CONCLUSIONS: Significant treatment effects of 15-mg AMG 747, but not higher or lower doses, were observed on secondary endpoints but not on the primary outcome. These results replicate previous reports of an inverted-U dose response curve and suggest further evaluation of GlyT1 inhibitors in schizophrenia negative symptoms is warranted.
E Dunayevich, RW Buchanan, CY Chen, J Yang, J Nilsen, JM Dietrich, H Sun and S Marder,
Schizophrenia research , 2017 04
To determine the safety and efficacy of AMG 747, an oral inhibitor of glycine transporter type-1 (GlyT1), as an add-on to antipsychotic therapy in clinically stable people with schizophrenia with enduring negative symptoms.Analysis of pooled data from two phase 2 studies. Adults diagnosed with schizophrenia stabilized on antipsychotic medication randomized (2:2:2:3) to orally receive daily AMG 747 (5mg, 15mg, or 40mg) or placebo. Primary endpoint was Negative Symptom Assessment (NSA)-16 total score change from baseline to week 12.Studies were terminated early after a report of Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis (SJS/TEN) in one participant (40-mg AMG 747). At termination, 232 participants had enrolled and 153 completed 12weeks of treatment. At week 12, change from baseline NSA-16 total score showed no differences between groups. Mean decrease in Positive and Negative Syndrome Scale (PANSS) Negative Symptom Factor Score (NSFS) and NSA-16 global score were greater with 15-mg AMG 747 than placebo (p<0.05). Changes in PANSS-Positive Symptom Factor Scale were not significantly different for any group. Changes in patient-reported outcomes (Sheehan Disability Scale and Quality of Life Enjoyment and Satisfaction Questionnaire) showed trends consistent with greater efficacy of 15-mg AMG 747 compared with placebo (p≤0.1). Adverse event rates were similar among all groups, with no clear differences observed.Significant treatment effects of 15-mg AMG 747, but not higher or lower doses, were observed on secondary endpoints but not on the primary outcome. These results replicate previous reports of an inverted-U dose response curve and suggest further evaluation of GlyT1 inhibitors in schizophrenia negative symptoms is warranted.Clinicaltrials.govNCT01568216 (https://clinicaltrials.gov/ct2/show/NCT01568216) and NCT01568229 (https://clinicaltrials.gov/ct2/show/NCT01568229?term=NCT01568229&rank=1); EudraCT number 2011-004844-23 and 2011-004845-42.
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Anon10
October 30, 2016, 3:00pm
2
Is this something like sarcosine? I know “glycine” has something to do with sarcosine. Maybe this drug works similarly to sarcosine?
Seems like there’s a move to resurrect something that was terminated.
https://www.google.co.uk/search?q=amg+747+terminated
Yes - same brain receptor target as sarcosine, and other medications that have been in development.
Here is a longer list of all the medications that are or have been in development, and sarcosine - that target this receptor:
http://www.nature.com/nrd/journal/v12/n11/fig_tab/nrd3893_T1.html
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Are these drugs good for both positive and negative symptoms or strictly used as add ins to current antipsychotic therapy ?
All the research I’ve seen suggests they are complimentary to current antipsychotic therapy - and focused on negative symptoms.
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Do you know what the safety issues were with AMG747 that resulted in termination?
Also, any idea how far off these types of medications are from being released to the public?
Opus
October 30, 2016, 8:06pm
9
I really wish bitopertin had of made it to market i dont really see how sarcosine can help but yet bitopertin didnt
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isn’t that one available in Japan only or maybe that blonoserin?
Opus
October 31, 2016, 4:19am
11
i dont think its available anywhere
SzAdmin
November 1, 2016, 6:32pm
12
They are different molecules, but similar. Just because one works doesn’t mean another does or does not work. There are many instances of situations where one molecule in a given family (meaning they are similar chemically) may work and another does not work in people. Also - different molecules may have different impacts on different people - so each may be helping different, and different percentages, of people who use them.
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