Pubdate: Mon, 19 Jun 2000 Source: Reuters Copyright: 2000 Reuters Limited Author: Maggie Fox, Health and Science Correspondent REPORT: MORE THAN 100 MENTAL ILLNESS DRUGS IN WORKS WASHINGTON (Reuters) - More than 100 different drugs, including a batch of new products aimed at combating drug and alcohol use, are in the pipeline for mental illness, a drug industry group said on Monday. A quarter of the drugs, 26, target depression alone, the Pharmaceutical Research and Manufacturers of America (PhRMA) said in a report. ``This year, pharmaceutical companies will spend an estimated $6 billion to discover and develop medicines for diseases of the central nervous system, including mental illnesses,'' Alan Holmer, president of PhRMA, said in a statement. Researchers agree that drug addiction is a physical illness, not a weakness of will or lack of moral character, and the industry and government researchers are targeting the potential treatment market. Drugs being tested include British-based Cantab Pharmaceutical's (CTB.L) cocaine vaccine, in early safety testing, and five drugs being tested under the auspices of the National Institute on Drug Abuse for use against cocaine dependence -- desipramine, disulfiram, GBR 12909, NS 2359, and selegiline, originally developed for use against Parkinson's disease. NIDA is also testing drugs for opiate addiction, including mecamylamine, lofexidine and buprenorphine. Depression, which affects an estimated 19 million Americans, is another big market. Many of the drugs affect levels of serotonin, an important neurotransmitter, or message-carrying hormone, linked with mood. The success of the selective serotonin reuptake inhibitors (SSRIs) such as Eli Lilly and Co.'s (NYSE:LLY - news) Prozac, known generically as fluoxetine, has encouraged companies to continue to develop similar drugs, including Lilly's duloxetine and Solvay Pharmaceutical's (SOLBt.BR) fluvoxamine. Sanofi-Synthelabo (SASY.PA) is investigating the potential of a reversible monoamine oxidase inhibitor called befloxatone. Monoamine oxidase breaks down serotonin, so inhibitors of the enzyme make more serotonin available. For Alzheimer's, which affects 4 million Americans and 22 million people worldwide, more than a dozen new drugs are in development, including Sigma-Tau pharmaceuticals' ALCAR, or acetyl-l-carnitine, and a vaccine called AN-1792 being developed jointly by American Home Products Corp. (NYSE:AHP - news) and Elan Corp Plc (NYSE:ELN - news) (ELN.I) (ELA.L). It targets the amyloid plaques that mark the incurable brain illness. Novartis (NOVZn.S) is in Phase II safety and efficacy trials with NDD 094, which may regrow brain cells that produce acetycholine, a neurotransmitter involved in memory. One group of drugs, the cannabinoid receptor antagonists, are building on research that examined the effects of marijuana on the brain. Sanofi-Synthelabo is testing SR 141716 against Alzheimer's, obesity and schizophrenia, which affects two million Americans. Research in animals has shown that anandamide, a chemical similar to cannabis, puts the brakes on dopamine, the neurotransmitter associated with schizophrenia. Uncontrolled production of dopamine is blamed for some of the symptoms of schizophrenia. A lack of dopamine is blamed for the shaking and motor hesitation that marks Parkinson's disease. - --- MAP posted-by: greg