Preclinical Abuse Liability Evaluation in Drug Control
Preclinical Abuse Liability Evaluation in Drug Control
Preclinical Abuse Liability Evaluation in Drug Control
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<strong>Precl<strong>in</strong>ical</strong> <strong>Abuse</strong> <strong>Liability</strong><br />
<strong>Evaluation</strong> <strong>in</strong> <strong>Drug</strong> <strong>Control</strong><br />
Srihari R. Tella, Ph.D.<br />
Pharmacologist<br />
<strong>Drug</strong> and Chemical <strong>Evaluation</strong> Section<br />
Office of Diversion <strong>Control</strong><br />
<strong>Drug</strong> Enforcement Adm<strong>in</strong>istration, Wash<strong>in</strong>gton DC<br />
Tel: 202-307-7183; Fax: 202-353-1263<br />
email: Srihari.R.Tella@usdoj.gov
<strong>Drug</strong> and Chemical<br />
<strong>Evaluation</strong> Section (ODE)<br />
<strong>Drug</strong> Schedul<strong>in</strong>g (Domestic and<br />
International)<br />
Quotas for Schedule I and II Substances<br />
Exempt Products<br />
Review Schedule I Researcher license<br />
applications<br />
United Nations Treaty Activities
Designer <strong>Drug</strong>s<br />
Background<br />
Applicable current laws<br />
Recently controlled drugs<br />
Currently encountered drugs<br />
Data used
Designer <strong>Drug</strong>s -<br />
Background<br />
Popular name for <strong>Control</strong>led Substance<br />
Analogs<br />
Orig<strong>in</strong> – Clandest<strong>in</strong>e laboratories<br />
“<strong>Drug</strong> Culture” <strong>in</strong> early 1960s was led by<br />
LSD made <strong>in</strong> Clandest<strong>in</strong>e laboratories.<br />
Mescal<strong>in</strong>e analogs (“alphabet soup”) –<br />
MDA, MMDA, DOM, TMA, PMA & DMA.<br />
Analogs of methaqualone, PCP and<br />
amphetam<strong>in</strong>es <strong>in</strong> 1970s
Advent of Designer <strong>Drug</strong>s<br />
Potent fentanyl analogues from 1979<br />
Alpha-methylfentanyl – <strong>Control</strong>led <strong>in</strong> 1981<br />
Many other fentanyls soon appeared<br />
Over 100 deaths due to fentanyls<br />
In 1982 – MPPP (meperid<strong>in</strong>e analog) under<br />
the street name “new hero<strong>in</strong>” – Neurotoxicity<br />
(Park<strong>in</strong>son’s”) due to by-product MPTP<br />
In 1980s – MDMA was another popular drug
Amendments to the<br />
<strong>Control</strong>led Substances Act<br />
(CSA 1970)<br />
Comprehensive Crime <strong>Control</strong><br />
Act of 1984 (Temporary<br />
Schedul<strong>in</strong>g)<br />
Anti-<strong>Drug</strong> <strong>Abuse</strong> Act of 1986<br />
(Analogue Statute)
Temporary Schedul<strong>in</strong>g<br />
(Comprehensive Crime <strong>Control</strong> Act of 1984)<br />
Actual abuse and imm<strong>in</strong>ent hazard to<br />
public health/safety risks<br />
As set forth under 21 U.S.C 811(h),<br />
follow<strong>in</strong>g three factors under the CSA (21<br />
U.S.C. 811(c)) are to be considered <strong>in</strong> the<br />
evaluation<br />
