Vardigan Joshua D, Lange Henry S, Tye Spencer J, Fox Steven V, Smith Sean M, Uslaner Jason M
Merck & Co., Inc., WP45-1114, 770 Sumneytown Pike, West Point, PA, 19486, USA.
Psychopharmacology (Berl). 2016 Jul;233(13):2441-50. doi: 10.1007/s00213-016-4290-1. Epub 2016 Apr 27.
Much preclinical data, almost exclusively using rodent, supports the notion that phosphodiesterase 10A (PDE10A) inhibition may offer an alternative to the current standard of care in schizophrenia. However, concerns persist regarding the clinical translatability of these models for newer drug classes like PDE10A inhibitors.
We therefore sought to characterize the clinical standard risperidone and the PDE10A inhibitor THPP-1 in nonhuman primate, both alone and when used as a combination therapy.
THPP-1 and risperidone were tested in a novel rhesus model of stimulant-induced motor activity (SIMA) and in rhesus electroencephalography (EEG).
Consistent with rodent data, both THPP-1 and risperidone significantly attenuated the stimulant effects in SIMA when administered alone, though some differences were noted. Combination therapy with a low dose of risperidone produced significantly more robust effects. THPP-1 and risperidone also produced a marked reduction of wake cycle time and gamma frequency power in EEG. However, THPP-1 differed from risperidone by reducing spectral power of lower frequencies (delta).
SIMA results suggest that PDE10A inhibition produces antipsychotic-like effects in higher species, and that combination therapy with PDE10A inhibitors may produce more robust efficacy compared to monotherapies. EEG and qEEG results confirm that PDE10A inhibition does share some central signaling effects with clinically effective antipsychotics. The present combination therapy results may carry implications for the manner in which clinical testing of PDE10A inhibitors is conducted.
大量临床前数据(几乎全部使用啮齿动物)支持这样一种观点,即抑制磷酸二酯酶10A(PDE10A)可能为精神分裂症的当前标准治疗提供一种替代方案。然而,对于这些模型在PDE10A抑制剂等新型药物类别的临床可转化性方面,人们仍然存在担忧。
因此,我们试图在非人灵长类动物中单独以及联合使用时,对临床标准药物利培酮和PDE10A抑制剂THPP-1进行特征描述。
在一种新型的恒河猴兴奋剂诱导运动活动(SIMA)模型和恒河猴脑电图(EEG)中对THPP-1和利培酮进行测试。
与啮齿动物数据一致,单独给药时,THPP-1和利培酮均能显著减弱SIMA中的兴奋剂效应,不过也注意到了一些差异。低剂量利培酮的联合治疗产生了更为显著的效果。THPP-1和利培酮还使EEG中的清醒周期时间和γ频率功率显著降低。然而,THPP-1与利培酮不同,它降低了较低频率(δ)的频谱功率。
SIMA结果表明,抑制PDE10A在高等物种中产生抗精神病样效应,并且与单一疗法相比PDE10A抑制剂联合治疗可能产生更强的疗效。EEG和定量脑电图(qEEG)结果证实,抑制PDE10A确实与临床有效的抗精神病药物共享一些中枢信号传导效应。目前的联合治疗结果可能对PDE10A抑制剂的临床试验方式具有启示意义。