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Biotech Science

Cocaine Vaccine In the Works 724

martyros writes "Researchers at the Baylor College of Medicine are performing clinical trials of a vaccine that teaches the immune system to attack cocaine, preventing it from giving a high. The vaccine is made by attaching inactivated cocaine molecules to the outside of inactivated cholera proteins. When the immune system attacks the cholera proteins, it also 'learns' the cocaine molecules as well. The result is that the immune system 'recognizes the potent naked drug when it's ingested. The antibodies bind to the cocaine and prevent it from reaching the brain, where it normally would generate the highs that are so addictive.'" An earlier story from The Star notes that human trials for vaccines against both cocaine and nicotine are well under way.
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Cocaine Vaccine In the Works

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  • by QuantumRiff ( 120817 ) on Thursday January 03, 2008 @01:27PM (#21896800)
    Yeah, they can. Hospital workers especially have to have been vaccinated for TB, among other things..
  • Re:Analogs (Score:3, Informative)

    by flu1d ( 664635 ) on Thursday January 03, 2008 @01:30PM (#21896864) Homepage
    Many of the anesthetics found in hospitals today are based on cocaine now (also opiates and I'm sure they're working on that too), if given this 'vaccine' you'd better not have any kind of an accident.
  • by TheCouchPotatoFamine ( 628797 ) on Thursday January 03, 2008 @01:45PM (#21897196)
    There's no need for this. Not when a whole *class* of new drugs are coming out around nicotine anyway.

    Chantix got me off of ten years of smoking in two months, experientially, not just for while i was on it, but apparently *reversed* the entire psychological and physical process from those years.

    Every other time i tried to quit i'd have to avoid bars and lounges so i didn't come in contact with ANY smoke at all. After chantix therapy, I don't have to avoid anything, *i just don't want to smoke*.

    I'll leave it to you (i'm already aware) of exactly why chantix has such a powerful effect. Given, i would never never never.. ...never never never take a "vaccine" that has a life long effect for anything other then a pathogen or bent protein. For a basic neurotransmitter mimic? youve GOT to be kidding me, scares the shit out of me. End of story
  • by ArcherB ( 796902 ) * on Thursday January 03, 2008 @01:49PM (#21897260) Journal
    There's a lot of evidence that drug abusers will simply switch drugs when their drug of choice becomes unavailable.

    Really? Link please. According to the second TFA [thestar.com] listed, that has not been the case:

    One of the concerns with a cocaine vaccine is that once inoculated against a cocaine high, determined users will seek other drugs. But Haney's subjects did not do that.

    "On the outside, they were using less cocaine. They just stopped. None of them switched to another drug of abuse."
  • Re:Analogs (Score:5, Informative)

    by Anonymous Coward on Thursday January 03, 2008 @01:53PM (#21897346)
    I'm not sure the local anesthetic effects of cocaine or procaine (which is actually more potent in that respect, but has more potential for allergic reactions in sensitive areas which is why cocaine is sometimes used) would be significantly countered by the vaccine. Local anesthetics act directly on the nerves, very quickly on application at the site. It takes significant time for an immune system response.

    But IANAD :-)
  • Re:Analogs (Score:5, Informative)

    by Masaq ( 732641 ) on Thursday January 03, 2008 @02:04PM (#21897542)
    Happily (and thankfully) we don't use a lot of pharmacologically similar compounds in medicine (or dentistry) these days. Even the medical/dental use of cocaine is rather rare these days as safer medications, or combinations of medications, can be used for similar effects. Despite their similar names, most of the "local anesthetics" that one would use in the dentist's chair (lidocaine, benzocaine, etc) have quite different chemical structure than cocaine. Cocaine has effect on both sodium channels (blocking depolarization and nerve conduction thus providing local anesthesia) as well as dopamine and norepinephrine reuptake (more responsible for its CNS effects). Lidocaine and related compounds only block fast sodium channels. Thus, it's unlikely that this vaccine is going to cause serious dental pain problems.
  • Suboxone (Score:3, Informative)

