1 Department of Psychiatry and Human Behavior, Brown University, Providence, USA.
2 Department of Behavioral and Social Sciences, Brown University, Providence, USA.
J Psychopharmacol. 2018 Feb;32(2):163-173. doi: 10.1177/0269881117746904. Epub 2018 Jan 23.
Preclinical work suggests that GET 73 (N-[4-(trifluoromethyl)benzyl]-4-methoxybutyramide), a novel metabotropic glutamate receptor subtype 5 negative allosteric modulator, may represent a novel pharmacological treatment for alcohol use disorder. Two independent experiments evaluated the effect of acutely administered GET 73 (0, 30, and 100 mg/kg, intragastrically) on alcohol-induced hypolocomotion ( n=72) and sedation/hypnosis ( n=36) in rats. In healthy male volunteers ( n=14), an open-label, randomised, crossover study was conducted to compare adverse events and pharmacokinetic parameters, in two experiments in which 300 mg GET 73 was administered, with and without alcohol, once and thrice. In rats, when administered with alcohol-vehicle, 100 mg/kg, but not 30 mg/kg, GET 73 reduced spontaneous locomotor activity. When administered with alcohol, no dose of GET 73 altered either alcohol-induced hypolocomotion or sedation/hypnosis. In humans, both single and thrice 300 mg GET 73 administration were well tolerated, in the presence and absence of alcohol, with no differences in adverse events. There were no significant differences in relative bioavailability between administering 300 mg GET 73 in the presence or absence of alcohol.
临床前研究表明,新型代谢型谷氨酸受体 5 别构调节剂 GET 73(N-[4-(三氟甲基)苄基]-4-甲氧基丁酰胺)可能为治疗酒精使用障碍提供一种新的药理学方法。两项独立的实验评估了急性给予 GET 73(0、30 和 100mg/kg,灌胃)对大鼠酒精诱导的活动减少(n=72)和镇静/催眠(n=36)的影响。在健康男性志愿者(n=14)中,进行了一项开放标签、随机、交叉研究,比较了两次实验中,300mg GET 73 与酒精联合或不联合给药时的不良事件和药代动力学参数,单次和三次给药。在大鼠中,当与酒精-载体一起给予时,100mg/kg 的 GET 73 降低了自发运动活动,但 30mg/kg 的 GET 73 没有。当给予酒精时,GET 73 的任何剂量都没有改变酒精诱导的活动减少或镇静/催眠作用。在人类中,单次和三次给予 300mg GET 73 在有或没有酒精的情况下均耐受良好,不良事件无差异。在有或没有酒精的情况下给予 300mg GET 73 时,相对生物利用度没有显著差异。