Beyond serotonin: newer antidepressants in the future
@article{Rakesh2017BeyondSN, title={Beyond serotonin: newer antidepressants in the future}, author={Gopalkumar Rakesh and Chi-Un Pae and Prakash S. Masand}, journal={Expert Review of Neurotherapeutics}, year={2017}, volume={17}, pages={777 - 790} }
ABSTRACT Introduction: There are numerous antidepressants for the treatment of major depressive disorder (MDD) on the market. However, inadequate treatment response, therapeutic lag between drug administration and the onset of clinical improvement, and safety/tolerability issues with the use of contemporary antidepressants have accelerated the search for newer antidepressants with novel mechanisms of action. Areas covered: The authors review novel antidepressants with rapid efficacy for diverse…
13 Citations
International Union of Basic and Clinical Pharmacology CIV: The Neurobiology of Treatment-resistant Depression: From Antidepressant Classifications to Novel Pharmacological Targets
- Biology, PsychologyPharmacological Reviews
- 2018
It is suggested that drug targeting different neurobiological systems should be able to restore normal function but must also promote resilience to reduce the long-term vulnerability to recurrent depressive episodes.
Novel Pathways in the Treatment of Major Depression: Focus on the Glutamatergic System.
- Psychology, MedicineCurrent pharmaceutical design
- 2019
The most advanced knowledge on the involvement of glutamatergic system in the molecular mechanisms at the basis of depression pathophysiology are discussed, as well as the glutamate-based therapeutic strategies currently suggested to optimize depression treatment (e.g., ketamine).
The effects of intramuscular administration of scopolamine augmentation in moderate to severe major depressive disorder: a randomized, double-blind, placebo-controlled trial
- Psychology, MedicineTherapeutic advances in psychopharmacology
- 2020
It is found that scopolamine was not associated with a significantly faster antidepressant response rate compared to placebo, and the main focus of this study is to detect the capacity of the rapid-onset efficacy of such a treatment option.
"Novel Psychopharmacology for Depressive Disorders".
- PsychologyAdvances in experimental medicine and biology
- 2021
The present chapter briefly assesses the most promising agents, focusing on non-monoamine-targeting compounds, namely, the glutamate antagonist ketamine and its enantiomer esketamine.
A Pharmacogenomic-based Antidepressant Treatment for Patients with Major Depressive Disorder: Results from an 8-week, Randomized, Single-blinded Clinical Trial
- Psychology, MedicineClinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology
- 2018
It is demonstrated that PGATx may be a better treatment option in the treatment of MDD in terms of effectiveness and tolerability; however, study shortcomings may limit a generalization.
Astrocytes activation contributes to the antidepressant-like effect of ketamine but not scopolamine
- Biology, PsychologyPharmacology Biochemistry and Behavior
- 2018
Cortical 5-hydroxytryptamine 1A receptor biased agonist, NLX-101, displays rapid-acting antidepressant-like properties in the rat chronic mild stress model
- Biology, PsychologyJournal of psychopharmacology
- 2019
The observations suggest that biased agonist targeting of cortical 5-HT1A receptors constitutes a promising strategy to achieve rapid-acting and sustained antidepressant effects.
Metabolic effects of light deprivation in the prefrontal cortex of rats with depression-like behavior: In vivo proton magnetic resonance spectroscopy at 7T
- Biology, PsychologyBrain Research
- 2018
Mice exposed to bisphenol A exhibit depressive-like behavior with neurotransmitter and neuroactive steroid dysfunction
- Psychology, BiologyHormones and Behavior
- 2018
Ketamine-induced neuromuscular reactivity is associated with aging in female rhesus macaques
- Biology, PsychologyPloS one
- 2020
The incidence of ketamine-induced neuromuscular reactivity is age related but not affected by the estrous cycle in female rhesus macaques, suggesting a central nervous system (CNS) mechanism for ketamines-associated neuromUScular reactions.
