The pharmacokinetics and the hormonal, analgesic, and behavioral effects of several doses of human a-endorphin were evaluated after intravenous administration to three patients and intracerebroventricular administration to one patient with pain caused by cancer. These effects were compared to the hormonal effects of intravenously administered morphine sulfate in two patients and an enkephalin analog in two baboons. The mean terminal half-life after intravenous administration of 5 or 10 mg of human f-endorphin to three patients was 37 min; the mean volume of distribution was 178 ml/kg, and the metabolic clearance rate was 3.2 (ml/min)/kg.The half-life of P-endorphin in cerebrospinal fluid after intracerebroventricular administration was 93 min, and the volume of distribution was 0.74 ml/kg. A rapid rise in plasma prolactin followed both intravenous and intracerebroventricular a-endorphin. Intravenous administration did not affect plasma growth hormone, but intracerebroventricular administration suppressed plasma growth hormone. No significant change in plasma growth hormone was noted after intravenous administration of morphine to humans, but plasma growth hormone decreased in one baboon after administration of the enkephalin analog. P-Endorphin-stimulated release of prolactin occurred at doses lower than those required to produce analgesic and other behavioral effects. When both hormonal and analgesic effects were observed (after 7.5 mg were given intracerebroventricularly), the onset of the hormonal response slightly preceded the analgesic and behavioral responses. These studies suggest that the hormonal effects of ,-endorphin are species dependent and are similar to those of morphine. Hormonal and analgesic effects of ,-endorphin appear to result from the activation of opiate receptors that differ in their locations and characteristics.Intracerebroventricular (icv) administration of f3-endorphin causes similar physiological and pharmacological effects in several animal species (1, 2). In contrast, intravenous (iv) administration of ,B-endorphin causes different effects in different species. In the rat there is no demonstrable behavioral effect after iv doses of f3-endorphin up to 30 mg/kg (3), whereas in the cat doses as low as 50-500 jug/kg produce behavioral changes (4). Preliminary studies in humans (5-7), using a wide dose range of human fl-endorphin (f.h-ep), revealed both behavioral and analgesic effects. In the present study, we have assessed the pharmacologic disposition, as well as the concurrent hormonal, analgesic, and behavioral effects of Oh-ep administered in various doses iv to three cancer patients with pain and icv to one other cancer patient with pain. We administered an enkephalin analog, [2-D-alanine,5-norleucinelenkephalinamide, to two baboons to evaluate whether the hormonal and behavioral effects of opioid peptides were similar in nonhuman primates without pain or previous exposure to opiate drugs. 100 ,ug to 7.5 mg at 1-2 week intervals over a 10-week period; the reservoir had...