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Ond-PR1 + MPh-IR is an investigational combination therapy being developed by Tong Lee at Duke University for the treatment of psychostimulant use disorder. The treatment consists of a novel pulsatile-release formulation of ondansetron (Ond-PR1) and an immediate-release formulation of methylphenidate (MPh-IR). The therapeutic rationale is based on the reactivation and reconsolidation blockade of the neural circuits involved in drug abuse. Methylphenidate, a dopamine reuptake inhibitor, is used to reactivate the consolidated dysfunctional circuit, while the delayed delivery of ondansetron, a 5-HT3 receptor antagonist, is intended to block the reconsolidation of that circuit. The pulsatile-release formulation of ondansetron was specifically designed to achieve delayed absorption in the gastrointestinal tract, ensuring the optimal timing of the two active ingredients to disrupt the addiction cycle.
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