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I read thebaselinseofeﬂhbdbodprogedﬁqnnanaboxonilﬁniyeur 933
issue with some surprise and unease, for it is filled with
important errors. An earlier report, alleged to come from Washington,

June 24
was

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2. The program for the study of neloxone is under our joint

directionﬁm ti sort-opporudonyzfnndsoosdchethlomdtitute of

Mental Healthdnvhd hiltigrostinoddestodcanannppsesed aseltbcsstedyslawsn
of antagonists was in 1968. Since then we have been supported by the
New

York State Narcotic Addiction Control Commission

of narcotic sntagoﬂisbs.rfsxsant?

in these studies

In the spring of 1969 we did recommend a program for
the development of a long acting naloxone in silastic vehicle to the
National Institute o£.ﬂendnldﬂeshth, requesting a contract. That request
has never recordedaﬂ iorsatesapiﬂ, although informally Dr. Cohen has
indicated that the Institute has another program that they are supporting.
3. Endo has an

they are awaitin approval.

NBA

for

Narcnn

for acute intoxication.

snd\3m

Since 1967, four investigators have received supplies of
naloxone for trial in Opiate dependence. Three have assayed more than a
few patients and these attended the conference on Narcotic Antagonists,
sponsored by the National Institute ofMental Health and our College,
held at the Academy of Medicine on June 4. It was apparent at that
meeting that more study was necessary before oral neloxone would be
useful in the treatment of opiate dependence. Suggestions that the data

for this application are satisfactory for

an

NBA

are premature.

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investigators at this

meeting that further studies be undertaken, of the clinical applications
of antagonists (particularly naloxone and cyclazocine) with concurrent
attempts at the development of long acting forms, and trials of other

antagonists.

lnfortunately, supplies of naloxone for clinical trials
We requested additional supplies in December 1969,
and despite many proﬁﬁiﬂs,8€hoanthave not been made available, and
it is unlikely that they will be available in the near future. We have
been advised, informally, that since Endoahaaquthasaadﬂvgaidn.aﬁalbﬂ
DuPont, the review of this program by their officers concbudednbhgnldesw
the supplies of naloxone should be reserved for the NBA uses (i.e.
acute, parenteral use); and that since there was no market for aura 159a
antagonist in opiate dependence, all support for this program, including
the mklahilhbxodﬁnsnpphsaonhedurﬂeincubateded: baa-1 I
are in short supply.

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I am writing these notes in two attenptsﬂjta bbdttfyoeha
issues involved, and to suggest that the source of this report (June
and tbdjptevhmkndpobns mamacbabhaabootﬁonlﬁda the accounts

asw

24)

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Endo is supporting the program for assay of naloxdﬂl
in chronic Ipiate dependence, when the facts are truly otherwise.
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report implies that

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