Abstract
The National Institute on Drug Abuse (NIDA) has the lead governmental role in developing New Chemical Entities (NCEs) into chemotherapeutic agents for the treatment of drug abuse. The Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA) and its sister agency the National Institutes of Health (NIH) jointly share the difficult task of developing agents of little commercial value that are termed orphan drugs. NIDA has identified several substances as being both safe and efficacious in the treatment of opioid abuse. We focus on the process involved in transforming an NCE, EN-1639A (naltrexone), into a chemotherapeutic agent with a New Drug Application (NDA) approved by the Food and Drug Administration (FDA). In addition, specific data that were collected during delays in this process are presented, and the use of this data base to facilitate the NDA process is discussed.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Blumberg H and Dayton HB: Naloxone, naltrexone, and related noroxymorphones. In: Braude MC, Harris LS, May EL, Smith JP and Villarreal JE (eds) Narcotic Antagonists. New York, Raven Press, pp 33–44, 1973
Blumberg H, Dayton HB, George M and Rappaport DN: N-allylnoroxymorphone: A potent narcotic antagonist. Fed Proc 20:311, 1961
Brahen LS, Capone T, Weichert V, Babinski A and Desiderio D: A comparison of controlled clinical and laboratory studies of the narcotic antagonists cyclazocine and naltrexone. Presented at the Third National Drug Abuse Conference, New York, March 1976
Braude MC (moderator): Final Report: Technical Review on Carcinogenicity Studies of Naltrexone. Rockville, Maryland, The National Institute on Drug Abuse, 1980
Eckenhoff JE, Elder JD and King BD: N-Allyl-normorphine in the treatment of morphine or demerol narcosis. Am J Med Sci 223:191–197, 1952
Foldes FF, Duncalf D and Kuwabara S: The respiratory, circulatory, and narcotic antagonistic effects of nalorphine, levallorphan, and naloxone in anaesthetized subjects. Can Anaesth Soc J 16:151–161, 1969
Foldes FF, Lunn JN, Moore J and Brown IM: N-allylnoroxymorphone: A new potent narcotic antagonist. Am J Med Sci 245:23–30, 1963
Jaffe J: Cyclazocine in the treatment of narcotic addiction. In: Masserman JH (ed) Current Psychiatric Therapies, Vol. VII. New York, Grune and Stratton, pp 147–156, 1967
Jasinski DR, Martin WR and Haertzen CA: The human pharmacology and abuse potential of N-allylnoroxymorphone (naloxone). J Pharmacol Exp Ther 157: 420–426, 1967
Judson BA, Himmelberger DU and Goldstein A: The naloxone test for opiate dependence. Clin Pharmacol Ther 27:492–501, 1980
Julius D: NIDA’S Naltrexone Research Program. In: Julius D and Renault P (eds) Narcotic Antagonist: Naltrexone. Washington, DC, National Institute on Drug Abuse Research Monograph 9. DHHS Pub. No. (ADM) 77–387, pp 5–11, 1976
Julius D and Renault P (eds): Narcotic Antagonists: Naltrexone. Washington, DC, National Institute on Drug Abuse Research Monograph 9, DHHS Pub. No. (ADM) 77–387, 1976
Lewis DC: The clinical usefulness of narcotic antagonists: Preliminary findings of the use of naltrexone. Am J Drug Alcohol Abuse 2:403–415, 1975
Martin WR: Opioid antagonists. Pharm Rev 19:463–522, 1967
Martm WR and Jasinski DR: Characterization of EN-1639A. Clin Pharmacol Ther 14:142, 1973
Martin WR, Jasinski DR and Mansky PA: Naltrexone, an antagonist for the treatment of heroin dependence effects in man. Arch Gen Psychiatry 28:784–791, 1973
O’Brien CP, Greenstein RA, Mintz J and Woody GE: Clinical experience with naltrexone. Am J Drug Alcohol Abuse 2:365–377, 1975
Pilot Studies in the Clinical Evaluation of Narcotic Antagonists. Prepared by The Committee on the Clinical Evaluation of Narcotic Antagonists. Division of Medical Sciences, Assembly of Life Sciences, National Research Council. Washington, DC, 1977 (unpublished)
Resnick R, Fink M and Freedman A: A cyclazocine typology in opiate dependence. Am J Psychiatry 126:90–94, March 1970
Resnick R, Fink M and Freedman A: Cyclazocine treatment of opiate dependence: A progress report. Compr Psychiatry 12:491–502, 1971
Resnick R, Volavka J and Freedman AM: Short-term effects of naltrexone: A progress report. In: Proceedings of the Committee on Problems of Drug Dependence of the National Academy of Sciences, pp 250–263, 1974
Resnick R, Volavka J, Freedman AM and Thomas M: Studies of EN-1639A (naltrexone): A new narcotic antagonist. Am J Psychiatry 131:646–650, 1974
Resnick R, Volavka J, Gaztanaga P and Freedman AM: Clinical Pharmacology of Naltrexone. Presented to 9th Congress of the Collegium Internationale Neuropsychopharmacologicum, Paris, July 1974
Schecter A: Clinical use of naltrexone (EN-1639A) Part II: Experience with the first 50 patients in a New York City treatment clinic. Am J Drug Alcohol Abuse 2:433–442, 1975
Taintor Z, Landsberg R, Wicks N, Plumb M, D’Amanda C and Greenwood J: Experiences with naltrexone in Buffalo. Am J Drug Alcohol Abuse 2:391–401, 1975
Tocus EC: Requirements for drug development. In: Julius D and Renault P (eds) Narcotic Antagonists: Naltrexone. Washington, DC, National Institute on Drug Abuse Research Monograph 9. DHHS Publ No. (ADM) 77–387, pp 12–15, 1976
Watterson O, Sells SB and Simpson DD: Death rates and causes of death among opiate addicts in the DARP during 1971–1972. In: Sells SD (ed) The Effectiveness of Drug Abuse Treatment, Vol. II. Cambridge, Massachusetts, Ballinger Publishing Company, pp 361–392, 1974
Wikler A: Conditioning factors in opiate addiction and release. In: Wilner DI and Kossebaum GG (eds) Narcotics. New York, McGraw Hill, pp 85–100, 1965
Zaks A, Jones T, Fink M and Freedman AM: Naloxone treatment of opiate dependence. J Am Med Assoc 215:2108–2110, 1971
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1984 Spectrum Publications, Inc.
About this chapter
Cite this chapter
Ginzburg, H.M., Markowitz, R.A. (1984). Naltrexone: Current Clinical Investigations. In: Serban, G. (eds) Social and Medical Aspects of Drug Abuse. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-6320-0_15
Download citation
DOI: https://doi.org/10.1007/978-94-011-6320-0_15
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-011-6322-4
Online ISBN: 978-94-011-6320-0
eBook Packages: Springer Book Archive