Evidence map›Paper›PMID 30807663›Full record

Trial reportPsychophysiology2020

Psychophysiological treatment outcomes: Corticotropin-releasing factor type 1 receptor antagonist increases inhibition of fear-potentiated startle in PTSD patients.

Tanja Jovanovic, Erica J Duncan, Joanna Kaye, Kristie Garza, Seth D Norrholm, Sabra S Inslicht, Thomas C Neylan, Sanjay J Mathew, Dan Iosifescu, Barbara O Rothbaum and 2 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychophysiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

15 citing papers in PubMed, 33 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. The METEMP protocol: Massed exposure therapy enhanced with MDMA for PTSD.Contemporary clinical trials communications · 2025
    Article
  5. Neuropeptidergic systems in psychiatric disorders.Frontiers in endocrinology · 2025
    Review
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  7. Review
  8. Article
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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

12 authors at 8 institutions in 1 country.

Tanja JovanovicDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia.
Erica J DuncanDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia.
Joanna KayeDepartment of Psychology, Drexel University, Philadelphia, Pennsylvania.
Kristie GarzaNeuroscience Program, Graduate Division of Biological and Biomedical Sciences, Emory University, Atlanta, Georgia.
Seth D NorrholmDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia.
Sabra S InslichtDepartment of Psychiatry, University of California San Francisco and San Francisco Veterans Affairs Medical Center, San Francisco, California.
Thomas C NeylanDepartment of Psychiatry, University of California San Francisco and San Francisco Veterans Affairs Medical Center, San Francisco, California.
Sanjay J MathewDepartment of Psychiatry and Behavioral Sciences, Baylor College of Medicine and Michael E. Debakey Veterans Affairs Medical Center, Houston, Texas.
Dan IosifescuDepartment of Psychiatry, NYU Langone School of Medicine, New York, New York.
Barbara O RothbaumDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia.
Helen S MaybergDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia.
Boadie W DunlopDepartment of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia.
Emory University · USBaylor College of Medicine · USDrexel University · USIcahn School of Medicine at Mount Sinai · USNew York University · USSan Francisco VA Medical Center · USUniversity of California, San Francisco · USVeterans Health Administration · US

Funding

Projevt 5: Effects of the CRF1 receptor antagonist in patients w/PTSD: a plcebocoU19MH069056 · NIMH · EMORY UNIVERSITY · PI BINDER, ELIZABETH · 2003 to 2013
$15.4M
Neural Correlates of Loss Aversion in Major DepressionK23MH086690 · NIMH · EMORY UNIVERSITY · PI DUNLOP, BOADIE W · 2009 to 2011
$521k
Fear inhibition in posttraumatic stress disorderF32MH070129 · NIMH · EMORY UNIVERSITY · PI JOVANOVIC, TANJA · 2004 to 2006
$149k
NIH HHS U19 MH069056NIMH NIH HHS F32 MH070129NIMH NIH HHS K23 MH086690NIMH NIH HHS U19 MH069056
6 · The paper itself

Abstract

After exposure to a traumatic event, a subset of people develop post-traumatic stress disorder (PTSD). One of the key deficits in PTSD is regulation of fear, and impaired inhibition of fear-potentiated startle (FPS) has been identified as a potential physiological biomarker specific to PTSD. As part of a larger clinical trial, this study investigated the effects of a CRF receptor 1 antagonist, GSK561679, on inhibition of fear-potentiated startle during a conditional discrimination fear-conditioning paradigm, termed AX+/BX-. Prior research using this paradigm has demonstrated deficits in inhibition of conditioned fear in several PTSD populations. The randomized, double-blind, placebo-controlled clinical trial compared fear inhibition between female PTSD participants taking 350 mg/day GSK561679 (n = 47 pre- and 29 post-treatment) and patients taking a placebo pill (n = 52 pre- and 30 post-treatment) daily for 6 weeks. There was no significant difference between the two groups in their acquisition of fear or discrimination between threat and safety cues, and no pre-post-treatment effect on these measures. However, there was a significant effect of treatment on inhibition of FPS during the AB trials in the AX+/BX- transfer test (p < 0.05). While all PTSD participants showed typical impairments in fear inhibition prior to treatment, GSK561679 enhanced fear inhibition post-treatment, independent of clinical effects. The current study suggests that CRF receptor 1 antagonism may have specific effects within neural circuitry mediating fear inhibition responses, but not overall symptom presentation, in PTSD.

Indexed as

Inhibition, PsychologicalAdultAzabicyclo CompoundsConditioning, ClassicalCRF Receptor, Type 1Double-Blind MethodFearFemaleHumansMiddle AgedOxadiazolesReceptors, Corticotropin-Releasing HormoneReflex, StartleStress Disorders, Post-TraumaticTreatment OutcomeAzabicyclo CompoundsCRF Receptor, Type 1NBI 77860OxadiazolesReceptors, Corticotropin-Releasing Hormoneconditioningfear conditioningpsychiatricpsychopathologystartle blinkstress

Identifiers

PMID30807663
PMCPMC6710166
OpenAlexW2916138860

What OpenQuestion holds

Textmetadata
LicenceTDM
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.