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Belief in caffeine's ergogenic effect on cognitive function and endurance performance: A sham dose-response study. 相信咖啡因对认知功能和耐力表现的促能作用:一项假剂量反应研究。
IF 1.7 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2021-09-01 Epub Date: 2021-05-03 DOI: 10.1002/hup.2792
Nathan Delang, Christopher Irwin, Gregory R Cox, Danielle McCartney, Ben Desbrow

This study aimed to determine if belief in caffeine's ergogenic potential influences choice reaction time (CRT) and/or running performance. Twenty-nine healthy individuals (23.7 ± 5 years, 16 males) completed two trials (one week apart). Before the trials, participants indicated their "belief" in caffeine's ergogenic effects and previous "experience" using caffeine for performance. On arrival, participants randomly received either sham "Low (100mg; LD)" or "High (300mg; HD)" dose caffeine capsules 30-min before commencing the CRT test, followed by a 10km run. Paired samples t-tests determined differences between trials for CRT latency (Ex-Gaussian analysis; μ-, σ- and τ-) and running performance using the entire cohort and sub-groups exhibiting strong "beliefs"+/-"experience". Sham caffeine dose did not influence CRT (μ-, σ- and τ-respectively, LD: 400 ± 53ms vs. HD: 388 ± 41ms; LD: 35 ± 18ms vs. HD: 34 ± 17ms; LD: 50 ± 24ms vs. HD: 52 ± 19ms, all p's > 0.05). Neither belief (n = 6), nor belief + experience (n = 4), influenced this effect. Furthermore, caffeine dose did not influence run time (LD: 49.05 ± 3.75min vs. HD: 49.06 ± 3.85min, p = 0.979). Belief (n = 9) (LD: 48.93 ± 3.71min vs. HD: 48.9 ± 3.52min, p = 0.976), and belief + experience (n = 6) (LD: 48.68 ± 1.87min vs. HD: 49.55 ± 1.75min, p = 0.386) didn't influence this effect. A dose-response to sham caffeine ingestion was not evident on cognitive or endurance performance in healthy individuals, regardless of their convictions about caffeine's ergogenicity.

这项研究的目的是确定咖啡因对人体机能的潜在影响是否会影响选择反应时间(CRT)和/或跑步表现。29名健康个体(23.7±5岁,男性16名)完成两项试验(间隔一周)。在试验之前,参与者表明了他们对咖啡因的“信念”,以及之前使用咖啡因的“经验”。到达时,参与者随机接受假“低剂量”(100mg;“高”(300毫克;在开始CRT测试前30分钟服用咖啡因胶囊,然后跑10公里。配对样本t检验确定了试验间CRT潜伏期的差异(前高斯分析;μ-, σ-和τ-)和运行性能使用整个队列和子组表现出强烈的“信念”+/-“经验”。假性咖啡因剂量对CRT (μ-、σ-和τ-)无影响,LD为400±53ms, HD为388±41ms;LD: 35±18ms, HD: 34±17ms;LD: 50±24女士与高清:52±19女士,所有p > 0.05)。信念(n = 6)和信念+经验(n = 4)都没有影响这种效果。此外,咖啡因剂量不影响运行时间(LD: 49.05±3.75min vs. HD: 49.06±3.85min, p = 0.979)。信念(n = 9) (LD: 48.93±3.71min vs. HD: 48.9±3.52min, p = 0.976)、信念+经验(n = 6) (LD: 48.68±1.87min vs. HD: 49.55±1.75min, p = 0.386)对该效果无影响。在健康个体中,不管他们是否相信咖啡因的作用,假咖啡因摄入对认知或耐力表现的剂量反应并不明显。
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引用次数: 0
The type 2 diabetes mellitus susceptibility gene CDKAL1 polymorphism is associated with depressive symptom in first-episode drug-naive schizophrenic patients. 2型糖尿病易感基因CDKAL1多态性与首发未用药精神分裂症患者抑郁症状相关
IF 1.7 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2021-09-01 Epub Date: 2021-04-15 DOI: 10.1002/hup.2790
Xu Yuan Yin, Peng Chen, Hai Wen Zhu, Xiao Li Yin, Gang Ye, Yu Yan Chi, Zhao Peng Kang, Hong Yan Sun, Wen Long Hou, Lu Yang Guan, Zhen Hua Zhu, Zhen Tang, Jing Wang, Guang Ya Zhang, Qiu Fang Jia, Li Hui

