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Effects of the high-affinity corticotropin-releasing hormone receptor 1 antagonist R121919 in major depression: the first 20 patients treated

Plain-language guide to PMID 10867111 (2000): controlled clinical trial study of ACTH (Corticotropin) and CRH (Corticotropin-Releasing Hormone) in 24 patients.

Key Facts

PMID
10867111
Journal
Journal of psychiatric research
Year
2000
Study type
Controlled Clinical Trial
Authors
Zobel AW et al. (7 authors)
DOI
10.1016/s0022-3956(00)00016-9

What This Study Did, in Plain Language

What Was Tested

Researchers studied ACTH (Corticotropin) and CRH (Corticotropin-Releasing Hormone) in this controlled clinical trial publication.

This compound was administered to 24 patients with a major depressive episode primarily in order to investigate whether its endocrine mode of action compromises the stress-hormone system or whether other safety and tolerability issues exist.

Why It Was Studied

This led to the development of drugs that selectively antagonize CRH(1) receptors suppressing anxiety-like behavior in rats and also in monkey models of anxiety.

These findings led to a clinical development program exploring the antidepressive potential of R121919, a water-soluble pyrrolopyrimidine that binds with high affinity to human CRH(1) receptors and is well absorbed in humans.

Who Took Part

According to the abstract, 24 patients were involved.

By PubMed's age tags, the people studied were adults and middle-aged adults, both men and women.

How the Study Was Run

A time span of 30 days appears in the methods.

What Was Measured

PubMed files the paper under topics including Adrenocorticotropic Hormone, Analysis of Variance, Anti-Anxiety Agents, Corticotropin-Releasing Hormone, Major Depressive Disorder, Drug Evaluation and Hydrocortisone.

What This Means in Plain Language

This is a controlled clinical trial of ACTH (Corticotropin) and CRH (Corticotropin-Releasing Hormone) in 24 patients over 30 days.

With fewer than 40 people, it is a small study, so it is better read as an early signal for further research than as a settled answer.

The publication is from 2000 (Journal of psychiatric research), a journal based in England.

More context: the ACTH (Corticotropin) compound page and the CRH (Corticotropin-Releasing Hormone) compound page, all human trials.

Our Notes on the Compounds

ACTH (Corticotropin): The 39-amino-acid pituitary hormone that drives cortisol production; given as repository corticotropin (Acthar Gel).

CRH (Corticotropin-Releasing Hormone): The 41-amino-acid hypothalamic hormone that triggers ACTH release; corticorelin is used diagnostically.

Related Pages

Source: PubMed record. This explanation is written by PeptideWhiz from the public record. For research and education only. Not medical advice; no dosing information is given.