Evidence map›Paper›PMID 40053107›Full record

Trial reportPsychopharmacology2025

Opioidergic modulation of monetary incentive delay fMRI responses.

Samuel Turton, Peter C T Hawkins, Christopher Muller-Pollard, Evangelos Zois, Patricia Conrod, Fernando Zelaya, Mitul A Mehta

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychopharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Acute fentanyl induces opposing directions of changes in tonic and phasic dopamine release patterns and impairs Pavlovian task performance.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    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

7 authors.

Samuel TurtonInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK. samuel.turton@kcl.ac.uk.ORCID http://orcid.org/0000-0003-2911-2375
Peter C T HawkinsInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Christopher Muller-PollardNeurodevelopmental Service Sussex Partnership NHS Foundation Trust, London, UK.
Evangelos ZoisIU International University of Applied Sciences, Bad Honnef, Germany.
Patricia ConrodDepartment of Psychiatry, Université de Montreal, CHU Ste Justine Hospital, Montreal, QC, Canada.
Fernando ZelayaInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Mitul A MehtaInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.

Funding

Pfizer UK Pfizer UKResearch Trainees Coordinating Centre ACF-2020-17-013
6 · The paper itself

Abstract

rationaleIt is hypothesised that modulation of striatal dopaminergic signalling plays a key role in the rewarding effects of opioids. The monetary incentive delay (MID) task is a functional magnetic resonance imaging (fMRI) paradigm used to investigate striatal responses, which may reflect striatal dopamine release, during the anticipation of a financial reward.

objectivesWe hypothesised that fentanyl would modulate striatal MID task Blood Oxygenation Level Dependent (BOLD) responses, reflecting opioidergic modulation of striatal dopaminergic signalling.

methods24 right-handed males who undertook four MRI scanning sessions, during which they completed an MID task 15 min after receiving an intravenous infusion of either one of two doses of fentanyl (50 µg/70kg), naloxone (400 µg) or placebo (saline 0.9%), were included in the analyses. End tidal CO

resultsWe demonstrated fentanyl induced increases in MID task reward and loss anticipation BOLD compared with placebo and naloxone in both region of interest (ROI) and whole brain analyses. These results were in cortical regions including the lingual gyrus, precuneus, posterior cingulate and frontal pole rather than the striatum.

conclusionsOur results show the primary effects of fentanyl on MID anticipation BOLD in regions associated with the preparation of a motor response to a salient visual cue, rather than in regions typically associated with reward processing such as the striatum. This suggests that opioid agonists do not affect striatal activation during the MID task. Tasks using naturalistic rewards, for example feeding, sex or social contact which induce endogenous opioid signalling, may be more appropriate to probe the effects of fentanyl on reward processing. These results are from male participants' data and therefore may not be generalisable to female participants.

Indexed as

Analgesics, OpioidFentanylMotivationRewardAdultAnticipation, PsychologicalBrainCorpus StriatumDopamineDouble-Blind MethodHumansMagnetic Resonance ImagingMaleNaloxoneNarcotic AntagonistsOxygenAnalgesics, OpioidDopamineFentanylNaloxoneNarcotic AntagonistsOxygen

Identifiers

PMID40053107
PMCPMC12296811

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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.