ritanserin has been researched along with Alcoholism in 12 studies
Ritanserin: A selective and potent serotonin-2 antagonist that is effective in the treatment of a variety of syndromes related to anxiety and depression. The drug also improves the subjective quality of sleep and decreases portal pressure.
ritanserin : A thiazolopyrimidine that is 5H-[1,3]thiazolo[3,2-a]pyrimidin-5-one which is substituted at position 7 by a methyl group and at position 6 by a 2-{4-[bis(4-fluorophenyl)methylidene]piperidin-1-yl}ethyl group. A potent and long-acting seratonin (5-hydroxytryptamine, 5-HT) antagonist of the subtype 5-HT2 (Ki = 0.39 nM), it is used in the treatment of a variety of disorders including anxiety, depression and schizophrenia. It has little sedative action.
Alcoholism: A primary, chronic disease with genetic, psychosocial, and environmental factors influencing its development and manifestations. The disease is often progressive and fatal. It is characterized by impaired control over drinking, preoccupation with the drug alcohol, use of alcohol despite adverse consequences, and distortions in thinking, most notably denial. Each of these symptoms may be continuous or periodic. (Morse & Flavin for the Joint Commission of the National Council on Alcoholism and Drug Dependence and the American Society of Addiction Medicine to Study the Definition and Criteria for the Diagnosis of Alcoholism: in JAMA 1992;268:1012-4)
Excerpt | Relevance | Reference |
---|---|---|
"Ritanserin was well tolerated." | 6.69 | Ritanserin in relapse prevention in abstinent alcoholics: results from a placebo-controlled double-blind international multicenter trial. Ritanserin in Alcoholism Work Group. ( Boening, J; Chick, J; Naranjo, CA; Weijers, HG; Wiesbeck, GA, 1999) |
"Ritanserin is a potent long-acting 5-HT2 antagonist that acts centrally." | 6.39 | Ritanserin and alcohol abuse and dependence. ( Meert, TF, 1994) |
" Currently, a full clinical development program of ritanserin in cocaine and alcohol abuse is ongoing." | 6.17 | Addiction and the potential for therapeutic drug development. ( Janssen, PA, 1994) |
"Ritanserin was well tolerated." | 2.69 | Ritanserin in relapse prevention in abstinent alcoholics: results from a placebo-controlled double-blind international multicenter trial. Ritanserin in Alcoholism Work Group. ( Boening, J; Chick, J; Naranjo, CA; Weijers, HG; Wiesbeck, GA, 1999) |
"Ritanserin treatment was associated with a dose-related prolongation of subjects' QTc interval recording on the electrocardiogram." | 2.68 | Ritanserin in the treatment of alcohol dependence--a multi-center clinical trial. Ritanserin Study Group. ( Anton, RF; Bohn, MJ; Clyde, C; Galloway, GP; Jasinski, DR; Johnson, BA; Kranzler, H; Mason, BJ; Pettinati, HM; Rawson, R; Weinreib, R, 1996) |
"Ritanserin was given at a daily dose of 10 mg for 28 days and was preceded (10 days) and followed (2 days) by a placebo." | 2.67 | The effects of ritanserin on mood and sleep in abstinent alcoholic patients. ( Alterwain, P; Alvariño, F; Estévez, F; Giusti, M; Labraga, P; Monti, JM; Olivera, S, 1993) |
"Acamprosate has demonstrated efficacy for treating alcohol dependence in European trials, but with a small effect size." | 2.44 | Update on neuropharmacological treatments for alcoholism: scientific basis and clinical findings. ( Johnson, BA, 2008) |
"Ritanserin is a potent long-acting 5-HT2 antagonist that acts centrally." | 2.39 | Ritanserin and alcohol abuse and dependence. ( Meert, TF, 1994) |
"Ritanserin is a thymosthenic agent with an extensive hepatic metabolism and long elimination half life in healthy volunteers." | 1.29 | Ritanserin pharmacokinetics in abstinent chronic alcoholics. ( Estévez, F; Giusti, M; Monti, J, 1995) |
"Buspirone was without important effects on the high alcohol preferring rats." | 1.29 | Effects of various serotonergic agents on alcohol intake and alcohol preference in Wistar rats selected at two different levels of alcohol preference. ( Meert, TF, 1993) |
Timeframe | Studies, this research(%) | All Research% |
---|---|---|
pre-1990 | 1 (8.33) | 18.7374 |
1990's | 9 (75.00) | 18.2507 |
