Skip to main content

Advertisement

Log in

Rimonabant (SR141716) has no effect on alcohol self-administration or endocrine measures in nontreatment-seeking heavy alcohol drinkers

  • Original Investigation
  • Published:
Psychopharmacology Aims and scope Submit manuscript

Abstract

Rationale

There is an extensive literature showing that the CB1 cannabinoid receptor antagonist rimonabant (SR141716) decreases alcohol consumption in animals, but little is known about its effects in human alcohol drinkers.

Methods

In this study, 49 nontreatment-seeking heavy alcohol drinkers participated in a 3-week study. After a 1-week baseline, participants received either 20 mg/day of rimonabant or placebo for 2 weeks under double-blind conditions. During these 3 weeks, participants reported their daily alcohol consumption by telephone. Subsequently, they participated in an alcohol self-administration paradigm in which they received a priming dose of alcohol followed by the option of consuming either eight alcohol drinks or receiving $3.00 for each nonconsumed drink. Endocrine measures and self-rating scales were also obtained.

Results

Rimonabant did not change alcohol consumption during the 2 weeks of daily call-ins. Similarly, the drug did not change either alcohol self-administration or endocrine measures during the laboratory session.

Conclusion

We conclude that the daily administration of 20 mg of rimonabant for 2 weeks has no effect on alcohol consumption in nontreatment-seeking heavy alcohol drinkers.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  • American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders, 4th edn. American Psychiatric Association, Washington, DC

    Google Scholar 

  • Arnone M, Maruani J, Chaperon F, Thiebot MH, Poncelet M, Soubrie P, Le FG (1997) Selective inhibition of sucrose and ethanol intake by SR 141716, an antagonist of central cannabinoid (CB1) receptors. Psychopharmacology 132:104–106

    Article  CAS  PubMed  Google Scholar 

  • Cheer JF, Wassum KM, Sombers LA, Heien ML, Ariansen JL, Aragona BJ, Phillips PE, Wightman RM (2007) Phasic dopamine release evoked by abused substances requires cannabinoid receptor activation. J Neurosci 27:791–795

    Article  CAS  PubMed  Google Scholar 

  • Cippitelli A, Bilbao A, Hansson AC, Del AI, Sommer W, Heilig M, Massi M, Bermudez-Silva FJ, Navarro M, Ciccocioppo R, de Fonseca FR (2005) Cannabinoid CB1 receptor antagonism reduces conditioned reinstatement of ethanol-seeking behavior in rats. Eur J NeuroSci 21:2243–2251

    Article  PubMed  Google Scholar 

  • Colombo G, Agabio R, Fa M, Guano L, Lobina C, Loche A, Reali R, Gessa GL (1998) Reduction of voluntary ethanol intake in ethanol-preferring sP rats by the cannabinoid antagonist SR-141716. Alcohol Alcohol 33:126–130

    CAS  PubMed  Google Scholar 

  • Colombo G, Serra S, Brunetti G, Gomez R, Melis S, Vacca G, Carai MM, Gessa L (2002) Stimulation of voluntary ethanol intake by cannabinoid receptor agonists in ethanol-preferring sP rats. Psychopharmacology 159:181–187

    Article  CAS  PubMed  Google Scholar 

  • DiMarzo V, Matias I (2005) Endocannabinoid control of food intake and energy balance. Nat Neurosci 8:585–589

    Article  CAS  Google Scholar 

  • Economidou D, Mattioli L, Cifani C, Perfumi M, Massi M, Cuomo V, Trabace L, Ciccocioppo R (2006) Effect of the cannabinoid CB1 receptor antagonist SR-141716A on ethanol self-administration and ethanol-seeking behaviour in rats. Psychopharmacology (Berl) 183:394–403

    Article  CAS  Google Scholar 

  • Freedland CS, Sharpe AL, Samson HH, Porrino LJ (2001) Effects of SR141716A on ethanol and sucrose self-administration. Alcohol Clin Exp Res 25:277–282