Background: Patients with schizophrenia have an increased prevalence of type 2 diabetes mellitus that has shown a significant association with the rs7754840 polymorphism in the gene encoding the cyclin-dependent kinase 5 (CDK5) regulatory subunit-associated protein 1-like 1 (CDKAL1).

Objective: To examine whether this polymorphism was involved in the susceptibility in first-episode drug-naive schizophrenic patients (FDSP), and further influenced their clinical symptoms.

Methods: This polymorphism was genotyped in 239 FDSP and 368 healthy controls. The clinical symptoms in FDSP were assessed using the Positive and Negative Syndrome Scale (PANSS) five-factor models.

Results: There was no significant difference in the allelic and genotypic frequencies of this polymorphism between two groups (both p > 0.05) after adjusting for covariates. However, the PANSS depressive score significantly differed by genotype in FDSP after adjusting for covariates (F = 5.25, p = 0.006). This significant difference also persisted after Bonferroni correction (p < 0.05). FDSP with C/C genotype had significantly higher PANSS depressive score than those with C/G genotype (p = 0.007) and those with G/G genotype (p = 0.005). Moreover, further stepwise multivariate regression analysis showed the significant association between the rs7754840 polymorphism and PANSS depressive score in FDSP (β = -1.07, t = -2.75, p = 0.007).

Conclusions: Our findings demonstrated that although the CDKAL1 rs7754840 polymorphism did not contribute to the susceptibility to FDSP, it might be implicated in depressive symptoms in this patient group.

背景:精神分裂症患者2型糖尿病的患病率增加,这与细胞周期蛋白依赖性激酶5 (CDK5)调控亚基相关蛋白1样1 (CDKAL1)基因的rs7754840多态性有显著关联。目的:探讨该基因多态性是否与首发未用药精神分裂症患者(FDSP)的易感性有关,并进一步影响其临床症状。方法:对239例FDSP和368例健康对照进行基因分型。采用阳性和阴性证候量表(PANSS)五因素模型对FDSP患者的临床症状进行评估。结果:经协变量校正后,两组间该多态性的等位基因频率和基因型频率均无显著差异(p > 0.05)。然而,调整协变量后,FDSP的PANSS抑郁评分因基因型而有显著差异(F = 5.25, p = 0.006)。结论:我们的研究结果表明,尽管CDKAL1 rs7754840多态性与FDSP易感性无关,但它可能与该患者组的抑郁症状有关。
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引用次数: 2
Does sodium oxybate inhibit brain dopamine release in humans? An exploratory neuroimaging study. 氧酸钠是否能抑制人类大脑多巴胺的释放?探索性神经影像学研究。
IF 1.7 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2021-09-01 Epub Date: 2021-04-26 DOI: 10.1002/hup.2791
Stephen J Kish, Gerald O'Leary, Mortimer Mamelak, Tina McCluskey, Jerry J Warsh, Colin Shapiro, Robert Bies, Yifan Yu, Bruce Pollock, Junchao Tong, Isabelle Boileau

Objective: To establish in an exploratory neuroimaging study whether γ-hydroxybutyrate (sodium oxybate [SO]), a sedative, anti-narcoleptic drug with abuse potential, transiently inhibits striatal dopamine release in the human.

Methods: Ten healthy participants (30 years; 6M, 4F) and one participant with narcolepsy received a baseline positron emission tomography scan of [C-11]raclopride, a D2/3 dopamine receptor radioligand sensitive to dopamine occupancy, followed approximately one week later by an oral sedative 3g dose of SO and two [C-11]raclopride scans (1 h, 7 h post SO). Plasma SO levels and drowsiness duration were assessed.

