Positive results from Alkermes’ ALKS 5461 phase 1/2 study on MDD

Alkermes plc (NASDAQ: ALKS) today presented positive results from the phase 1/2 study of ALKS 5461, a novel drug compound for major depressive disorder (MDD) in patients who have an inadequate response to standard therapies for clinical depression, in an oral session at the 52nd Annual New Clinical Drug Evaluation Unit (NCDEU) Meeting in Phoenix.    

In the phase 1/2 clinical study, ALKS 5461 was shown to significantly reduce depressive symptoms, as measured by the Hamilton Depression Rating Scale (HAM-D17; a standard, clinician-assessed measure of depression severity), in patients with MDD who received ALKS 5461 for the seven-day treatment period. In addition, data from the study showed that ALKS 5461 was generally well tolerated. ALKS 5461 is the combination of buprenorphine and ALKS 33, a proprietary opioid modulator.

"We are delighted to present these results to experts in the mental health community at the NCDEU meeting showing that ALKS 5461 offers potential as a novel treatment for patients with MDD who have inadequate response to antidepressant therapy. Our study showed a rapid onset of action and clinically meaningful reduction in depressive symptoms after only seven days of treatment with ALKS 5461, which is very encouraging and prompted us to accelerate initiation of our phase 2 study," stated Elliot Ehrich, M.D., Chief Medical Officer of Alkermes. "ALKS 5461, one of several product candidates in our advancing clinical pipeline, is an excellent example of how Alkermes is leveraging our unique understanding of opioid biology and pharmacology to develop medications that address unmet medical needs for central nervous system disorders."

Based on the positive results of the phase 1/2 study, a phase 2 study of ALKS 5461 was initiated in January 2012 to further evaluate the utility of ALKS 5461 in treating MDD. The phase 2 trial is a randomized, double-blind, multicenter, placebo-controlled study that will evaluate the efficacy and safety of ALKS 5461 when administered once daily for four weeks in approximately 130 patients with MDD who have inadequate response to antidepressant therapy. Data from the study are expected in the first half of calendar 2013.    

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Comments

  1. Babak Kamali Babak Kamali United Kingdom says:

    The problem is that four weeks is not enough to find out if this drug is addictive (causes unbearable withdrawal symptoms) like buprenorphine (Subutex).

    This reminds me of all the initial claims about Subutex being a miracle cure and then it turned out to be a nightmare as anyone who has tried to come off Subutex will confirm.

    The problem with opioids as opposed to opiates is always the same. It takes a lot longer to become "addicted" to them but coming off them is a lot more difficult once you have become "addicted" e.g.(s): Methadone & Subutex.

    Only if ALKS 5461 proves to be an exception, it is then that it can be considered a "better" drug than the existing Opioids; be as treatment for depression or addiction. In Germany they have opted out of Methadone treatment in favour of heroin for addicts for this very reason.

    Finally I find it amusing that doctors are finally prepared to admit that opioid and/or opiates have anti-depressing effects when until now if you mentioned that one was taking methadone or heroin for that matter to manage one's depression everyone considered it as yet "just" another excuse for a junkie to justify his/her "dirty" habit repeating that opiates/opiods did not help with depression.

    Talk about double standards!

  2. Biochem Nerd Biochem Nerd United States says:

    The difference is, ALKS 5461 is being used not as an opioid, but rather the opposite. Buprenorphine is (among other less significant actions) an activator of mu opioid receptors and an antagonist of kappa opioid receptors. ALKS 5461 combines this with samidorphan, a selective blocker of my opioid receptors, which mediate most of the euphoria/tolerance/addiction of opiates. The remaining activity is a blockade of the kappa receptor, activation of which is super important in mediating the dysphoric response to stress. Totally different drug, I'll eagerly watch this one!

The opinions expressed here are the views of the writer and do not necessarily reflect the views and opinions of News Medical.
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