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                  <text>.7...__

cavvr ,

.

w“..-r_._._._-

”us—1..

wwwww—v... Mr 3..“

-m ”aura-w.

.

.

.mwr-twwwm~mw .m.

my”,

W-..i....r.

Hovssbsr 18, 1971
Robert Rees. H.D.

Special Action Office For Drug
Abuse Prevention

White House

Hashington, D.C. 20506
Dear Bob:

Since the September meeting of SAODAP, we have reviewed our
programs in New York and Al Freedman and I are writing to acquaint you
with our immediate projects.

sured

We

plan to expand our studies of nsloxone.

We

have been

as—

by Ralph Jacobson that naloxone pamoate will be available for
by the end of the year. We have filed the necessary
clinical
forms for an IND, and will give this study our highest priority. We

trial

are also continuing our studies of high dose oral naloxone, and are t
testing dosages from 1.0 to 1.8 grams. This study will parallel the
psmoste. In both studies, we will assess the duration of antagonisiu
with heroin challenges and clinical acceptability.
Our interest in M—SOSO and BC 2605 has led us to file and
N.I.H.H. application for support of the antagonist studies. The applicstion requests funds for the necessary animal trials to obtain an
1RD for M-SOSO, and should we obtain this IND, we will
assess the du~
rstion of sntsgonisu sad sccsptsbility as an antagonist in our clinical
population. We have not made s psotocol for BC—2605 since our facilities
sre cousitted to thsss prior studies. To expand our facilities, how—
ever, so srs sstshlishing s clinicsl research unit at the Montroso V.A.
One of my students. Alexsnder Don, hss sgrssd to set up the unit and
hss joinsd thst staff this week.

�Robert Rees, M.D.

recently completed our comparison of l-slpha-acetylsethedol
that report was sent to your office. We
believe that this compound can be used more widely and further testing
should be done. We have urged Dr. Richard Brotnen of our College to
undertake a large scale clinical study, using the College methadone de~
toxificetion program as a base, and he is preparing the necessary doc—
unentation for city authorities.
We

and methadone, and a copy of

Bristol has requested that we assess the safety of naloxone:
in a ratio of 1:10, and one member of our staff. Dr. Richard
Resnick, has written a protocol for this study.

methadone
0

..'ervr-~

-:':'

'Ir'

Wutv'r‘n

wo‘rw.

November 18, 1971

chiatay;

Our latest cyclsxbcine report is in press in Comprehensive Rayand the report of our methadone—cyclesocine transfer study is

being revised following

editorial criticism.

Our trails with silsstic/naloxone are not funded beyond the
end of the month. The data are interesting, suggesting that
is fea-

it

sible to delay the release of naloxone, but are not sufficiently conclusive to warrant our enthusiasm.

heroin,

Under another program, we are continuing our EEG studies of
with one aim the development of an objective index of narcotic

antagonism. We are also studying the neurohumorel consequences of opiate
use; and our cannabis program is most active. But these issues are of
less immediate public concern.
Should your office obtain funding, two of these projects wer-

Iant your attention: animal toxicology of

M-SOSO

sufficient for

an IRD,

as described in our N.I.M.H. protocol; and a large scale comparison of
nethedol and methadone. While we have not prepared a protocol and bud~
get, this can be done.

wish to implement the recommendation that addiand pro-clinical testing of analgesics and
antagonists be establishdd, we have reviewed the facilities and personnel
available in New York, and believe that a viable program could be es—
Should

SADDAP

tional centers for clinical
tablished, capitalizing

facilities.

on

the affiliated college, city,

state,

and V.A.

Finally. there is one delicate matter that should be brought
to your attention. In discussions with Ralph Jacobson, he has repeat—
edly alluded to the support from your office for the naloxone studies
in this institution. We did discuss funding from Endo with his, in part,
for the special tests and reports that they usually require at the end of
each study. Also, in our discussions with Dr. Irwin Pechter of Bristol
Laboratories, we have indicated that support of our study programs is
essential to their vitality, and that transfer of this support to governmental agencies are not particularly useful. (You may recall that Ster-

�November 18, 1971

Robert Recs, M.D.

ling~w1nthrop provided us with funds for our cyclczocinc studios ~fundo that wcro used for oquipncnt. travel, and consulting not ordin—
arily available in governmental contracts). I would hope that the parof ncrcotic
allel, direct Iupport by Endo and Bristol, of then: studios
antagonists, will not be projudiccd by implied proniocs from SAODAP.

‘-

'H'srxw-"mro'ivv-uuv

v

We trust those
succcooful launching of

comments
SAODAP

are uscful, and look forward to tho
in tho near future.

programs

Sincerely yours,
Mu Fink,

,

at,

WIN“

V‘Rﬂ‘

"'

'-r"smm-

HOD.

Professor of Psychiatry

42v"

HF:ig

�</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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