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                  <text>E

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August 3, 1970
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Dr. Jack Freund, Vice President

A. H. Robins Company
1407 Cummings hrive

Richmond, Virginia 23220
Dear Jack,

I have read the reports on sulpiride (Dogmatil) with interest.
data consists of translations from French of 17 clinical studies
and one animal assay, published 1968-1969. The principal clinical
reports of Borenstein gt_§&amp;; (Ann. Med. Paychol., 1: 90~99, 1968;
and 2; 560~74, 1968) are frequently cited but are lacking in this
The

collection.

In the continental manner, case records are cited in general
terms and it is difficult to assess the data. Four groups of patients
have been treated: schizophrenia, depressive psychosis, depressive

neurosis and neurovegitative disorders.

I found the reports of Collard (1969), Mathey gt §£;.(19693 and
Naviau (1969) best for clinical material, and that of Borenstein 33 a1.
(1969) for an animal EEG study. From these data, it is probable that:

l. sulpiride,

300-1600 mg/day,

is

an

agent, with alerting and stimulating features;

active antipsychotic

2. it may have less potential for parkinsonism or seizures
than other active antipsychotic compounds;
3.

it

has antidepressant

activity, particularly in agitated,

elderly patients (Renault. 1969); and,

4. it has some anti-vertigo activity
anxiolytic features in neurovegitative states.

and may have other

citations are difficult to interpret, since the reader is
faith in the observers (it is assumed that they are known,
or that their clinic will carry the weight of authority behind the
observations), and controlled data are not presented.
These

asked to have

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Dr. Freund

August 3, 1970

I have known P. Borenstein since 1958. He is an able electroencephalographer and clinician. He is dour, carries a heavy burden
of studies, publishes often and has well trained European assistants.
In Liege, in Harch 1959, I heard him discuss a new, all-purpose
psychoactive compound, with well defined EEG activity. I don't
recall the name of the drug, for he told me that the compound was
not available for American studies; but I believe it must have been
sulpiride. His enthusiasm did not get a good reception, since many
in the audience were preoccupied by other new compounds, chiefly
pimozide and fluspiriline, two Janssen compounds in early clinical
trial. (The conference was in Liege with Janssen support, and many
of the participants were his investigators.)

Collard’s report is also a good one. I know the director of
his choice, Professor Bobon, as well as his son. They are enthusiastic

and probably able psychoPharmacologists, and perhaps these observations
should be treated seriously.
.

If

you seek another psychoactive compound, the data of these

studies are sufficiently supportive of a broad spectrum antipsychotic
(and antidepressant?) to warrant further study. It also has interesting
anti-vertigo properties to support its antipsychotic potency.
I would suggest Borenstein's initial reports he read and his

present views be obtained.

Also, the present views of Collard and

to visit these centers, to
discuss the clinical material in detail, and to assess comparisons
with other active compounds in the same clinics. In the case of
Borenstein, it would be interesting to review his EEG material.
Bobon and Naviau.

It

may

be useful

I am attending the CINP in Prague in midsAugust. As this is a
biennial Opportunity to discuss new compounds, I have checked the
list of titles and sulpiride appears only once. J. M. Sutter, g£_&amp;l;,

of Marseille are reading:

effects of

a new drug:

”Controlled study of the psychotropic

Sulpiride.”

for the opportunity to review this material. It
that I should take better notes at huronean clinical
meetings, and will try to do so. (I am returning the translation
separately.)
Thank you

reminded

My

me

best regards.
Sincerely yours,
Max

Fink, M.D.

Professor of Psychiatry

MF:kt

cc:

Dr. Tabor

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