Page last updated: 2024-10-27

fenfluramine and Obsessive-Compulsive Disorder

fenfluramine has been researched along with Obsessive-Compulsive Disorder in 28 studies

Fenfluramine: A centrally active drug that apparently both blocks serotonin uptake and provokes transport-mediated serotonin release.
fenfluramine : A secondary amino compound that is 1-phenyl-propan-2-amine in which one of the meta-hydrogens is substituted by trifluoromethyl, and one of the hydrogens attached to the nitrogen is substituted by an ethyl group. It binds to the serotonin reuptake pump, causing inhbition of serotonin uptake and release of serotonin. The resulting increased levels of serotonin lead to greater serotonin receptor activation which in turn lead to enhancement of serotoninergic transmission in the centres of feeding behavior located in the hypothalamus. This suppresses the appetite for carbohydrates. Fenfluramine was used as the hydrochloride for treatment of diabetes and obesity. It was withdrawn worldwide after reports of heart valve disease and pulmonary hypertension.

Obsessive-Compulsive Disorder: An anxiety disorder characterized by recurrent, persistent obsessions or compulsions. Obsessions are the intrusive ideas, thoughts, or images that are experienced as senseless or repugnant. Compulsions are repetitive and seemingly purposeful behavior which the individual generally recognizes as senseless and from which the individual does not derive pleasure although it may provide a release from tension.

Research Excerpts

ExcerptRelevanceReference
"In order to evaluate serotonergic function in obsessive-compulsive disorder (OCD), plasma cortisol response to d-fenfluramine (30 mg p."9.08Cortisol response to d-fenfluramine in patients with obsessive-compulsive disorder and in healthy subjects: evidence for a gender-related effect. ( Catapano, F; Maj, M; Monteleone, P; Tortorella, A, 1997)
"Neuroendocrine and behavioral responses to a single 60-mg oral dose of the indirect serotonin agonist dl-fenfluramine were assessed in unmedicated adults with obsessive-compulsive disorder (OCD) and neuroendocrine results contrasted with those in normal control subjects."9.07Neuroendocrine and behavioral responses to challenge with the indirect serotonin agonist dl-fenfluramine in adults with obsessive-compulsive disorder. ( DeMeo, MD; Halper, J; Mann, JJ; McBride, PA; Shear, MK; Sweeney, JA, 1992)
"Cortisol and prolactin responses to d-fenfluramine were measured in 10 drug-free normothymic patients with obsessive-compulsive disorder (OCD)."7.68Cortisol and prolactin responses to d-fenfluramine in non-depressed patients with obsessive-compulsive disorder: a comparison with depressed and healthy controls. ( Butcher, G; Clare, AW; Dinan, TG; Lucey, JV; O'Keane, V, 1992)
"of D-fenfluramine were measured over a 5 h period."5.29Serotonin activity in anorexia nervosa after long-term weight restoration: response to D-fenfluramine challenge. ( Lucey, JV; O'Dwyer, AM; Russell, GF, 1996)
"In order to evaluate serotonergic function in obsessive-compulsive disorder (OCD), plasma cortisol response to d-fenfluramine (30 mg p."5.08Cortisol response to d-fenfluramine in patients with obsessive-compulsive disorder and in healthy subjects: evidence for a gender-related effect. ( Catapano, F; Maj, M; Monteleone, P; Tortorella, A, 1997)
"Neuroendocrine and behavioral responses to a single 60-mg oral dose of the indirect serotonin agonist dl-fenfluramine were assessed in unmedicated adults with obsessive-compulsive disorder (OCD) and neuroendocrine results contrasted with those in normal control subjects."5.07Neuroendocrine and behavioral responses to challenge with the indirect serotonin agonist dl-fenfluramine in adults with obsessive-compulsive disorder. ( DeMeo, MD; Halper, J; Mann, JJ; McBride, PA; Shear, MK; Sweeney, JA, 1992)
"The prolactin (PRL) responses to oral d-fenfluramine (30 mg) and placebo were assessed in 13 patients with obsessive-compulsive disorder (OCD) and in matched healthy subjects."3.69Plasma prolactin response to d-fenfluramine in obsessive-compulsive patients before and after fluvoxamine treatment. ( Bortolotti, F; Catapano, F; Maj, M; Monteleone, P, 1997)
"The prolactin and thyroid-stimulating hormone (TSH) responses to protirelin and the prolactin and cortisol responses to d-fenfluramine were measured in 8 outpatients with DSM-III-R obsessive-compulsive disorder (OCD)."3.68The anterior pituitary responds normally to protirelin in obsessive-compulsive disorder: evidence to support a neuroendocrine serotonergic deficit. ( Butcher, G; Clare, AW; Dinan, TG; Lucey, JV, 1993)
"Cortisol and prolactin responses to d-fenfluramine were measured in 10 drug-free normothymic patients with obsessive-compulsive disorder (OCD)."3.68Cortisol and prolactin responses to d-fenfluramine in non-depressed patients with obsessive-compulsive disorder: a comparison with depressed and healthy controls. ( Butcher, G; Clare, AW; Dinan, TG; Lucey, JV; O'Keane, V, 1992)
"Canine acral lick dermatitis is a naturally occurring disorder in which excessive licking of paws or flank can produce ulcers and infection that require medical treatment."2.67Drug treatment of canine acral lick. An animal model of obsessive-compulsive disorder. ( Kriete, M; Rapoport, JL; Ryland, DH, 1992)
"improves the core features of autism (social interaction, communication and behavioural problems);2."2.49Selective serotonin reuptake inhibitors (SSRIs) for autism spectrum disorders (ASD). ( Brignell, A; Hazell, P; Randall, M; Silove, N; Williams, K, 2013)
"improves the core features of autism (social interaction, communication and behavioural problems); 2."2.46Selective serotonin reuptake inhibitors (SSRIs) for autism spectrum disorders (ASD). ( Hazell, P; Silove, N; Wheeler, DM; Williams, K, 2010)
"of D-fenfluramine were measured over a 5 h period."1.29Serotonin activity in anorexia nervosa after long-term weight restoration: response to D-fenfluramine challenge. ( Lucey, JV; O'Dwyer, AM; Russell, GF, 1996)
"Symptoms were divided into paraphilias, nonparaphilic sexual addictions, and sexual obsessions."1.28Serotonergic medications for sexual obsessions, sexual addictions, and paraphilias. ( Anthony, DT; Fallon, BA; Hollander, E; Klein, DF; Liebowitz, MR; Schneier, FR; Stein, DJ, 1992)
"Fenfluramine is a serotonin releaser and reuptake blocker which is marketed as an anorectic agent."1.28Fenfluramine augmentation of serotonin reuptake blockade antiobsessional treatment. ( DeCaria, CM; Hollander, E; Klein, DF; Liebowitz, MR; Schneier, FR; Schneier, HA, 1990)