    Article  CAS  PubMed  Google Scholar 

  • Gallate JE, Saharov T, Mallet PE, McGregor IS (1999) Increased motivation for beer in rats following administration of a cannabinoid CB1 receptor agonist. Eur J Pharmacol 370:233–240

    Article  CAS  PubMed  Google Scholar 

  • Hansson AC, Bermudez-Silva FJ, Malinen H, Hyytia P, Sanchez-Vera I, Rimondini R, de Rodriguez FF, Kunos G, Sommer WH, Heilig M (2007) Genetic impairment of frontocortical endocannabinoid degradation and high alcohol preference. Neuropsychopharmacology 32:117–126

    Article  CAS  PubMed  Google Scholar 

  • Heilig M, Egli M (2006) Pharmacological treatment of alcohol dependence: target symptoms and target mechanisms. Pharmacol Ther 111:855–876

    Article  CAS  PubMed  Google Scholar 

  • Huestis MA, Gorelick DA, Heishman SJ, Preston KL, Nelson RA, Moolchan ET, Frank RA (2001) Blockade of effects of smoked marijuana by the CB1-selective cannabinoid receptor antagonist SR141716. Arch Gen Psychiatry 58:322–328 [see comment]

    Article  CAS  PubMed  Google Scholar 

  • Hungund BL, Szakall I, Adam A, Basavarajappa BS, Vadasz C (2003) Cannabinoid CB1 receptor knockout mice exhibit markedly reduced voluntary alcohol consumption and lack alcohol-induced dopamine release in the nucleus accumbens. J Neurochem 84:698–704

    Article  CAS  PubMed  Google Scholar 

  • Lopez-Moreno JA, Gonzalez-Cuevas G, de Rodriguez FF, Navarro M (2004) Long-lasting increase of alcohol relapse by the cannabinoid receptor agonist WIN 55, 212-2 during alcohol deprivation. J Neurosci 24:8245–8252

    Article  CAS  PubMed  Google Scholar 

  • McLaughlin PJ, Winston K, Swezey L, Wisniecki A, Aberman J, Tardif DJ, Betz AJ, Ishiwari K, Makriyannis A, Salamone JD (2003) The cannabinoid CB1 antagonists SR 141716A and AM 251 suppress food intake and food-reinforced behavior in a variety of tasks in rats. Behav Pharmacol 14:583–588

    Article  CAS  PubMed  Google Scholar 

  • Naassila M, Pierrefiche O, Ledent C, Daoust M (2004) Decreased alcohol self-administration and increased alcohol sensitivity and withdrawal in CB1 receptor knockout mice. Neuropharmacology 46:243–253

    Article  CAS  PubMed  Google Scholar 

  • O’Malley SS, Krishnan-Sarin S, Farren C, Sinha R, Kreek MJ (2002) Naltrexone decreases craving and alcohol self-administration in alcohol-dependent subjects and activates the hypothalamo-pituitary–adrenocortical axis. Psychopharmacology (Berl) 160:19–29

    Article  Google Scholar 

  • Pacher P, Batkai S, Kunos G (2006) The endocannabinoid system as an emerging target of pharmacotherapy. Pharmacol Rev 58:389–462 [Review] [1332 refs]

    Article  CAS  PubMed  Google Scholar 

  • Poncelet M, Maruani J, Calassi R, Soubrie P (2003) Overeating, alcohol and sucrose consumption decrease in CB1 receptor deleted mice. Neurosci Lett 343:216–218

    CAS  PubMed  Google Scholar 

  • Rosner S, Leucht S, Lehert P, Soyka M (2008) Acamprosate supports abstinence, naltrexone prevents excessive drinking: evidence from a meta-analysis with unreported outcomes. J Psychopharmacol (Oxf) 22:11–23

    Article  Google Scholar 

  • Sobell LC, Sobell MB (1992) Timeline follow-back: a technique for assessing self-reported ethanol consumption. In: Allen J, Litten RZ (eds) Measuring Alcohol Consumption: Psychosocial and Biological Methods. Humana Press, Totowa, NJ, pp 41–72

