FRIDAY, Dec. 7 (HealthDay News) -- An experimental
antidepressant that targets the brain in a different way appears to
both act fast and last long, researchers say.
The new drug -- called GLYX-13 -- is so far given in an
intravenous form and was recently tested in patients who had not
responded to other antidepressants. It began its work within hours
and a single dose lasted about a week, Northwestern University
researchers reported.
"We saw a robust, rapid-acting, long-lasting effect," said lead researcher Joseph Moskal, a research professor of biomedical engineering at Northwestern's McCormick School of Engineering and Applied Science and director of the school's Falk Center for Molecular Therapeutics. "In addition, we have shown little or no side effects with our compound."
One expert said the drug might prove a valuable tool against
depression.
"It sounds like an exciting development," Dr. Bryan Bruno, acting chair of psychiatry at Lenox Hill Hospital in New York City said. If it were a pill, the drug could change treatment for many patients, he added. "Because it's so quick it would be a huge advantage over our current medications all of which take six to eight weeks for the full effect and at least three to four weeks to start working for most people," Bruno said.
Currently, the most popular drugs to treat depression are called
selective serotonin reuptake inhibitors, or SSRIs. These include
Prozac, Paxil, Zoloft and Lexapro. They work by improving levels of
the hormone serotonin, which may be too low in people suffering
from depression.
Although SSRIs are effective in many people, not all respond to
the same drugs and some people don't respond well.
GLYX-13, the new drug, is still being studied and it isn't
projected to be available before some time in 2016, Moskal said.
Many unknowns remain about the drug, including its long-term
effects, whether some people won't respond to it and the effects of
stopping its use.
Moskal, however, said he is confident that this drug will be a
breakthrough in treating depression. Given the results so far, he
said, people won't need to take the drug every day, only once a
week or less.
The GLYX-13 study is a phase 2 trial, which evaluates a drug's
effectiveness while continuing to assess its safety.
The results were presented Thursday at the American College of
Neuropsychopharmacology annual meeting in Hollywood, Fla. Findings
from the team's animal research that led to the new method appeared
online Dec. 3 in the journal
Neuropsychopharmacology.
Moskal is the founder and chief scientific officer of the
biotechnology firm Naurex Inc., which conducted the study.
Northwestern University has licensed the intellectual property
rights to certain therapeutics developed by Moskal to Naurex,
according to a Northwestern news release.
The study received funding from the U.S. National Institutes of
Health among others.
GLYX-13 targets parts of the brain linked to learning and
memory. An advantage is that the drug doesn't have the side effects
of other drugs that target these same areas, such as hallucinations
and schizophrenia-like symptoms, the researchers noted.
Moskal's team developed a new way to target the brain's NMDA
(N-methyl-D-aspartate) receptor to achieve these results. The
clinical trial included about 120 patients, Moskal said. Patients
were either given the drug or an inactive placebo.
Antidepressant effects of the drug were seen within 24 hours and
lasted an average of seven days. The effect of the drug was
substantially better than seen with other antidepressants, the
researchers found. The drug was so well received by patients that
many who were in the trial have called asking to be in any further
trials, Moskal said.
A new trial that makes use of the drug in pill form is slated to
get under way next year, Moskal noted.
Because the drug targets these areas of the brain it might also
help people with other problems such as schizophrenia, bipolar
disorder, anxiety and Alzheimer's disease, the researchers
suggested.
For his part, Bruno cautioned that the long-term effects of the
drug need to be studied before it can be used regularly in clinical
practice.
Findings presented at medical meetings are typically considered
preliminary until published in a peer-reviewed journal.
More information
To learn more about depression, visit the
U.S. National Institute of Mental Health.