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                  <text>'

June 30, 1978

Gilbert Honigfeld,
Sandoz, Inc .
East Hanover, N.J.
Dear

Ph.D.
07936

Gil,

In 1971, when I first became acquainted with the pre-clinical
data on mianserin, I found that the first human trial had been done
in volunteers, and as part of a Ph.D. thesis, a young investigator
had used the OFF procedure and had found a marked decrement in fusion
threshold with low doses of mianserin. It was 13% data, more than any
animal data, which led to the EEG trials and the finding that mianserin
did, indeed, have a specific EEG profile. The rest is history.
Since 1973. I have included OFF data in every EEG study. So far,
using rather simple procedures, we have been impressed that CF? rates
change in a dosearelated manner whenever we are studying active compounds.
The mianserin data was published in our pharmacodynamic report in
Psychopharmacology (2&amp;z2h9-25h, 1977). We use a simple monocular
fusion procedure with three determinations of the ascending and
the descending flicker threshold, averaging the results of the six

trials.

I was impressed with your elegant procedure and would like to
replicate it. I am confident that active drugs will show their effects
on the more sensitive procedures, like CFF, if they affect brain
function. However, the determination can only be gross for classification
purposes, since discrdminations are only possible in two directions. But
as another index for pharmacodynamic studies, we have been impressed.
The mianserin report is not yet does for NIMH. The data are
derived largely from the 1977 meeting on mianserin held in Amsterdam

in October and published as a supplement to Brit. J. Clin. Pharm.,
supplement 1 to volume 5.
My

regards.

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

Max

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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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