Research

Studies (28)

TimeframeStudies, this research(%)All Research%
pre-19902 (7.14)18.7374
1990's24 (85.71)18.2507
2000's0 (0.00)29.6817
2010's2 (7.14)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Williams, K2
Brignell, A1
Randall, M1
Silove, N2
Hazell, P2
Wheeler, DM1
Jenike, MA1
Rauch, SL1
Hollander, E7
Cohen, LJ1
DeCaria, C1
Saoud, JB2
Stein, DJ3
Cooper, TB3
Islam, NN1
Liebowitz, MR7
Klein, DF4
Goodman, WK1
McDougle, CJ3
Barr, LC1
Aronson, SC1
Price, LH2
Lucey, JV3
Butcher, G2
Clare, AW2
Dinan, TG2
O'Dwyer, AM1
Russell, GF1
Carpenter, LL1
Epperson, CN1
Monteleone, P3
Catapano, F3
Tortorella, A1
Maj, M3
Bortolotti, F1
Di Martino, S1
Ferraro, C1
Fineberg, NA1
Roberts, A1
Montgomery, SA1
Cowen, PJ1
Stahl, SM1
Pidrman, V1
Tůma, I1
Ramasubbu, R1
Baumgarten, HG1
Grozdanovic, Z1
McBride, PA1
DeMeo, MD1
Sweeney, JA1
Halper, J1
Mann, JJ1
Shear, MK1
Rapoport, JL1
Ryland, DH1
Kriete, M1
Anthony, DT1
Schneier, FR2
Fallon, BA1
O'Keane, V1
Hewlett, WA1
Vinogradov, S1
Martin, K1
Berman, S1
Csernansky, JG1
DeCaria, CM3
Trungold, S1
Stanley, M1
Nitescu, A1
Gully, R1
Suckow, RF1
Gorman, JM2
Judd, FK1
Chua, P1
Lynch, C1
Norman, T1
Schneier, HA1
Fay, M1
Cohen, B1
Campeas, R1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Double Blind, Randomized, Placebo-Controlled Study of CM-AT for the Treatment of Autism in Children With All Levels of Fecal Chymotrypsin (FCT)[NCT02410902]Phase 3190 participants (Actual)Interventional2015-05-13Completed
An Open-Label Extension Study of CM-AT for the Treatment of Children With Autism With All Levels of Fecal Chymotrypsin[NCT02649959]Phase 3405 participants (Anticipated)Interventional2015-10-31Active, not recruiting
Initial Evaluation of Efficacy and Adverse Events of Single Lesions in Bilateral Ventral-capsular and Ventral Capsulotomy-striatal by Linear Accelerator Radiosurgery in Severe and Refractory Obsessive-compulsive Disorder[NCT02500888]10 participants (Anticipated)Interventional2015-06-30Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Primary Outcome Measurements to Determine Efficacy of Treatment With CM-AT Versus Placebo for Changes in the Aberrant Behavior Checklist Subscale for Irritability / Agitation (ABC-I) Between Baseline and Week 12/Termination Visit