    by lansirill ( 244071 ) on Thursday January 03, 2008 @02:06PM (#21897562)
    This sounds similar in use, I have absolutely no clue about the pharmacology involved, to Suboxone http://en.wikipedia.org/wiki/Suboxone [wikipedia.org] and antabuse http://en.wikipedia.org/wiki/Antabuse [wikipedia.org]. This is fairly second hand knowledge, my fiancee is a drug and alcohol counselor, but I thought I'd share.
  • by Alpha830RulZ ( 939527 ) on Thursday January 03, 2008 @02:20PM (#21897878)
    I don't have a link, but I do have a cite, sort of. My mother ran a halfway house program in Oregon for 10 years or so, providing treatment to cocaine and other hard drug abusers. The facility was in a small town in Eastern Oregon, a long way from most of the users supply lines. When people fell out of the program, as they often did, they would trot down to the Safeway, steal a gallon of wine, and get drunk. It was accepted wisdom in the clinic that abusers had a drug of choice, and would substitute if the drug of choice was not available. Clinicians felt that the drug was not the issue, rather, some people, from 10 to 25% of the population, depending on what subsegment of the population, have a tendency towards addictive use of drugs. Mom only has 25+ years of experience in the field, so maybe she doesn't know anything.

    Maybe the vaccine will affect that behavior, and that would be good. It is however, pretty well supported that users substitute drugs.
  • by Smidge204 ( 605297 ) on Thursday January 03, 2008 @02:25PM (#21897986) Journal
    A bit more from the article:

    At Columbia, in 2003, Haney tested a cocaine vaccine on 10 people who had no plans to quit using the drug.

    After a course of four vaccines injected over a 12-week period, half of the people produced sufficient levels of cocaine antibodies and reported a substantial decrease, up to a 70 per cent drop, in their dependence.

    One of the concerns with a cocaine vaccine is that once inoculated against a cocaine high, determined users will seek other drugs. But Haney's subjects did not do that.

    "On the outside, they were using less cocaine. They just stopped. None of them switched to another drug of abuse."

    Emphasis mine.
    =Smidge=
  • by R2.0 ( 532027 ) on Thursday January 03, 2008 @02:32PM (#21898104)
    It's funy how you are distinguishing between cocaine and crack - even the government that you are railing against has recognized that there is no real distinction. Crack is no more dangerous than powder cocaine; distinctions between the 2 have more to do with race and class than biochemistry.
  • by GwaihirBW ( 1155487 ) on Thursday January 03, 2008 @02:41PM (#21898236)
    So . . . he tested a high-killing vaccine on 10 users who intended to continue using it? That would require lying to the participants, or obtaining really effing compromised consent via them being stupid and possibly high.

    "had no plans" here is a bit of semantic trickiness, I suspect: They had not made plans to stop, but when told that this vaccine could help them, they decided to do so - no other reason to take the vaccine.
    Also, "reported . . . a 70% drop in dependence" . . . uh, what does that even mean? There is not a precise measurement happening here.
  • by EveryNickIsTaken ( 1054794 ) on Thursday January 03, 2008 @02:44PM (#21898282)
    Is this the same government that banned cocaine because of the fear that African-Americans would take it and rape white women? Or the same government that banned marijuana in a racist move against Mexicans, and banned opium in a similiar move against Asians? Try watching "Hooked: The Drug Years," which comes on the History Channel on occasion. Very informative.
  • Re:Analogs (Score:5, Informative)

    by pilgrim23 ( 716938 ) on Thursday January 03, 2008 @03:12PM (#21898806)
    I can attest to the efficacy of cocaine in toothache; At one time I was suffering "adverse economic determinism" -I was flat broke out of work. At that time I ended up with the mother of all toothaches. Pain on the transcendental level.
        I also did not have a health plan, dental plan, funny card, HMO, fill out this form, do not loose your #2 pencil, and all the other facets of modern medicine.

