Evidence map›Paper›PMID 38059356›Full record

ArticleJournal of psychopharmacology (Oxford, England)2023

Abuse potential assessment of the dual orexin receptor antagonist daridorexant in rats.

Michel A Steiner, Michael Toeroek-Schafroth, Maria Elena Giusepponi, Lisa Dacome, Michela Tessari

Abstract read
In one paragraph

Article in Journal of psychopharmacology (Oxford, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. 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

5 authors.

Michel A SteinerIdorsia Pharmaceuticals Ltd, Allschwil, Switzerland.ORCID 0000-0001-9923-6555
Michael Toeroek-SchafrothIdorsia Pharmaceuticals Ltd, Allschwil, Switzerland.
Maria Elena GiusepponiAptuit Srl, An Evotec Company, Verona, Italy.
Lisa DacomeAptuit Srl, An Evotec Company, Verona, Italy.
Michela TessariAptuit Srl, An Evotec Company, Verona, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDrugs that act on the central nervous system (CNS) and have sedative effects can lead to abuse in humans. New CNS-active drugs often require evaluation of their abuse potential in dedicated animal models before marketing approval. Daridorexant is a new dual orexin receptor antagonist (DORA) with sleep-promoting properties in animals and humans. It was approved in 2022 in the United States and Europe for the treatment of insomnia disorder.

aimsNonclinical evaluation of abuse potential of daridorexant using three specific rat models assessing reinforcement, interoception, and withdrawal.

methodsReinforcing effects of daridorexant were assessed in an operant rat model of intravenous drug self-administration. Similarity of interoceptive effects to those of the commonly used sleep medication zolpidem was tested in an operant drug discrimination task. Withdrawal signs indicative of physical dependence were evaluated upon sudden termination of chronic daridorexant treatment. Rat experiments were conducted at a dose range resulting in daridorexant plasma concentrations equaling or exceeding those achieved at the clinically recommended dose of 50 mg in humans.

resultsDaridorexant had no reinforcing effects, was dissimilar to zolpidem in the drug discrimination task, and did not induce any withdrawal-related signs upon treatment discontinuation that would be indicative of physical dependence. OUTCOMES: Daridorexant showed no signs of abuse or dependence potential in rats. Our data indicate that daridorexant, like other DORAs, has a low potential for abuse in humans.

Indexed as

Sleep Initiation and Maintenance DisordersSubstance-Related DisordersAnimalsHumansImidazolesOrexin Receptor AntagonistsPyrrolidinesRatsZolpidemdaridorexantImidazolesOrexin Receptor AntagonistsPyrrolidinesZolpidemdaridorexantdrug discriminationdual orexin receptor antagonistphysical dependenceSelf-administration

Identifiers

PMID38059356
PMCPMC10714714

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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.