# A novel functionally selective drug for the treatment of cocaine abuse by antagonism of the beta-arrestin signaling arm of the Ghrelin Receptor

> **NIH NIH U18** · DUKE UNIVERSITY · 2020 · $241,500

## Abstract

ABSTRACT
Extensive studies indicate that drugs targeting key receptor systems in the brain that regulate dopamine may
provide therapies for substance use disorders (SUDs). This underlies a treatment strategy that is encouraged
by this RFA-DA-020-025. The ghrelin receptor GSHR1a is a G-protein coupled receptor that modulates
dopamine signaling. It is already considered a potential therapeutic target for the treatment of eating disorders,
alcohol abuse, and by extension is also an excellent candidate for treating cocaine addiction. Our hypothesis
is that ghrelin receptor biased-drugs, particularly analogs of the recently discovered lead compound NCATS-
4955, can selectively modulate G proteins and βarrestin signaling at the GHSR1a in a manner that blocks the
addictive effects of cocaine while eliminating many unwanted side effects of ghrelin receptor therapy. The long-
term goals in validating this are twofold. Our first objective is to demonstrate that antagonism of the GHSR1a
βarrestin signaling arm offers a much superior drug target for pharmacotherapy of cocaine use disorder than the
blanket antagonism of GHSR1a, as minimizing the GHSR1a therapeutic target size will minimize treatment side
effects. We will demonstrate that this functional antagonism can be accomplished using NCATS-4955 lead
compounds. Our second objective is to establish the NCATS-4955 drug series as a valid in vivo option for
cocaine abuse treatment, thus providing a new, pharmacological strategy for addressing cocaine abuse disorder.
Testing of our hypothesis and pursuit of these objectives for this grant proposal will be accomplished through
completion of the following specific aims. Aim (1) is to determine a comprehensive signaling profile of the
novel lead series NCATS-4955 at the ghrelin receptor. The strategy is to develop and use a panel of in vitro
and in cellulo biochemical assays to compare and contrast between an NCATS-4955 series lead compound,
ghrelin peptide, and known unbiased GHSR1a agonists and antagonists at GHSR1a their receptor binding,
signaling through G proteins, and signaling through the arrestin pathway. Aim (2) is to provide in mice an in
vivo behavioral profile of an NCATS-4955 series lead compound that measures efficacy for treating
cocaine use disorder, and using genetically modified mice provides a measure of ghrelin receptor target
validity. The strategy is to assess the effect of an NCATS-4955 series lead compound on locomotor and
condition place preference (CPP) mediated behaviors in wild type C57BL/6J mice exposed to cocaine, and
correspondingly in mice in which the ghrelin receptor has been knocked out, or is defective in supporting either
G protein or arrestin signaling. The druggable NCATS-4955 series will produce a GHSR1 biased signaling profile
effective at ameliorating the consequences of cocaine use disorder and potentially be more broadly applicable
against other SUDs. The NCATS-4955 series holds promise either as valuable tool compoun...

## Key facts

- **NIH application ID:** 10106515
- **Project number:** 1U18DA052417-01
- **Recipient organization:** DUKE UNIVERSITY
- **Principal Investigator:** LAWRENCE S. BARAK
- **Activity code:** U18 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $241,500
- **Award type:** 1
- **Project period:** 2020-09-30 → 2022-03-29

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10106515

## Citation

> US National Institutes of Health, RePORTER application 10106515, A novel functionally selective drug for the treatment of cocaine abuse by antagonism of the beta-arrestin signaling arm of the Ghrelin Receptor (1U18DA052417-01). Retrieved via AI Analytics 2026-05-26 from https://api.ai-analytics.org/grant/nih/10106515. Licensed CC0.

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