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alpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid and Depressive Disorder, Major

alpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid has been researched along with Depressive Disorder, Major in 7 studies

alpha-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic Acid: An IBOTENIC ACID homolog and glutamate agonist. The compound is the defining agonist for the AMPA subtype of glutamate receptors (RECEPTORS, AMPA). It has been used as a radionuclide imaging agent but is more commonly used as an experimental tool in cell biological studies.

Depressive Disorder, Major: Disorder in which five (or more) of the following symptoms have been present during the same 2-week period and represent a change from previous functioning; at least one of the symptoms is either (1) depressed mood or (2) loss of interest or pleasure. Symptoms include: depressed mood most of the day, nearly every daily; markedly diminished interest or pleasure in activities most of the day, nearly every day; significant weight loss when not dieting or weight gain; Insomnia or hypersomnia nearly every day; psychomotor agitation or retardation nearly every day; fatigue or loss of energy nearly every day; feelings of worthlessness or excessive or inappropriate guilt; diminished ability to think or concentrate, or indecisiveness, nearly every day; or recurrent thoughts of death, recurrent suicidal ideation without a specific plan, or a suicide attempt. (DSM-5)

Research Excerpts

ExcerptRelevanceReference
"Both major depressive disorder and healthy subjects showed ketamine-mediated NMDA-blockade sensitization, with major depressive disorder subjects showing enhanced NMDA connectivity estimates in backward connections and controls showing enhanced NMDA connectivity estimates in forward connections in our model."2.87Glutamatergic Signaling Drives Ketamine-Mediated Response in Depression: Evidence from Dynamic Causal Modeling. ( Gilbert, JR; Nugent, AC; Wills, KE; Yarrington, JS; Zarate, CA, 2018)
"Org 26576 is an alpha-amino-3-hydroxy-5-methylisoxazole-4-propionic acid (AMPA) receptor positive allosteric modulator that acts by modulating ionotropic AMPA-type glutamate receptors to enhance glutamatergic neurotransmission."2.77Maximum tolerated dose evaluation of the AMPA modulator Org 26576 in healthy volunteers and depressed patients: a summary and method analysis of bridging research in support of phase II dose selection. ( Bursi, R; Dogterom, P; Ereshefsky, L; Gertsik, L; Mant, T; Nations, KR; Schipper, J, 2012)
" Part I (N=24) evaluated the maximum tolerated dose (MTD) and optimal titration schedule in a multiple rising dose paradigm (range 100 mg BID to 600 mg BID); Part II (N=30) utilized a parallel groups design (100 mg BID, 400 mg BID, placebo) to examine all endpoints over a 28-day dosing period."2.77Examination of Org 26576, an AMPA receptor positive allosteric modulator, in patients diagnosed with major depressive disorder: an exploratory, randomized, double-blind, placebo-controlled trial. ( Bursi, R; Dogterom, P; Ereshefsky, L; Gertsik, L; Greenwald, S; Johnstone, J; Lee, A; Nations, KR; Pande, Y; Ruigt, G; Schipper, J; Zraket, D, 2012)
"Existing treatments for major depressive disorder (MDD) usually take weeks to months to achieve their antidepressant effects, and a significant number of patients do not have adequate improvement even after months of treatment."2.45Ketamine and the next generation of antidepressants with a rapid onset of action. ( Diazgranados, N; Machado-Vieira, R; Salvadore, G; Zarate, CA, 2009)
"Tianeptine (tianeptine) is an effective antidepressant that prevents and even reverses the actions of stress and glucocorticoids on dendritic remodeling in an animal model of chronic stress."2.41Structural plasticity and tianeptine: cellular and molecular targets. ( Magarinos, AM; McEwen, BS; Reagan, LP, 2002)