Primary outcome measurements to determine efficacy of treatment with CM-AT versus Placebo for changes in the Aberrant Behavior Checklist (ABC) - Community sub scale for Irritability/Agitation (ABC-I) between baseline (subject's initial measurement) and Week 12/Termination (subject's final measurement) visit. Participants were between 3 through to 6 years old inclusive and took 900mg CM-AT or Placebo three times daily. The ABC-I is one of five discrete sub scales measured by the ABC. The scale range is 0-45. A higher score reflects higher severity of symptoms (irritability). Scores are obtained via Parent Rated Questionnaire. Parents respond to a series of questions on a scale directly into an electronic data capture system (EDC), responding: 0 = not at all a problem 1 = the behavior is a problem but slight in degree 2 = the problem is moderately serious 3 = the problem is severe in degree. The score was automatically calculated by the EDC. (NCT02410902)
Timeframe: Screening through Week 12/Termination

Interventionunits on a scale (Mean)
CM-AT-8.0
Placebo-5.5

Secondary Outcome Measurements of Changes in the Aberrant Behavior Checklist Checklist Subscale for Lethargy / Social Withdrawal (ABC-L) Between Baseline and Week 12/Termination Visit

Secondary outcome measurements to determine efficacy of treatment with CM-AT versus Placebo for changes in the Aberrant Behavior Checklist- Community (ABC) sub scale for Lethargy / Social Withdrawal (ABC-L) between baseline (subject's initial measurement) and Week 12/Termination (subject's final measurement) visit. Participants were between 3 through to 6 years old inclusive and took 900mg CM-AT or Placebo three times daily. The ABC-L is one of five discrete sub scales measured by the ABC. The scale range is 0-48. A higher score reflects higher severity of symptoms (lethargy). Scores are obtained via Parent Rated Questionnaire. Parents respond to a series of questions on a scale directly into an electronic data capture system (EDC), responding: 0 = not at all a problem 1 = the behavior is a problem but slight in degree 2 = the problem is moderately serious 3 = the problem is severe in degree. (NCT02410902)
Timeframe: Screening through Week 12/Termination.

Interventionunits on a scale (Mean)
CM-AT-7.9
Placebo-6.6

Reviews

7 reviews available for fenfluramine and Obsessive-Compulsive Disorder

ArticleYear
Selective serotonin reuptake inhibitors (SSRIs) for autism spectrum disorders (ASD).
    The Cochrane database of systematic reviews, 2013, Aug-20, Issue:8

    Topics: Adult; Age Factors; Autistic Disorder; Child; Child Development Disorders, Pervasive; Citalopram; Fe

2013
Selective serotonin reuptake inhibitors (SSRIs) for autism spectrum disorders (ASD).
    The Cochrane database of systematic reviews, 2010, Aug-04, Issue:8

    Topics: Adult; Age Factors; Autistic Disorder; Child; Citalopram; Fenfluramine; Fluoxetine; Fluvoxamine; Hum

2010
Selective serotonin reuptake inhibitors (SSRIs) for autism spectrum disorders (ASD).
    The Cochrane database of systematic reviews, 2010, Aug-04, Issue:8

    Topics: Adult; Age Factors; Autistic Disorder; Child; Citalopram; Fenfluramine; Fluoxetine; Fluvoxamine; Hum

2010
Selective serotonin reuptake inhibitors (SSRIs) for autism spectrum disorders (ASD).
    The Cochrane database of systematic reviews, 2010, Aug-04, Issue:8

    Topics: Adult; Age Factors; Autistic Disorder; Child; Citalopram; Fenfluramine; Fluoxetine; Fluvoxamine; Hum