Results: No significant changes were detected in [C-11]raclopride binding in striatum overall 1 or 7 h after SO, but a small non-significant increase in [C-11]raclopride binding, implying decreased dopamine occupancy, was noted in limbic striatal subdivision at one hour (+6.5%; p uncorrected = 0.045; +13.2%, narcolepsy participant), returning to baseline at 7 h. A positive correlation was observed between drowsiness duration and percent change in [C-11]raclopride binding in limbic striatum (r = 0.73; p = 0.017).

Conclusions: We did not find evidence in this sample of human subjects of a robust striatal dopamine change, as was reported in non-human primates. Our preliminary data, requiring extension, suggest that a 3g sedative SO dose might cause slight transient inhibition of dopamine release in limbic striatum.

目的:通过一项探索性神经影像学研究,探讨γ-羟丁酸(氧化钠[SO])这种具有滥用潜力的镇静、抗发作性睡药物是否能短暂抑制人纹状体多巴胺释放。方法:健康受试者10例(30岁;6M, 4F)和一名发作性睡症患者接受了[C-11]raclopride的基线正电子发射断层扫描,[C-11]raclopride是一种对多巴胺占用敏感的D2/3多巴胺受体放射配体,大约一周后口服镇静3g剂量的SO和两次[C-11]raclopride扫描(SO后1小时,7小时)。评估血浆SO水平和困倦持续时间。结果:在SO后1或7小时,纹状体中[C-11]raclopride结合没有明显变化,但在1小时时,边缘纹状体分支中[C-11]raclopride结合有轻微的非显著性增加,表明多巴胺占用减少(+6.5%;未校正P = 0.045;+13.2%,发作性睡病参与者),7小时后恢复基线。困倦持续时间与边缘纹状体[C-11]raclopride结合百分比变化呈正相关(r = 0.73;p = 0.017)。结论:我们没有在人类受试者样本中发现纹状体多巴胺强劲变化的证据,正如在非人类灵长类动物中报道的那样。我们的初步数据,需要扩展,表明3g镇静SO剂量可能导致边缘纹状体多巴胺释放轻微的短暂抑制。
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引用次数: 1
Resting state functional connectivity in adolescent synthetic cannabinoid users with and without attention-deficit/hyperactivity disorder. 青少年合成大麻素使用者的静息状态功能连通性,有无注意缺陷/多动障碍。
IF 1.7 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2021-09-01 Epub Date: 2021-03-06 DOI: 10.1002/hup.2781
Zeki Yüncü, Zehra Cakmak Celik, Ciğdem Colak, Tribikram Thapa, Alex Fornito, Emre Bora, Omer Kitis, Nabi Zorlu

Objective: Synthetic cannabinoids (SCs) have become increasingly popular in recent years, especially among adolescents. The first aim of the current study was to examine resting-state functional connectivity (rsFC) in SC users compared to controls. Our second aim was to examine the influence of comorbid attention-deficit/hyperactivity disorder (ADHD) symptomatology on rsFC changes in SC users compared to controls.

Methods: Resting-state functional magnetic resonance imaging (fMRI) analysis included 25 SC users (14 without ADHD and 11 with ADHD combined type) and 12 control subjects.

Results: We found (i) higher rsFC between the default mode network (DMN) and salience network, dorsal attention network and cingulo-opercular network, and (ii) lower rsFC within the DMN and between the DMN and visual network in SC users compared to controls. There were no significant differences between SC users with ADHD and controls, nor were there any significant differences between SC users with and without ADHD.

Conclusions: We found the first evidence of abnormalities within and between resting state networks in adolescent SC users without ADHD. In contrast, SC users with ADHD showed no differences compared to controls. These results suggest that comorbidity of ADHD and substance dependence may show different rsFC alterations than substance use alone.

