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                  <text>‘
,.

\\

g

‘

YR

,.

,vvmrgpu

September 14, 1970
Dr. Norman Pitts
Chas. Pfizer G Co.

Groton, Connecticut 06340
Dear Norm,
I have read with interest the proposed guidelines for evaluating
novel anti-anxiety compounds (received 9/8/70). Such an outline reflects

prevailing practice, but makes no effort to either justify the practice
as acceptable nor to highlight the hazards of our present practices.
As

on

a statement of present procedures,

special studies is interesting

evaluating methods

now

it is

acceptable.

The

section

and provides clues as to novel

under study.

Some specific comments are found on pages 3 and 4.
In the introduction, the marked paragraph may be omitted as gratuitous; and on
page 4, the section should be omitted since the NIMH—ACNP report is
and should not
a discussion of problems and issues, not guidelines
be so dignified, especially since the documents are not completed.
Would it not be premature for the PMA Committee to incorporate an
unpublished report before it is issued?
—

The initial single and multiple dose studies should be done in
paid volunteers, to assess safety and not in pagients (page 6).

qualities
that

is a statement that

would describe the steps
a potentially effective
trials,
The animal pharmacology which is used; the
(chemical and pharmacologic) of known anti«anxiety agents

What I miss most

leading to clinical
therapeutic agent.
seem common

and

criteria for

to this therapeutic group;

and

especially, those

For example, all
accepted anti-anxiety drugs are anti—convulsant, sedative (hypnotic),
produce seizures on rapid withdrawal and tolerance. But other
drugs have anti—anxiety qualities as various “anti-psychotic” drugs,
some anti—depressants, calcium salts and such,additional substances
as ethyl alcohol, opiates 33g,

aspects of present drugs that need improvement.

-

�Dr. Norman

Pitts

~.2—

September 14, 1970

In making these suggestions, I am reacting to the limited goal
of these notes - i.e., minimum guidelines for clinical assay; as
perhaps too limit33~?or industry. By broadening the document to
include animal pharmacology, criteria for early identification, and
suggesting that the drugs are symptomatic (therefore, not easily
categorized), PMA may highlight the complexity of the issues and
minimize the utility of 1970 issued, rigid ”guidelines”.
I am also concerned with the lack of supporting citations for
of the introductory statements. A detailed, academic presenta—
tion would be a more powerful statement.

many

Thank you

for the opportunity to read this

document.

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

Max

MF:kt

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