Research

Studies (7)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's3 (42.86)29.6817
2010's4 (57.14)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Gilbert, JR1
Yarrington, JS1
Wills, KE1
Nugent, AC1
Zarate, CA3
Machado-Vieira, R1
Salvadore, G1
Diazgranados, N1
Bursi, R3
Erdemli, G1
Campbell, R1
Hutmacher, MM1
Kerbusch, T1
Spanswick, D1
Jeggo, R1
Nations, KR3
Dogterom, P3
Schipper, J3
Shahid, M1
Ereshefsky, L2
Gertsik, L2
Mant, T1
Greenwald, S1
Zraket, D1
Johnstone, J1
Lee, A1
Pande, Y1
Ruigt, G1
McEwen, BS1
Magarinos, AM1
Reagan, LP1
Maeng, S1
Du, J1
Schloesser, RJ1
McCammon, J1
Chen, G1
Manji, HK1

Clinical Trials (7)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Investigation of the Rapid (Next Day) Antidepressant Effects of an NMDA Antagonist[NCT00088699]Phase 1/Phase 267 participants (Actual)Interventional2004-07-26Completed
The Effects of a Single Dose on Reward and Emotional Processing in Healthy Volunteers[NCT04130087]54 participants (Anticipated)Interventional2019-09-18Recruiting
Effect of Subanesthetic Dose of Ketamine Combined With Propofol on Cognitive Function in Depressive Patients Undergoing Electroconvulsive Therapy ---a Randomized Control Double-Blind Clinical Trial[NCT02305394]Phase 4132 participants (Anticipated)Interventional2015-01-31Not yet recruiting
A Prospective, Randomized, Single Blinded Comparison of Intraoperative Ketamine Infusion Versus Placebo in Patients Having Spinal Fusion[NCT02424591]Phase 446 participants (Actual)Interventional2014-08-31Completed
Single Center, Randomized, Placebo-Controlled Trial to Establish Maximum Tolerated Dose, Optimal Titration Schedule, Safety, Tolerability, and Pharmacokinetics of Org 26576 in Patients Diagnosed With Major Depressive Disorder (Protocol No. P174001)[NCT00610649]Phase 254 participants (Actual)Interventional2007-09-20Completed
Intravenous Ketamine Effects on Functional Neuroanatomy[NCT04205890]Phase 10 participants (Actual)Interventional2020-05-02Withdrawn (stopped due to Sponsor is no longer interested in funding the study)
Imaging Framework for Testing GABAergic/Glutamatergic Drugs in Bipolar Alcoholics[NCT03220776]Phase 254 participants (Actual)Interventional2017-08-07Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

MADRS Score - Baseline

Antidepressant effects were assessed using the Montgomery-Åsberg Depression Rating Scale (MADRS). It is a ten-item diagnostic questionnaire which psychiatrists use to measure the severity of depressive episodes. Higher MADRS score indicates more severe depression, and each item yields a score of 0 to 6. The overall score ranges from 0 to 60. (NCT00088699)
Timeframe: Baseline

Interventionunits on a scale (Mean)
Ketamine - Healthy Volunteers1.17
Placebo - Healthy Volunteers1.48
Ketamine - MDD Patients33.83
Placebo - MDD Patients31.82

MADRS Score - Day 1 Following Intervention

Antidepressant effects were assessed using the Montgomery-Åsberg Depression Rating Scale (MADRS). It is a ten-item diagnostic questionnaire which psychiatrists use to measure the severity of depressive episodes. Higher MADRS score indicates more severe depression, and each item yields a score of 0 to 6. The overall score ranges from 0 to 60. (NCT00088699)
Timeframe: Day 1

Interventionunits on a scale (Mean)
Ketamine - Healthy Volunteers2.45
Placebo - Healthy Volunteers0.67
Ketamine - MDD Patients23.73
Placebo - MDD Patients30.68

Beck's Depression Inventory

"Beck's Depression Inventory (BDI) is a 21-item, self-report rating inventory that measures attitudes and symptoms of depression. Each sentence has a rating from 0 to 3 and the sentences go from mild to fairly severe descriptions of moods. The numbers are tabulated, the lowest possible score is 0 and the highest is 63.~A score of 1-10 indicates normal ups and downs. 11-16 indicates a mild mood disturbance; 17-20, borderline clinical depression; 21-30, moderate depression; 31-40, severe depression; over 40, extreme depression" (NCT02424591)
Timeframe: Post-op Day 3

