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                  <text>May

16, 197h

Miss Mary Carol Revmann
SAODAP

Place, N.W.
washington, 9.0. 20506
726 Jackson

Dear Miss Newmann:
we

would be pleased

to cooPerate in the analysis of the

records to he collected in the SAODAP LdAM~methadone compari—
son study. As I understand the problem, the principal question is
to define the efficacy and the safety of s new pleparetion, levemethsdyl, in comparison with the standard treatment, methadone.
The EEG data is suggested as an index of safety, to define the
degree of changes in EEG as a measure of brain function during
EEG

treatment.

In our studies of methadone and levomethsdyl, we observed
systematic changes in the EEG with both compounds. The changes

related to the dose of each compound, the time after adminis~
tration, and to the time intthe induction (build-us; to the opioid.
Our studies with methadone defined persistent changes during the

'vere

h—6 weeks with episodes of EEG slowing and
which
burst activity
disappeared once a maintenance-dose was
stabilized and the patient received his dosage regularly. Dosage
regularity was important, for in a few instances we Observed theta
,‘burst activity in patients on maintenance therapy (100 mg methadone)
than drug intake was irregular or some additional substances were

build~up period of

used, usually opiates.

‘

it

For this reason,
could be important that the observatwo
tions be comparable in the
groups, particularly as to the
_regularity with which the dosages are given and the number of hours
siter a dose the EEG is recorded. As is usual with Quantitative
EEG analysis, the state of alertness of the sdee
must be con»
trolled; we do so by recording each sthect at the some time of

t

�Mhry Carol Hewmann

~2-

May

16, 197h

day, with the recording made with eyes closed for h minute 20
seconds out of every five minute sample - that is, the subjects
open their eyes and answer a simple inquiry every five minutes.
we believe a 20 minute sample to be an adequate estimate
of an EEG for our purposes. The sample should be in five minute
blocs with a to second eye opening in between. The details of the
recording for our analyses are described in the enclosed memorandum.

The

initial

data reduction

may be

either by period anal~

ysis or by power spectral density analysis. We have found both
useful for drug classification work. Unless your consultants request otherwise, I would recommend period analysis primary wave and
first derivative, using 20 second epochs, and 320 sps sampling rate.
We would analyse one load pair, preferably occipital~vertex first;
and only do a second if there are questions that are left unanswered
by the first analysis. We suggest that the recording on magnetic
tape be of the occipital-vertex, anterior temporal-occipital, and
frontalwoccipital electrode leads on one side. Should there be a
question of differences in symmetry, then a pair of symmetric leads
may be

recorded and analysed.

If the

records are presented cleanly on the tape, we can
l/h real time for period analysis or real time
for power spectral density analysis.

process the data at

fer each record by period analderive standard scores by contrasting the drug
periods with the pro-drug record. If a pro—drug record is not
available, then we can contrast the drug changes with the initial
record in each'subject, should you define the first records as
equivalent for subJects beiteen groups.
Having reduced the data

ysis (or

PWRS), we

these contrasts are
or louminute averages; and the changes
in the two groups assessed by an appropriate multivariate statist—
reduced

ical

The standard scores derived from

to either

5—minute

to contrast the changes induced by methadone and leveSince no placebo group is available, the final statements
are limited to descriptions of the changes associated with each
condition; the changes in time; the identification or individuals
who are outside 2 or 3 SD from the mean of the group; and a contrast
of the levomethadyl changes with those occuring after methadone.
Should the changes be consistent with previous experience, it may
be possible for either Professor Roubicek, Dr. Vblavka, or myself to
method

methadyl.

contrast the observations with the data recorded earlier at the
studies.

