Evidence map›Paper›PMID 28217868›Full record

Trial reportBritish journal of clinical pharmacology2017

An anti-nicotinic cognitive challenge model using mecamylamine in comparison with the anti-muscarinic cognitive challenge using scopolamine.

Anne Catrien Baakman, Ricardo Alvarez-Jimenez, Robert Rissmann, Erica S Klaassen, Jasper Stevens, Sebastiaan C Goulooze, Jeroen C G den Burger, Eleonora L Swart, Joop M A van Gerven, Geert Jan Groeneveld

Open access · bronzeAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in British journal of clinical pharmacology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.0field-weighted citation impact, top 25% 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

11 citing papers in PubMed, 21 citations in OpenAlex.

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  6. Sex differences in neuromodulatory subcortical systems and their implications for Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    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

10 authors at 2 institutions in 1 country.

Anne Catrien BaakmanCentre for Human Drug Research, Leiden, The Netherlands.
Ricardo Alvarez-JimenezCentre for Human Drug Research, Leiden, The Netherlands.ORCID 0000-0001-7581-7566
Robert RissmannCentre for Human Drug Research, Leiden, The Netherlands.
Erica S KlaassenCentre for Human Drug Research, Leiden, The Netherlands.
Jasper StevensCentre for Human Drug Research, Leiden, The Netherlands.
Sebastiaan C GouloozeCentre for Human Drug Research, Leiden, The Netherlands.ORCID 0000-0003-3369-6107
Jeroen C G den BurgerDepartment of Clinical Pharmacology and Pharmacy, VU University Medical Center, Amsterdam, The Netherlands.
Eleonora L SwartDepartment of Clinical Pharmacology and Pharmacy, VU University Medical Center, Amsterdam, The Netherlands.
Joop M A van GervenCentre for Human Drug Research, Leiden, The Netherlands.
Geert Jan GroeneveldCentre for Human Drug Research, Leiden, The Netherlands.
Centre for Human Drug Research · NLAmsterdam UMC Location Vrije Universiteit Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe muscarinic acetylcholine receptor antagonist scopolamine is often used for proof-of-pharmacology studies with pro-cognitive compounds. From a pharmacological point of view, it would seem more rational to use a nicotinic rather than a muscarinic anticholinergic challenge to prove pharmacology of a nicotinic acetylcholine receptor agonist. This study aims to characterize a nicotinic anticholinergic challenge model using mecamylamine and to compare it to the scopolamine model.

methodsIn this double-blind, placebo-controlled, four-way cross-over trial, 12 healthy male subjects received oral mecamylamine 10 and 20 mg, intravenous scopolamine 0.5 mg and placebo. Pharmacokinetics were analysed using non-compartmental analysis. Pharmacodynamic effects were measured with a multidimensional test battery that includes neurophysiological, subjective, (visuo)motor and cognitive measurements.

resultsAll treatments were safe and well tolerated. Mecamylamine had a t

conclusionThis study demonstrated that mecamylamine causes nicotinic receptor specific temporary decline in cognitive functioning. Compared with the scopolamine model, pharmacodynamic effects were less pronounced at the dose levels tested; however, mecamylamine caused less sedation. The cognitive effects of scopolamine might at least partly be caused by sedation. Whether the mecamylamine model can be used for proof-of-pharmacology of nicotinic acetylcholine receptor agonists remains to be established.

Indexed as

AdultAttentionBrainCognitionCross-Over StudiesDouble-Blind MethodElectroencephalographyHealthy VolunteersHumansHypnotics and SedativesLearningMaleMecamylamineMuscarinic AntagonistsNicotineNicotinic AntagonistsHypnotics and SedativesMecamylamineMuscarinic AntagonistsNicotineNicotinic AntagonistsReceptors, MuscarinicReceptors, NicotinicScopolamineclinical trialsdrug developmentneuropharmacologypharmacotherapy

Identifiers

PMID28217868
PMCPMC5510063
OpenAlexW2589274836

What OpenQuestion holds

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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.