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一项评估在酒精使用障碍个体中与酒精同时给药时 GET 73 的安全性和耐受性、药代动力学和生物行为效应的住院人体实验室研究。

An inpatient human laboratory study assessing the safety and tolerability, pharmacokinetics, and biobehavioral effect of GET 73 when co-administered with alcohol in individuals with alcohol use disorder.

机构信息

Center for Alcohol and Addiction Studies, Department of Psychiatry and Human Behavior, Brown University, 121 South Main Street, Providence, RI, 02903, USA.

Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University, Providence, RI, USA.

出版信息

Psychopharmacology (Berl). 2022 Jan;239(1):35-46. doi: 10.1007/s00213-021-06008-1. Epub 2021 Nov 3.

Abstract

RATIONALE

Previous work suggests that GET 73, a novel compound with putative activity on the metabotropic glutamate receptor subtype 5 (mGluR5), may represent a novel pharmacological treatment for alcohol use disorder (AUD).

OBJECTIVE

In this study, we investigated the safety, tolerability, pharmacokinetics, and biobehavioral effects of GET 73, when co-administered with alcohol, in individuals with alcohol dependence (AD).

METHODS

This was an inpatient, cross-over, randomized, double-blind, placebo-controlled, human laboratory study with non-treatment-seeking, alcohol-dependent individuals. The study used a within-subject design, with two counterbalanced stages, during which participants received GET 73 and then placebo, or vice versa. During each stage, participants underwent an alcohol interaction session and, on a separate day, an alcohol cue reactivity, followed by an alcohol self-administration session.

RESULTS

Safety outcomes of GET 73 were excellent with no serious adverse events, nor adverse events of severe grade. The co-administration of alcohol and GET 73 did not affect the pharmacokinetics of GET 73 or alcohol. GET 73, compared to placebo, did not affect the alcohol-related stimulation effects, but increased the subjective sedative effects of alcohol. GET 73 did not affect alcohol cue-induced craving, or alcohol self-administration in the laboratory.

CONCLUSIONS

The study confirms the safety and tolerability of GET 73 when co-administered with alcohol. Although, under this experimental condition, we did not detect an effect on alcohol craving and consumption in the laboratory, additional studies should be conducted administering GET 73 for an extended period in an outpatient setting.

摘要

背景

先前的研究表明,新型化合物 GET 73 可能对代谢型谷氨酸受体 5(mGluR5)亚型具有潜在活性,可能代表了一种治疗酒精使用障碍(AUD)的新的药理学方法。

目的

在这项研究中,我们调查了 GET 73 与酒精联合给药时,在酒精依赖个体中的安全性、耐受性、药代动力学和生物行为学效应。

方法

这是一项在非治疗寻求、酒精依赖个体中进行的住院、交叉、随机、双盲、安慰剂对照的人体实验室研究。该研究采用了个体内设计,有两个平衡的阶段,在此期间,参与者接受 GET 73 然后是安慰剂,或反之亦然。在每个阶段,参与者都经历了酒精相互作用的阶段,以及在单独的一天,进行了酒精线索反应性,然后是酒精自我给药的阶段。

结果

GET 73 的安全性结果非常好,没有严重不良事件,也没有严重程度的不良事件。酒精和 GET 73 的联合给药并不影响 GET 73 或酒精的药代动力学。与安慰剂相比,GET 73 没有影响与酒精相关的刺激效应,但增加了酒精的主观镇静作用。GET 73 没有影响酒精线索引起的渴求,或在实验室中的酒精自我给药。

结论

该研究证实了 GET 73 与酒精联合给药时的安全性和耐受性。尽管在这种实验条件下,我们没有检测到在实验室中对酒精渴求和消耗的影响,但应该进行额外的研究,在门诊环境中延长时间给予 GET 73。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a29c/8865311/2fbfd9464b57/nihms-1780144-f0001.jpg

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