2010
Selective serotonin reuptake inhibitors (SSRIs) for autism spectrum disorders (ASD).
    The Cochrane database of systematic reviews, 2010, Aug-04, Issue:8

    Topics: Adult; Age Factors; Autistic Disorder; Child; Citalopram; Fenfluramine; Fluoxetine; Fluvoxamine; Hum

2010
Managing the patient with treatment-resistant obsessive compulsive disorder: current strategies.
    The Journal of clinical psychiatry, 1994, Volume: 55 Suppl

    Topics: Antidepressive Agents, Tricyclic; Antipsychotic Agents; Behavior Therapy; Buspirone; Clonazepam; Com

1994
Biological approaches to treatment-resistant obsessive compulsive disorder.
    The Journal of clinical psychiatry, 1993, Volume: 54 Suppl

    Topics: Behavior Therapy; Buspirone; Clonazepam; Combined Modality Therapy; Decision Trees; Drug Therapy, Co

1993
A risk-benefit assessment of drugs used in the management of obsessive-compulsive disorder.
    Drug safety, 1996, Volume: 15, Issue:2

    Topics: 1-Naphthylamine; Adult; Aged; Antidepressive Agents; Buspirone; Child; Clomipramine; Clonazepam; Cos

1996
Update on pharmacologic management of OCD: agents and augmentation.
    The Journal of clinical psychiatry, 1997, Volume: 58 Suppl 12

    Topics: Clinical Trials as Topic; Clozapine; Dopamine Agents; Drug Therapy, Combination; Female; Fenfluramin

1997
Role of serotonin in obsessive-compulsive disorder.
    The British journal of psychiatry. Supplement, 1998, Issue:35

    Topics: Biogenic Monoamines; Fenfluramine; Humans; Neuropeptides; Obsessive-Compulsive Disorder; Piperazines

1998

Trials

8 trials available for fenfluramine and Obsessive-Compulsive Disorder

ArticleYear
Cortisol response to d-fenfluramine in patients with obsessive-compulsive disorder and in healthy subjects: evidence for a gender-related effect.
    Neuropsychobiology, 1997, Volume: 36, Issue:1

    Topics: Administration, Oral; Adolescent; Adult; Female; Fenfluramine; Humans; Hydrocortisone; Hypothalamo-H

1997
Prolactin response to d-fenfluramine in obsessive-compulsive patients, and outcome of fluvoxamine treatment.
    The British journal of psychiatry : the journal of mental science, 1997, Volume: 170

    Topics: Adolescent; Adult; Biomarkers; Double-Blind Method; Female; Fenfluramine; Fluvoxamine; Humans; Male;

1997
Fenfluramine challenge test in obsessive-compulsive disorder--first results.
    Acta medica (Hradec Kralove), 1997, Volume: 40, Issue:4

    Topics: Adult; Citalopram; Clomipramine; Double-Blind Method; Female; Fenfluramine; Humans; Male; Obsessive-

1997
Neuroendocrine and behavioral responses to challenge with the indirect serotonin agonist dl-fenfluramine in adults with obsessive-compulsive disorder.
    Biological psychiatry, 1992, Jan-01, Volume: 31, Issue:1

    Topics: Adult; Age Factors; Behavior; Female; Fenfluramine; Humans; Male; Middle Aged; Neurosecretory System

1992
Drug treatment of canine acral lick. An animal model of obsessive-compulsive disorder.
    Archives of general psychiatry, 1992, Volume: 49, Issue:7

    Topics: 1-Naphthylamine; Animals; Clomipramine; Dermatitis; Desipramine; Disease Models, Animal; Dog Disease

1992
Effects of fenfluramine on plasma HVA in OCD.
    Psychiatry research, 1992, Volume: 42, Issue:2

    Topics: Dopamine; Fenfluramine; Homovanillic Acid; Humans; Obsessive-Compulsive Disorder; Serotonin

1992
Serotonergic function in obsessive-compulsive disorder. Behavioral and neuroendocrine responses to oral m-chlorophenylpiperazine and fenfluramine in patients and healthy volunteers.
    Archives of general psychiatry, 1992, Volume: 49, Issue:1

    Topics: Administration, Oral; Adolescent; Adult; Double-Blind Method; Down-Regulation; Female; Fenfluramine;

1992
Serotonergic and noradrenergic sensitivity in obsessive-compulsive disorder: behavioral findings.
    The American journal of psychiatry, 1988, Volume: 145, Issue:8