      I do not use drugs, am not interested at all in recreational drugs. A friend of that time though was, and sold me some cocaine. I placed it directly on the tooth and BLESSED RELIEF! It worked absolutely better then the over the counter nostrums. I do not know what experience users enjoy, but, that day, I enjoyed lucid thought free of pain and that made the experience well worthwhile. Incidentally, the street purchase price of that drug was far far less then it would cost to see a doctor, get a 'script, then buy the script without the above paperwork goodness. also whatever the Doc said to use probably would have been about as effective as the nostrums.
  • by Bryan Ischo ( 893 ) on Thursday January 03, 2008 @05:23PM (#21900826) Homepage
    You are overgeneralizing to the point of making any discussions on the topic worthless.

    Also this statement is flat out wrong:

    "Addictive behavior with anything is a desire to insulate yourself against actual or perceived problems."

    I guess you don't have any experience with addiction because while this can be a factor, it's not 100% of the reason for addictions. Take nicotine addiction as an example. Exactly what actual or perceived problem are nicotine addicts seeking to insulate themselves from? Maybe kids who start smoking do it to insulate themselves from the perceived problem of not being "cool" or something. But adults who have been smoking for years, and couldn't care less about whether or not they are perceived as "cool"? What problem exactly are they trying to insulate themselves against?

    Another example - I have an addictive nature when it comes to video games. Fortunately I don't really like MMORPGs or else I'd probably have been sucked into one long ago. But for the games I do like, the characteristics of my behavior surrounding the game are very much like a cocaine or nicotine addiction. I even get a little euphoric 'high' when I realize that I am going to be able to play my game for a few hours, and at the end when I have to stop, I get irritable and angry because I want to keep going. I honestly believe that to a much lesser degree than with serious drug addictions, my brain is responding to many of the same factors.

    Now what problem am I try to insulte myself from when I play an addictive game? There is no 'problem' there. I just like some games so much that my brain has developed an addiction to the act of playing those games. I'm not trying to escape anything when I play. My life is fine otherwords. I have nothing to escape from.

    Vaccines against the effects of drugs would I think be extremely helpful to people who want to quit but have difficulty controlling their impulse to use the drug. You can call it a crutch if you want, but it doesn't really matter. If it helps people get out of a estructive addiction, does it really matter?

    Some addicts will undoubtedly seek out other drugs if their drug of choice stops working. For these people, vaccines against specific drugs would only have short term benefit. There is always the chance that one of these people, once clean and given some opportunities to change their life situation, may decide to fight the urge to seek other drugs. But most will probably
  • Re:Analogs (Score:3, Informative)

    by jhobbs ( 659809 ) * on Thursday January 03, 2008 @05:26PM (#21900866)
    Read up on your history. Arizona started using pot to target immigrant workers during the depression. ("They are taking American jobs.") The same politcal pressures moved on to Washington where the stamp tax act was passed.
  • Re:Analogs (Score:5, Informative)

    by calyphus ( 646665 ) on Thursday January 03, 2008 @05:32PM (#21901004) Journal

    making drugs like coke illegal is that they provide a major public health crisis
    Hook, line and sinker...gobble down that propagranda. Study some history. U.S. drug laws originate in racism disguised as public health policy.
  • It should fail. (Score:2, Informative)

    by bornwaysouth ( 1138751 ) on Thursday January 03, 2008 @05:36PM (#21901072) Homepage
    I worked as an immunochemist from 1973 to 1985 on a very similar idea, trying to get a vaccine against a fungal toxin. Making the antigen was what my doctorate was about. Getting an immune response was easy. Getting it to be useful was difficult, and in the end, not funded.

    The key problem is effectiveness. The immune response relies on immunoglobulins, proteins which have about 600 residues per binding site. The immune system evolved to take out large molecules, and the bacteria or whatever hanging off them. Most drugs are small. The rule of thumb is they all weigh 250 amu, call it 2 residues. (That is, equivalent in weight to 2 amino acids). So to mop up a gram of cocaine, you need 300 grams of antibodies in the body devoted solely to the cocaine problem. Forget it. Too big a problem.

