Evidence map›Paper›PMID 25430779›Full record

Trial reportNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2015

The CRH1 antagonist GSK561679 increases human fear but not anxiety as assessed by startle.

Christian Grillon, Elizabeth Hale, Lynne Lieberman, Andrew Davis, Daniel S Pine, Monique Ernst

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
1.9field-weighted citation impact, top 16% 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

31 citing papers in PubMed, 47 citations in OpenAlex.

  1. Trial
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  7. The CRF1 Antagonist Verucerfont in Anxious Alcohol-Dependent Women: Translation of Neuroendocrine, But not of Anti-Craving Effects.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2016
    Trial
  8. Neuropeptidergic systems in psychiatric disorders.Frontiers in endocrinology · 2025
    Review
  9. Article
  10. Article
  11. Review
  12. Article
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  15. Modeling anxiety in healthy humans: a key intermediate bridge between basic and clinical sciences.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2019
    Review
  16. Review
  17. Article
  18. Review
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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

6 authors at 1 institution in 1 country.

Christian GrillonSection of the Neurobiology of Fear and Anxiety, National Institute of Mental Health, Bethesda, MD, USA.
Elizabeth HaleSection of the Neurobiology of Fear and Anxiety, National Institute of Mental Health, Bethesda, MD, USA.
Lynne LiebermanSection of the Neurobiology of Fear and Anxiety, National Institute of Mental Health, Bethesda, MD, USA.
Andrew DavisSection of the Neurobiology of Fear and Anxiety, National Institute of Mental Health, Bethesda, MD, USA.
Daniel S PineSection of the Neurobiology of Fear and Anxiety, National Institute of Mental Health, Bethesda, MD, USA.
Monique ErnstSection of the Neurobiology of Fear and Anxiety, National Institute of Mental Health, Bethesda, MD, USA.
National Institute of Mental Health · US

Funding

The Psychophysiology Of Fear And AnxietyZIAMH002798 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI GRILLON, CHRISTIAN · 2009 to 2022
$29.0M
Projevt 5: Effects of the CRF1 receptor antagonist in patients w/PTSD: a plcebocoU19MH069056 · NIMH · EMORY UNIVERSITY · PI MAYBERG, HELEN S · 2003 to 2013
$15.4M
Intramural NIH HHS ZIA MH002798NIMH NIH HHS MH069056NIMH NIH HHS U19 MH069056
6 · The paper itself

Abstract

Fear to predictable threat and anxiety to unpredictable threat reflect distinct processes mediated by different brain structures, the central nucleus of the amygdala and the bed nucleus of the stria terminalis (BNST), respectively. This study tested the hypothesis that the corticotropin-releasing factor (CRF1) antagonist GSK561679 differentially reduces anxiety but increases fear in humans. A total of 31 healthy females received each of four treatments: placebo, 50 mg GSK561679 (low-GSK), 400 mg GSK561679 (high-GSK), and 1 mg alprazolam in a crossover design. Participants were exposed to three conditions during each of the four treatments. The three conditions included one in which predictable aversive shocks were signaled by a cue, a second during which shocks were administered unpredictably, and a third condition without shock. Fear and anxiety were assessed using the acoustic startle reflex. High-GSK had no effect on startle potentiation during unpredictable threat (anxiety) but increased startle potentiation during the predictable condition (fear). Low-GSK did not affect startle potentiation across conditions. Consistent with previous findings, alprazolam reduced startle potentiation during unpredictable threat but not during predictable threat. The increased fear by high-GSK replicates animal findings and suggests a lift of the inhibitory effect of the BNST on the amygdala by the CRF1 antagonist.

Indexed as

Acoustic StimulationAdultAlprazolamAnti-Anxiety AgentsAnticipation, PsychologicalAnxietyAzabicyclo CompoundsCRF Receptor, Type 1Cross-Over StudiesDose-Response Relationship, DrugDouble-Blind MethodElectroshockFearFemaleHumansNeuropsychological TestsAlprazolamAnti-Anxiety AgentsAzabicyclo CompoundsCRF Receptor, Type 1NBI 77860OxadiazolesPsychotropic DrugsReceptors, Corticotropin-Releasing Hormone

Identifiers

PMID25430779
PMCPMC4367474
OpenAlexW2037368459

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.