TPA023 Flashcards

1
Q

What is TPA023?

A

Treatment developed by Merck for general anxiety disorder- is a traizolopyridazine GABA-A subtype a2/a3 partial agonist shown to have an anxiolytic effect comparable to benzodiazepines with reduced sedative side effects- binds with high affinity to the benzodiazepine binding site.

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2
Q

What is the efficacy of TPA023 at each of the subunits of the GABA-A receptor

A

binds with 0% efficacy to the a1 subunit, binds with 11% efficacy at a2, 21% efficacy at a3, 5% efficacy at a5

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3
Q

What are the side effects of benzodiazepines such as lorazepam and diazepam?

A

Cause memory impairment, cause sedation, have dependence ability,

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4
Q

What did mutagenesis studies show about the properties of each of the alpha subtypes?

A

a1- shown to have a sedatory effect
a2- shown to have anxiolytic and muscle relaxant effect a
a3- shown to have anxiolytic effect (at high affinity)
a5- shown to have an effect on cognition- activation causes a decrease in cognition

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5
Q

What in vitro data supports the use of TPA023?

A

Shown that TPA023 has a high affinity for a1,a2,a3,a5 subtypes and a relative efficacy of 11% and 21% at the a2 and a3 subtypes

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6
Q

What was the result of TPA023 in rats in the elevated plus maze?

A

Elevated plus maze- 30 minutes after dosing the rats were put on an elevated plus maze with arms in and outside; recorded movements for 5 mins; there was a significant treatment in rats on the percentage of time spent on the open arm and the distance travelled

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7
Q

What was the effect on rats of TPA023 in the fear potentiated startle?

A

Rats were trained to associate a red light with the occurrance of an electric shock; were then shown a light stimulus which potentiated fear and then a noise was sounded which caused startle behaviour
With TPA023, was shown startle response was significantly less when treated with 1 and 3mg/kg of TPA023

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8
Q

What was shown in the rat for the chain pulling assay?

A

Rats were starved and then strapped to a chain and presented with pellets. When treated even with 30mg/kg TPA023, there was no sedative effect, but with 3mg/kg diazepam there was sedative effect

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9
Q

What was shown in the mouse rotarod assay?

A

Mice were trained to walk on a rotating rod- only with 30mg/kg TPA023 were there any affects- diazepam 3mg/kg caused the mouse to fall after 75s

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10
Q

Conditioned emotional response in the squirrel monkey

A

Squirrel monkeys were trained to push a level to receive a fruit drink reward; after some time a red ligh cue was illuminated for 60s before an electric shock; when the monkey sees the red light it usually stops pressing the lever but with TPA023 it continued

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11
Q

What was shown in the baboon test of abuse potential?

A

Self-administration procedure was established with cocaine- then was replaced with TPA023 and lorazepam; was shown that baboons only pressed the lever 2/3 times for TPA023

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12
Q

What was shown about the binding activity of TPA023?

A

In rhesus monkeys and in humans, TPA023 displaced Flumazinil at 50% in humans with 2mg of TPA023

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