BL-1020, a novel antipsychotic candidate with GABA-enhancing effects: D-2 receptor occupancy study in humans

Lieuwe Appel, Yona Geffen, Kerstin Heurling, Catarina Eriksson, Gunnar Antoni, Shitij Kapur

Research output: Contribution to journalArticlepeer-review

10 Citations (Scopus)

Abstract

BL-1020 is a potentially novel antipsychotic, which comprises the typical antipsychotic perphenazine linked by an ester bound to gamma-aminobutyric acid (GABA), intending a simultaneous dopamine-2 (D-2) receptor blockade and GABA facilitation in the brain. This positron emission tomography (PET) study, using [C-11]raclopride, assessed the extent and duration of D-2 receptor occupancy (D-2 RO) and safety for single doses of BL-1020 in healthy mate subjects. Overall, this study did not raise any safety concern. Single closes of 16-32 mg BL-1020 caused a dose dependent striatal D-2 RO. The 32 mg dose of BL-1020 resulted in an average D-2 RO of 44% at 4-6 h post dosing (pd), which declined to 33% at 24 h pd. Equimolar doses of BL-1020 and perphenazine resulted in similar D-2 RO at 24 h pd. Pharmacokinetic-pharmacodynamic analysis predicted that oral once daily administration of 32 mg BL-1020 would result in D-2 ROs ranging from 52 to 66% at a steady state. (C) 2009 Elsevier B.V. and ECNP. All rights reserved.
Original languageEnglish
Pages (from-to)841 - 850
Number of pages10
JournalEuropean Neuropsychopharmacology
Volume19
Issue number12
DOIs
Publication statusPublished - Dec 2009

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