2000's | 2 (16.67) | 29.6817 |
2010's | 0 (0.00) | 24.3611 |
2020's | 0 (0.00) | 2.80 |
Authors | Studies |
---|---|
Johnson, BA | 2 |
Estévez, F | 2 |
Giusti, M | 2 |
Monti, J | 1 |
Naranjo, CA | 2 |
Poulos, CX | 1 |
Lanctôt, KL | 1 |
Bremner, KE | 1 |
Kwok, M | 1 |
Umana, M | 1 |
Janssen, PA | 1 |
Monti, JM | 2 |
Alterwain, P | 2 |
Alvariño, F | 1 |
Olivera, S | 1 |
Labraga, P | 1 |
Meert, TF | 2 |
Jasinski, DR | 1 |
Galloway, GP | 1 |
Kranzler, H | 1 |
Weinreib, R | 1 |
Anton, RF | 1 |
Mason, BJ | 1 |
Bohn, MJ | 1 |
Pettinati, HM | 1 |
Rawson, R | 1 |
Clyde, C | 1 |
Wiesbeck, GA | 1 |
Weijers, HG | 1 |
Chick, J | 1 |
Boening, J | 1 |
Myrick, H | 1 |
Brady, KT | 1 |
Malcolm, R | 1 |
Simonsson, P | 1 |
Alling, C | 1 |
Trial | Phase | Enrollment | Study Type | Start Date | Status | ||
---|---|---|---|---|---|---|---|
5HT3 Antagonists to Treat Opioid Withdrawal and to Prevent the Progression of Physical Dependence[NCT01549652] | 133 participants (Actual) | Interventional | 2011-04-30 | Completed | |||
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
The Beck Depression Inventory (a 21-item self-report multiple-choice inventory) yields a single summed score between 0 and 63; higher scores indicate more severe depression. Change is from baseline score (taken at the beginning of the first study visit, prior to beginning of titration into morphine) to the score taken after taking morphine for 30 days (score taken prior to receiving ondansetron or placebo, at the beginning of second study visit). (NCT01549652)
Timeframe: 2 study days 1 month apart (at the start of each study visit)
Intervention | units on a scale (Mean) |
---|---|
Prevention of Opioid Withdrawal | -0.44 |
The VAS is a 0 to 100 millimeter scale where 0 corresponds to no pain and 100 to extreme pain, used by participants to indicated their level of pain over the last two weeks. Change is from baseline score for average level of pain (taken at the beginning of the first study visit, prior to beginning of titration into morphine) to the score taken after taking morphine for 30 days (score taken prior to receiving ondansetron or placebo, at the beginning of second study visit). (NCT01549652)
Timeframe: 2 study days 1 month apart (at the start of each study visit)
Intervention | units on a scale (Mean) |
---|---|
Prevention of Opioid Withdrawal | -2.68 |
The Roland-Morris Disability Index is a 24-question instrument used to assess level of disability from lower back pain. Scores range from 0-24 with lower scores corresponding to fewer symptoms. Change is from baseline score (taken at the beginning of the first study visit, prior to beginning of titration into morphine) to the score taken after taking morphine for 30 days (score taken prior to receiving ondansetron or placebo, at the beginning of second study visit). (NCT01549652)
Timeframe: 2 study days 1 month apart (at the start of each study visit)
Intervention | units on a scale (Mean) |
---|---|
Prevention of Opioid Withdrawal | -2.59 |
The Beck Depression Inventory (a 21-item self-report multiple-choice inventory) yields a single summed score between 0 and 63; higher scores indicate more severe depression. Change is from baseline score (taken at the beginning of the first study visit, prior to beginning of titration into morphine) to the score taken after taking morphine for 30 days (score taken at the beginning of second study visit). (NCT01549652)
Timeframe: 2 study days 1 month apart (at the start of each study visit)
Intervention | units on a scale (Mean) | |
---|---|---|
Change in BDIS (Ondansetron) | Change in BDIS (Placebo) | |
Prevention of Physical Dependence | -0.6 | 0.2 |
