Evidence map›Paper›PMID 26758281›Full record

Trial reportPsychopharmacology2016

Effects of the potential lithium-mimetic, ebselen, on brain neurochemistry: a magnetic resonance spectroscopy study at 7 tesla.

Charles Masaki, Ann L Sharpley, Beata R Godlewska, Adam Berrington, Tasuku Hashimoto, Nisha Singh, Sridhar R Vasudevan, Uzay E Emir, Grant C Churchill, Philip J Cowen

2 registry-linked trialsOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychopharmacology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
5.4field-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.

NCT03013400 phase2completednot on this mapstarted 2017, after this paper: background citation

A Randomised, Parallel Group, Double Blind, Placebo Controlled, Add on Clinical Trial to Investigate Whether the Lithium Mimetic, Ebselen, Can Reduce Symptoms of Hypomania and Mania in Bipolar Patients

TypeinterventionalSponsorUniversity of OxfordRan2017 to 2019Enrolled60ConditionsBipolar Disorder, Bipolar Disorder, ManicArmsEbselen, Placebo oral capsule
NCT05117710 phase1unknown statusnot on this mapstarted 2021, after this paper: background citation

Does the IMPase Inhibitor, Ebselen, Affect Emotional Processing and Brain Myo-inositol in Treatment-resistant Depression?

TypeinterventionalSponsorUniversity of OxfordRan2021 to 2024Enrolled50ConditionsDepressive Disorder, Treatment-ResistantArmsEbselen, Placebo
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

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  15. The Potential Use of Ebselen in Treatment-Resistant Depression.Pharmaceuticals (Basel, Switzerland) · 2022
    Review
  16. Review
  17. NRM 2021 Abstract Booklet.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2021
    Article
  18. Review
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  20. Frontiers in psychiatry · 2021
    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 4 institutions in 1 country.

Charles MasakiDepartment of Psychiatry, Warneford Hospital, University of Oxford, Oxford, OX3 7JX, UK.
Ann L SharpleyDepartment of Psychiatry, Warneford Hospital, University of Oxford, Oxford, OX3 7JX, UK.
Beata R GodlewskaDepartment of Psychiatry, Warneford Hospital, University of Oxford, Oxford, OX3 7JX, UK.
Adam BerringtonThe Oxford Centre for Functional MRI of the Brain, Nuffield Department of Clinical Neurosciences, John Radcliffe Hospital, University of Oxford, Oxford, OX3 9DU, UK.
Tasuku HashimotoDepartment of Psychiatry, Warneford Hospital, University of Oxford, Oxford, OX3 7JX, UK.
Nisha SinghDepartment of Pharmacology, University of Oxford, Mansfield Road, Oxford, OX1 3QT, UK.
Sridhar R VasudevanDepartment of Pharmacology, University of Oxford, Mansfield Road, Oxford, OX1 3QT, UK.
Uzay E EmirThe Oxford Centre for Functional MRI of the Brain, Nuffield Department of Clinical Neurosciences, John Radcliffe Hospital, University of Oxford, Oxford, OX3 9DU, UK.
Grant C ChurchillDepartment of Pharmacology, University of Oxford, Mansfield Road, Oxford, OX1 3QT, UK.
Philip J CowenDepartment of Psychiatry, Warneford Hospital, University of Oxford, Oxford, OX3 7JX, UK. phil.cowen@psych.ox.ac.uk.
Warneford Hospital · GBUniversity of Oxford · GBJohn Radcliffe Hospital · GBWellcome Centre for Human Neuroimaging · GB

Funding

Medical Research Council MR/K022202/1
6 · The paper itself

Abstract

rationaleLithium is an effective treatment for bipolar disorder, but safety issues complicate its clinical use. The antioxidant drug, ebselen, may be a possible lithium-mimetic based on its ability to inhibit inositol monophosphatase (IMPase), an action which it shares with lithium.

objectivesOur primary aim was to determine whether ebselen lowered levels of inositol in the human brain. We also assessed the effect of ebselen on other brain neurometabolites, including glutathione, glutamate, glutamine, and glutamate + glutamine (Glx)

methodsTwenty healthy volunteers were tested on two occasions receiving either ebselen (3600 mg over 24 h) or identical placebo in a double-blind, random-order, crossover design. Two hours after the final dose of ebselen/placebo, participants underwent proton magnetic resonance spectroscopy ((1)H MRS) at 7 tesla (T) with voxels placed in the anterior cingulate and occipital cortex. Neurometabolite levels were calculated using an unsuppressed water signal as a reference and corrected for individual cerebrospinal fluid content in the voxel.

resultsEbselen produced no effect on neurometabolite levels in the occipital cortex. In the anterior cingulate cortex, ebselen lowered concentrations of inositol (p = 0.028, Cohen's d = 0.60) as well as those of glutathione (p = 0.033, d = 0.58), glutamine (p = 0.024, d = 0.62), glutamate (p = 0.01, d = 0.73), and Glx (p = 0.001, d = 1.0).

conclusionsThe study suggests that ebselen produces a functional inhibition of IMPase in the human brain. The effect of ebselen to lower glutamate is consistent with its reported ability to inhibit the enzyme, glutaminase. Ebselen may have potential as a repurposed treatment for bipolar disorder.

Indexed as

AdultAzolesCross-Over StudiesDouble-Blind MethodFemaleGlutamic AcidGlutamineGyrus CinguliHumansInositolIsoindolesMagnetic Resonance ImagingMagnetic Resonance SpectroscopyMaleOccipital LobeOrganoselenium CompoundsAzolesebselenGlutamic AcidGlutamineInositolIsoindolesOrganoselenium CompoundsBipolar disorderEbselenGlutamateInositolMagnetic resonance spectroscopy

Identifiers

PMID26758281
PMCPMC4759215
OpenAlexW2234573846

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.