Evidence map›Paper›PMID 38650030›Full record

Trial reportTrials2024

The translocator protein 18kDa ligand etifoxine in the treatment of depressive disorders-a double-blind, randomized, placebo-controlled proof-of-concept study.

Lisa-Marie Brunner, Marco Riebel, Simon Wein, Michael Koller, Florian Zeman, Gunnar Huppertz, Tanja Emmer, Yvonne Eberhardt, Jens Schwarzbach, Rainer Rupprecht and 1 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2024. 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
0.9field-weighted citation impact, top 31% 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, 6 citations in OpenAlex.

  1. Review
  2. 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

11 authors at 2 institutions in 1 country.

Lisa-Marie BrunnerDepartment of Psychiatry and Psychotherapy, University of Regensburg, Regensburg, Germany. lisa-marie.brunner@medbo.de.ORCID http://orcid.org/0000-0002-7555-1443
Marco RiebelDepartment of Psychiatry and Psychotherapy, University of Regensburg, Regensburg, Germany.
Simon WeinDepartment of Psychiatry and Psychotherapy, University of Regensburg, Regensburg, Germany.
Michael KollerCenter for Clinical Studies, University Hospital of Regensburg, Regensburg, Germany.
Florian ZemanCenter for Clinical Studies, University Hospital of Regensburg, Regensburg, Germany.
Gunnar HuppertzCenter for Clinical Studies, University Hospital of Regensburg, Regensburg, Germany.
Tanja EmmerCenter for Clinical Studies, University Hospital of Regensburg, Regensburg, Germany.
Yvonne EberhardtCenter for Clinical Studies, University Hospital of Regensburg, Regensburg, Germany.
Jens SchwarzbachDepartment of Psychiatry and Psychotherapy, University of Regensburg, Regensburg, Germany.
Rainer RupprechtDepartment of Psychiatry and Psychotherapy, University of Regensburg, Regensburg, Germany.
Caroline NothdurfterDepartment of Psychiatry and Psychotherapy, University of Regensburg, Regensburg, Germany.
University of Regensburg · DEUniversity Hospital Regensburg · DE

Funding

Deutsche Forschungsgemeinschaft 422179811
6 · The paper itself

Abstract

backgroundRecent developments suggest that neurosteroids may achieve rapid antidepressant effects. As such, neurosteroidogenesis mediated by the translocator protein 18 kDa (TSPO) might constitute a promising option for the treatment of depression. Therefore, the current clinical trial aims to get the first evidence of whether TPSO ligands promote rapid antidepressant effects. Furthermore, we study which mechanisms of action, e.g., modulation of distinct neuronal networks, neurosteroidogenesis, endocrinological mechanisms, TSPO expression or microbiome composition, contribute to their putative antidepressant effects.

methodsThis is a randomized, placebo-controlled, double-blind single-center trial of 2-week treatment with the TSPO ligand etifoxine versus placebo in depressive patients. Main eligibility criteria: male or female individuals aged 18 to 65 years with unipolar/bipolar depressive disorder with no other psychiatric main diagnosis or acute neurological/somatic disorder or drug/alcohol dependence during their lifetime. The primary endpoint is the time point at which 50% of the maximal effect has occurred (ET50) estimated by the scores of the Hamilton Depression Scale (HAMD-21). A total of 20 patients per group are needed to detect changes of therapeutic efficacy about 5% and changes of ET50 about 10% with a power of 70%. Assuming a drop-out rate of 10-20%, 50 patients will be randomized in total. The study will be conducted at the Department of Psychiatry and Psychotherapy of the University of Regensburg. DISCUSSION: This study will provide a first proof-of-concept on the potential of the TSPO ligand etifoxine in the treatment of depressive disorders.

trial registrationClinical Trials Register (EudraCT number: 2021-006773-38 , registration date: 14 September 2022) and German Register of Clinical Studies (DRKS number: DRKS00031099 , registration date: 23 January 2023).

Indexed as

Antidepressive AgentsOxazinesProof of Concept StudyAdolescentAdultAgedDepressive DisorderDouble-Blind MethodFemaleHumansLigandsMaleMiddle AgedReceptors, GABATreatment OutcomeYoung AdultAntidepressive AgentsLigandsOxazinesReceptors, GABADepressionEtifoxineFunctional MRIMicrobiomeNeurosteroidsRandomized controlled trialTSPO

Identifiers

PMID38650030
PMCPMC11034134
OpenAlexW4395000599

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.