目的:近年来,合成大麻素(SCs)越来越受欢迎,尤其是在青少年中。本研究的第一个目的是检测SC使用者与对照组相比的静息状态功能连接(rsFC)。我们的第二个目的是研究与对照组相比,SC使用者的合并症注意缺陷/多动障碍(ADHD)症状对rsFC变化的影响。方法:静息状态功能磁共振成像(fMRI)分析25例SC使用者(无ADHD 14例,合并ADHD 11例)和12例对照。结果:我们发现(i)默认模式网络(DMN)与显著性网络、背侧注意网络和扣眼-眼网络之间的rsFC较高;(ii)与对照组相比,SC使用者DMN内和DMN与视觉网络之间的rsFC较低。有ADHD的SC使用者和对照组之间没有显著差异,有ADHD的SC使用者和没有ADHD的SC使用者之间也没有显著差异。结论:我们首次发现无ADHD青少年SC使用者静息状态网络内部和网络之间存在异常的证据。相比之下,患有ADHD的SC使用者与对照组相比没有差异。这些结果表明ADHD和物质依赖的合并症可能比单独使用物质表现出不同的rsFC改变。
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引用次数: 1
Treatment of depression: Are psychotropic drugs appropriately dosed in women and in the elderly? Dosages of psychotropic drugs by sex and age in routine clinical practice 抑郁症的治疗:精神药物对女性和老年人的剂量是否合适?日常临床实践中按性别、年龄划分的精神药物剂量
IF 1.7 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2021-08-31 DOI: 10.1002/hup.2809
Waldemar Greil, Mateo de Bardeci, Johanna Seifert, Xueqiong Bernegger, Katja Cattapan, Hans Stassen, Anita L. Wagner, Marcel Sieberer, Renate Grohmann, Sermin Toto

Background

Several researchers have shown higher concentration-dose ratios of psychotropic drugs in women and the elderly. Therefore, lower dosages of psychotropic drugs may be recommended in women and the elderly. This study describes sex- and age-related dosage of psychotropic drugs prescribed to patients with major depressive disorder (MDD) in routine clinical practice.

Method

Influence of sex and age on dosages are analysed for the 10 most commonly prescribed drugs in our dataset consisting of 32,082 inpatients with MDD. Data stems from the European drug safety program “Arzneimittelsicherheit in der Psychiatrie”. The observed sex and age differences in prescriptions are compared to differences described in literature on age- and gender-related pharmacokinetics.

Results

Among patients over 65 years, a statistically significant decrease in dosages with increasing age (between 0.65% and 2.83% for each increasing year of age) was observed, except for zopiclone. However, only slight or no influence of sex-related adjustment of dosage in prescriptions was found.

Conclusion

Age appears to influence adjustment of dosage in most psychotropic drugs, but to a lower extent than data on age-related pharmacokinetics suggests. Although literature also suggests that lower dosages of psychotropic drugs may be appropriate for females, this study found women are usually prescribed the same dosage as men.

一些研究人员发现精神药物在女性和老年人中有较高的浓度剂量比。因此,建议妇女和老年人服用低剂量的精神药物。本研究描述了重度抑郁症(MDD)患者在常规临床实践中精神药物处方剂量与性别和年龄的关系。方法分析了性别和年龄对10种最常用处方药剂量的影响,该数据集包括32,082名MDD住院患者。数据来源于欧洲药物安全项目“精神病学研究”。在处方中观察到的性别和年龄差异与年龄和性别相关药代动力学文献中描述的差异进行了比较。结果在65岁以上的患者中,除佐匹克隆外,用药剂量随年龄的增加而下降(每增加一岁,用药剂量下降0.65% ~ 2.83%),具有统计学意义。然而,处方中剂量的性别调整仅轻微或没有影响。结论年龄似乎会影响大多数精神药物的剂量调整,但影响程度低于年龄相关药代动力学数据。虽然文献也表明,较低剂量的精神药物可能适合女性,但这项研究发现,女性的处方剂量通常与男性相同。
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引用次数: 2
Elevated serum levels of TNF-α, IL-6, and IL-18 in chronic methamphetamine users 慢性甲基苯丙胺使用者血清TNF-α、IL-6和IL-18水平升高
IF 1.7 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2021-08-25 DOI: 10.1002/hup.2810
Yayan Luo, Hongbo He, Yufen Ou, Yanling Zhou, Ni Fan

Objective

Chronic methamphetamine use causes aberrant changes in cytokines. Our aim was to analyze the serum levels of tumor necrosis factor α (TNF-α), interleukin (IL)-6, and IL-18 in chronic methamphetamine users. Associations between cytokines levels with the demographic properties, methamphetamine use properties, and psychiatric symptoms in chronic methamphetamine users were also evaluated.

