Evidence map›Paper›PMID 20728875›Full record

Trial reportBiological psychiatry2011

Effects of an alpha 7-nicotinic agonist on default network activity in schizophrenia.

Jason R Tregellas, Jody Tanabe, Donald C Rojas, Shireen Shatti, Ann Olincy, Lynn Johnson, Laura F Martin, Ferenc Soti, William R Kem, Sherry Leonard and 1 more

Abstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Biological psychiatry, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 1 pooled it
7.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 1 synthesis or guideline pooled it, 105 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. A randomized exploratory trial of an α-7 nicotinic receptor agonist (TC-5619) for cognitive enhancement in schizophrenia.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2013
    Trial
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Characteristic changes in the default mode network in hypertensive patients with cognitive impairment.Hypertension research : official journal of the Japanese Society of Hypertension · 2019
    Article
  13. Alpha7 Nicotinic Receptors as Therapeutic Targets in Schizophrenia.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2019
    Review
  14. Therapeutic Applications of Nicotinic Stimulation: Successes, Failures, and Future Prospects.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2019
    Article
  15. Cognitive Control, the Anterior Cingulate, and Nicotinic Receptors: A Case of Heterozygote Advantage.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2018
    Article
  16. Venom based neural modulators.Experimental and therapeutic medicine · 2018
    Article
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 1 country.

Jason R TregellasDepartment of Psychiatry, Denver VA Medical Center, VISN19 MIRECC, Colorado, USA. Jason.tregellas@ucdenver.edu
Jody Tanabe
Donald C Rojas
Shireen Shatti
Ann Olincy
Lynn Johnson
Laura F Martin
Ferenc Soti
William R Kem
Sherry Leonard
Robert Freedman
Mental Illness Research, Education and Clinical Centers · USUniversity of Colorado Denver · USUniversity of Florida · USVA Rocky Mountain Network · USDenver VA Medical Center · US

Funding

STATISTICAL GENETICS AND TREATMENT ANALYSISP50MH086383 · NIMH · UNIVERSITY OF COLORADO DENVER · PI FREEDMAN, ROBERT R · 2009 to 2013
$10.6M
Nicotinic Agonist in ShizophreniaR01MH061412 · NIMH · UNIVERSITY OF COLORADO DENVER · PI FREEDMAN, ROBERT · 2001 to 2010
$3.6M
Neural Correlates of Avoidance Learning in Substance AbuseR01DA027748 · NIDA · UNIVERSITY OF COLORADO DENVER · PI TANABE, JODY L · 2009 to 2013
$1.9M
Frontal Striatal Activity During Decision Making in Substance AbuseR21DA024104 · NIDA · UNIVERSITY OF COLORADO DENVER · PI TANABE, JODY L · 2008 to 2009
$434k
NIDA NIH HHS DA-027748NIDA NIH HHS DA-24104NIDA NIH HHS R01 DA027748NIDA NIH HHS R21 DA024104NIMH NIH HHS MH-061412NIMH NIH HHS MH-086383NIMH NIH HHS P50 MH086383NIMH NIH HHS R01 MH061412
6 · The paper itself

Abstract

background3-(2,4-dimethoxybenzylidene)-anabaseine (DMXB-A) is a partial agonist at α7 nicotinic acetylcholine receptors that has been evaluated clinically for treatment of schizophrenia. This study examined the effects of DMXB-A on default network activity as a biomarker for drug effects on pathologic brain function associated with schizophrenia.

methodsPlacebo and two doses of DMXB-A were administered in a random, double-blind crossover design during a Phase 2 study of DMXB-A. Functional magnetic resonance imaging was performed on 16 nonsmoking patients with schizophrenia while they performed a simple eye movement task. Independent component analysis was used to identify the default network component. Default network changes were evaluated in the context of a polymorphism in CHRNA7, the α7-nicotinic acetylcholine receptor subunit gene, which was previously found to be associated with schizophrenia.

resultsCompared with placebo, both 150 and 75 mg twice daily DMXB-A altered default network activity, including a reduction in posterior cingulate, inferior parietal cortex, and medial frontal gyrus activity and an increase in precuneus activity. The most robust difference, posterior cingulate activity reduction, was affected by CHRNA7 genotype.

conclusionsThe observed DMXB-A-related changes are consistent with improved default network function in schizophrenia. Pharmacogenetic analysis indicates mediation of the effect through the α7-nicotinic receptor. These results further implicate nicotinic cholinergic dysfunction in the disease and suggest that default network activity may be a useful indicator of biological effects of novel therapeutic agents.

Indexed as

Adultalpha7 Nicotinic Acetylcholine ReceptorBenzylidene CompoundsBrainBrain MappingCognition DisordersDose-Response Relationship, DrugEye MovementsFemaleGenotypeHumansMagnetic Resonance ImagingMaleMiddle AgedNeural PathwaysNicotinic Agonists3-(2,4-dimethoxybenzylidene)anabaseinealpha7 Nicotinic Acetylcholine ReceptorBenzylidene CompoundsChrna7 protein, humanNicotinic AgonistsPyridinesReceptors, Nicotinic

Identifiers

PMID20728875
PMCPMC3005969
OpenAlexW1991156290

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.