Introduction to Presentation by HS Lotsof

1. Ibogaine (brief review) 2. Ibogaine Development

2006 NYC Ibogaine Conference Columbia University Saturday, February 25

Ibogaine Found in a West African plant Tabernanthe iboga

T. Iboga is Valued for its roots

Iboga alkaloids are concentrated in the bark of the root

Usable forms include scraped or ground root bark

Total Alkaloid extract

Courtesy Sara Glatt

Purified Chemical
Proposed as an approved regulated drug

Physical Characteristics of ibogaine base

Source Merck Index

Chemical formula

C20H26N2O

Mol. Wt.
Melting Point Practically insoluble in water.

310.42
152-153

Soluble in ethanol, ether, chloroform

Molecular structure

Ibogaine Development or Lack Thereof:

Politics Policy Prejudice Profit Science
Howard S. Lotsof Dora Weiner Foundation http://www.doraweiner.org

Politics
The activities within a government or agency or other human endeavor that may include debate and conflict. Prohibition Legalization or Regulation War on Drugs War on Some Drugs War on Drug Users

Drug Politics may be top down from government agencies such as the ONDCP

DEA

FDA

Drug Politics are also bottom up from grassroots organizations such as the SSDP

Harm Reduction Coalition

Cures Not Wars

Precedents for Ibogaine Activist Organizations

International Coalition for Addict Self-Help (ICASH) Dutch Addict Self-Help (DASH) Cures-Not Wars (ibogaine and other issues) Ibogaine Underground

ICASH logo
Used to attract attention of government officials and media

Nico Adriaans was one of the founders of both the Rotterdam Junkies Union and Dutch Addict Self-Help (DASH). DASH was an ibogaine self-help organization that petitioned the Dutch government and organized drug users to demand ibogaine availability. DASH provided ibogaine at no cost to heroin users.

ICASH Organizing in the US

Cures-Not-Wars placed pressure on NIDA to support Ibogaine research through protests

Mindvox Ibogaine List (user advocacy continues)

We all got to help each other best we can. No one else gives a shit bout us hippy freak junkies?
anon.

To join send an email to ibogaine-subscribe@mindvox.com

Ibogaine underground appears 2004

FM- I'm not really privy to what's happening in that regard here in the US. Suffice to say, nothing has worked which is why we're here. We feel that continuing the focus offshore, outside the US, has not served a majority of people inside the US. Like many other grassroots movement, which facilitated change, treatments, sessions, need to be done where they belong, in all major US cities, as cost effectively as possible. http://www.drugwar.com/ibonyc.shtm

Policy
A course or principle of action adopted or proposed by a government, party, business, or individual

Harm Reduction Demand Reduction How Ibogaine is Viewed

Ibogaine represents both harm reduction and demand reduction

DEA desk officer in the Netherlands asks how the Dutch are allowing a demand reduction drug like ibogaine to be researched in the Netherlands? Ibogaine proponents view the drug as significant harm reduction tool and basis for political action.

Prejudice
A generally negative preconceived opinion that is not based on reason or actual experience

Prejudice incorporates
Discrimination
The unjust or prejudicial treatment of different categories of people or things.

Stigma
A mark of disgrace associated with a particular circumstance, quality, or person : the stigma of chemical dependence.

Discrimination
Focuses attention on those who produce rejection and exclusion

Stigma
Focuses attention on the victim

Prejudice, stigma and discrimination, in part, determine what drugs will be regulated, what drugs will not be regulated and what medications will be or not be made available to treat chemical dependence

Ibogaine Effects on Stigma

Ibogaine is reported to have the ability to remove the stigmatized condition, transforming the patient to a state often described as a preaddictive.

Additional Ibogaine Effects on Stigma

The transformation of a stigmatized person into one who is not stigmatized will have significant effects on the person and the society within which the individual lives as it allows for personal growth and the possibility of a greater contribution to society. This dynamic is expressed within the activities of the ibogaine advocacy movement in the services they offer to chemically dependent persons and the political actions taken to promote ibogaine availability.

Profit
A financial gain, The difference between the amount earned and the amount spent in buying, operating, or producing something : | their eyes brightened at the prospect of profit. Politics Policy Prejudice Science

Profit is a core issue in the pharmaceutical industry whose primary purpose is to return profit to corporate shareholders. This effects what drugs will be developed and the areas of medicine for which drugs will be available.

Science
The intellectual and practical activity encompassing the systematic study of the structure and behavior of the physical and natural world through observation and experiment Politics

Policy
Prejudice Profit

Intellectual Conformity

National Institute on Drug Abuse (NIDA) funds 85% of drug addiction research worldwide

NIDA Initially Rejects Ibogaine Research.

NIDA was petitioned to perform ibogaine research 1984 1990, first by the Dora Weiner Foundation and from 1986 on by NDA International, Inc., a company established to make ibogaine available as an approved medication. In 1991, NIDA formed its Medications Development Division (MDD) and accepted a Product Profile Review (PPR) from NDA International that resulted in NIDA starting their ibogaine research program.

The following are examples demonstrating the scientific contention between NIDA and proibogaine researchers that played out between 1988 and 2000.

