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Evaluation of SCH 39166 as PET ligand for central D1 dopamine receptor binding and occupancy in man.

Abstract
SCH 39166 is the first selective D1-dopamine receptor antagonist developed for clinical trials in schizophrenia. SCH 39166 was evaluated as a radioligand for PET, labeled with 11C, and as a D1-dopamine receptor antagonist after single oral doses in healthy men. After intravenous injection of [11C]SCH 39166 distribution of radioactivity in brain grossly reflected D1-dopamine receptor density. The putamen to cerebellum ratio at equilibrium was low (1.54 +/- 0.18 SD), which makes [11C]SCH 39166 less suitable as a radioligand for applied PET studies. Saturability of specific binding was demonstrated after IV injection of [11C]SCH 39166 with low specific radioactivity. Stereospecificity of binding was examined using the stereoisomer [11C]SCH 39165. D1-Receptor occupancy was demonstrated with [11C]SCH 39166 2 h after administration of single oral doses of unlabeled SCH 39166 to each of three healthy subjects (25, 100 and 400 mg). There was a substantial reduction of specific [11C]SCH 39166 uptake in the putamen after all doses. Single oral doses of 100 mg induced approximately 70% D1-dopamine receptor occupancy in the basal ganglia, which should be sufficient to investigate the antipsychotic potential of D1-dopamine receptor antagonism in clinical studies.
AuthorsP Karlsson, G Sedvall, C Halldin, C G Swahn, L Farde
JournalPsychopharmacology (Psychopharmacology (Berl)) Vol. 121 Issue 3 Pg. 300-8 (Oct 1995) ISSN: 0033-3158 [Print] Germany
PMID8584610 (Publication Type: Clinical Trial, Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, P.H.S.)
Chemical References
  • Benzazepines
  • Dopamine Antagonists
  • Receptors, Dopamine D1
  • ecopipam
Topics
  • Adult
  • Benzazepines (adverse effects, pharmacokinetics, pharmacology)
  • Binding, Competitive
  • Brain (drug effects)
  • Dopamine Antagonists (adverse effects, pharmacokinetics, pharmacology)
  • Humans
  • Male
  • Radioligand Assay
  • Receptors, Dopamine D1 (antagonists & inhibitors)
  • Time Factors
  • Tomography, Emission-Computed

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