4.Its history and current pattern of abuse<br />
5.The scope, duration, and significance of<br />
abuse<br />
6.What, if any risk to the public health
Temporary Schedul<strong>in</strong>g<br />
(Comprehensive Crime <strong>Control</strong> Act of 1984)<br />
Lawfully marketed and IND drugs<br />
excluded<br />
DHHS notified but approval not required<br />
Schedule I (CI) status - 1 year + 6 months<br />
extension<br />
Initiation of full review <strong>in</strong>clud<strong>in</strong>g<br />
precl<strong>in</strong>ical abuse liability assessment
Temporary scheduled<br />
drugs (1985-2005)<br />
Number of <strong>Drug</strong>s<br />
Scheduled<br />
14<br />
12<br />
10<br />
8<br />
6<br />
4<br />
2<br />
12<br />
1<br />
3<br />
1<br />
Total drugs = 26<br />
2 1 1<br />
3 2<br />
0<br />
1985<br />
1987<br />
1989<br />
1991<br />
1993<br />
1995<br />
Year<br />
1997<br />
1999<br />
2001<br />
2003
Analogue Enforcement Act<br />
Anti-<strong>Drug</strong> <strong>Abuse</strong> of Act of 1986<br />
As set forth under 21 U.S.C 802 (32 (A)),<br />
<strong>Control</strong>led Substance Analogue means a<br />
substance with<br />
1. Chemical structure substantially similar<br />
to that of a CI or CII substance;<br />
2. Pharmacological effects substantially<br />
similar to that of a CI or CII substance; or<br />
3. Represented or <strong>in</strong>tended to produce a<br />
similar effect as a CI or CII substance
Analogue Enforcement Act<br />
Anti-<strong>Drug</strong> <strong>Abuse</strong> of Act of 1986<br />
Analogues are treated as CI substances<br />
only if they are <strong>in</strong>tended for human use<br />
Analogues need not be clandest<strong>in</strong>ely<br />
produced nor derived from a CI or CII<br />
substance<br />
Crim<strong>in</strong>al, not regulatory controls of CI<br />
substances<br />
Prosecution on case by case basis<br />
Prosecution require expert testimony
Analogue Enforcement Act<br />
Anti-<strong>Drug</strong> <strong>Abuse</strong> of Act of 1986<br />
Analogue does not <strong>in</strong>clude<br />
A controlled substance<br />
Any lawfully marketed substance<br />
With respect only to an <strong>in</strong>vestigational<br />
new drug (IND) holder, any substance<br />
with a currently active IND status
Recent Temporary<br />
Schedul<strong>in</strong>g Actions<br />
Tryptam<strong>in</strong>es (<strong>in</strong> 2003)<br />
Alpha-methyltryptam<strong>in</strong>e (AMT)<br />
5-Methoxy-N,N-diisopropyltryptam<strong>in</strong>e (5-MeO-<br />
DIPT)<br />
Piperaz<strong>in</strong>es (<strong>in</strong> 2002)<br />
Benzylpiperaz<strong>in</strong>e (BZP)<br />
1-[3-(trifluro-methyl)phenyl]piperaz<strong>in</strong>e (TFMPP)<br />
Phenethylam<strong>in</strong>es (<strong>in</strong> 2002)<br />
2,5-Dimethoxy-4(n)-propylthiolphenylethylam<strong>in</strong>e<br />
(2C-T-7)
Currently Encountered<br />
Tryptam<strong>in</strong>es<br />
CH 3 O<br />
H<br />
N<br />
NH 2<br />
CH 3<br />
5-Methoxy-alphamethyltryptam<strong>in</strong>e (5-MeO<br />
