PMID- 26435208 OWN - NLM STAT- MEDLINE DCOM- 20160413 LR - 20191008 IS - 1873-3735 (Electronic) IS - 0165-6147 (Print) IS - 0165-6147 (Linking) VI - 36 IP - 10 DP - 2015 Oct TI - Biologic Approaches to Treat Substance-Use Disorders. PG - 628-635 LID - S0165-6147(15)00141-8 [pii] LID - 10.1016/j.tips.2015.07.002 [doi] AB - In contrast to traditional pharmacodynamic approaches to treat substance-use disorders (SUDs), the use of biologics (vaccines, monoclonal antibodies, and genetically modified enzymes) is based on a pharmacokinetic principle: reduce the amount of (and, ideally, eliminate) abused drug entering the central nervous system (CNS). Preclinical studies indicate that biologics are effective in both facilitating abstinence and preventing relapse to abused substances ranging from nicotine to heroin. While data are still emerging, the results from multiple clinical trials can best be described as mixed. Nonetheless, these clinical studies have already provided important insights using 'first-generation' tools that may inform the development of effective and commercially viable biologics to treat tobacco-, cocaine-, and methamphetamine-use disorders. CI - Published by Elsevier Ltd. FAU - Skolnick, Phil AU - Skolnick P AD - Division of Pharmacotherapies and Medical Consequences of Drug Abuse, National Institute on Drug Abuse, National Institutes of Health, Bethesda, MD 20892-9551, USA. Electronic address: phil.skolnick@nih.gov. LA - eng GR - Z99 DA999999/Intramural NIH HHS/United States PT - Journal Article PT - Review PL - England TA - Trends Pharmacol Sci JT - Trends in pharmacological sciences JID - 7906158 RN - 0 (Antibodies, Monoclonal) RN - 0 (Vaccines) RN - EC 3.- (Hydrolases) SB - IM MH - Animals MH - Antibodies, Monoclonal/immunology MH - Humans MH - Hydrolases/therapeutic use MH - Substance-Related Disorders/*drug therapy/immunology MH - Vaccines/therapeutic use PMC - PMC4593975 MID - NIHMS709401 OTO - NOTNLM OT - cocaine OT - methamphetamine OT - monoclonal antibodies OT - nicotine OT - substance use disorders OT - vaccines EDAT- 2015/10/06 06:00 MHDA- 2016/04/14 06:00 PMCR- 2016/10/01 CRDT- 2015/10/06 06:00 PHST- 2015/06/02 00:00 [received] PHST- 2015/07/08 00:00 [revised] PHST- 2015/07/10 00:00 [accepted] PHST- 2015/10/06 06:00 [entrez] PHST- 2015/10/06 06:00 [pubmed] PHST- 2016/04/14 06:00 [medline] PHST- 2016/10/01 00:00 [pmc-release] AID - S0165-6147(15)00141-8 [pii] AID - 10.1016/j.tips.2015.07.002 [doi] PST - ppublish SO - Trends Pharmacol Sci. 2015 Oct;36(10):628-635. doi: 10.1016/j.tips.2015.07.002.