IND-enabling Studies and GMP Scale-up of 18-Methoxycoronaridine hydrochloride(18-

18-甲氧基冠状病毒盐酸盐（18-

• 批准号: 8448461
• 负责人: Scott M. Freeman
• 金额: $ 366.86万
• 依托单位: SAVANT HWP, INC.
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-30 至 2015-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8448461
• 关键词: Action Potentials; Affect; Alcohols; Amygdaloid structure; Animal Model; Animals; Applications Grants; Attenuated; Behavior; Bone Marrow; Canis familiaris; Cannabis; Cardiac; Cardiovascular system; Cholinergic Receptors; Chromosome abnormality; Clinic; Clinical; Clinical Research; Cocaine; Cocaine Abuse; Contracts; Cues; Data; Development; Disease; Dose; Future; Grant; Hepatocyte; Human; Hydrochloride Salt; In Vitro; Individual; Lead; Lethal Dose 50; Libraries; Liver Microsomes; Manufacturer Name; Manuscripts; Methamphetamine; Microsomes; Modeling; Morphine; Mus; Mutation; Neurons; Neuropharmacology; Neurosciences; Nicotine; Nicotinic Receptors; No-Observed-Adverse-Effect Level; Oryctolagus cuniculus; Pathway interactions; Patients; Peripheral Blood Lymphocyte; Personal Communication; Pharmaceutical Preparations; Pharmacologic Substance; Production; Research; Safety; Self Administration; Societies; Structure of purkinje fibers; Substance-Related Disorders; Time; Toxicology; United States Food and Drug Administration; base; cocaine use; coronardine; cost; dosage; economic cost; improved; in vivo; innovation; micronucleus; novel; receptor; research study; respiratory; safety study; scale up; stability testing; treatment duration

DESCRIPTION (provided by applicant): The need for new medications to treat Substance-Related Disorders (SRDs) is critical since SRDs adversely affect tens of millions of people in the U.S. alone. Currently, no medication approved by the Food and Drug Administration for the treatment of SRDs is optimal. Also, there are no medications approved for cocaine, methamphetamine or cannabis use disorders. The development and approval of new medications based upon recent advances in neuropharmacology and neuroscience has the potential to improve the lives of millions suffering with SRDs. Savant HWP, Inc. is developing a novel, orally active medication, 18-methoxycoronaridine hydrochloride (18-MC), an ¿3¿4nicotinic cholinergic receptor antagonist that indirectly modulates the dopaminergic mesolimbic pathway via blockade of ¿3¿4nicotinic receptors in the habenulo-interpeduncular pathway and the basolateral amygdala, to treat SRDs. The purpose of this grant proposal is to develop and scale-up GMP production of 18-MC and to complete IND-enabling in vitro and in vivo toxicology studies in support of an IND and First Time In Human (FTIH) studies in individuals with cocaine use disorders. Current data clearly support the ongoing development of 18-MC for the treatment of SRDs. The unmet need for medications to treat cocaine use disorders underscores the importance of our post-grant strategy to move 18-MC into the clinic and FTIH studies in individuals with disorders where cue-induced drug seeking is particularly challenging, such as cocaine use. Current data from the production of 18-MC in batches of less than 30g under research conditions will be used to enable a GMP contract manufacturer to develop and scale-up GMP manufacturing of up to 1.0 Kg batches of 18-MC active pharmaceutical ingredient (API) for use in the development and manufacture of drug product for future clinical studies, ICH stability testing and IND-enabling in vitro and in vivo GLP studies. Data from Savant's research studies will be used to inform IND-enabling GLP studies using GMP 18-MC. GLP in vitro studies will include bacterial reverse mutation, chromosome aberration in human peripheral blood lymphocytes, p450 using human liver microsomes and cardiac action potential duration in rabbit Purkinje fibers and in vivo mouse micronucleus, all of which will precede larger scale animal toxicology studies. IND-enabling GLP murine toxicology studies will include: a 7-day repeat dose study; a 28-day repeat dose study evaluating low, intermediate and high doses to identify the NOAEL and CNS effects; a respiratory safety study; and a cocaine interaction study. IND-enabling GLP dog toxicology studies will include: a dose finding study; 7- and 28-day studies with low, intermediate and high doses to identify the NOAEL; a cocaine interaction study; and a single dose cardiovascular effects study. PUBLIC HEALTH RELEVANCE: Although this proposal is focused on treating cocaine abuse, because no treatment for cocaine abuse currently exists, an innovative aspect of this proposal is that 18-methoxycoronaridine hydrochloride (18-MC) has the potential to treat multiple forms of Substance-Related Disorders (SRDs). Furthermore, in developing 18-MC for clinical use, we are targeting a receptor mechanism and a neuronal pathway not yet explored in medication development. 18-MC truly represents a "paradigm shift" in the overall approach to treating SRDs. The potential benefit is extraordinary, both in terms of lives saved and economic cost to society.

