A placebo-controlled trial of L-365,260, a CCKB antagonist, in panic disorder.

Abstract:

:The functional role of cholecystokinin in the central nervous system is unknown. The tetra peptide CCK-4 was previously observed to induce panic attacks in a majority of normal volunteers and patients with panic disorder. Furthermore, it had been demonstrated that pretreatment with 10-50 mg of L-365,260, a selective CCKB antagonist, blocked CCK-4 induced panic in patients with panic disorder. Therefore, the present multicenter, placebo-controlled, double-blind trial was designed to investigate the efficacy of L-365,260, a CCKB antagonist, in patients with panic disorder with or without agoraphobia. Following a 1-week, single-blind placebo period, 88 patients were randomized to double-blind treatment in which they received either L-365,260, 30 mg qid, or placebo for 6 weeks. At the dose tested, there were no clinically significant differences between L-365,260 and placebo in global improvement ratings, Hamilton anxiety rating scale scores, panic attack frequency, panic attack intensity, or disability measures. The possible reasons for lack of effect with L-365,260 are discussed.

journal_name

Biol Psychiatry

journal_title

Biological psychiatry

authors

Kramer MS,Cutler NR,Ballenger JC,Patterson WM,Mendels J,Chenault A,Shrivastava R,Matzura-Wolfe D,Lines C,Reines S

doi

10.1016/0006-3223(94)00190-E

subject

Has Abstract

pub_date

1995-04-01 00:00:00

pages

462-6

issue

7

eissn

0006-3223

issn

1873-2402

pii

0006-3223(94)00190-E

journal_volume

37

pub_type

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