First scientific publication of ibogaine antiaddictive effects

NIDA Response: It doesnt work

Ibogaine Scientists Answer

NIDA contracts neurotoxicologist Mark Molliver to determine ibogaine neurotoxicity

Ibogaine researcher Helen Molinari responded

Further research by OHearn and Molliver

Xu et al. eventually produce research showing no neurotoxicity at clinical doses (2000)

Xu et al. accomplished research in part at the National Center for Toxicological Research an FDA laboratory. The research demonstrated no neurotoxicity at 25 mg/kg.

Ibogaine science continues to grow providing

100s of peer reviewed papers

A few key papers relating to ibogaine research and second generation ibogaine-like drugs to treat chemical dependence follow. These include
ibogaine effects on opioid narcotics.

Ibogaine effects on cocaine

Ibogaine effects on alcohol

Tissue distribution and availability

Review papers

Opioid withdrawal in human subjects

Second generation ibogaine-like drug, metabolite noribogaine is identified

Another second generation ibogaine-like drug, 18-methoxycoronaridine, diminished morphine withdrawal

18-methoxycoronaridine effects on alcohol

18-methoxycoronaridine effects on methamphetamine and nicotine

18-methoxycoronaridine and noribogaine have not been administered to human subjects. Ibogaine remains the only iboga alkaloid that has been shown to be effective in humans, supporting claims made in the original ibogaine patents awarded between 1985 and 1992.

Ibogaine Patents
1. Rapid method for interrupting the narcotic addiction syndrome, US 4,499,096 (1985) 2. Rapid method for interrupting the cocaine and amphetamine abuse syndrome US 4,587,243 (1986) 3. Rapid method for attenuating the alcohol dependency syndrome, US 4,957,523 (1989)

4. Rapid method for interrupting or attenuating the nicotine/tobacco dependency syndrome, US 5,026,697 (1991)
5. Rapid method for interrupting or attenuating poly-drug dependency syndromes, US 5, 124,994 (1992)

Why ibogaine is not available

1. Industry deems ibogaine not to be profitable. (not a maintenance drug)

2.
3. 4.

The molecule is found in nature and cannot be owned.

Stigmatized patient population with liability higher than general population. Government, industry and academia chose to place their interest to treat narcotic dependence in the development of opiate drugs with which they are familiar. Ibogaine represents a new scientific paradigm to the understanding of addiction.

5.

6.
7.

Lack of prioritization of pharmacotherapies.

Intellectual conformity.

The medical community The pharmaceutical industry

Government

Failed to adequately respond to make ibogaine available

Brief comparison of discovery and development of ibogaine, methadone and buprenorphine. All are effective in treating opioid dependence.
Ibogaine NYC 1962 Drug users administer to drug users Multi-receptor activity Methadone NYC 1964 Doctors administer to drugs users Opioid agonist activity Buprenorphine Lexington, KY 1975 Government and industry Co-Development Mixed opioid agonist antagonist activity

Background: Ibogaine
Botanical source Tabernanthe iboga. Used for 100s of years in African medicine and religion 1901 ibogaine isolated by Dybowski and Landrin

1958 molecular structure determined Bartlett et al.

1962 Lotsof discovers Antiaddictive effects

1991 NIDA initiates evaluation of ibogaine

1995 NIDA Ibogaine Clinical Review Meeting. Decision: No clinical studies of ibogaine

Background: Methadone
1937 synthesized by Max Bockmhl and Gustav Ehrhart, I.G. Farbenindustries. Patent issued 1941 1950 use in treatment of opioid abstinence syndrome established in US 1964 use in opioid maintenance therapy 1964 - 1973 Golden age of Dole and Nyswander

1973 Federal regulation of Methadone

2002 Revised Federal regulation of Methadone

Background: Buprenorphine
1965 synthesized by KW Bentley at Reckitt & sons, UK.

1975 - 1978 DR Jazinski et al. Indicate utility in treating opiate addiction

1977 - 2003 John Lewis champions analgesic and antiaddictive development 1994 NIDA signs CRADA with Reckitt & Colman Pharmaceuticals, Inc. 2000 Drug Addiction Treatment Act authorizes use in opioid maintenance therapy 2002 FDA approves use to Reckitt Benckiser to treat narcotic addiction

Is NIDA responsible for blocking ibogaine? 1994 collaborative research and development agreement for buprenorphine

NIDA director signs agreement to develop buprenorphine 1994

NIDA says NO to clinical development of ibogaine 1995

Paths to ibogaine availability

1. Pharmaceutical company or government agency prepared to finance regulatory development.

2. Supplies of pharmaceutical grade ibogaine.

3. Grassroots constituency demanding availability of ibogaine.

4. Political advocacy movement to pressure government and industry into action.

5. A scientific community supporting ibogaine research.

Why ibogaine should be available

Based on drug user reports ibogaine is a medication that significantly reduces withdrawal signs and interrupts drug craving thus returning patients to what they describe as a preaddictive state. This is a state that most drug users thought they would never experience again after years of being dependent. It is a state in which free choice is returned to the user and that is important to understand.

Its in your hands now!