描述（由申请人提供）：治疗物质相关疾病 (SRD) 的新药物的需求至关重要，因为仅在美国，SRD 就对数千万人产生了不利影响。目前，美国食品和药物管理局批准的治疗 SRD 的药物尚无最佳选择。此外，目前还没有批准用于治疗可卡因、甲基苯丙胺或大麻使用障碍的药物。基于神经药理学和神经科学的最新进展开发和批准新药物有可能改善数百万 SRD 患者的生活。 Savant HWP, Inc. 正在开发一种新型口服活性药物 18-甲氧基冠状病毒盐酸盐 (18-MC)，它是一种 3¿4 烟碱胆碱能受体拮抗剂，可通过阻断缰核-脚间通路中的 3¿4 烟碱受体来间接调节多巴胺能中脑边缘通路。 基底外侧杏仁核，治疗 SRD。该拨款提案的目的是开发和扩大 18-MC 的 GMP 生产，并完成支持 IND 的体外和体内毒理学研究，以支持针对可卡因使用障碍个体的 IND 和首次人体 (FTIH) 研究。 目前的数据清楚地支持了 18-MC 用于治疗 SRD 的持续开发。治疗可卡因使用障碍的药物需求未得到满足，这凸显了我们的授权后战略的重要性，即将 18-MC 转移到临床和针对线索诱导药物寻求特别具有挑战性的疾病个体（例如可卡因使用）进行 FTIH 研究。 在研究条件下批量生产小于 30 克 18-MC 的当前数据将用于使 GMP 合同制造商能够开发和扩大 GMP 生产，批量生产高达 1.0 公斤的 18-MC 活性药物成分 (API)，用于开发和生产用于未来临床研究、ICH 稳定性测试和支持 IND 的体外和体内 GLP 研究的药品。 Savant 研究的数据将用于为使用 GMP 18-MC 的 IND 支持的 GLP 研究提供信息。 GLP体外研究将包括细菌回复突变、人外周血淋巴细胞染色体畸变、使用人肝微粒体的p450以及兔浦肯野纤维和体内小鼠微核的心脏动作电位持续时间，所有这些都将先于更大规模的动物毒理学研究。支持 IND 的 GLP 小鼠毒理学研究将包括： 7 天重复剂量研究；一项为期 28 天的重复剂量研究，评估低、中和高剂量，以确定 NOAEL 和 CNS 影响；呼吸安全研究；和可卡因相互作用研究。支持 IND 的 GLP 狗毒理学研究将包括： 剂量探索研究；低、中、高剂量的 7 天和 28 天研究以确定 NOAEL；可卡因相互作用研究；以及单剂量心血管效应研究。 公共健康相关性：虽然该提案的重点是治疗可卡因滥用，但由于目前尚无针对可卡因滥用的治疗方法，该提案的一个创新之处是18-甲氧基冠状病毒盐酸盐（18-MC）具有治疗多种形式的物质相关疾病（SRD）的潜力。此外，在开发用于临床的 18-MC 时，我们的目标是药物开发中尚未探索的受体机制和神经元通路。 18-MC 真正代表了治疗 SRD 的整体方法的“范式转变”。无论是在挽救生命还是社会经济成本方面，潜在的好处都是巨大的。