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在两项随机、双盲的I期研究中,对亲代谢型谷氨酸受体2(mGluR2)的正向变构调节剂JNJ-40411813进行药代动力学和药效学特征分析。

Pharmacokinetic and pharmacodynamic characterisation of JNJ-40411813, a positive allosteric modulator of mGluR2, in two randomised, double-blind phase-I studies.

作者信息

Salih Hiba, Anghelescu Ion, Kezic Iva, Sinha Vikash, Hoeben Eef, Van Nueten Luc, De Smedt Heidi, De Boer Peter

机构信息

Janssen Research & Development, Beerse, Belgium.

Janssen Research & Development, Beerse, Belgium

出版信息

J Psychopharmacol. 2015 Apr;29(4):414-25. doi: 10.1177/0269881115573403. Epub 2015 Mar 3.

Abstract

Metabotropic glutamate receptor-2 positive allosteric modulator, JNJ-40411813 (ADX71149), was characterised for clinical effects in healthy volunteers in two phase-1 studies. In study 1, healthy men received 50-, 100-, 150- or 225 mg and women received 100 mg JNJ-40411813 (n=6, each cohort) or placebo (n=2, each cohort) twice daily for seven days; smoking men (n=30) received placebo twice daily on days 1-7, 100 mg JNJ-40411813 (n=20) or placebo (n=10) on days 8-14. In study 2, healthy men received intravenous 0.005 mg/kg S(+) ketamine over 60 min at 3 (n=24; cohort 1), 12 h (n=8; cohort 3), and 24 h (n=8; cohort 2) after a single oral dose of 500 mg JNJ-40411813 or placebo. The pharmacokinetics and effects of JNJ-40411813 on cognition and subjective awareness were evaluated. Plasma JNJ-40411813 exposure was dose-dependent, t max ranged from 3-4 h and t 1/2 19.4-34.2 h across the dose levels. JNJ-40411813 significantly (p=0.02) reduced continuity of attention score (150 mg dose) and ameliorated smoking withdrawal-induced changes in power of attention and quality of episodic memory versus placebo. A modest reduction in alertness was observed at 150-225 mg doses, JNJ-40411813 (500 mg) reduced S(+) ketamine-induced negative symptoms by approximately 43% and 30% in cohorts 1 and 3, respectively. JNJ-40411813 was generally well-tolerated.

摘要

代谢型谷氨酸受体2正变构调节剂JNJ-40411813(ADX71149)在两项1期研究中对健康志愿者的临床效果进行了表征。在研究1中,健康男性接受50、100、150或225毫克剂量,女性接受100毫克JNJ-40411813(每组n = 6)或安慰剂(每组n = 2),每日两次,共七天;吸烟男性(n = 30)在第1 - 7天每日两次接受安慰剂,在第8 - 14天接受100毫克JNJ-40411813(n = 20)或安慰剂(n = 10)。在研究2中,健康男性在单次口服500毫克JNJ-40411813或安慰剂后3小时(n = 24;队列1)、12小时(n = 8;队列3)和24小时(n = 8;队列2)静脉注射0.005毫克/千克S(+)氯胺酮,持续60分钟。评估了JNJ-40411813的药代动力学及其对认知和主观意识的影响。血浆中JNJ-40411813的暴露呈剂量依赖性,tmax范围为3 - 4小时,t1/2在各剂量水平下为19.4 - 34.2小时。与安慰剂相比,JNJ-40411813显著(p = 0.02)降低了注意力连续性得分(150毫克剂量),并改善了吸烟戒断引起的注意力强度和情景记忆质量的变化。在150 - 225毫克剂量下观察到警觉性有适度降低,JNJ-40411813(500毫克)在队列1和队列3中分别使S(+)氯胺酮引起的阴性症状减少了约43%和30%。JNJ-40411813总体耐受性良好。

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