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                  <text>September 3 , 1968
Dr. John A. Scigliano

Mecutive Secretary

ad hoe Marimana Advisory Camittee

National Institute of Mental Health
Wisconsin Avenue
Chevy Cruse, Maryland 20203
51450.

Dear Dr. Scigliano:

for your letter of August 23 referring to the
Advisory Cannittee meeting of July, deferring my request for
legal supplies of marijuana and me for research, pending
answers to questions raised by the Committee.
Thank you

The following

are the answers requested.

First , let me imiioate that the BEG-behavioral studies of
any new drug are complex and while some analyses can be accomplished
with few trials, most require many experiments. The number of
trials (and the mnnber of subjects) are "as many as necessary".
For example, the recent analyses of fenﬂmemine required twenty
subjects only. For heroin, however, we have completed mm than
one-hundred and fifty trials in mre than seventy subjects and
methadone we now have mre than eighty
still areinunsatisfied. Forand
probably have enough for a preliminm'y
subjects
twenty
record:
analys 5.
additional problem is the rwte of ministration. We have
limited experience with drugs given by inhalation. I anticipate
that we will make many errors initially. For this reason the answers
to the questions below are approximate.
(I) How many subjects me you planning to use?
An

,

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Wﬂm.-lﬂﬁ"5‘7AY¢3meﬂNm79'r-T\VNY'

run:

mains-1

raw

:‘Wx‘v

(a)

POM-addicts?

(b)

Momma?

(a)

20—30,

(b)

6

-

12

fewer,

How
How

’

if

repeated

many?
many?

trials are satisfactory.

�-2-

Dr. Scigliano

(2)

September 3, 1968

Dosage
(a) Dosage to each?
(b) How my doses?

(a) Dosage to each?
1. Tm: 20 mg initially. This dose will
be increased as needed until either EEG
or behavioral effects , or both are
clearly manifest.
2.

(b)

How many

1.

2.
(3)
g
s
E

Marijuana:

'IWo

"puffs" increasing to a

full cigarette or nultiple cigarettes ,
as wmnted.

doses?

at least two trials per subject,
If the dose response
becomes of interest , probably three to
five doses for each subjects.

THC:
THC

Same

and a blank.

as

THC.

subjects to be scanned psyche/tummy
(a) Post addicts: a psychiatric examination is recozded
in each subject. Those with complicating diagnoses ,

How

Me

«the

as depressive psychosis , schizophrenia or chronic
alcoholism are excluded.

E

E
E

E

Q

(b)

E

Volunteers: Each volunteer undergoes a psychiatric
examination and evidence of psychosis is sufficient

reason for exclusion. In addition, we plan to
include only those volunteers who admit to previous
marijuana exposure in these studies. Each volunteer
also completes the MW]: which we are not investmating
as a screening device.
(4)

whet

mama will be taken to pleated: the normal vomnxeu?
present study progmm with normal volunteers provides
the basis for the trials with marijuana and THC. The
project is frankly eXplained to each suhﬁect by a
research assistant and then again at the end of the
psychiatric interview, by one of the senior scientists.
At the end of this explanation the subject is asked to
sign a permit for a research study.
The

�-3-

Dr. Scigliam

Septenber 3, 1968

After each exposure, subjects are advised
to undertake only limited activities for a
minimnn 2n hour period. We do not permit

thentodriveaoarardpayalltaxiexpenses
home
member
and all subjects
is monitored by a staff
areaskedtoretumtothe 2Hlaboratoryortobe

to and from the laboratory. Their return
visited by a staff umber

hours

after exposure.

In the event of an untoward reaction, admission

to the Psychophamacology Research

Metropolitan Hospital

Ward

of

is assured, or for

females

the private pavilion of Flower and Fifth Avenue
Hospitals is available. The principal investigator

is

m

W'v-

-.

(5)

(Um-v

psychiatrist at both institutions.
CW” 5M. the heaoin challenge studied - the due
and whethu M4119 poet-addicts and/on newt voluntew.
Heroin challenges have only been done, so far, in
post-addicts. Our usual dose is 15 - 30 mg/ch
saline/ 2 minutes intravermsly. When heroin is

Yty'rI-‘Q'Wﬂmrr’vn'x

given to subjects who are not receiving duonic
narcotic antﬁonists , we administer intravenous
naloxone (1 mg) at the end of the eaqaeriment and
give oral naloxone (2 mg) approximately 3 hours
after heroin exposure.

F,¢n-.¢u~v.—

Man-w,

..

.—

n

sea-.1

V’a-zr'"

Viva“

:v

xy-nvawvv

an attemling

(6)

a
$221be
heat £a

ace

«:0qu be

~

the dwge - both mau’juana and A9-THC
ue compounds and the passe/med Manage
l8'CC. Secwxg Ahoutd be mntained by

inch and hey.

.r:

:

&lt;t1wemvvrwmr¢smmmrmwwrr

wa'rv

,

'er-r‘

W‘s,-

Stability of the drugs: yes .

�a.

Dr. Scigliano

(7)

September 3, 1968

-l&amp;-

0554mm! owe/L 5mm: -

etc.

Letter requested (see xerox enclosed)

Sinceme yours ,
Fink, M.D.
Professor of Psychiatry

Max

Mfzkp

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