    Google Scholar 

  • Soyka M, Koller G, Schmidt P, Lesch OM, Leweke M, Fehr C, Gann H, Mann KF (2008) Cannabinoid receptor 1 blocker rimonabant (SR 141716) for treatment of alcohol dependence: results from a placebo-controlled, double-blind trial. J Clin Psychopharmacol 28:317–324

    Article  CAS  PubMed  Google Scholar 

  • Statsoft I (2005) STATISTICA (data analysis software system). Statsoft I, Tulsa

    Google Scholar 

  • Steiner MA, Wotjak CT (2008) Role of the endocannabinoid system in regulation of the hypothalamic–pituitary–adrenocortical axis. Prog Brain Res 170:397–432

    Article  CAS  PubMed  Google Scholar 

  • Sullivan JT, Sykora K, Schneiderman J, Naranjo CA, Sellers EM (1989) Assessment of alcohol withdrawal: the revised Clinical Institute Withdrawal Assessment for Alcohol scale (CIWA-AR). Br J Addict 84:1353–1357

    Article  CAS  PubMed  Google Scholar 

  • Thanos PK, Dimitrakakis ES, Rice O, Gifford A, Volkow ND (2005) Ethanol self-administration and ethanol conditioned place preference are reduced in mice lacking cannabinoid CB1 receptors. Behav Brain Res 164:206–213

    Article  CAS  PubMed  Google Scholar 

  • Turpault S, Kanamaluru V, Lockwood GF, Bonnet D, Newton J (2006) Rimonabant pharmacokinetics in healthy and obese subjects. Clin Pharmacol Ther 79:50

    Article  Google Scholar 

  • Wang L, Liu J, Harvey-White J, Zimmer A, Kunos G (2003) Endocannabinoid signaling via cannabinoid receptor 1 is involved in ethanol preference and its age-dependent decline in mice. Proc Natl Acad Sci U S A 100:1393–1398

    Article  CAS  PubMed  Google Scholar 

  • Weerts EM, Kim YK, Wand GS, Dannals RF, Lee JS, Frost JJ, McCaul ME (2008) Differences in delta- and mu-opioid receptor blockade measured by positron emission tomography in naltrexone-treated recently abstinent alcohol-dependent subjects. Neuropsychopharmacology 33:653–665

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgment

Special thanks to Niloofar Ghassemzedeh, B.S. and Kathryn Rice, B.A. for many hours of collecting data for this manuscript and thanks to Shellie-Anne Levy, B.A. for assisting with data presentation.

Ethical standards

Approval for the study was obtained from the National Institute of Mental Health Institutional Review Board and was therefore performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki. Signed informed consent was obtained by the Principal Investigator (D.T. George) or his designee from all participants prior to study involvement.

Disclosure/conflict of interest

D.T. George, M.D. has full control of all primary data and agrees to allow the journal to review the data if requested. No author has any commercial or financial involvement that would represent a conflict of interest. Stephanie S. O’Malley, PhD, is a member of the American College of Neuropsychopharmacology task force, Alcohol Clinical Trials Initiative, which is sponsored by Eli Lilly, Janssen, Schering Plough, Lundbeck, and Alkermes. She is also on the Scientific Review panel for the Hazelden Foundation. Raafat Bishai, M.D., is employed by Sanofi-Aventis, and Sanofi-Aventis provided technical support and rimonabant. All work performed by government employees was done in accord with their official duties; therefore, the contents of this manuscript are considered to be within public domain.

Author information

Authors and Affiliations

Authors

Corresponding authors

Correspondence to David Ted George or George Kunos.

Rights and permissions

Reprints and permissions

About this article

Cite this article

George, D.T., Herion, D.W., Jones, C.L. et al. Rimonabant (SR141716) has no effect on alcohol self-administration or endocrine measures in nontreatment-seeking heavy alcohol drinkers. Psychopharmacology 208, 37–44 (2010). https://doi.org/10.1007/s00213-009-1704-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00213-009-1704-3

Keywords

Navigation