# In vivo characterization of opioid biased agonists

> **NIH NIH R01** · MCLEAN HOSPITAL · 2020 · $245,568

## Abstract

OTHER PROJECT INFORMATION - SECTION 7 - PROJECT SUMMARY/ABSTRACT
 1 The ongoing opioid crisis has led to renewed concerns about the clinical prescription of addictive opioid
 2 analgesics. However, there currently are no suitable alternatives for treating severe or malignant pain. Studies
 3 of opioid signaling mechanisms in mice lacking the β-arrestin 2 gene indicate that the acute analgesic effects
 4 of morphine were enhanced in these mice, and subsequent studies reported that undesirable effects of
 5 morphine including respiratory depression, constipation, and analgesic tolerance were all diminished in the
 6 absence of β-arrestin signaling. These findings have led to increased efforts in developing novel opioid drugs
 7 that, based on their preferential activation of G-protein signaling over β-arrestin signaling in vitro, can be
 8 characterized as `biased' agonists. However, although clear distinctions in receptor-activated signaling of
 9 opioid ligands are found in vitro, the extent to which these cellular differences predict differing profiles of opioid
10 activity in vivo remains uncertain. Currently, there is not sufficient information to conclude whether biased
11 signaling can indeed be associated with reduced opioid side effects and, consequently, an improved safety
12 profile of `biased' agonists compared to conventional prescription opioids. The present application intends to
13 address the need for preclinical data to rigorous evaluate this possibility with a program of in vivo studies of the
14 effects of novel opioid biased agonists in nonhuman primates. In these studies, we will employ well-established
15 and highly translational pharmacological methods to compare prescription opioids that are `balanced' agonists,
16 i.e., signal through both G-protein and β-arrestin paths (morphine, oxycodone, and fentanyl) with the `biased'
17 agonist PZM21 and two novel ligands that are provided by colleagues at the NIDA IRP and that, based on in
18 vitro data, also can be characterized as opioid `biased' agonists. First, the acute effects of different opioids will
19 be studied using well-validated assays of antinociception and operant performance, respiratory function, and
20 abuse potential. Data from these studies will enable us to rigorously characterize and compare both the
21 beneficial and unwanted effects of the `balanced' and `biased' agonists. Next, the same drugs will be compared
22 during regimens of chronic treatment. In these studies, assays of antinociception and operant performance will
23 be used to evaluate tolerance, defined by rightward or downward movement of the opioid dose-effect function,
24 and assays of respiratory function and observable behavior to evaluate the presence of opioid dependence,
25 evident as increases in ventilation or characteristic behavioral signs following antagonist administration. The
26 results of the latter studies will provide critical information regarding the dependence liability of `bi...

## Key facts

- **NIH application ID:** 9842411
- **Project number:** 5R01DA047574-02
- **Recipient organization:** MCLEAN HOSPITAL
- **Principal Investigator:** JACK BERGMAN
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $245,568
- **Award type:** 5
- **Project period:** 2019-01-01 → 2021-11-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9842411

## Citation

> US National Institutes of Health, RePORTER application 9842411, In vivo characterization of opioid biased agonists (5R01DA047574-02). Retrieved via AI Analytics 2026-05-22 from https://api.ai-analytics.org/grant/nih/9842411. Licensed CC0.

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