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                  <text>-..-wwnwrw—nvw—w—W—T—wwm—mrm.w.-W~WW—n_wm

V—w«_r~___.—,v._.._,_.~._t

April 28.

v..___ -w__em. .V.

.

v..e.,e.-_r.q__ .______... ,V.___, fer.

1969

Dr. Walter Modell. Editor
Pharmacology and Therapeutics
Cornell University Medical College
1300 York Avenue
New York, New York 10021

Clinical

Dear Dr. Modell:
Many thanks for the careful review and criticism of our
report “Clinical Antidepressant Activity of Cyclazocine - A
Narcotic Antagonist“. we have adopted the specific suggestions.
which have materially improved the presentation.

It is difficult to respond to comments of redundancy and
our inadequacy. Redundancy has been reduced. but we are
reporting the observations in two studies. with different
populations, dosages. rating scales and personnel. For
accuracy, we believe it necessary to report what we know and
did. Any additional suggestions would be appreciated.
Our inadequacies are well known to us. Cyclazocine is
useful in treating opiate addiction. an illness with limited
economic interest to the pharmaceutical industry. He suggested
trials as an antidepressant based on our EEG criteria. They
were met with indifference by the representatives of Sterlingwinthrop. Our initial trial was interesting to us but to no
one else at NIHH or Sterling-Hinthrop. Recently. Schiele
and Abuzzahab have undertaken a similar study.
we carried out a second trial in a mental health clinic.
Such 0P0 studies were new to me. and we found the drop-out rate
high. At first we thought this related to cyclazocine, but we
found similar drop-out rates with other drugs and populations

in the

same

clinic.

,

V

,,

w, 77‘-.._,._,,V,._

«WV,

ﬂ ,,

,

,

,

�VFW—.WWWW “v" WW,

———.—..p

-2-

Dr. "Odell

April 28,

1969

pilot study data. reported here. was sufficiently
interesting for us to propose a direct. random assignment
study against inipranine. But we could not support this
stud . and while we vacillatad. the IND was withdrawn by
To
out a definitive study. would
The

Star ing-Hinthrop.
carry
require our own IND. new innds. 355,
But. we believe cyclazocine to be as active
.

as imipraeine.

Should

this not

be reported

-

an antidepressant
somewhere, somehow?

Incidentally. the naloxone studies have been re-instituted
(in part because of the report published in OPT) and the pilot
studies now include single daily dosages to 1500 age with
antagonistic activity observed to l8 hours against 50 mg
intravenous heroin.
I do not know

observations. It
Thank you

if

CPT

is still interested in the cyclazocine
- without prejudice. if unacceptable.

is enclosed

for your consideration

and

patience.

Sincerely yours.
Fink. H.D.
Professor of Psychiatry

Max

fokp

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