of obesity is an increasing global health priority, yet few effective drug treatments are currently available. The discovery of novel anti-obesity therapies could be assisted by the validation of experimental (translational) medicine models in healthy volunteers that assess efficacy and safety at an early stage of drug development.
The aim of this study was to examine the effects of the 5-HT2C receptor agonist meta-chlorophenylpiperazine (mCPP) in an experimental medicine model assessing both appetite and mood.
Using a between-subjects, double-blind, placebo-controlled design, 24 male and 24 female participants were randomly assigned to either placebo, 15- or 30-mg mCPP treatment groups. Lunch was eaten from a Universal Eating Monitor (UEM) that measured eating rate, and the participants completed the P1vital® Oxford Emotional Test Battery (ETB) and a series of appetite and mood ratings.
mCPP reduced appetite and, in women, enhanced measures of satiation. The drug also enhanced memory for emotional material in the word recall and recognition memory tasks of the ETB.
The results provide new insight into the effects of mCPP on appetite, satiety and memory in humans. In addition, our data provide an illustration of the value of measuring changes in appetite and mood in healthy volunteers to determine the potential efficacy and safety of novel anti-obesity drugs.
肥胖治疗日益成为全球健康的优先事项,但目前有效的药物治疗却很少。在健康志愿者中验证实验性(转化性)医学模型,在药物开发早期评估疗效和安全性,有助于发现新型抗肥胖疗法。
本研究旨在考察5-羟色胺2C受体激动剂间氯苯哌嗪(mCPP)在一个同时评估食欲和情绪的实验性医学模型中的作用。
采用组间、双盲、安慰剂对照设计,将24名男性和24名女性参与者随机分为安慰剂组、15毫克或30毫克mCPP治疗组。午餐通过通用饮食监测仪(UEM)食用,该仪器测量进食速度,参与者完成P1vital®牛津情绪测试量表(ETB)以及一系列食欲和情绪评分。
mCPP降低了食欲,在女性中还增强了饱腹感指标。该药物在ETB的单词回忆和识别记忆任务中也增强了对情绪材料的记忆。
这些结果为mCPP对人类食欲、饱腹感和记忆的影响提供了新的见解。此外,我们的数据说明了在健康志愿者中测量食欲和情绪变化以确定新型抗肥胖药物潜在疗效和安全性的价值。