1. The effects of a novel histamine-3 receptor inverse agonist on essential tremor in comparison to stable levels of alcohol
- Author
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John J. Renger, John Palcza, Nagaaki Sato, Robert Iannone, A Buntinx, B R Bloem, R H Hargreaves, Rik C. Schoemaker, K S Koblan, Laura B. Rosen, Adam F. Cohen, J.M.A. van Gerven, Chodakewitz Jeffrey A, Keith Gottesdiener, Remco W. M. Zoethout, Sabrina Marsilio, Shigeru Tokita, Gail Murphy, K Van Dyck, and E D Louis
- Subjects
Male ,Essential Tremor ,Functional Neurogenomics Human Movement & Fatigue [DCN 2] ,Pharmacology ,Placebo ,Histamine agonist ,Histamine Agonists ,Harmaline ,chemistry.chemical_compound ,Double-Blind Method ,medicine ,Reaction Time ,Inverse agonist ,Humans ,Receptors, Histamine H3 ,Pharmacology (medical) ,Attention ,Quinazolinones ,Cross-Over Studies ,Essential tremor ,Ethanol ,Histaminergic ,Middle Aged ,medicine.disease ,Crossover study ,Psychiatry and Mental health ,Human Movement & Fatigue [DCN MP - Plasticity and memory NCEBP 10] ,chemistry ,Female ,Animal studies ,Psychology - Abstract
Item does not contain fulltext Essential tremor (ET) is a common movement disorder. Animal studies show that histaminergic modulation may affect the pathological processes involved in the generation of ET. Histamine-3 receptor inverse agonists (H3RIA) have demonstrated attenuating effects on ET in the harmaline rat model. In this double-blind, three-way cross-over, single-dose, double-dummy study the effects of 25 mg of a novel H3RIA (MK-0249) and a stable alcohol level (0.6 g L(-1)) were compared with placebo, in 18 patients with ET. Tremor was evaluated using laboratory tremorography, portable tremorography and a clinical rating scale. The Leeds Sleep Evaluation Questionnaire (LSEQ) and a choice reaction time (CRT) test were performed to evaluate potential effects on sleep and attention, respectively. A steady state of alcohol significantly diminished tremor as assessed by laboratory tremorography, portable tremorography and clinical ratings compared with placebo. A high single MK-0249 dose was not effective in reducing tremor, but caused significant effects on the LSEQ and the CRT test. These results suggest that treatment with a single dose of MK-0249 does not improve tremor in alcohol-responsive patients with ET, whereas stable levels of alcohol as a positive control reproduced the commonly reported tremor-diminishing effects of alcohol. 01 februari 2012
- Published
- 2012