Evidence map›Paper›PMID 32946574›Full record

Trial reportThe Journal of clinical endocrinology and metabolism2020

Pharmacodynamic Activity of the Novel Neurokinin-3 Receptor Antagonist SJX-653 in Healthy Men.

Richard A Anderson, Jennifer Cormier, Ruth Thieroff-Ekerdt, Malcolm Boyce, Frans van den Berg, Daniel Grau, David Turnquist, Deya Corzo, Philip Graham

Open access · hybridAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in The Journal of clinical endocrinology and metabolism, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

2 citing papers in PubMed, 15 citations in OpenAlex.

  1. Review
  2. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Richard A AndersonMRC Centre for Reproductive Health, University of Edinburgh, Edinburgh, UK.
Jennifer CormierSojournix, Inc., Waltham, Massachusetts.
Ruth Thieroff-EkerdtSojournix, Inc., Waltham, Massachusetts.
Malcolm BoyceHammersmith Medicines Research, London, UK.
Frans van den BergHammersmith Medicines Research, London, UK.
Daniel GrauSojournix, Inc., Waltham, Massachusetts.
David TurnquistSojournix, Inc., Waltham, Massachusetts.
Deya CorzoSojournix, Inc., Waltham, Massachusetts.
Philip GrahamSojournix, Inc., Waltham, Massachusetts.
Hammersmith Medicines Research · GBMRC Centre for Reproductive Health · GB

Funding

Medical Research Council MR/N022556/1
6 · The paper itself

Abstract

contextSJX-653 is a novel neurokinin 3 receptor (NK3R) antagonist. The NK3 pathway is a central regulator of gonadotropin releasing hormone (GnRH) secretion and has also been implicated in the generation of hot flashes. Therefore, decreases of luteinizing hormone (LH) and testosterone in men serve as sensitive pharmacodynamic (PD) markers of central NK3 antagonism.

objectiveTo characterize the safety, tolerability, pharmacokinetics, and pharmacodynamic activity of SJX-653 in healthy men.

designA randomized, placebo-controlled, double-blind, single ascending dose study.

settingPhase 1 unit. PATIENTS OR OTHER

participantsSeven cohorts of 6 healthy men 18-45 years of age (4:2 randomization to SJX-653/placebo per cohort). INTERVENTION(S): Single oral doses of 0.5-90 mg SJX-653. MAIN OUTCOME MEASURE(S): Safety assessments and serial pharmacokinetic (PK)/PD measurements.

resultsSJX-653 was well tolerated at all dose levels. Cmax and AUC0-24 increased in a dose-proportional manner. The terminal elimination half-life ranged between 9.8 and 12.5 hours independent of dose. A statistically significant, dose-dependent, reversible reduction of LH and testosterone was observed with near maximal effect after 15 mg and little to no effect at 4.5 mg. Maximal LH reduction was 70 ± 7% (mean ± sd) at 6 hours after 30 mg SJX-653 versus 10 ± 43% for placebo (P = 0.0006); maximal T reduction was of 68 ± 5% at 8 hours after 60 mg SJX-653 versus 18 ± 11% for placebo (P < 0.0001). The plasma IC50 for LH reduction was 33 ng/mL.

conclusionsThese data demonstrate clinical proof-of-mechanism for SJX-653 as a potent centrally-acting NK3R antagonist.

Indexed as

AdolescentAdultCohort StudiesDose-Response Relationship, DrugDouble-Blind MethodHealthy VolunteersHormone AntagonistsHumansMaleMiddle AgedOrganic ChemicalsReceptors, Neurokinin-3Young AdultHormone AntagonistsOrganic ChemicalsReceptors, Neurokinin-3SJX-653KNDy neuronLHneurokininNK3 antagonistpharmacodynamicstestosterone

Identifiers

PMID32946574
PMCPMC7571451
OpenAlexW3087196123

What OpenQuestion holds

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LicenceCC BY
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.