Evidence map›Paper›PMID 21748252›Full record

Trial reportPsychopharmacology2012

Efficacy and safety of the novel α₄β₂ neuronal nicotinic receptor partial agonist ABT-089 in adults with attention-deficit/hyperactivity disorder: a randomized, double-blind, placebo-controlled crossover study.

George Apostol, Walid Abi-Saab, Christopher J Kratochvil, Lenard A Adler, Weining Z Robieson, Laura M Gault, Yili L Pritchett, David Feifel, Michelle A Collins, Mario D Saltarelli

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Psychopharmacology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.9field-weighted citation impact, top 6% 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

21 citing papers in PubMed, 51 citations in OpenAlex.

  1. Trial
  2. A randomized, double-blind, placebo-controlled phase 2 study of α4β2 agonist ABT-894 in adults with ADHD.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2013
    Trial
  3. Review
  4. Review
  5. Review
  6. Review
  7. Behavioral-Cognitive Targets for Cholinergic Enhancement.Current opinion in behavioral sciences · 2015
    Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. ABT-089 and ABT-894 reduce levodopa-induced dyskinesias in a monkey model of Parkinson's disease.Movement disorders : official journal of the Movement Disorder Society · 2014
    Article
  15. Review
  16. Article
  17. CNTRICS final animal model task selection: control of attention.Neuroscience and biobehavioral reviews · 2013
    Review
  18. Cholinergic control over attention in rats prone to attribute incentive salience to reward cues.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2013
    Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 2 countries.

George ApostolAbbott, 100 Abbott Park Road, Abbott Park, IL 60064, USA.
Walid Abi-Saab
Christopher J Kratochvil
Lenard A Adler
Weining Z Robieson
Laura M Gault
Yili L Pritchett
David Feifel
Michelle A Collins
Mario D Saltarelli
Abbott Fund · USNew York University · USNovartis (Switzerland) · CHTakeda (United States) · USUniversity of California San Diego Medical Center · USUniversity of Nebraska Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

rationaleα(4)β(2) Neuronal nicotinic receptors (NNRs) are implicated in the pathophysiology of attention-deficit/hyperactivity disorder (ADHD).

objectivesThis study examined the efficacy and safety of the α(4)β(2) NNR partial agonist ABT-089 versus placebo in adults with ADHD.

methodsIn this multicenter, randomized, double-blind, placebo-controlled crossover study, subjects received placebo followed by ABT-089 (2 mg once daily [QD], 5 mg QD, 15 mg QD, 40 mg QD, or 40 mg twice daily [BID]), or vice versa, in a 2 × 2 crossover design. Each treatment period was 4 weeks, separated by a 2-week washout period. The primary efficacy endpoint was the Conners' Adult ADHD Rating Scale-Investigator Rated (CAARS:Inv) total score at the end of each treatment period. Secondary outcomes based on clinician- and self-rated efficacy scales were evaluated.

resultsOf the 221 subjects enrolled, 171 met criteria for inclusion in the completers dataset for efficacy analyses. ABT-089 was superior to placebo on the CAARS:Inv total score at 40 mg QD and 40 mg BID (model-based least square mean difference from placebo: -4.33, P = 0.02; -3.02, P = 0.03, respectively). ABT-089 also demonstrated significant improvements on several secondary measures of efficacy. ABT-089 was generally safe and well tolerated. The most commonly reported adverse events (≥5%) for total ABT-089-treated subjects at rates higher than placebo were headache, upper respiratory tract infection, irritability, insomnia, and nasopharyngitis.

conclusionsIn this phase 2 crossover study, the NNR partial agonist ABT-089, at doses of 40 mg QD and 40 mg BID, was efficacious and generally well tolerated in treatment of adults with ADHD.

Indexed as

Drug Partial AgonismReceptors, NicotinicAdultAttention Deficit Disorder with HyperactivityCross-Over StudiesDouble-Blind MethodFemaleHeadacheHumansIrritable MoodMaleMiddle AgedNicotinic AgonistsPyridinesPyrrolidinesTreatment OutcomeNicotinic Agonistsnicotinic receptor alpha4beta2pozaniclinePyridinesPyrrolidinesReceptors, Nicotinic

Identifiers

PMID21748252
OpenAlexW2109356111

What OpenQuestion holds

Textmetadata
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.