References
SHOWING 1-10 OF 182 REFERENCES
Investigational drugs in recent clinical trials for treatment-resistant depression
- PsychologyExpert review of neurotherapeutics
- 2017
The authors describe the medications for treatment-resistant depression (TRD) in phase II/III of clinical development in the EU and USA and provide an opinion on how current treatment can be improved in the near future.
Ketamine as the prototype glutamatergic antidepressant: pharmacodynamic actions, and a systematic review and meta-analysis of efficacy
- Psychology, BiologyTherapeutic advances in psychopharmacology
- 2014
A small body of work to suggest ketamine might also augment electroconvulsive therapy and potentially have a role as a surgical anaesthetic in depressed patients, but there are significant practical and ethical issues about any future mainstream clinical role it might have.
Ketamine as a promising prototype for a new generation of rapid‐acting antidepressants
- Psychology, BiologyAnnals of the New York Academy of Sciences
- 2015
The clinical effects of ketamine and its neurobiological underpinnings and mechanisms of action are summarized to provide insight into the neurobiology of depression, relevant biomarkers, and treatment targets and offer suggestions for future research that may continue to advance the field forward and ultimately improve the psychopharmacologic interventions available for those individuals struggling with depressive and trauma‐related disorders.
Risks Associated with Misuse of Ketamine as a Rapid-Acting Antidepressant
- Psychology, BiologyNeuroscience Bulletin
- 2016
The emergence of ketamine as a fast-acting antidepressant provides promising new insights into the development of a rapid treatment response in patients with clinical depression, however, its safety and toxicity remain a concern.
Targeting of NMDA receptors in the treatment of major depression.
- Biology, PsychologyCurrent pharmaceutical design
- 2014
Recent findings concerning the role of glutamatergic signaling in the neurobiology of MDD and potential, novel therapeutic drugs, such as ketamine, memantine, AZD6765, traxoprodil, MK-0657, GLYX-13, NRX-1047, D-cycloserine, sarcosine, all of which target this system are reviewed.
Glutamate and its receptors in the pathophysiology and treatment of major depressive disorder
- Psychology, BiologyJournal of Neural Transmission
- 2013
The clinical evidence for glutamatergic dysfunction in MDD, the discovery and progress-to-date with ketamine as a rapidly acting antidepressant, and other glutamate receptor modulators for treatment-resistant depression are reviewed to offer potential future directions necessary to realize the enormous therapeutic promise of glutamatorgic antidepressants.
Efficacy and Safety of Basimglurant as Adjunctive Therapy for Major Depression: A Randomized Clinical Trial.
- Psychology, MedicineJAMA psychiatry
- 2016
No difference was observed on the study's primary outcome measure, the clinician-rated MADRS change from baseline to end of treatment, between adjunctive basimglurant MR vs placebo, and good tolerability warrant further investigation with this compound in depressive disorders.
Targeting the Glutamatergic System to Treat Major Depressive Disorder
- Biology, PsychologyDrugs
- 2012
Evidence that the glutamatergic system holds considerable promise for developing the next generation of novel and mechanistically distinct agents for the treatment of MDD is reviewed, particularly with regard to the N-methyl-D-aspartate (NMDA) antagonist ketamine as a ‘proof-of-concept’ agent.
A brief history of the development of antidepressant drugs: from monoamines to glutamate.
- Biology, PsychologyExperimental and clinical psychopharmacology
- 2015
The noncompetitive NMDA receptor antagonist ketamine, which has consistently produced rapid and sustained antidepressant effects in MDD patients in a number of clinical studies, has shown the most promise as a novel glutamatergic-based treatment for MDD.
A Randomized, Placebo-Controlled, Crossover Pilot Trial of the Oral Selective NR2B Antagonist MK-0657 in Patients With Treatment-Resistant Major Depressive Disorder
- PsychologyJournal of clinical psychopharmacology
- 2012
Despite the small sample size, this pilot study suggests that an oral formulation of the NR2B antagonist MK-0657 may have antidepressant properties in TRD patients, and further studies with larger sample sizes are necessary to confirm these preliminary findings.