PMID- 35033729 OWN - NLM STAT- MEDLINE DCOM- 20220310 LR - 20220531 IS - 1879-0046 (Electronic) IS - 0376-8716 (Linking) VI - 231 DP - 2022 Feb 1 TI - Ulotaront, a novel TAAR1 agonist with 5-HT1A agonist activity, lacks abuse liability and attenuates cocaine cue-induced relapse in rats. PG - 109261 LID - S0376-8716(21)00756-0 [pii] LID - 10.1016/j.drugalcdep.2021.109261 [doi] AB - BACKGROUND: Ulotaront (SEP-363856) is a trace amine-associated receptor 1 (TAAR1) agonist with 5-hydroxytryptamine type 1A (5-HT1A) agonist activity that is currently in Phase 3 clinical development for the treatment of schizophrenia. Unlike available antipsychotics, the efficacy of ulotaront is not mediated by blockade of dopamine D2 or serotonin 5-HT2A receptors. In a short-term randomized clinical trial, ulotaront has demonstrated significant efficacy in the treatment of adults with an acute exacerbation of schizophrenia. Given ulotaront's novel mechanism of action a series of preclinical studies were performed to evaluate its potential abuse liability. METHODS: A battery of studies were conducted in male and female rats to evaluate whether ulotaront produces behavioral changes suggestive of human abuse potential. In addition, studies were undertaken to probe the potential for ulotaront to block reinstatement of cocaine-seeking behavior in male rats. RESULTS: Ulotaront was not self-administered by rats trained to self-administer amphetamine, cocaine, or heroin. The subjective qualities of ulotaront were distinct from those produced by amphetamine in a drug discrimination procedure. Ulotaront, and buspirone, a non-scheduled anxiolytic with 5-HT1A agonism, partially generalized to the interoceptive cue elicited by 3, 4-methylenedioxymethamphetamine (MDMA). In addition, ulotaront demonstrated a trend to reduce cocaine-primed induced reinstatement, and dose-dependently reduced cue-reinstated responding. CONCLUSION: The current results suggest that the TAAR1/5-HT1A agonist ulotaront is not likely to pose a risk for recreational abuse in humans and may have potential therapeutic utility as a treatment of substance use disorders. CI - Copyright (c) 2022 The Authors. Published by Elsevier B.V. All rights reserved. FAU - Synan, Colleen AU - Synan C AD - Sunovion Pharmaceuticals, Inc., Marlborough, MA, USA. FAU - Bowen, Carrie AU - Bowen C AD - Sunovion Pharmaceuticals, Inc., Marlborough, MA, USA. FAU - Heal, David J AU - Heal DJ AD - DevelRx Ltd, BioCity, Nottingham, United Kingdom. FAU - Froger-Colleaux, Christelle AU - Froger-Colleaux C AD - Porsolt, Le Genest-Saint-Isle, France. FAU - Beardsley, Patrick M AU - Beardsley PM AD - Department of Pharmacology and Toxicology, Virginia Commonwealth University, Richmond, VA, USA. FAU - Dedic, Nina AU - Dedic N AD - Sunovion Pharmaceuticals, Inc., Marlborough, MA, USA. FAU - Hopkins, Seth C AU - Hopkins SC AD - Sunovion Pharmaceuticals, Inc., Marlborough, MA, USA. FAU - Campbell, Una AU - Campbell U AD - Sunovion Pharmaceuticals, Inc., Marlborough, MA, USA. FAU - Koblan, Kenneth S AU - Koblan KS AD - Sunovion Pharmaceuticals, Inc., Marlborough, MA, USA. Electronic address: kenneth.koblan@sunovion.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20211231 PL - Ireland TA - Drug Alcohol Depend JT - Drug and alcohol dependence JID - 7513587 RN - 0 (Receptors, G-Protein-Coupled) RN - 0 (Serotonin 5-HT1 Receptor Agonists) RN - I5Y540LHVR (Cocaine) RN - XMC8VP6RI2 (Trace amine-associated receptor 1) SB - IM MH - Animals MH - *Cocaine MH - Cues MH - Dose-Response Relationship, Drug MH - Extinction, Psychological MH - Female MH - Male MH - Rats MH - Receptors, G-Protein-Coupled MH - Recurrence MH - Self Administration MH - Serotonin 5-HT1 Receptor Agonists/pharmacology OTO - NOTNLM OT - Amphetamine OT - Cocaine OT - Heroin OT - Recreational abuse OT - Schizophrenia OT - Ulotaront EDAT- 2022/01/17 06:00 MHDA- 2022/03/11 06:00 CRDT- 2022/01/16 20:51 PHST- 2021/10/19 00:00 [received] PHST- 2021/11/16 00:00 [revised] PHST- 2021/11/29 00:00 [accepted] PHST- 2022/01/17 06:00 [pubmed] PHST- 2022/03/11 06:00 [medline] PHST- 2022/01/16 20:51 [entrez] AID - S0376-8716(21)00756-0 [pii] AID - 10.1016/j.drugalcdep.2021.109261 [doi] PST - ppublish SO - Drug Alcohol Depend. 2022 Feb 1;231:109261. doi: 10.1016/j.drugalcdep.2021.109261. Epub 2021 Dec 31.