Evidence map›Paper›PMID 36294700›Full record

ArticleJournal of personalized medicine2022

The Vasopressin 1a Receptor Antagonist SRX246 Reduces Aggressive Behavior in Huntington's Disease.

Hilda T Maibach, Michael J Brownstein, Steven M Hersch, Karen E Anderson, Debra E Itzkowitz, Eve M Damiano, Neal G Simon

Open access · goldAbstract read
In one paragraph

Article in Journal of personalized medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 17% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Systematic Review of the Huntington's Disease Drug Development Pipeline, 2014 to 2025.Movement disorders : official journal of the Movement Disorder Society · 2026
    Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Review
  6. Discovery and evaluation of a novelActa pharmaceutica Sinica. B · 2024
    Article
  7. 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

7 authors at 4 institutions in 1 country.

Hilda T MaibachAzevan Pharmaceuticals Inc., Bethlehem, PA 18015, USA.
Michael J BrownsteinAzevan Pharmaceuticals Inc., Bethlehem, PA 18015, USA.
Steven M HerschEisai Pharmaceuticals, Nutley, NJ 07110, USA.ORCID 0000-0001-5948-6672
Karen E AndersonDepartment of Psychiatry and Department of Neurology, Medstar Georgetown University Hospital, Washington, DC 20007, USA.
Debra E ItzkowitzAzevan Pharmaceuticals Inc., Bethlehem, PA 18015, USA.
Eve M DamianoAzevan Pharmaceuticals Inc., Bethlehem, PA 18015, USA.
Neal G SimonAzevan Pharmaceuticals Inc., Bethlehem, PA 18015, USA.
Azevan Pharmaceuticals (United States) · USGeorgetown University · USLehigh University · USMassachusetts General Hospital · US

Funding

Clinical Coordinating Center Network of Excellence in Neuroscience Clinical TrialU01NS077179 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI Merit E CUDKOWICZ, Aleksandar Videnovic · 2011 to 2026
$43.4M
Network of Excellence in Neuroscience Clinical Trials (NEXT)-DCCU01NS077352 · NINDS · UNIVERSITY OF IOWA · PI CHRISTOPHER S. COFFEY · 2011 to 2026
$28.1M
Tolerability of SRX246 in Huntington's Disease PatientsU44NS090616 · NINDS · AZEVAN PHARMACEUTICALS, INC. · PI BROWNSTEIN, MICHAEL J, COFFEY, CHRISTOPHER S. · 2015 to 2018
$5.6M
NINDS NIH HHS U01 NS077179NINDS NIH HHS U01 NS077352NINDS NIH HHS U44 NS090616NINDS NIH HHS U44NS090616
6 · The paper itself

Abstract

SRX246, an orally available CNS penetrant vasopressin (VP) V1a receptor antagonist, was studied in Huntington's disease (HD) patients with irritability and aggressive behavior in the exploratory phase 2 trial, Safety, Tolerability, and Activity of SRX246 in Irritable HD patients (STAIR). This was a dose-escalation study; subjects received final doses of 120 mg BID, 160 mg BID, or placebo. The compound was safe and well tolerated. In this paper, we summarize the results of exploratory analyses of measures of problematic behaviors, including the Cohen-Mansfield Agitation Inventory (CMAI), Aberrant Behavior Checklist (ABC), Problem Behaviors Assessment-short form (PBA-s), Irritability Scale (IS), Clinical Global Impression (CGI), HD Quality of Life (QoL), and Caregiver Burden questionnaires. In addition to these, we asked subjects and caregivers to record answers to short questions about mood, irritability, and aggressive conduct in an eDiary. STAIR was the first rigorously designed study of behavioral endpoints like these in HD. The exploratory analyses showed that SRX246 reduced aggressive acts. Readily observed behaviors should be used as trial endpoints.

Indexed as

aggressionHuntington’s diseaseirritabilityvasopressin 1a receptor antagonist

Identifiers

PMID36294700
PMCPMC9605366
OpenAlexW4296848543

What OpenQuestion holds

Textmetadata
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.