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                  <text>mar—VW'WRIW“

July 2,
Dr. Jerome

3-}.

1971

Jaffe

Special Counsultent
to the President

The White House

Hashington, B.C.
Dear

will

Jerry,
The grapevine has you

be

off for

Viet~Nam, an&amp; I

trust

your

trip

helpful in clarifying the facts of drug abuse along our

servicemen and

their dependents.

called earlier this

week, and I freely shared our data
£150 sent him a copy of the program of the looting on
narcotic antagonists to be held in Aberdeen, July 12-13, and a copy
of a small project to get studies of M-soso off the ground.
Roger

with him.

1

It is apparent that neither

NIHH, BEBE, ”AS/NRC,

nor industry

have provided the leadership to develop the antagonists. I believe
the appointment of either I committee or an ”office* for this
dovelopment would be a necessary first step. New York City mas
established such a committee but included no one with dedication

or interest and
A.

it is

ineffectual.

In answer to your questions, the projects that are important
(1) Testing cyclazocine prophylaxis in Viet-Ncm, using

available oral doses of

2~4

ng/day,

coubined with.naloxonc during the
(2)

a

rapid induction schedule,

first

Develop u long acting

week.

antagonist.

(a) Contracts for trials with naloxone, using
such methods as depotaoil, silastic, plastic film;

this

(b)

Change import quotas fOr

(c)

Trials for

thebeine and import

other raw materials for naloxone; and, establish
supply of naloxone for clinical research.
and

u long

an adequate

acting cyclazocine.

�—~e:an‘-m-MWWW

Jaffe

Dr.

-2-

July 2,

1971

unn-

"
‘vvf

iv

Test and establish the pharmacology, clinical toxicology

(3)

~—

clinical trials with

and

useful, introduce

it

M—SOSO

and

into trials of

EN

If either

1639A.

compound

a long acting formulation.

is

(4) Clinical trials of cyclarocine or naloxone in direct
comparison with methadone or l—alpha~acetylmethadol.
B.

The

"guesstimate" costs for the projects,

on a

"crash" basis:

(I) frophyl§§i§_- for consulting expenses US-VietNam, 4—6
$10,000; local military costs; supplies to be defined
staff
by Sterling~Winthr0p based on size of study.
members

(2)

—

Long

acting development

(lst year).

$800,000 (4 contracts

Naloxone

Thebaine and naloxone supplies $250,000
Cyclazocine

status of

(3)

M—5050

Pharmacology

1639A,

but for

M-SOSO:

and

EN

Animal pharmacology

Clinical trials
Supplies

.m—

:

6

VA

(4)

clinics,

Clinical

600

added to present
C.

Role

If

1639.

I do

?

not

9

$200,000)

know

the

$42,000
120,000

50,000

Comparison Cyclazocine-Methadone:
$200,000 organization cost

patients, additional

VA

allocations of $400,000/unit.

for myself.
you

establish

a commission, I suggest you consider
F. Blane or K. W. Bentley
I would be pleased to be

J. Villareal, D. Jasinski, G.
(Great Britain), J. Woods and A. Kurland.

A.

Freedman,

a member or to chair

it.

I have been actively soliciting the cooperation from industry
a few years and now know many of the people who could be involved
in a long acting drug research program. If a committee were set up
and given the support its studies justified, the programs would be
successful in a reasonable time. They may require some special
regulations regarding financial rights to industry, however, and some
cooperation from BNDD.

for

,

�&lt;_:-v..-

"1"”

.

Dr.

Jaffe

-1-

July 2,

1971

Should you wish to undertake this program yourself, or have
Roger, John or someone else do it, I will make my files available
and introduce your appointee to the appropriate persons.

Incidentally, Villareal and Kosterlitz are chairing a symposium
the antagonists in Aberdeen, July 12~13 and you may wish to attend
or send someone. I sent Roger a copy of the program in case you had
not seen it.
on

Again,

my

best wishes for the rapid success of your mission.
Sincerely yours,
Fink, M.D.
Professor of Psychiatry

Max

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