Methods

Seventy-eight chronic methamphetamine users who did not continue methamphetamine exposure since hospitalization and 64 healthy controls were enrolled. Serum levels of TNF-α, IL-6, and IL-18 were detected using an enzyme-linked immunosorbent assay. Psychopathological symptoms of chronic methamphetamine users were evaluated by the Positive and Negative Syndrome Scale, Beck Depression Inventory (BDI), and Beck Anxiety Inventory.

Results

Serum levels of TNF-α, IL-6, and IL-18 were significantly increased in methamphetamine users who did not continue methamphetamine exposure since hospital admission (average days since last methamphetamine use = 39.06 ± 7.48) when compared to those in controls. Serum IL-6 levels showed significant positive associations with BDI score and current frequency of methamphetamine use in chronic methamphetamine users.

Conclusions

Our results suggest that increased TNF-α, IL-6, and IL-18 levels may have an important role in chronic methamphetamine use-associated psychopathological symptoms.

目的长期使用甲基苯丙胺可引起细胞因子的异常变化。我们的目的是分析慢性甲基苯丙胺使用者血清中肿瘤坏死因子α (TNF-α)、白细胞介素(IL)-6和IL-18的水平。还评估了细胞因子水平与慢性甲基苯丙胺使用者的人口统计学特征、甲基苯丙胺使用特征和精神症状之间的关系。方法选取78名住院后未继续接触甲基苯丙胺的慢性吸毒者和64名健康对照者。采用酶联免疫吸附法检测血清TNF-α、IL-6和IL-18水平。采用阳性和阴性综合征量表、贝克抑郁量表(BDI)和贝克焦虑量表对慢性甲基苯丙胺使用者的精神病理症状进行评估。结果入院后未继续接触甲基苯丙胺的甲基苯丙胺使用者(离最后一次使用甲基苯丙胺的平均天数= 39.06±7.48天)血清中TNF-α、IL-6和IL-18水平明显高于对照组。血清IL-6水平与慢性甲基苯丙胺使用者BDI评分和当前甲基苯丙胺使用频率呈显著正相关。结论TNF-α、IL-6和IL-18水平升高可能在慢性甲基苯丙胺使用相关的精神病理症状中起重要作用。
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引用次数: 9
Response efficacy and heterogeneity of antipsychotic drugs in schizophrenia: Systemic review and meta-analysis 抗精神病药物治疗精神分裂症的疗效和异质性:系统评价和荟萃分析
IF 1.7 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2021-08-21 DOI: 10.1002/hup.2808
Xin Zhang, Jia Tang, Xue Zhang, Mohamed E. A. Abdelrahim, Zubin Yin

Backgrounds

This meta-analysis aimed to assess antipsychotic and placebo effects in patients with schizophrenia at the level of symptom factors.

Methods

A systematic literature search up to June 2020 was undertaken and 62 studies were included, with 23,478 patients with schizophrenia at the study baseline point. We calculated mean differences with 95% confidence intervals. The comparison was made according to the study content using a continuous method with a random-effects model.

Results

Patients with schizophrenia treated by antipsychotic drugs had a significantly lower psychiatric rating scale total score; lower clinical global impression of severity; lower positive and negative syndrome scale; and lower assessment of negative symptoms total score, when compared to placebo treated patients.

Conclusions

Patients with schizophrenia treated with an antipsychotic drug show a much greater improvement and lower inconsistency in the level of symptom factors when compared to the effects of placebo. Our findings evidence for a comparatively homogeneous outcome of the antipsychotic-treatment in improving schizophrenia symptoms. This opposes the notion of the presence of patient sub-groups with treatment non-responsive schizophrenia.