Interventionpoints (Median)
Ketamine8
Placebo9

Pain Score

"McGill Short Form measures pain in different ways. The first part of the form lists 15 adjectives for pain, for which the answers can be none (0), Mild (1), Moderate (2) and Severe (3). Descriptors 1-11 represent the sensory dimension of pain experience and 12-15 represent the affective dimension. A score of 0 is good, and a score of 45 indicates extreme pain. The lower the score the less pain a subject feels (better), as the scores go up, so do the pain levels (worse).~PPI (Present Pain Intensity) asks patients to measure pain from 0 (no pain) to 5 (excruciating). Again, a lower score is ideal." (NCT02424591)
Timeframe: Post-op Day 3

Interventionpoints (Median)
Ketamine11
Placebo10.5

Scores on Questionnaires

Quality of Recovery 15 questions questionnaires that ask, on a scale of 0-10, with 0 always being bad and 10 always being best, how the patient is recovering. The total number is reviewed, so the highest total score possible is 150 and the lowest is 0. (NCT02424591)
Timeframe: Post-op Day 3

Interventionpoints (Median)
Ketamine95
Placebo101

Part 1: Change From Baseline in the Montgomery-Ashberg Depression Rating Scale (MADRS)

The MADRS is a 10-item scale designed to assess the severity of depression. The questionnaire includes questions on the following symptoms: Apparent sadness, Reported sadness, Inner tension, Reduced sleep, Reduced appetite, Concentration difficulties, Lassitude, Inability to feel, Pessimistic thoughts, and Suicidal thoughts. Each of the 10 symptoms are rated on a scale of 1 to 6, with 1=absent to 6=severe. The MADRS score can range from 0 (symptoms absent) to 60 (severe depression), with a higher score indicating more severe depression. (NCT00610649)
Timeframe: Baseline and end of treatment (Up to Day 16)

Interventionscore on a scale (Mean)
Part 1: Block A MK-8777-10.00
Part 1: Block A Placebo-24.50
Part 1: Block B MK-8777-13.50
Part 1: Block B Placebo-7.00
Part 1: Block C MK-8777-10.25
Part 1: Block C Placebo-9.50
Part 1: Block D MK-8777-19.00
Part 1: Block D Placebo-2.00

Part 1: Number of Participants With AEs Leading to Discontinuation of Study Drug

An AE is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study drug, whether or not considered related to the use of the product. Discontinuation refers to discontinuation of study drug (MK-8777 or Placebo). (NCT00610649)
Timeframe: Up to the last dose of study drug (Up to 16 days)

Interventionparticipants (Number)
Part 1: Block A MK-87771
Part 1: Block A Placebo0
Part 1: Block B MK-87770
Part 1: Block B Placebo0
Part 1: Block C MK-87770
Part 1: Block C Placebo0
Part 1: Block D MK-87770
Part 1: Block D Placebo0

Part 1: Number of Participants With Moderate Intensity Adverse Events (AEs)

An AE is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study drug, whether or not considered related to the use of the product. A moderate intensity AE is defined as an AE that causes no significant interference with functioning. (NCT00610649)
Timeframe: Up to 7 days following the last dose of study drug (Up to 23 days)

Interventionparticipants (Number)
Part 1: Block A MK-87772
Part 1: Block A Placebo0
Part 1: Block B MK-87771
Part 1: Block B Placebo2
Part 1: Block C MK-87774
Part 1: Block C Placebo0
Part 1: Block D MK-87773
Part 1: Block D Placebo2

Part 1: Number of Participants With Serious Adverse Events (SAEs)

An SAE is defined as any untoward medical occurrence that at any dose: results in death, is life-threatening, requires in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, or is a congenital anomaly/birth defect. (NCT00610649)
Timeframe: Up to 30 days following the last dose of study drug (Up to 46 days)

Interventionparticipants (Number)
Part 1: Block A MK-87770
Part 1: Block A Placebo0
Part 1: Block B MK-87770
Part 1: Block B Placebo0
Part 1: Block C MK-87770
Part 1: Block C Placebo0
Part 1: Block D MK-87770
Part 1: Block D Placebo0