MeO-AMT)*#<br />
CH 3 O<br />
5<br />
H<br />
N<br />
H 3 C H CH 3<br />
H<br />
N H<br />
H<br />
5-Methoxy-N-methyl<br />
H<br />
N<br />
H 3 C<br />
N<br />
CH 3 O<br />
CH 3<br />
CH 3<br />
CH 3<br />
N,N-Diisopropyltryptam<strong>in</strong>e (DIPT)*<br />
5<br />
CH 3 O<br />
5-Methoxy-N,N-diethyltryptam<strong>in</strong>e (5-MeO<br />
MeO-DET) DET)*<br />
methyl-N-isopropyltryptam<strong>in</strong>e (5-MeO<br />
MeO-MIPT) MIPT)*<br />
* These are positively identified by the Lab analysis.<br />
#One death associated with its abuse<br />
H<br />
N<br />
H 3 C<br />
H<br />
N<br />
N CH 3<br />
5-Methoxy-N,N-dimethyltryptam<strong>in</strong>e (5-MeO<br />
MeO-DMT) DMT)*#<br />
CH 3<br />
N<br />
CH 3
Currently Encountered<br />
Tryptam<strong>in</strong>es<br />
H<br />
N<br />
H<br />
N<br />
CH 3<br />
H<br />
C<br />
H<br />
C CH 3<br />
H<br />
4<br />
O<br />
H<br />
N<br />
H 3 C H CH 3<br />
H<br />
N H<br />
H<br />
CH 3<br />
N,N-Dipropyltryptam<strong>in</strong>e (DPT)*<br />
4-Methoxy-N-methyl-N-isopropyltryptam<strong>in</strong>e (4-MeO<br />
MeO-MIPT) MIPT)*<br />
H<br />
H<br />
H<br />
H<br />
N<br />
H H C<br />
H<br />
H<br />
CH<br />
N 3<br />
C<br />
C<br />
C H<br />
CH<br />
H 3<br />
N<br />
H<br />
H<br />
N<br />
CH3<br />
H H<br />
H<br />
H<br />
N-Methyltryptam<strong>in</strong>e (NMT)*<br />
N-methyl-N-isopropyltryptam<strong>in</strong>e (MIPT)*<br />
4-Hydroxy-N,N-diisopropyltryptam<strong>in</strong>e (4-OH<br />
OH-DIPT)<br />
*<br />
* These are positively identified by the Lab analysis.<br />
#One death associated with its abuse<br />
4<br />
OH<br />
H<br />
N<br />
CH 3<br />
H 3 C H CH 3<br />
N H<br />
CH 3
Currently Encountered<br />
Tryptam<strong>in</strong>es<br />
Cases (#)<br />
60<br />
50<br />
40<br />
30<br />
20<br />
10<br />
0<br />
54 52<br />
25<br />
6 4 3 1 1 1 1<br />
5-MeO-DMT<br />
5-MeO-AMT<br />
DPT<br />
5-MeO-MIPT<br />
NMT<br />
DIPT<br />
MIPT<br />
4-OH-DIPT<br />
4-MeO-MIPT<br />
5-MeO-DET
Currently Encountered<br />
Phenethylam<strong>in</strong>es<br />
O C H 3<br />
OCH 3<br />
N H 2<br />
NH 2<br />
I<br />
Cl<br />
O C H 3<br />
2,5-Dimethoxy<br />
Dimethoxy-4-iodophenethylam<strong>in</strong>e iodophenethylam<strong>in</strong>e (2C-I)<br />
I)*#<br />
CH 3 CH 2<br />
H<br />
CH 3 O<br />
OCH 3<br />
C<br />
H<br />
C<br />
H<br />
NH 2<br />
2,5-Dimethoxy<br />
Dimethoxy-4-ethylphenethylam<strong>in</strong>e ethylphenethylam<strong>in</strong>e (2C-E)<br />
E)*<br />
H<br />
H<br />
H<br />
H 3<br />
C<br />
C H 3<br />
O<br />
S<br />
OCH 3<br />
2,5-Dimethoxy<br />
Dimethoxy-4-chloro-<br />
phenethylam<strong>in</strong>e (2C-C)<br />
C) *<br />
O C H 3<br />
2,5-Dimethoxy<br />
Dimethoxy-4-ethylthioethylthio<br />
phenethylam<strong>in</strong>e (2C-T-2)<br />
2)*<br />
•These are positively identified by the Lab analysis.<br />
•## One death associated with its abuse.<br />
N H 2
Currently Encountered<br />
Phenethylam<strong>in</strong>es<br />
CH 3 O<br />
NH 2<br />
H3C<br />
CH 3 O<br />
