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                  <text>‘_

-

-

an...“

..

.mpwwvwnwv

.7

.m.--‘—v.

-

Q

3W

v—n

‘1

w.”

.c

April 11, 1978

.

.

urns-I'm)..-

WW.

Mr. G. S. Avery, Editor—in-Chief
ADIS

Auckland,

New

Zealand

Dear Mr. Auery,
The

report

on Minaserin

written

by Brogden, Heel, Speight

is well done, and I find little to modify. There are some
errors in citations which I can bring to your attention, but the
sense of the text is consistent with my experience with mianserin.
and Avery

that could be modified has to do with the
screen and how this led to the study of
mianserin as a thymoleptic. EEG analysis as a basis for the
classification of psychoactive drugs has a long history with some
definitive studies in 1961 and 1963 published by myself and Itil.
In the mid—1960's, we saw the possible usefulness of the classification
in predicting the activity of new drugs and the first studies were
done with such drugs as fenfluramine, cyclazocine and doxepin. In each
instance, the EEG screen was a better predictor of the clinical
activity of the compound than the animal pharmacology. This was
particularly true for doxepin, whose pharmacology was scan as anxiolytic
in the early studies. Our study found it antidepressant, and since then,
this view has been confirmed. Based on these data, I recommended to
Organon that new drugs be screened and in 1970 they sent a number of
compounds to Itil and myself, than working in separate laboratories.
He found mianserin to be active and its profile as a thymoleptic led
to the subsequent development. Even after the EEG screen and clinical
trials, the pharmacology failed to meet the accepted thymoleptic standards.
The importance of-the EEG screen could be emphasized, because, as Dr.
Itil noted in his 1972 paper, he 'discovered' its thymoleptic activity.
One emphasis

significance of the

EEG

As to the citation errors-~ I note that Fall et al are
dated 1972 on page 6 and 1973 on page 7. 1973 is correct. The citation
is lacking in the citation list. Also, there is a citation to Pink
at al (1977) on page 6, which is lacking 6n the citation list. I enclose
a cepy of the 1977 report for your reviewer to cite if he wishes.

Thank you for the opportunity to review this article
presents the data in a fashion similar to my view of it.

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

which

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              <text>1979 </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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