本荟萃分析旨在评估精神分裂症患者在症状因素水平上的抗精神病药和安慰剂效果。方法系统检索截至2020年6月的文献,纳入62项研究,在研究基线点纳入23,478例精神分裂症患者。我们以95%的置信区间计算平均差异。根据研究内容,采用随机效应模型的连续方法进行比较。结果精神分裂症患者经抗精神病药物治疗后,精神科评定量表总分明显降低;较低的临床总体印象的严重程度;正、负证量表较低;与安慰剂治疗的患者相比,阴性症状的评估总分更低。结论与安慰剂相比,抗精神病药物治疗精神分裂症患者的症状因子水平明显改善,不一致性明显降低。我们的研究结果证明,抗精神病药物治疗在改善精神分裂症症状方面具有相对均匀的结果。这与治疗无反应性精神分裂症患者亚组存在的概念相反。
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引用次数: 0
Ayahuasca may help to improve self-compassion and self-criticism capacities 死藤水可能有助于提高自我同情和自我批评能力
IF 1.7 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2021-08-19 DOI: 10.1002/hup.2807
Elisabet Domínguez-Clavé, Joaquim Soler, Matilde Elices, Alba Franquesa, Enric Álvarez, Juan C. Pascual

Objective

Ayahuasca is a psychedelic brew that originated in the Amazon basin. The psychological effects of this drug are becoming better understood due to the growing research interest in identifying new potential therapeutic agents for the treatment of emotion dysregulation and other disorders. Previous studies suggest that ayahuasca enhances mindfulness-related capacities (decentering, non-judging, non-reacting and acceptance) and emotion regulation. The aim of the present exploratory study was to determine the effects of ayahuasca on self-compassion in a community sample.

Methods

We administered validated questionnaires (the Self-Compassion Scale-Short Form and Forms of Self-Criticism and Self-Reassurance) to evaluate pre-post changes in self-compassion and self-criticism/self-reassurance in 45 volunteers (27 women; 60%) before and after (≤24 h) an ayahuasca ceremony. Most participants (n = 29; 67.4%) had previously used ayahuasca.

Results

Ayahuasca resulted in significant improvements, with medium to large effect sizes (η2 = 0.184–0.276), in measures of self-compassion (p < 0.05), self-criticism (p < 0.01) and self-reassurance (p < 0.01).

Conclusions

The findings of this study suggest that ayahuasca promotes well-being and self-compassion, which could have a therapeutic effect on individuals with negative affect and other psychopathological conditions. Large, controlled studies are needed to confirm these findings.

死藤水是一种迷幻药,起源于亚马逊盆地。由于对寻找治疗情绪失调和其他疾病的新潜在治疗药物的研究兴趣日益浓厚,这种药物的心理作用正在得到更好的理解。先前的研究表明,死藤水可以增强与正念相关的能力(去中心化、不判断、不反应和接受)和情绪调节。本探索性研究的目的是确定死藤水对社区样本中自我同情的影响。方法采用自我同情量表和自我批评与自我安慰问卷对45名志愿者(女性27名;60%),死藤水仪式前后(≤24 h)。大多数参与者(n = 29;67.4%)以前使用过死藤水。结果死藤水对自我同情的测量有显著改善,有中到大的效应量(η2 = 0.184-0.276) (p <0.05),自我批评(p <0.01)和自我安慰(p <0.01)。结论死藤水具有促进幸福感和自我同情的作用,可能对具有消极情绪和其他精神病理状况的个体有治疗作用。需要大规模的对照研究来证实这些发现。
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引用次数: 7
A phase 1 double-blind, placebo-controlled study of zuranolone (SAGE-217) in a phase advance model of insomnia in healthy adults 一项在健康成人失眠的期前模型中使用祖拉诺酮(SAGE-217)的1期双盲、安慰剂对照研究
IF 1.7 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2021-08-05 DOI: 10.1002/hup.2806
Amy Bullock, Handan Gunduz-Bruce, Gary K. Zammit, Min Qin, Haihong Li, Abdul J. Sankoh, Christopher Silber, Stephen J. Kanes, Jeffrey Jonas, James Doherty

Objective

To evaluate single zuranolone (SAGE-217) 30 or 45 mg doses in a 5-h phase advance insomnia model.

