Evidence map›Paper›PMID 26585287›Full record

Trial reportNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2016

A Selective Nociceptin Receptor Antagonist to Treat Depression: Evidence from Preclinical and Clinical Studies.

Anke Post, Trevor S Smart, Judith Krikke-Workel, Gerard R Dawson, Catherine J Harmer, Michael Browning, Kimberley Jackson, Rishi Kakar, Richard Mohs, Michael Statnick and 4 more

Erratum issuedOpen access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 4% 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

50 citing papers in PubMed, 1 synthesis or guideline pooled it, 98 citations in OpenAlex.

  1. Pooled it
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  5. Article
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  7. Early effects of a novel 5-HTThe British journal of psychiatry : the journal of mental science · 2026
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  11. LY2940094, an NOPR antagonist, promotes oligodendrocyte generation and myelin recovery in an NOPR independent manner.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2024
    Article
  12. Article
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  20. Activation of the nociceptin/orphanin-FQ receptor promotes NREM sleep and EEG slow wave activity.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 3 countries.

Anke PostLilly UK, Windlesham, Surrey, UK.
Trevor S SmartLilly UK, Windlesham, Surrey, UK.
Judith Krikke-WorkelEli Lilly, Netherlands.
Gerard R DawsonP1vital Limited, Oxfordshire, UK.
Catherine J HarmerUniversity of Oxford, Oxford, UK.
Michael BrowningP1vital Limited, Oxfordshire, UK.ORCID 0000-0001-9108-3144
Kimberley JacksonLilly UK, Windlesham, Surrey, UK.
Rishi KakarInnovative Clinical Research-SICR, Ft. Lauderdale, FL, USA.
Richard MohsNeuroscience Research, Eli Lilly and Company, Indianapolis, IN, USA.
Michael StatnickNeuroscience Research, Eli Lilly and Company, Indianapolis, IN, USA.
Keith WaffordLilly UK, Windlesham, Surrey, UK.
Andrew McCarthyLilly UK, Windlesham, Surrey, UK.
Vanessa BarthNeuroscience Research, Eli Lilly and Company, Indianapolis, IN, USA.
Jeffrey M WitkinNeuroscience Research, Eli Lilly and Company, Indianapolis, IN, USA.
Eli Lilly (United States) · USUniversity of Oxford · GBEli Lilly (Netherlands) · NLInnovative Clinical Research · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nociceptin/Orphanin FQ (N/OFQ) is an endogenous ligand of the N/OFQ peptide (NOP) receptor, which is a G protein-coupled receptor in brain regions associated with mood disorders. We used a novel, potent, and selective orally bioavailable antagonist, LY2940094, to test the hypothesis that blockade of NOP receptors would induce antidepressant effects. In this study we demonstrate that targeting NOP receptors with LY2940094 translates to antidepressant-like effects in rodent models and, importantly, to antidepressant efficacy in patients with major depressive disorder (MDD). The proof-of-concept study (POC) was an 8-week, double-blind, placebo-controlled trial that evaluated LY2940094 as a novel oral medication for the treatment of patients with MDD. Once daily oral dosing of LY2940094 at 40 mg for 8 weeks vs placebo provided some evidence for an antidepressant effect based on the change from baseline to week 8 in the GRID-Hamilton Depression Rating Scale-17 item total score, although the predefined POC efficacy criterion (probability of LY2940094 being better than placebo⩾88%) was not met (82.9%). LY2940094 also had an early effect on the processing of emotional stimuli at Week 1 as shown by an increased recognition of positive relative to negative facial expressions in an emotional test battery. LY2940094 was safe and well tolerated. Overall, these are the first human data providing evidence that the blockade of NOP receptor signaling represents a promising strategy for the treatment of MDD.

Indexed as

AdolescentAdultAgedAnimalsAnti-Anxiety AgentsChlordiazepoxideDepressionDisease Models, AnimalDouble-Blind MethodEye MovementsFemaleFollow-Up StudiesHumansMaleMiceMiddle AgedAnti-Anxiety AgentsChlordiazepoxideLY2940094Narcotic AntagonistsNociceptin ReceptorPyransReceptors, OpioidSpiro Compounds

Identifiers

PMID26585287
PMCPMC4869049
OpenAlexW4236025940

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.