"Originally developed by Handelsman, the Objective Opioid Withdrawal Scale (OOWS) score is a well-characterized measure of opioid withdrawal in humans, calculated as the sum of a 13-item physician assessment documenting physically observable signs of withdrawal, which are rated as present (1) or absent (0) during the observation period. The minimum score of 0 means the patient is not showing any signs of opioid withdrawal. The maximum score of 13 signifies all signs of opioid withdrawal to the largest extent possible.~Immediately prior to ondansetron or placebo administration a baseline OOWS score was taken. 30 minutes later participants received naloxone, then 15 minutes later an OOWS score was taken. If deemed necessary by the clinician, participants may have received a second naloxone dose (25 minutes following 1st naloxone dose), then 15 minutes later an OOWS score was taken. Change from the baseline OOWS score to the score assessed following the last naloxone dose is reported." (NCT01549652)
Timeframe: Baseline; 15 minutes following last naloxone dose
Intervention | units on a scale (Mean) | |
---|---|---|
Change in OOWS (Ondansetron) | Change in OOWS (Placebo) | |
Prevention of Opioid Withdrawal | 3.6 | 3.6 |
"Originally developed by Handelsman, the OOWS score is a well-characterized measure of opioid withdrawal in humans, calculated as the sum of a 13-item physician assessment documenting physically observable signs of withdrawal, which are rated as present (1) or absent (0) during the observation period. The maximum score is 13 and suggests the patient is showing all signs of opioid withdrawal to the largest extent possible. The minimum score of 0 suggests the patient is not showing any signs of opioid withdrawal.~Immediately prior to ondansetron or placebo administration a baseline OOWS score was taken. 30 minutes later participants received naloxone, then 15 minutes later an OOWS score was taken. If necessary (as deemed by the clinician), participants may have received a second naloxone dose (25 minutes following 1st naloxone dose), then 15 minutes later an OOWS score was taken. Change from the baseline OOWS score to the score assessed following the last naloxone dose is reported." (NCT01549652)
Timeframe: Baseline; 15 minutes following last naloxone dose
Intervention | units on a scale (Mean) | |
---|---|---|
Change in OOWS (Ondansetron) | Change in OOWS (Placebo) | |
Prevention of Physical Dependence | 4.5 | 4.2 |
The VAS is a 0 to 100 millimeter scale where 0 corresponds to no pain and 100 to extreme pain, used by participants to indicated their level of pain over the last two weeks. Change is from baseline score for average level of pain (taken at the beginning of the first study visit, prior to beginning of titration into morphine) to the score taken after taking morphine for 30 days (score taken at the beginning of second study visit). (NCT01549652)
Timeframe: 2 study days 1 month apart (at the start of each study visit)
Intervention | units on a scale (Mean) | |
---|---|---|
Change in VAS Score (Ondansetron) | Change in VAS Score (Placebo) | |
Prevention of Physical Dependence | -2.9 | -2.8 |
The Roland-Morris Disability Index is a 24-question instrument used to assess level of disability from lower back pain. Scores range from 0-24 with lower scores corresponding to fewer symptoms. Change is from baseline score (taken at the beginning of the first study visit, prior to beginning of titration into morphine) to the score taken after taking morphine for 30 days (score taken at the beginning of second study visit). (NCT01549652)
Timeframe: 2 study days 1 month apart (at the start of each study visit)
Intervention | units on a scale (Mean) | |
---|---|---|
Change in RMDI (Ondansetron) | Change in RMDI (Placebo) | |
Prevention of Physical Dependence | -4.6 | -2.0 |
The Subjective Opioid Withdrawal Score (SOWS) score is calculated as the sum of 16 subjective patient-reported symptom scores rated on a scale of 0 to 4 (0=not at all, 4=extremely) based on what subjects were experiencing at the time of testing. A maximum score of 64 would suggest the patient is experiencing the symptoms of withdrawal to the maximum extent possible while the lowest score of 0 would suggest the patient is not experiencing any of the symptoms of withdrawal. Immediately prior to ondansetron or placebo administration a baseline SOWS score was taken. 30 minutes later participants received naloxone, then 15 minutes later an SOWS score was taken. If necessary (as deemed by the clinician), participants may have received a second naloxone dose (25 minutes following 1st naloxone dose), then 15 minutes later an SOWS score was taken. Change from the baseline SOWS score to the score assessed following the last naloxone dose is reported (NCT01549652)
