Evidence map›Paper›PMID 36890259›Full record

ReviewEuropean archives of psychiatry and clinical neuroscience2023

Esmethadone-HCl (REL-1017): a promising rapid antidepressant.

Maurizio Fava, Stephen M Stahl, Sara De Martin, Andrea Mattarei, Ezio Bettini, Stefano Comai, Andrea Alimonti, Francesco Bifari, Luca Pani, Franco Folli and 10 more

Open access · hybridAbstract readReview
In one paragraph

Review in European archives of psychiatry and clinical neuroscience, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
6.8field-weighted citation impact, top 3% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Review
  4. Psychedelics: Future Therapeutics in Major Depression?Advances in experimental medicine and biology · 2026
    Review
  5. New Antidepressant Development in the Treatment of Depression.Advances in experimental medicine and biology · 2026
    Review
  6. Advancing past ketamine: emerging glutamatergic compounds for the treatment of depression.European archives of psychiatry and clinical neuroscience · 2025
    Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. A Critical View on New and Future Antidepressants.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2024
    Review
  12. Article
  13. Natural Products Inhibition of Cytochrome P450 2B6 Activity and Methadone Metabolism.Drug metabolism and disposition: the biological fate of chemicals · 2024
    Article
  14. Review
  15. Article
  16. Ketamine and the neurobiology of depression: Toward next-generation rapid-acting antidepressant treatments.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Review
  17. New treatment strategies for mental health.European archives of psychiatry and clinical neuroscience · 2023
    Article
  18. 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

20 authors at 10 institutions in 4 countries.

Maurizio FavaDepartment of Psychiatry, Massachusetts General Hospital, Boston, MA, 02114, USA.
Stephen M StahlDepartment of Psychiatry, VAMC (SD), University of California, San Diego, La Jolla, CA, 92093, USA.
Sara De MartinDepartment of Pharmaceutical and Pharmacological Sciences, University of Padua, 35122, Padua, Italy.
Andrea MattareiDepartment of Pharmaceutical and Pharmacological Sciences, University of Padua, 35122, Padua, Italy.
Ezio BettiniIn Vitro Pharmacology Department, Aptuit, an Evotec Company, 37135, Verona, Italy.
Stefano ComaiDepartment of Pharmaceutical and Pharmacological Sciences, University of Padua, 35122, Padua, Italy.
Andrea AlimontiDepartment of Health Sciences and Technology, ETH Zurich, 8092, Zurich, Switzerland.
Francesco BifariDepartment of Medical Biotechnology and Translational Medicine, University of Milan, 20122, Milan, Italy.
Luca PaniRelmada Therapeutics, Coral Gables, FL, 33134, USA.
Franco FolliDepartment of Health Sciences, University of Milan, 20122, Milan, Italy.
Clotilde GuidettiChild and Adolescent Neuropsychiatry Unit, Department of Neuroscience, Bambino Gesù Pediatric Hospital, 00165, Rome, Italy.
Alberto FurlanDepartment of Pharmaceutical and Pharmacological Sciences, University of Padua, 35122, Padua, Italy.
Jacopo SgrignaniInstitute for Research in Biomedicine (IRB), Università della Svizzera Italiana (USI), 6500, Bellinzona, Switzerland.
Patrizia LocatelliInstitute for Research in Biomedicine (IRB), Università della Svizzera Italiana (USI), 6500, Bellinzona, Switzerland.
Andrea CavalliInstitute for Research in Biomedicine (IRB), Università della Svizzera Italiana (USI), 6500, Bellinzona, Switzerland.
Cedric O'GormanRelmada Therapeutics, Coral Gables, FL, 33134, USA.
Sergio TraversaRelmada Therapeutics, Coral Gables, FL, 33134, USA.
Charles E InturrisiRelmada Therapeutics, Coral Gables, FL, 33134, USA.
Marco PappagalloRelmada Therapeutics, Coral Gables, FL, 33134, USA.
Paolo L ManfrediRelmada Therapeutics, Coral Gables, FL, 33134, USA. pmanfredi@relmada.com.
Università della Svizzera italiana · CHUniversity of Padua · ITUniversity of Milan · ITAptuit (Italy) · ITBambino Gesù Children's Hospital · ITMassachusetts General Hospital · USMcGill University · CASIB Swiss Institute of Bioinformatics · CHUniversity of California, San Diego · USUniversity of Miami · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This review article presents select recent studies that form the basis for the development of esmethadone into a potential new drug. Esmethadone is a promising member of the pharmacological class of uncompetitive N-methyl-D-aspartate receptor (NMDAR) antagonists that have shown efficacy for major depressive disorder (MDD) and other diseases and disorders, such as Alzheimer's dementia and pseudobulbar affect. The other drugs in the novel class of NMDAR antagonists with therapeutic uses that are discussed for comparative purposes in this review are esketamine, ketamine, dextromethorphan, and memantine. We present in silico, in vitro, in vivo, and clinical data for esmethadone and other uncompetitive NMDAR antagonists that may advance our understanding of the role of these receptors in neural plasticity in health and disease. The efficacy of NMDAR antagonists as rapid antidepressants may advance our understanding of the neurobiology of MDD and other neuropsychiatric diseases and disorders.

Indexed as

Alzheimer DiseaseMajor Depressive DisorderAntidepressive AgentsExcitatory Amino Acid AntagonistsHumansMemantineAntidepressive AgentsExcitatory Amino Acid AntagonistsMemantineEsketamineEsmethadoneKetamineMajor depressive disorderN-Methyl-D-aspartate receptorREL-1017

Identifiers

PMID36890259
PMCPMC10465385
OpenAlexW4323538374

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.