The partial agonist at
benzodiazepine receptors,
Ro 19-8022, has been characterized as a putative
anxiolytic drug with an improved side effect profile. This orally active compound is a representative of a quinolizinone structure class and shows potent anticonflict activity in mice and rats. It protects rodents from convulsions induced by
pentylenetetrazol,
N-methyl-D-aspartic acid and maximal electroshock, as well as against audiogenic
seizures, with an efficacy comparable to that of the full agonist
alprazolam. No appreciable
sedative or motor-impairing effects could be detected up to a very high dose (100 mg/kg) in the horizontal wire test or the rotarod performance test in mice and rats and in spontaneous behavior in monkeys. Consistent with its characterization as a partial agonist,
Ro 19-8022 antagonized the motor impairment induced by the full agonists
diazepam or
meclonazepam measured in horizontal wire and rotarod tests in rodents, and reduced
flunitrazepam-induced effects in squirrel monkeys, with an efficacy comparable to that of the
benzodiazepine receptor antagonist
flumazenil. After subchronic administration of
Ro 19-8022 to mice, antagonist-precipitated withdrawal syndrome was dramatically weaker than after
alprazolam treatment, which is indicative of a lower physical dependence liability of
Ro 19-8022. Pharmacodynamic effects recorded in convulsion and reversal of motor impairment tests after i.v. administration suggest a long duration of action of this compound. Taken together, such preclinical data suggest that
benzodiazepine receptor partial agonists with a neurological and behavioral profile such as that of
Ro 19-8022 may offer an innovative therapeutic approach to the treatment of
anxiety disorders.