NYMC

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facilities at the Health Sciences

May

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16, 197k

Center

at Stony

these analyses for records provided on compet—
ible tapes. This laboratory is supported in large part by grants
from the National Institute of mental Health and the National
Institute of Drug Abuse. we can, therefore, to the extent these
other funds are available, provide the analyses at reduced cost

Brook can provide

SAODAP.
The 2&amp;0 hours of EEG estimated to be recorded by
Sharon/Burch and the 150 hours by Resnick/Volavke could be re—
duced in 100 hours of machine/operator time at $1¢ui§/951-

to

we

‘f

would estimate an additional 2 weeks of operator time
IBM 370—65 machine time for the statistical ena1~

“”“"EEETIh’hours of

yses provided in this study. Should the analyses requested by the
committee be more sophisticated then re can provide, we can provide
the committee with the data in card format on Hollerith cards or
IBM compatible tape for statistical analyses elsewhere.
.

Our budget should include travel funds for two trips to
Texas by a member of the staff; and two trips to New York. The
option of whether the trip is made from New York to Texas or the
reverse must be left in our hands.

also request an allowance of $4Zﬁ5. for telephone
pend other special charges that may facilitate this proJect.
The budget estimate does not include any fees for the
investigators in my laboratory. We are under contract HEM h2—73-260
and we would use the support of that program for the remainder of
19Th to cover any time charges for the investigators in this labor—
atory. particularly myself~and Mr. Peter Irwin. Should theweproject
re~
‘proceed beyond the December 31. l97h end of that contract,
for
201/month
the
of
operation
of
1975
funds
the
at
rate
in
quest
Mr.
the
study.
Irvin
manage
to
of
the services
Budget estimates are attached, reflecting these suggestions.
Should you wish to approve such a contract. the additional funds may
be added to contract DA hPGOOS, Arthur Zeke, M.D., principal investigator, through the International Association for Psychiatric Research.
That agency is also the grantee for PHS funds fer the program "EEG
and Human Psychopharmscology", ME 2&amp;020, which provides support for
the computational equipment which is needed for the analyses de—
scribed in this memorandum.
we

V

�Mery Carol Newmann

Hey 16, l97h

-h—

I trust these

comments are helpful. We would be pre~
Irwin or another member of my staff to Texas to
staff there in the proper recording of the data for
analysis. It may be helpful for Dr. Stillman or you to visit our
laboratories to discuss the work further. we are prepared to meet
with Dr. Stillman and the investigators to design the actual recording times and sessions to maximize the data for the questions
which are to be answered by these analyses.

pared to send
work with the

tapes;

I

Mr.

am

enclosing a set of notes for recording and identifying

and a budget estimate.
Thank you

for your inquiry.
Sincerely yours,
Fink, M. D.
Professor of Psychiatry
Max

Merd

Enclosure

�qua-m.—

wg,‘:va.y""

may 16, l97h

msry Carol Newmsnn,
Max

Fink,

M.

SAODAP

D.

Budget Estimates

for

LAAM—Msthsdono EEG

Analyses

is provided for the analysis of she
single lead pair to be collected by Shsrms/Burch;
and 150 hours EEG, single lead to be collected by Bosnick/
Vblaxka. Analysis by period analysis, l/h real time.“
hours

EEG,

This estimate

Primary Reduction
390 hours

I l/h

x $1h.50/hr

$

1,h00.00

Artefact control

(100 hr x $5/hr)

500.00

Data compression

200.00

Statistical Processing

1—]:

.d'n'r—

"r

Operator time
(2 wk 0 $250/sk)
Computer time

(370/65 s $2oo/hr x

Summary Reports

500.00

hr)

h

800.00

(1 wk)

Travsl

250.00
.

1,000.00

Incidental Costs (tsl.,postags)

250.00

2

arr-r1?!”

After 1/1/75. Personnel costs
20%

x $1,h00/msn

. $280/msh a

8,220.00
IAPR

Overboad Zhﬂ

7.:

a

v'ﬁmnhr

Var-159149:

20.00

“Should power spectral density analysis be
requested, change estimate to a real time
analysis by multiplying primary reduction
cost by h.

.00
$10,193.00
1

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