Evidence map›Paper›PMID 37366077›Full record

Trial reportNeuropsychopharmacology reports2023

Pharmacokinetics, safety, and tolerability of single and multiple doses of zuranolone in Japanese and White healthy subjects: A phase 1 clinical trial.

Takuhiro Sonoyama, Ryosuke Shimizu, Ryuji Kubota, Yumiko Matsuo, Daiki Okutsu, Hideki Yamanaka, Keiko Takasu, Koichi Ogawa, Tomoko Motomiya

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

Trial report in Neuropsychopharmacology reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
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

9 authors at 1 institution in 1 country.

Takuhiro SonoyamaMedical Science Department, Drug Development and Regulatory Science Division, Shionogi & Co., Ltd., Osaka, Japan.
Ryosuke ShimizuClinical Pharmacology & Pharmacokinetics, Drug Development and Regulatory Science Division, Shionogi & Co., Ltd., Osaka, Japan.
Ryuji KubotaClinical Pharmacology & Pharmacokinetics, Drug Development and Regulatory Science Division, Shionogi & Co., Ltd., Osaka, Japan.
Yumiko MatsuoClinical Pharmacology & Pharmacokinetics, Drug Development and Regulatory Science Division, Shionogi & Co., Ltd., Osaka, Japan.
Daiki OkutsuClinical Research Department, Drug Development and Regulatory Science Division, Shionogi & Co., Ltd., Osaka, Japan.
Hideki YamanakaClinical Research Department, Drug Development and Regulatory Science Division, Shionogi & Co., Ltd., Osaka, Japan.
Keiko TakasuLaboratory for Drug Discovery and Disease Research, Pharmaceutical Research Division, Shionogi & Co., Ltd., Osaka, Japan.
Koichi OgawaLaboratory for Drug Discovery and Disease Research, Pharmaceutical Research Division, Shionogi & Co., Ltd., Osaka, Japan.
Tomoko MotomiyaProject Management Department, Drug Development and Regulatory Science Division, Shionogi & Co., Ltd., Osaka, Japan.ORCID 0000-0002-2558-4263
Shionogi (Japan) · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThis phase 1 study assessed the pharmacokinetics, safety, and tolerability of zuranolone in Japanese and White healthy adults, and Japanese healthy elderly subjects.

methodsThis single-center study consisted of three parts. In Part A (randomized, double-blind), the safety, tolerability, and pharmacokinetics of single dose and 7-day consecutive multiple doses of zuranolone 10, 20, and 30 mg and placebo were assessed in 36 Japanese adults, 24 White adults, and 12 Japanese elderly (aged 65-75 years) subjects. In Part B (randomized, open-label, crossover), the effect of food intake on the pharmacokinetics and safety of single-dose zuranolone 30 mg was evaluated in 12 Japanese adults. In Part C (randomized, double-blind, crossover), the effects of single-dose zuranolone 10 and 30 mg and placebo on electroencephalography parameters were evaluated in eight Japanese adults.

resultsSingle and multiple doses of zuranolone were safe and well tolerated in all subjects. Linear pharmacokinetics were observed in the studied dose range. Time to steady-state plasma concentration was within 72 h for Japanese and White adults. Pharmacokinetic profiles were comparable between Japanese and White adults and between Japanese adults and Japanese elderly subjects. Plasma exposures of zuranolone were greater in the fed versus fasted state. Single-dose zuranolone 30 mg increased low-beta electroencephalography power.

conclusionIn healthy Japanese subjects, zuranolone was well tolerated; pharmacokinetic profile was unaffected by ethnicity or age; plasma exposures were greater in the fed state. The increased low-beta electroencephalography power with the 30-mg dose is consistent with γ-aminobutyric acid receptor type A activation by zuranolone.

Indexed as

East Asian PeoplePyrazolesWhite PeopleAdultAgedHealthy VolunteersHumansPregnanolonePregnanolonePyrazoleszuranoloneallopregnanoloneGABA receptormajor depressive disorderpharmacokineticssafety

Identifiers

PMID37366077
PMCPMC10496058
OpenAlexW4382181444

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.