Evidence map›Paper›PMID 26143299›Full record

ArticleDrug and alcohol dependence2015

Acute oral administration of the novel, competitive and selective glucocorticoid receptor antagonist ORG 34517 reduces the severity of ethanol withdrawal and related hypothalamic-pituitary-adrenal axis activation.

Anna R Reynolds, Meredith A Saunders, Honoree' W Brewton, Sydney R Winchester, Ibrahim S Elgumati, Mark A Prendergast

Registry-linked trialAbstract read
In one paragraph

Article in Drug and alcohol dependence, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03548714 (PT150), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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.

NCT03548714 phase1completednot on this mapstarted 2018, after this paper: background citation

PT150 (Formerly ORG34517) as a Potential Treatment for Alcohol Dependence-Alcohol Interaction Study

TypeinterventionalSponsorPop Test Oncology LLCRan2018 to 2019Enrolled10ConditionsAlcohol Dependence, Alcohol InteractionArmsPT150, Beverage
3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

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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.

Anna R ReynoldsUniversity of Kentucky, Department of Psychology, United States; University of Kentucky, Spinal Cord and Brain Injury Research Center, United States.
Meredith A SaundersUniversity of Kentucky, Department of Psychology, United States; University of Kentucky, Spinal Cord and Brain Injury Research Center, United States.
Honoree' W BrewtonUniversity of Kentucky, Department of Psychology, United States; University of Kentucky, Spinal Cord and Brain Injury Research Center, United States.
Sydney R WinchesterUniversity of Kentucky, Department of Psychology, United States; University of Kentucky, Spinal Cord and Brain Injury Research Center, United States.
Ibrahim S ElgumatiUniversity of Kentucky, Department of Psychology, United States; University of Kentucky, Spinal Cord and Brain Injury Research Center, United States.
Mark A PrendergastUniversity of Kentucky, Department of Psychology, United States; University of Kentucky, Spinal Cord and Brain Injury Research Center, United States. Electronic address: prender@uky.edu.

Funding

Research Training in Drug Abuse BehaviorT32DA035200 · NIDA · UNIVERSITY OF KENTUCKY · PI CRAIG R RUSH, William Walton Stoops · 2013 to 2026
$4.4M
Training in Drug Abuse Related Research.T32DA016176 · NIDA · UNIVERSITY OF KENTUCKY · PI DWOSKIN, LINDA P · 2004 to 2020
$4.0M
Hippocamppal neurotoxicity induced by ethanol withdrawalR01AA013388 · NIAAA · UNIVERSITY OF KENTUCKY · PI PRENDERGAST, MARK A · 2003 to 2013
$2.8M
Hippocampal neurotoxicity induced by ethanol withdrawalR56AA013388 · NIAAA · UNIVERSITY OF KENTUCKY · PI PRENDERGAST, MARK A · 2008 to 2008
$334k
NIAAA NIH HHS AA013388NIAAA NIH HHS R01 AA013388NIAAA NIH HHS R56 AA013388NIDA NIH HHS T32 DA016176NIDA NIH HHS T32 DA035200NIDA NIH HHS T32DA035200
6 · The paper itself

Abstract

backgroundThe development of ethanol dependence is associated with alterations in hypothalamic-pituitary-adrenal (HPA) axis and activation of type II glucocorticoid receptors (GR). These effects may contribute to withdrawal-associated anxiety, craving and relapse to drinking. The present studies examined acute and oral administration of the novel, selective and competitive GR antagonist ORG 34517 on the severity of ethanol withdrawal.

methodsAdult, male Sprague-Dawley rats were administered ethanol (4g/kg/i.g.) twice daily for 5 days followed by 2 days of withdrawal for 1, 2 or 3 consecutive cycles. Blood ethanol levels (BELs) were determined at 0930 on Day 4 of each week, while blood corticosterone levels (BCLs) were obtained at 11:00hours on the first day of each ethanol withdrawal. During early withdrawal, subjects received oral administration of ORG 345617 (60mg/kg/i.g.) or a placebo and withdrawal was monitored.

resultsPeak BELs of 225.52mg/dl were observed during the third week. Withdrawal from three cycles of the regimen produced marked behavioral abnormalities (e.g., aggression, rigidity, and hypoactivity) and significant increases in BCLs of ethanol-dependent subjects. Acute, oral administration of ORG 34517 during early withdrawal significantly reduced both the severity of ethanol withdrawal, as reflected in reduced rigidity, aggression, and hypoactivity, and elevations in BCL without producing any sedative-like effects.

conclusionsThe present findings demonstrate that repeated ethanol exposure and withdrawal is associated with significant behavioral abnormalities and dysregulation of HPA axis activation. Further these data suggest that selective GR antagonists should be further considered as putative pharmacotherapies for treatment of ethanol dependence.

Indexed as

Administration, OralAlcohol DrinkingAlcoholismAnimalsBenzodioxolesCorticosteroneEthanolHypothalamo-Hypophyseal SystemMalePituitary-Adrenal SystemPsychoses, Substance-InducedRatsReceptors, GlucocorticoidSteroidsSubstance Withdrawal SyndromeBenzodioxolesCorticosteroneEthanolOrg 34517Receptors, GlucocorticoidSteroidsDependenceEthanolGlucocorticoidHypothalamic–pituitary–adrenal-axisWithdrawal

Identifiers

PMID26143299
PMCPMC4536150

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Registered trials

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.