Timeframe: Baseline; 15 minutes following last naloxone dose
Intervention | units on a scale (Mean) | |
---|---|---|
Change in SOWS (Ondansetron) | Change in SOWS (Placebo) | |
Prevention of Opioid Withdrawal | 12.5 | 12.2 |
The SOWS score is composed of 16 subjective symptoms rated on a scale of 0 to 4 (0=not at all, 4=extremely) based on what subjects were experiencing at the time of testing. A maximum score of 64 would suggest the patient is experiencing the symptoms of withdrawal to the maximum extent possible while the lowest score of 0 would suggest the patient is not experiencing any of the symptoms of withdrawal. Immediately prior to ondansetron or placebo administration a baseline SOWS score was taken. 30 minutes later participants received naloxone, then 15 minutes later an SOWS score was taken. If necessary (as deemed by the clinician), participants may have received a second naloxone dose (25 minutes following 1st naloxone dose), then 15 minutes later an SOWS score was taken. Change from the baseline SOWS score to the score assessed following the last naloxone dose is reported (NCT01549652)
Timeframe: Baseline; 15 minutes following last naloxone dose
Intervention | units on a scale (Mean) | |
---|---|---|
Change in SOWS (Ondansetron) | Change in SOWS (Placebo) | |
Prevention of Physical Dependence | 16.4 | 12.0 |
Profile of Mood States (POMS) is a 65-question survey of how participants have been feeling over the past week, assessing tension, depression, anger, fatigue, confusion and vigor. Each question is on a 5-point scale: 0 (not at all) to 4 (extremely). Overall score range: 0 to 200 (lower scores corresponding to fewer symptoms), calculated by adding total scores for tension, depression, anger, fatigue and confusing, and subtracting that total score from the total score for vigor. Immediately prior to ondansetron or placebo administration a baseline POMS score was taken. 30 minutes later participants received naloxone, then 15 minutes later a POMS score was taken. If necessary (as deemed by the clinician), participants may have received a second naloxone dose (25 minutes following 1st naloxone dose), then 15 minutes later an POMS score was taken. Change from the baseline POMS score to the score assessed following the last naloxone dose is reported. (NCT01549652)
Timeframe: Baseline; 15 minutes following last naloxone dose
Intervention | units on a scale (Mean) | |
---|---|---|
Change in POMS Score (Ondansetron) | Change in POMS Score (Placebo) | |
Prevention of Opioid Withdrawal | 29.3 | 28.3 |
(Profile of Mood States) POMS is a 65-question survey of how participants have been feeling over the past week, assessing tension, depression, anger, fatigue, confusion and vigor. Each question is on a 5-point scale: 0 (not at all) to 4 (extremely). Overall score range: 0 to 200 (lower scores corresponding to fewer symptoms), calculated by adding total scores for tension, depression, anger, fatigue and confusing, and subtracting that total score from the total score for vigor. Immediately prior to ondansetron or placebo administration a baseline POMS score was taken. 30 minutes later participants received naloxone, then 15 minutes later a POMS score was taken. If necessary (as deemed by the clinician), participants may have received a second naloxone dose (25 minutes following 1st naloxone dose), then 15 minutes later an POMS score was taken. Change from the baseline POMS score to the score assessed following the last naloxone dose is reported. (NCT01549652)
Timeframe: Baseline; 15 minutes following last naloxone dose
Intervention | units on a scale (Mean) | |
---|---|---|
Change in POMS (Ondansetron) | Change in POMS (Placebo) | |
Prevention of Physical Dependence | 36.1 | 29.2 |
4 reviews available for ritanserin and Alcoholism
Article | Year |
---|---|
Update on neuropharmacological treatments for alcoholism: scientific basis and clinical findings.
