Department of Biology, Formerly of Covance Laboratories, Greenfield, Indiana.
Department of Medical Affairs, Alkermes, Inc., Waltham, Massachusetts.
Drug Dev Res. 2018 Aug;79(5):234-238. doi: 10.1002/ddr.21437.
Preclinical Research & Development Background: Samidorphan, a μ-opioid receptor antagonist, is in clinical development for central nervous system related diseases. The discriminative stimulus effects of samidorphan were assessed in rats trained to discriminate the effects of a known morphinan of abuse, morphine, from that of saline.
Escalating doses of samidorphan were substituted for morphine and rats were allowed to respond on two levers for food reward. Doses of samidorphan were chosen based on other pharmacodynamic assays in which samidorphan blocked the effects of morphine (such as blocking analgesia in a hot plate test; data not shown). In addition, a pharmacokinetic study was conducted to determine if these doses would reflect predicted exposure levels that translate to human equivalent doses.
Rats discriminating morphine from vehicle responded predominantly on the vehicle lever after receiving samidorphan. In addition, samidorphan was rapidly absorbed, and plasma concentrations of the doses tested in this study bracket therapeutically relevant concentrations.
In summary, samidorphan produced saline-like behavioral responses over a wide dose range.
临床前研究与开发背景:沙米多芬是一种μ-阿片受体拮抗剂,目前正在开发用于治疗中枢神经系统相关疾病。在训练大鼠辨别已知滥用吗啡的海洛因与生理盐水的影响的实验中,评估了沙米多芬的辨别性刺激作用。
递增剂量的沙米多芬替代吗啡,让大鼠可以通过两个杠杆获得食物奖励。根据沙米多芬在其他药效学检测中的作用来选择剂量,在这些检测中,沙米多芬阻断了吗啡的作用(例如在热板试验中阻断镇痛作用;未显示数据)。此外,还进行了一项药代动力学研究,以确定这些剂量是否反映了可转化为人体等效剂量的预期暴露水平。
辨别吗啡与载体的大鼠在接受沙米多芬后,主要在载体杠杆上做出反应。此外,沙米多芬吸收迅速,本研究中测试的剂量的血浆浓度与治疗相关浓度相当。
总之,沙米多芬在广泛的剂量范围内产生了类似盐水的行为反应。