Part 2: Change From Baseline in the MADRS

The MADRS is a 10-item scale designed to assess the severity of depression. The questionnaire includes questions on the following symptoms: Apparent sadness, Reported sadness, Inner tension, Reduced sleep, Reduced appetite, Concentration difficulties, Lassitude, Inability to feel, Pessimistic thoughts, and Suicidal thoughts. Each of the 10 symptoms are rated on a scale of 1 to 6, with 1=absent to 6=severe. The MADRS score can range from 0 (symptoms absent) to 60 (severe depression), with a higher score indicating more severe depression. (NCT00610649)
Timeframe: Baseline and end of treatment (Up to Day 28)

Interventionscore on a scale (Mean)
Part 2: MK-8777 200 mg-15.40
Part 2: MK-8777 800 mg-13.70
Part 2: Placebo-13.30

Part 2: Number of Participants With AEs

An AE is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study drug, whether or not considered related to the use of the product. (NCT00610649)
Timeframe: Up to 7 days following the last dose of study drug (Up to 35 days)

Interventionparticipants (Number)
Part 2: MK-8777 200 mg10
Part 2: MK-8777 800 mg9
Part 2: Placebo9

Part 2: Number of Participants With AEs Leading to Discontinuation of Study Drug

An AE is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study drug, whether or not considered related to the use of the product. Discontinuation refers to discontinuation of study drug (MK-8777 or Placebo). (NCT00610649)
Timeframe: Up to the last dose of study drug (Up to 28 days)

Interventionparticipants (Number)
Part 2: MK-8777 200 mg0
Part 2: MK-8777 800 mg0
Part 2: Placebo1

Prefrontal GABA+ Concentrations

Concentrations of GABA+, referenced to unsuppressed water and corrected for within-voxel CSF proportion, in dorsal anterior cingulate cortex measured via Proton Magnetic Resonance Spectroscopy (i.e., MEGA-PRESS). (NCT03220776)
Timeframe: Day 5 of each experimental condition

Interventionmmol/kg (Mean)
N-Acetylcysteine3.90
Gabapentin3.93
Placebo Oral Tablet3.73

Prefrontal Glx Concentrations

Concentrations of Glx (i.e., glutamate + glutamine), referenced to unsuppressed water and corrected for within-voxel CSF proportion, in dorsal anterior cingulate cortex measured via Proton Magnetic Resonance Spectroscopy. (NCT03220776)
Timeframe: Day 5 of each experimental condition

Interventionmmol/kg (Mean)
N-Acetylcysteine21.59
Gabapentin21.69
Placebo Oral Tablet22.25

Reviews

2 reviews available for alpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid and Depressive Disorder, Major

ArticleYear
Ketamine and the next generation of antidepressants with a rapid onset of action.
    Pharmacology & therapeutics, 2009, Volume: 123, Issue:2

    Topics: alpha-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic Acid; Antidepressive Agents; Depressive Disorder

2009
Ketamine and the next generation of antidepressants with a rapid onset of action.
    Pharmacology & therapeutics, 2009, Volume: 123, Issue:2

    Topics: alpha-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic Acid; Antidepressive Agents; Depressive Disorder

2009
Ketamine and the next generation of antidepressants with a rapid onset of action.
    Pharmacology & therapeutics, 2009, Volume: 123, Issue:2

    Topics: alpha-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic Acid; Antidepressive Agents; Depressive Disorder

2009
Ketamine and the next generation of antidepressants with a rapid onset of action.
    Pharmacology & therapeutics, 2009, Volume: 123, Issue:2

    Topics: alpha-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic Acid; Antidepressive Agents; Depressive Disorder

2009
Ketamine and the next generation of antidepressants with a rapid onset of action.
    Pharmacology & therapeutics, 2009, Volume: 123, Issue:2

    Topics: alpha-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic Acid; Antidepressive Agents; Depressive Disorder

2009
Ketamine and the next generation of antidepressants with a rapid onset of action.
    Pharmacology & therapeutics, 2009, Volume: 123, Issue:2