Methods

In this double-blind, three-way crossover study, healthy adults received placebo (n = 41), zuranolone 30 mg (n = 44), and zuranolone 45 mg (n = 42) across three treatment periods. Sleep was assessed by polysomnography and a postsleep questionnaire. Next-day residual effects and safety/tolerability were evaluated.

Results

Compared with placebo, zuranolone resulted in significant improvements in median sleep efficiency (30 mg, 84.6%; 45 mg, 87.6%; placebo, 72.9%; p < 0.001 for both doses), wake after sleep onset (WASO; 30 mg, 55.0 min; 45 mg, 42.5 min; placebo, 113.0 min; p < 0.001 for both doses), duration of awakenings (30 mg, 4.2 min, p < 0.001; 45 mg, 3.7 min, p = 0.001; placebo, 7.4 min), and total sleep time (TST; 30 mg, 406.3 min; 45 mg, 420.3 min; placebo, 350.0 min; p < 0.001 for both doses). Subjective endpoints (WASO, TST, sleep latency, sleep quality) also improved relative to placebo. Zuranolone was generally well tolerated, and the most common adverse events (≥2 participants, any period) were headache and fatigue.

Conclusion

Zuranolone improved sleep measures versus placebo in a phase advance model of insomnia in healthy adults, supporting future studies in patients with insomnia disorder.

目的评价单次给药30或45 mg唑诺酮(SAGE-217)对5 h期提前失眠模型的影响。方法在这项双盲、三向交叉研究中,健康成人在三个治疗期间分别接受安慰剂(n = 41)、祖拉诺酮30 mg (n = 44)和祖拉诺酮45 mg (n = 42)治疗。通过多导睡眠仪和睡眠后问卷来评估睡眠。评估次日残留效应和安全性/耐受性。结果与安慰剂相比,祖拉诺酮显著改善了中位睡眠效率(30 mg, 84.6%;45 mg, 87.6%;安慰剂,72.9%;p & lt;两种剂量均为0.001),入睡后醒来(WASO;30mg, 55.0 min;45 mg, 42.5 min;安慰剂,113.0 min;p & lt;两种剂量均为0.001),觉醒持续时间(30mg, 4.2 min, p <0.001;45 mg, 3.7 min, p = 0.001;安慰剂,7.4分钟)和总睡眠时间(TST;30mg, 406.3 min;45 mg, 420.3 min;安慰剂,350.0 min;p & lt;两种剂量均为0.001)。主观终点(WASO、TST、睡眠潜伏期、睡眠质量)也比安慰剂有所改善。Zuranolone的耐受性一般良好,最常见的不良事件(≥2名参与者,任何时期)是头痛和疲劳。结论:与安慰剂相比,舒拉诺酮改善了健康成人失眠的睡眠测量,支持了失眠障碍患者的未来研究。
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引用次数: 8
A systematic review of (pre)clinical studies on the therapeutic potential and safety profile of kratom in humans 对克拉通在人类中的治疗潜力和安全性的临床(前)研究的系统回顾
IF 1.7 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2021-07-26 DOI: 10.1002/hup.2805
Elisabeth Prevete, Kim Paula Colette Kuypers, Eef Lien Theunissen, Ornella Corazza, Giuseppe Bersani, Johannes Gerardus Ramaekers

Introduction

Kratom (Mitragyna speciosa) is a tropical plant traditionally used as an ethnomedicinal remedy for several conditions in South East Asia. Despite the increased interest in its therapeutical benefits in Western countries, little scientific evidence is available to support such claims, and existing data remain limited to kratom's chronic consumption.

