Evidence map›Paper›PMID 33970290›Full record

Trial reportPsychopharmacology2021

The novel vasopressin receptor (V1aR) antagonist SRX246 reduces anxiety in an experimental model in humans: a randomized proof-of-concept study.

Tiffany R Lago, Michael J Brownstein, Emily Page, Emily Beydler, Adrienne Manbeck, Alexis Beale, Camille Roberts, Nicholas Balderston, Eve Damiano, Suzanne L Pineles and 3 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychopharmacology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
5.3field-weighted citation impact, top 4% 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

19 citing papers in PubMed, 35 citations in OpenAlex.

  1. Trial
  2. Longitudinal associations between binge drinking and changes in behavioral and neural threat reactivity in youth.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  3. Review
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  7. Neuropeptidergic systems in psychiatric disorders.Frontiers in endocrinology · 2025
    Review
  8. Review
  9. Discovery and evaluation of a novelActa pharmaceutica Sinica. B · 2024
    Article
  10. Validity of mental and physical stress models.Neuroscience and biobehavioral reviews · 2024
    Review
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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

13 authors at 4 institutions in 1 country.

Tiffany R LagoNational Institute of Mental Health, Bethesda, MD, USA. tlagomd@outlook.com.
Michael J BrownsteinAzevan Pharmaceuticals Inc, Bethlehem, PA, USA.
Emily PageNational Institute of Mental Health, Bethesda, MD, USA.
Emily BeydlerNational Institute of Mental Health, Bethesda, MD, USA.
Adrienne ManbeckNational Institute of Mental Health, Bethesda, MD, USA.
Alexis BealeNational Institute of Mental Health, Bethesda, MD, USA.
Camille RobertsNational Institute of Mental Health, Bethesda, MD, USA.
Nicholas BalderstonNational Institute of Mental Health, Bethesda, MD, USA.
Eve DamianoAzevan Pharmaceuticals Inc, Bethlehem, PA, USA.
Suzanne L PinelesBoston University School of Medicine, Boston, MA, USA.
Neal SimonAzevan Pharmaceuticals Inc, Bethlehem, PA, USA.
Monique ErnstNational Institute of Mental Health, Bethesda, MD, USA.
Christian GrillonNational Institute of Mental Health, Bethesda, MD, USA.
National Institute of Mental Health · USAzevan Pharmaceuticals (United States) · USNational Center for PTSD · USUniversity of Pennsylvania · US

Funding

The Psychophysiology Of Fear And AnxietyZIAMH002798 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI GRILLON, CHRISTIAN · 2009 to 2022
$29.0M
Intramural NIH HHS ZIA MH002798NIH HHS ZIAMH002798
6 · The paper itself

Abstract

rationaleArginine vasopressin (AVP) is a neuropeptide that modulates both physiological and emotional responses to threat. Until recently, drugs that target vasopressin receptors (V1a) in the human central nervous system were unavailable. The development of a novel V1a receptor antagonist, SRX246, permits the experimental validation of vasopressin's role in the regulation of anxiety and fear in humans.

objectivesHere, we examined the effects of SRX246 in a proof-of-concept translational paradigm of fear (phasic response to imminent threat) and anxiety (prolonged response to potential threat).

methodsHealthy volunteers received both SRX246 and placebo in a randomized, double-blind, counter-balanced order separated by a 5-7-day wash-out period. Threat consisted of unpleasant electric shocks. The "NPU" threat test probed startle reactivity during predictable threat (i.e., fear-potentiated startle) and unpredictable threat (i.e., anxiety-potentiated startle).

resultsAs predicted, SRX246 decreased anxiety-potentiated startle independent of fear-potentiated startle.

conclusionsAs anxiety-potentiated startle is elevated in anxiety and trauma-associated disorders and decreased by traditional anxiolytics such as SSRIs and benzodiazepines, the V1a receptor is a promising novel treatment target.

Indexed as

Antidiuretic Hormone Receptor AntagonistsReceptors, VasopressinAnxietyAzetidinesHumansModels, TheoreticalReflex, StartleAntidiuretic Hormone Receptor AntagonistsAzetidinesReceptors, VasopressinSRX246Anxiety-potentiated startleFear-potentiated startleNPU threat testThreat of shockV1a receptor

Identifiers

PMID33970290
PMCPMC8376758
OpenAlexW3161677594

What Socratic holds

Textmetadata
LicenceTDM
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 Socratic graph.