Evidence map›Paper›PMID 23649882›Full record

ArticlePsychopharmacology2013

Determination of dopamine D₂ receptor occupancy by lurasidone using positron emission tomography in healthy male subjects.

Dean F Wong, Hiroto Kuwabara, James Robert Brašić, Thomas Stock, Atul Maini, Emily G Gean, Antony Loebel

Abstract read
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In one paragraph

Article in Psychopharmacology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Dopamine DNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2019
    Trial
  4. Estimation of target occupancy in repeated dosing design studies using positron emission tomography: Biases due to target upregulation.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2024
    Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Management of bipolar I depression: clinical utility of lurasidone.Therapeutics and clinical risk management · 2015
    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

7 authors.

Dean F WongDepartment of Radiology, Johns Hopkins Medical Institutions (JHMI), 601 North Caroline Street, Room JHOC 3245, Baltimore, MD 21287-0807, USA. dfwong@jhmi.edu
Hiroto Kuwabara
James Robert Brašić
Thomas Stock
Atul Maini
Emily G Gean
Antony Loebel

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

rationaleA positron emission tomography (PET) study of dopamine D₂ receptor occupancy was conducted to support a rational dose selection for clinical efficacy studies with lurasidone, an atypical antipsychotic that was approved for the treatment of schizophrenia by the FDA in late 2010.

objectivesTo determine the dopamine D₂ receptor occupancy of lurasidone in the ventral striatum, putamen and caudate nucleus, and to characterize the relationship between lurasidone serum concentration and D₂ receptor occupancy.

methodsA single oral dose of lurasidone (10, 20, 40, 60, or 80 mg) was administered sequentially to healthy male subjects (n = 4 in each cohort). Two PET scans were performed. For each scan, 20 mCi of [¹¹C]raclopride was administered intravenously as a bolus injection, followed immediately by 90 min of PET scan acquisitions.

resultsThe D₂ receptor occupancy levels were 41-43% for 10 mg, 51-55% for 20 mg, 63-67% for 40 mg, 77-84% for 60 mg, and 73-79% for 80 mg of lurasidone. The relationship between D₂ receptor occupancy and the mean serum lurasidone concentration during the PET scan (C PET) was similar for the putamen, caudate nucleus, and ventral striatum regions. Mean D₂ receptor occupancy levels correlated well with average peak serum concentration of lurasidone.

conclusionsIn healthy volunteers, single doses of lurasidone 40-80 mg resulted in D₂ receptor occupancy levels of >60%, a level of receptor occupancy previously associated with clinical response for atypical antipsychotics.

Indexed as

Positron-Emission TomographyAdolescentAdultAntipsychotic AgentsArea Under CurveBrainBrain MappingCohort StudiesDose-Response Relationship, DrugFastingHealthy VolunteersHumansIsoindolesLurasidone HydrochlorideMagnetic Resonance ImagingMaleAntipsychotic AgentsIsoindolesLurasidone HydrochlorideReceptors, Dopamine D2Thiazoles

Identifiers

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Registered trials

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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.