    Topics: Adult; Clonidine; Fenfluramine; Humans; Male; Middle Aged; Obsessive-Compulsive Disorder; Piperazine

1988

Other Studies

13 other studies available for fenfluramine and Obsessive-Compulsive Disorder

ArticleYear
Timing of neuroendocrine responses and effect of m-CPP and fenfluramine plasma levels in OCD.
    Biological psychiatry, 1993, Sep-15, Volume: 34, Issue:6

    Topics: Adult; Female; Fenfluramine; Humans; Hydrocortisone; Male; Obsessive-Compulsive Disorder; Piperazine

1993
The anterior pituitary responds normally to protirelin in obsessive-compulsive disorder: evidence to support a neuroendocrine serotonergic deficit.
    Acta psychiatrica Scandinavica, 1993, Volume: 87, Issue:6

    Topics: Adult; Female; Fenfluramine; Humans; Hydrocortisone; Hypothalamo-Hypophyseal System; Male; Obsessive

1993
Serotonin activity in anorexia nervosa after long-term weight restoration: response to D-fenfluramine challenge.
    Psychological medicine, 1996, Volume: 26, Issue:2

    Topics: Administration, Oral; Adult; Anorexia Nervosa; Body Weight; Comorbidity; Female; Fenfluramine; Follo

1996
Plasma prolactin response to d-fenfluramine in obsessive-compulsive patients before and after fluvoxamine treatment.
    Biological psychiatry, 1997, Aug-01, Volume: 42, Issue:3

    Topics: Adolescent; Adult; Brain; Female; Fenfluramine; Fluvoxamine; Humans; Male; Middle Aged; Obsessive-Co

1997
Brain 5-HT function in obsessive-compulsive disorder. Prolactin responses to d-fenfluramine.
    The British journal of psychiatry : the journal of mental science, 1997, Volume: 171

    Topics: Adult; Brain; Case-Control Studies; Female; Fenfluramine; Humans; Male; Middle Aged; Obsessive-Compu

1997
Serotonin: it's possible to have too much of a good thing.
    The Journal of clinical psychiatry, 1997, Volume: 58, Issue:12

    Topics: Bulimia; Depressive Disorder; Fenfluramine; Heart Valve Diseases; Humans; Obsessive-Compulsive Disor

1997
Increased prolactin responses to d-fenfluramine in obsessive-compulsive disorder.
    The British journal of psychiatry : the journal of mental science, 1998, Volume: 172

    Topics: Anxiety Disorders; Fenfluramine; Humans; Obsessive-Compulsive Disorder; Prolactin; Serotonin Agents

1998
Serotonergic medications for sexual obsessions, sexual addictions, and paraphilias.
    The Journal of clinical psychiatry, 1992, Volume: 53, Issue:8

    Topics: Adolescent; Adult; Behavior, Addictive; Clomipramine; Fenfluramine; Fluoxetine; Fluvoxamine; Humans;

1992
Cortisol and prolactin responses to d-fenfluramine in non-depressed patients with obsessive-compulsive disorder: a comparison with depressed and healthy controls.
    The British journal of psychiatry : the journal of mental science, 1992, Volume: 161

    Topics: Adult; Arousal; Brain; Depressive Disorder; Fenfluramine; Humans; Hydrocortisone; Male; Middle Aged;

1992
Fenfluramine stimulation of prolactin in obsessive-compulsive disorder.
    Psychiatry research, 1992, Volume: 42, Issue:1

    Topics: Adult; Female; Fenfluramine; Humans; Male; Middle Aged; Obsessive-Compulsive Disorder; Prolactin; Se

1992
Fenfluramine augmentation of clomipramine treatment of obsessive compulsive disorder.
    The Australian and New Zealand journal of psychiatry, 1991, Volume: 25, Issue:3

    Topics: Adult; Clomipramine; Dose-Response Relationship, Drug; Drug Administration Schedule; Drug Therapy, C

1991
Fenfluramine augmentation of serotonin reuptake blockade antiobsessional treatment.
    The Journal of clinical psychiatry, 1990, Volume: 51, Issue:3

    Topics: Adult; Clomipramine; Drug Administration Schedule; Drug Therapy, Combination; Female; Fenfluramine;

1990
Augmentation of antiobsessional treatment with fenfluramine.
    The American journal of psychiatry, 1988, Volume: 145, Issue:10

    Topics: Adult; Drug Synergism; Drug Therapy, Combination; Fenfluramine; Fluvoxamine; Humans; Male; Obsessive

1988