    Topics: alpha-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic Acid; Antidepressive Agents; Depressive Disorder

2009
Ketamine and the next generation of antidepressants with a rapid onset of action.
    Pharmacology & therapeutics, 2009, Volume: 123, Issue:2

    Topics: alpha-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic Acid; Antidepressive Agents; Depressive Disorder

2009
Ketamine and the next generation of antidepressants with a rapid onset of action.
    Pharmacology & therapeutics, 2009, Volume: 123, Issue:2

    Topics: alpha-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic Acid; Antidepressive Agents; Depressive Disorder

2009
Ketamine and the next generation of antidepressants with a rapid onset of action.
    Pharmacology & therapeutics, 2009, Volume: 123, Issue:2

    Topics: alpha-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic Acid; Antidepressive Agents; Depressive Disorder

2009
Structural plasticity and tianeptine: cellular and molecular targets.
    European psychiatry : the journal of the Association of European Psychiatrists, 2002, Volume: 17 Suppl 3

    Topics: alpha-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic Acid; Antidepressive Agents, Tricyclic; Apoptosi

2002

Trials

4 trials available for alpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid and Depressive Disorder, Major

ArticleYear
Glutamatergic Signaling Drives Ketamine-Mediated Response in Depression: Evidence from Dynamic Causal Modeling.
    The international journal of neuropsychopharmacology, 2018, 08-01, Volume: 21, Issue:8

    Topics: Adolescent; Adult; Affect; Aged; alpha-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic Acid; Antidepre

2018
Translational PK-PD modelling of molecular target modulation for the AMPA receptor positive allosteric modulator Org 26576.
    Psychopharmacology, 2011, Volume: 218, Issue:4

    Topics: Allosteric Regulation; alpha-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic Acid; Animals; Computer S

2011
Maximum tolerated dose evaluation of the AMPA modulator Org 26576 in healthy volunteers and depressed patients: a summary and method analysis of bridging research in support of phase II dose selection.
    Drugs in R&D, 2012, Sep-01, Volume: 12, Issue:3

    Topics: Adolescent; Adult; alpha-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic Acid; Depression; Depressive

2012
Examination of Org 26576, an AMPA receptor positive allosteric modulator, in patients diagnosed with major depressive disorder: an exploratory, randomized, double-blind, placebo-controlled trial.
    Journal of psychopharmacology (Oxford, England), 2012, Volume: 26, Issue:12

    Topics: Adult; Allosteric Regulation; alpha-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic Acid; Antidepressi

2012

Other Studies

1 other study available for alpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid and Depressive Disorder, Major

ArticleYear
Cellular mechanisms underlying the antidepressant effects of ketamine: role of alpha-amino-3-hydroxy-5-methylisoxazole-4-propionic acid receptors.
    Biological psychiatry, 2008, Feb-15, Volume: 63, Issue:4

    Topics: alpha-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic Acid; Animals; Depressive Disorder, Major; Excit

2008
Cellular mechanisms underlying the antidepressant effects of ketamine: role of alpha-amino-3-hydroxy-5-methylisoxazole-4-propionic acid receptors.
    Biological psychiatry, 2008, Feb-15, Volume: 63, Issue:4

    Topics: alpha-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic Acid; Animals; Depressive Disorder, Major; Excit

2008
Cellular mechanisms underlying the antidepressant effects of ketamine: role of alpha-amino-3-hydroxy-5-methylisoxazole-4-propionic acid receptors.
    Biological psychiatry, 2008, Feb-15, Volume: 63, Issue:4

    Topics: alpha-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic Acid; Animals; Depressive Disorder, Major; Excit

2008
Cellular mechanisms underlying the antidepressant effects of ketamine: role of alpha-amino-3-hydroxy-5-methylisoxazole-4-propionic acid receptors.
    Biological psychiatry, 2008, Feb-15, Volume: 63, Issue:4

    Topics: alpha-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic Acid; Animals; Depressive Disorder, Major; Excit

2008