1. Exploratory Biomarker Study of the Triple Reuptake Inhibitor SEP-432 Compared to the Dual Reuptake Inhibitor Duloxetine in Healthy Normal Subjects.
- Author
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Sramek, John J., Hardy, Larry W., Bieck, Peter, Zamora, Cynthia, Versavel, Mark, Kharidia, Jahnavi, Grinnell, Todd, Chen, Yu ‐ Luan, Sullivan, Michael, Ding, Hong, and Cutler, Neal R.
- Subjects
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DOPAMINE uptake inhibitors , *DULOXETINE , *CEREBROSPINAL fluid , *BIOMARKERS , *PHARMACOKINETICS , *COMPARATIVE studies , *EXPLORATORY factor analysis , *IN vitro studies , *THERAPEUTICS - Abstract
Introduction SEP-432 is a triple monoamine reuptake inhibitor of norepinephrine (NE), serotonin (5-HT), and dopamine (DA), based on in vitro binding studies. We sought evidence that SEP-432 engages these monoamine systems by measuring concentrations of monoamines and/or their main metabolites in cerebrospinal fluid (CSF) and plasma and comparing results to duloxetine, a dual reuptake inhibitor of NE and 5-HT. Methods Eighteen healthy normal subjects received either SEP-432 (300 mg/day), duloxetine (60 mg/day), or placebo for 14 days in-clinic (double blind) with CSF and plasma collections at baseline (single lumbar puncture) and Day 14 (24-h CSF and plasma collection). Concentrations of monoamines and their metabolites, as well as pharmacokinetic concentrations of SEP-432 and metabolite, were quantified by liquid chromatography-tandem mass spectrometry. Results Compared to placebo in the Day 14 area under the curve 24-h (AUC0-24 h) analysis, SEP-432 significantly ( P < 0.05) decreased the NE metabolite dihydroxyphenylglycol (DHPG) in CSF and plasma, decreased 5-HT in plasma, and did not affect DA metabolites, while duloxetine had significant effects on DHPG and 5-HT. Time-matched baseline to Day 14 biomarker comparisons confirmed these findings. Conclusion CSF monoamine biomarkers confirmed central NET activity for SEP-432 and duloxetine's dual reuptake inhibition. [ABSTRACT FROM AUTHOR]
- Published
- 2016
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