Background & Aims

NIH HEAL Initiative Preclinical Screening Platform for Pain (PSPP) program aims to accelerate the preclinical development of non-opioid, non-addictive pain therapeutics. The PSPP program accepts small molecules, biologics, natural products, and devices from industry, academic, or government asset owners. In collaboration with PsychoGenics, Inc., assets are evaluated to determine in vitro functional properties and protein binding, and in vivo pharmacokinetics, side effect profile, abuse liability, and efficacy in preclinical pain models, including plantar incision, L5/L6 spinal nerve ligation (SNL), monosodium iodoacetate (MIA) and chemotherapy-induced peripheral neuropathy (CIPN) models. Using this workflow, the PSPP program has evaluated clinically used drugs as well as CNS active compounds to understand their efficacy profile in pain related models. Here we describe ongoing efforts to systematically profile synthetic cannabidiol (CBD) in rats within the PSPP program.

Methods

CBD was evaluated through the PSPP workflow including evaluation of in vitro functional activity (0.001-100uM) at known targets of drugs of abuse and key safety targets assessed in human receptor preparations. CBD (PO, 5% DMAC, 30% Solutol HS-15, 65% saline) was then evaluated in vivo, including a dose-response assessment of pharmacokinetics (1 and 10 mg/kg, N=3-4), side effect profile assays (3-300 mg/kg, N=4-10), and efficacy (1-100 mg/kg, N=10), in pain related models, using two endpoints each, in male and female Sprague Dawley rats (Envigo). All experimenters were blinded to treatment. Each study included vehicle and positive control groups. Pre-determined inclusion criteria were applied for each endpoint assessed. Data were analyzed using two-way repeated measures ANOVA with Bonferroni’s or Dunnett’s post hoc test where appropriate.

Results

Partial activation of the cannabinoid 1 receptor (CNR1) with a potency of 50nM was noted while higher concentrations inhibited CNR1 in functional in vitro screens. Following PO administration (10 mg/kg) maximal CBD levels in plasma were observed at 1.0 hour and dropped off over 2 hours in both male and female rats. Higher Cmax was noted in female than male rats at 4.28 and 1.64 µM respectively and the AUCs over the 24 hour period were greater in female versus male rats. In the accelerated rotarod assay (10, 30, 100, 300 mg/kg, PO) and the modified Irwin assay (3, 10, 30, 100 mg/kg PO), CBD did not cause any significant deficits in either male or female rats. CBD (1, 3, 10, 30 mg/kg PO) did not significantly reduce guarding behavior or mechanical allodynia behavior in the plantar incision model and did not affect either mechanical allodynia behavior or cold allodynia in the L5/L6 SNL model. 7 days of administration in the SNL model also did not have any effects on either endpoint. In the MIA model of osteoarthritis pain, however, CBD (3, 10, 30, 100 PO mg/kg) showed a statistically significant and dose dependent reversal of mechanical allodynia behavior in both sexes after repeated administration.

Conclusions

A rigorous evaluation of CBD is being performed within the PSPP program. Evolving data suggest that CBD did not have any pain-relevant effects in the plantar incision or L5/L6 SNL models but showed statistically significant effects on mechanical allodynia behavior in the MIA model of osteoarthritis pain at doses assessed in male and at 30 and 100 mg/kg in female rats. Ongoing studies of CBD in the dynamic weight bearing endpoint in MIA studies and effects of CBD in the paclitaxel and oxaliplatin models will also be presented.

References

Critical NIH Resources to Advance Therapies for Pain: Preclinical Screening Program and Phase II Human Clinical Trial Network
Smriti Iyengar, Sarah A Woller, Rebecca Hommer, Jennifer Beierlein, Clinton B Wrigh , Amir P Tamiz, Barbara I Karp

Neurotherapeutics 2020 Jul;17(3):932-934.
doi: 10.1007/s13311-020-00918-2
PMID: 32876848 PMCID: PMC7609631 DOI: 10.1007/s13311-020-00918-2

Presenting Author

Smriti Iyengar

Poster Authors

Smriti Iyengar

PhD

NINDS-National Institute of Neurological Disorders and Stroke

Lead Author

Mark Varney

Ph.D.

Psychogenics Inc.

Lead Author

David Budac

Ph.D.

Psychogenics Inc,

Lead Author

Elizabeth Dugan

Psychogenics.com

Lead Author

Mark Urban

Ph.D.

Psychogenics Inc.

Lead Author

Taleen Hanania

Psychogenics Inc.

Lead Author

Sarah Woller

Ph.D.

NINDS/NIH

Lead Author

Topics

  • Treatment/Management: Pharmacology: Non-opioid