Evidence map›Paper›PMID 41635062›Full record

ArticleClinical and translational science2026

The Effect of Ecopipam on the Pharmacokinetics of Concomitant Medications.

Virginia D Schmith, Danielle Graden, Lauren L R Lohmer, Joy Schleyer, Stephen P Wanaski

Abstract read
In one paragraph

Article in Clinical and translational science, 2026. 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
–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

2 citing papers in PubMed.

  1. Article
  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

5 authors.

Virginia D SchmithSchmith PK/PD Consulting, LLC and Syntegrity Quantitative Clinical Pharmacology Collaborative, Cocoa Beach, Florida, USA.ORCID 0000-0003-2841-2384
Danielle GradenAllucent, Cary, North Carolina, USA.
Lauren L R LohmerAllucent, Cary, North Carolina, USA.ORCID 0000-0001-9716-4711
Joy SchleyerEmalex Biosciences Inc, Chicago, Illinois, USA.
Stephen P WanaskiParagon Biosciences LLC, Chicago, Illinois, USA.

Funding

Emalex Biosciences Inc
6 · The paper itself

Abstract

Ecopipam is a first-in-class dopamine D1 receptor antagonist under investigation for the treatment of Tourette syndrome. This open-label, fixed-sequence, three-cohort study evaluated whether ecopipam induces or inhibits cytochrome P450 (CYP) 1A2, CYP2B6, CYP2C19, CYP2D6, CYP3A4, organic anion-transporting polypeptide (OATP) 1B1, and p-glycoprotein (P-gp). Probe substrates were administered alone and after single or steady-state dosing of ecopipam (1.8 mg/kg/day). Cohort 1 received standard doses of omeprazole (CYP2C19), caffeine (CYP1A2), and dextromethorphan (CYP2D6) orally, and a microdose of midazolam (CYP3A4) intravenously. Cohort 2 received a standard dose of bupropion (CYP2B6) orally. Cohort 3 received an oral solution containing microdoses of dabigatran (P-gp), pitavastatin (OATP1B1), rosuvastatin (BCRP, OATP, and P-gp), atorvastatin (BCRP, OATP, P-gp, and CYP3A4), and midazolam. A total of 56 healthy individuals (median [range] age, 36.5 [19-54] years; 85.7% male) were enrolled, and 48 completed the study. Ecopipam was well tolerated in the presence and absence of probe substrates. Steady-state ecopipam administration increased dextromethorphan exposure (> 100-fold); decreased the AUC

Indexed as

Dopamine AntagonistsAdministration, OralAdultCytochrome P-450 Enzyme SystemDrug InteractionsFemaleHumansMaleMiddle AgedYoung AdultCytochrome P-450 Enzyme SystemDopamine Antagonistsdrug–drug interactionsmetabolismtransporters

Identifiers

PMID41635062
PMCPMC12868915

What OpenQuestion holds

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LicenceCC BY-NC
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.