    Our fungus was more effective, so we were out to mop up only a few milligrams. We did get a biological response. We made the disease worse. That leads to the next problem. Antibodies do not do anything nasty themselves. They just bind and signal to a macrophage to come and eat the problem. So binding a drug does not get rid of it, but turns the drug from a short term compound, maybe readily metabolized, into a slowly released compound. That can make some diseases worse.

    So even if the cocaine could get mopped up, all you would achieve is a slow release drug. This could be metabolically effective, as the body may adapt and up or down regulate the cocaine receptors. Don't ask me what would happen. I was an organic chemist, not a vet. So a cocaine high would initially occur, but subsequent weeks-long cocaine release could mess with the cocaine receptors.

    Of more interest to us was the next step - modifying antibodies to act as enzymes. In the end, this was never funded. The up-coming DNA revolution swept up all funds, and rightly so.

    There is no point in worrying much about not being able to take your daily cocaine hit. I do not expect the vaccine to work as reported. The side effects of the treatment could be interesting, especially if you are on death row, and are given favorable treatment in return for taking cocaine. Even if purely passive, such vaccines could have one judicial use; retaining cocaine or any other drug in the body for weeks would be of use in proving a relapse into drug use, and a parole violation. I cannot see any great cheering from the sidelines for that idea either.

    The article referred to is just a report on a newspaper report. My pessimism may be unjustified. I do not have good access to the original. Anyone interested can request further comments or an email. It was all a long time ago.
  • by danep ( 936124 ) on Thursday January 03, 2008 @05:41PM (#21901142)
    Ummm... you are aware that some STIs, including HPV, can be transmitted even when adequate protection (condoms) are used perfectly, right? And that HPV leads to cancer? So basically you are saying that if your child engages in any sort of sexual activity and later gets cancer from HPV, she deserves it? That is fucked up, to say the least.
  • Corrected title (Score:4, Informative)

    by tacokill ( 531275 ) on Thursday January 03, 2008 @06:45PM (#21902152)
    For Tivo users, the actual names is "Hooked: Illegal Drugs and how they got that way". It is an ongoing series.

    I agree with the parent, however. Very very informative about the history of our drug war.
  • Try oil of clove (Score:1, Informative)

    by Anonymous Coward on Thursday January 03, 2008 @09:24PM (#21904056)
    Or if you can't get oil of clove, you can chew on a dry clove. Tastes about as nice as (I imagine) chewing pine needles would, but it is very effective at killing the pain from a tooth with a bad hole in it. Of course, I don't recommend this as a long term solution, it is only going to get worse.

    I found this out when a dentist put in a temporary dressing that tasted like clove...I asked and he said yes, that is what it is.
  • Re:Analogs (Score:3, Informative)

    by lysergic.acid ( 845423 ) on Friday January 04, 2008 @12:28AM (#21905568) Homepage
    the -caine suffix is simply used for any drug with properties of a local anesthetic. however, novacaine, lidocaine, cocaine, etc. are not actually chemically related or remotely similar in molecular structure to each other, so there shouldn't be a problem with this vaccine interfering with the other *caine anesthetics.
  • Re:LD50 (Score:3, Informative)

    by rush22 ( 772737 ) on Friday January 04, 2008 @01:36AM (#21906098)
    If you read the article, it says antibodies bind themselves to the cocaine. It does not say that the antibodies block cocaine receptors in the brain, or change the brain in any way. It's not a neurological drug they are talking about, it is a vaccine.

    With a cocaine vaccine, the cocaine antibodies will bind themselves to the cocaine molecules. The cocaine is thus rendered harmless--harmless to the brain, heart, or other organs. That's the way antibodies work as far as I know. The antibodies will bind to the cocaine and prevent it from being absorbed. Then, as with other toxins, eventually you'll metabolise and excrete it.

    If you are vaccinated but you do enough of it you will still get high, depending on how many cocaine antibodies are in your system.

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