NH 2<br />
FH 2 C S<br />
OCH 3<br />
2,5-Dimethoxy<br />
Dimethoxy-4-(2-fluoroethylthio)<br />
phenethylam<strong>in</strong>e (2C-T-21)<br />
21)@<br />
H 3 C<br />
S<br />
OCH 3<br />
2,5-Dimethoxy<br />
Dimethoxy-4-(i) (i)-propylthio<br />
phenethylam<strong>in</strong>e (2C-T-4)<br />
4)*<br />
H 3 CO<br />
NH 2<br />
Cl<br />
NH 2<br />
H 3 CO<br />
3,4-Dimethoxy<br />
Dimethoxy-phenethylam<strong>in</strong>e (3,4-DMPEA)<br />
H 3 CO<br />
OCH 3<br />
4,5-Dimethoxy<br />
Dimethoxy-2-chlorophenethylam<strong>in</strong>e*<br />
•These are positively identified by the Lab analysis.<br />
•@Possibly one death
Currently Encountered<br />
Phenethylam<strong>in</strong>es<br />
30<br />
25<br />
29<br />
2C-I<br />
2C-T-2<br />
20<br />
15<br />
10<br />
5<br />
0<br />
8<br />
3 3 3<br />
1 1 1<br />
2C-C<br />
2C-E<br />
3,4-DMPEA<br />
2C-T-21<br />
2C-T-4<br />
2Cl-4,5-DMPEA
Currently Encountered<br />
Designer <strong>Drug</strong>s<br />
Scope and magnitude of the problem –<br />
Internet; thousands of customers<br />
July 2004 - DEA shut down five websites<br />
under “Operation Web Tryp”<br />
Some purchases (Over 1 year 3 months<br />
period) found <strong>in</strong> a seized computer used by<br />
an website operator<br />
<br />
<br />
<br />
5-MeO-DMT<br />
– 679 orders for 824 gms<br />
5-MeO-DIPT<br />
– 536 orders for 642 gms<br />
5-MeO-AMT<br />
– 347 orders for 414 gms etc..
Adm<strong>in</strong>istrative Schedul<strong>in</strong>g<br />
- Designer <strong>Drug</strong>s<br />
Time w<strong>in</strong>dow of 18 months follow<strong>in</strong>g<br />
temporary schedul<strong>in</strong>g<br />
Need for pharmacology evaluation<br />
NIDA/CPDD support - Chemical synthesis<br />
and precl<strong>in</strong>ical abuse liability assessment<br />
Pharmacology tests - 5-MeO-AMT, DIPT,<br />
5-MeO-DET, 4-OH4<br />
OH-DIPT, 5-MeO5<br />
MeO-MIPTMIPT<br />
Chemical synthesis - 2C-I I and 2C-T-2
Adm<strong>in</strong>istrative Schedul<strong>in</strong>g<br />
- Designer <strong>Drug</strong>s<br />
<strong>Precl<strong>in</strong>ical</strong> studies<br />
Receptor b<strong>in</strong>d<strong>in</strong>g and functional assays (e.g. 5-5<br />
HT2A, 5-HT1A, 5<br />
DAT, NET, 5-HTT, 5<br />
monoam<strong>in</strong>e uptake <strong>in</strong>hibition)<br />
Locomotor activity <strong>in</strong> mice<br />
<strong>Drug</strong> discrim<strong>in</strong>ation <strong>in</strong> rats (Tra<strong>in</strong><strong>in</strong>g drugs:<br />
LSD, DOM, MDMA, DMT, methamphetam<strong>in</strong>e,<br />
or coca<strong>in</strong>e)<br />
Self-adm<strong>in</strong>istration
Contact Information<br />
Srihari R. Tella, Ph.D.<br />
Pharmacologist<br />
<strong>Drug</strong> and Chemical <strong>Evaluation</strong> Section<br />
Office of Diversion <strong>Control</strong><br />
<strong>Drug</strong> Enforcement Adm<strong>in</strong>istration<br />
Wash<strong>in</strong>gton DC<br />
Tel: 202-307-7183<br />
Fax: 202-353-1263<br />
email: Srihari.R.Tella@usdoj.gov