Objective

Our study aims to investigate (pre)clinical evidence on the efficacy of kratom as a therapeutic aid and its safety profile in humans.

Methods

A systematic literature search using PubMed and the Medline database was conducted between April and November 2020.

Results

Both preclinical (N = 57) and clinical (N = 18) studies emerged from our search. Preclinical data indicated a therapeutic value in terms of acute/chronic pain (N = 23), morphine/ethanol withdrawal, and dependence (N = 14), among other medical conditions (N = 26). Clinical data included interventional studies (N = 2) reporting reduced pain sensitivity, and observational studies (N = 9) describing the association between kratom's chronic (daily/frequent) use and safety issues, in terms of health consequences (e.g., learning impairment, high cholesterol level, dependence/withdrawal).

Conclusions

Although the initial (pre)clinical evidence on kratom's therapeutic potential and its safety profile in humans is encouraging, further validation in large, controlled clinical trials is required.

Kratom (Mitragyna speciosa)是一种热带植物,传统上用作东南亚几种疾病的民族药物。尽管西方国家对其治疗益处的兴趣越来越大,但几乎没有科学证据支持这种说法,现有的数据仍然仅限于kratom的长期消费。目的研究克拉通作为一种治疗辅助药物的疗效及其在人体中的安全性。方法于2020年4月至11月,利用PubMed和Medline数据库进行系统文献检索。结果临床前研究(N = 57)和临床研究(N = 18)均出现在我们的搜索中。临床前数据显示,在急性/慢性疼痛(N = 23)、吗啡/乙醇戒断和依赖性(N = 14)以及其他医疗条件(N = 26)方面,该药具有治疗价值。临床数据包括报告疼痛敏感性降低的介入性研究(N = 2)和描述慢性(每日/频繁)使用kratom与健康后果(如学习障碍、高胆固醇水平、依赖/戒断)安全问题之间关联的观察性研究(N = 9)。虽然关于kratom的治疗潜力及其在人类中的安全性的初步(预)临床证据令人鼓舞,但需要在大型对照临床试验中进一步验证。
{"title":"A systematic review of (pre)clinical studies on the therapeutic potential and safety profile of kratom in humans","authors":"Elisabeth Prevete,&nbsp;Kim Paula Colette Kuypers,&nbsp;Eef Lien Theunissen,&nbsp;Ornella Corazza,&nbsp;Giuseppe Bersani,&nbsp;Johannes Gerardus Ramaekers","doi":"10.1002/hup.2805","DOIUrl":"10.1002/hup.2805","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Kratom <i>(Mitragyna speciosa)</i> is a tropical plant traditionally used as an ethnomedicinal remedy for several conditions in South East Asia. Despite the increased interest in its therapeutical benefits in Western countries, little scientific evidence is available to support such claims, and existing data remain limited to kratom's chronic consumption.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Our study aims to investigate (pre)clinical evidence on the efficacy of kratom as a therapeutic aid and its safety profile in humans.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic literature search using PubMed and the Medline database was conducted between April and November 2020.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Both preclinical (<i>N</i> = 57) and clinical (<i>N</i> = 18) studies emerged from our search. Preclinical data indicated a therapeutic value in terms of acute/chronic pain (<i>N</i> = 23), morphine/ethanol withdrawal, and dependence (<i>N</i> = 14), among other medical conditions (<i>N</i> = 26). Clinical data included interventional studies (<i>N</i> = 2) reporting reduced pain sensitivity, and observational studies (<i>N</i> = 9) describing the association between kratom's chronic (daily/frequent) use and safety issues, in terms of health consequences (e.g., learning impairment, high cholesterol level, dependence/withdrawal).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Although the initial (pre)clinical evidence on kratom's therapeutic potential and its safety profile in humans is encouraging, further validation in large, controlled clinical trials is required.</p>\u0000 </section>\u0000 </div>","PeriodicalId":13030,"journal":{"name":"Human Psychopharmacology: Clinical and Experimental","volume":"37 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2021-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/hup.2805","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39224181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 25
期刊
Human Psychopharmacology: Clinical and Experimental
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