Topics: Acamprosate; Alcoholism; Animals; Baclofen; Disulfiram; Fructose; Humans; Naltrexone; Ondansetron; R | 2008 |
Addiction and the potential for therapeutic drug development.
Topics: Alcoholism; Animals; Cocaine; Disease Models, Animal; Double-Blind Method; Humans; Research Design; | 1994 |
Ritanserin and alcohol abuse and dependence.
Topics: Alcohol Drinking; Alcoholism; Animals; Clinical Trials as Topic; Discrimination Learning; Disease Mo | 1994 |
New developments in the pharmacotherapy of alcohol dependence.
Topics: Acamprosate; Adjuvants, Anesthesia; Alcohol Deterrents; Alcoholism; Anticonvulsants; Buspirone; Carb | 2001 |
5 trials available for ritanserin and Alcoholism
Article | Year |
---|---|
Ritanserin, a central 5-HT2 antagonist, in heavy social drinkers: desire to drink, alcohol intake and related effects.
Topics: Adult; Alcohol Drinking; Alcoholism; Ambulatory Care; Dose-Response Relationship, Drug; Double-Blind | 1995 |
Addiction and the potential for therapeutic drug development.
Topics: Alcoholism; Animals; Cocaine; Disease Models, Animal; Double-Blind Method; Humans; Research Design; | 1994 |
The effects of ritanserin on mood and sleep in abstinent alcoholic patients.
Topics: Adult; Affect; Alcoholism; Anxiety; Humans; Male; Middle Aged; Ritanserin; Sleep; Sleep Initiation a | 1993 |
Ritanserin in the treatment of alcohol dependence--a multi-center clinical trial. Ritanserin Study Group.
Topics: Adult; Alcoholism; Double-Blind Method; Female; Headache; Humans; Male; Middle Aged; Rhinitis; Ritan | 1996 |
Ritanserin in relapse prevention in abstinent alcoholics: results from a placebo-controlled double-blind international multicenter trial. Ritanserin in Alcoholism Work Group.
Topics: Adult; Alcoholism; Double-Blind Method; Female; Humans; Male; Middle Aged; Recurrence; Ritanserin; S | 1999 |
4 other studies available for ritanserin and Alcoholism
Article | Year |
---|---|
Ritanserin pharmacokinetics in abstinent chronic alcoholics.
Topics: Adult; Alcoholism; Body Weight; Chromatography, Liquid; Female; Humans; Male; Metabolic Clearance Ra | 1995 |
Effects of various serotonergic agents on alcohol intake and alcohol preference in Wistar rats selected at two different levels of alcohol preference.
Topics: Alcohol Drinking; Alcoholism; Animals; Buspirone; Chlordiazepoxide; Citalopram; Dose-Response Relati | 1993 |
Ritanserin decreases alcohol intake in chronic alcoholics.
Topics: Adult; Affect; Alcoholism; Humans; Male; Middle Aged; Piperidines; Ritanserin; Serotonin Antagonists | 1991 |
The 5-hydroxytryptamine stimulated formation of inositol phosphate is inhibited in platelets from alcoholics.
Topics: Adult; Alcoholism; Blood Platelets; Humans; Inositol Phosphates; Male; Middle Aged; Piperidines; Rec | 1988 |