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                  <text>w-

I'd-“Yi'ﬂ’v‘

CW?

....

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v.9

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«unww—MWY—

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.

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new

«Vaultsv‘

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..

September 10, 1970

v“

VIP-"Wm“

....-.-..wr. Fm

Dr. William Tabor
Robins

A. H.

1407 Cummings

Richmond,

Virginia

23225

n—rv

y-u-uwv‘uw',

mw-w

Bill,

Dear

I have read the protocol of AHR 3000—E (butaperazine) dated
6/10/70 with interest, and believe we can participate in the
assessment both of the bioavailability and therapeutic equivalence
of BPz tablets and concentrate. I find one serious problem with the

design.

'"W'JWII.

:-

.wvwns-w—wwarw-m-v

'v"

“wavy.-

'1
‘

$1:me

for

it, each subject is to receive tablets SP:
transfer directly to concentrate BPz, at the
dosage as tablets BPz. The assumption is that the equivalence
As I

WV'VX‘I'I'Fﬁ'AHWW'm

6

same

understand

weeks and then

of the

two formulations will be assessed by the continued improve~
nent of the patients.

Such a conclusion is valid only if psychotic patients deprived
of active antipsychotic medication would uniformly relapse on drug

withdrawal. But such is not the case, and on cessation of antipsychotic medication a number of patients may maintain improvement
for many weeks after withdaawal (see Gottschalk gt_gl;, Comp. Psychiat..
11: 123-140 (spec. pg. 135]; Kamano, Psychol. Rep., 19: 743-749. 1966;
Gittelman et a1., Psychopharmacology A Review of Progress. 1119-1154,
1969). Thasy“f? patients treated for 6 weeks are given placebo, not
all will relapse within the next 6 weeks.

this reason,

that the patients randomly
concentrate 8?: first; and for those who
stabilize in 6 weeks, transfer to the other formulation for a
second 6 weeks - avoiding the objection raised in my mind.
For

receive tablets
““mr.1i1-v

My
-

BF: and

I would suggest

best regards.
Sincerely yours,
Fink, M.D.
Professor of Psychiatry

Max

MF:kt

up-

u.

“4..

..w--

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              <text>1970 </text>
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              <text>Special Collections and University Archives, University Libraries. Stony Brook University Libraries (State University of New York).</text>
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