Effects of a NR2B selective NMDA glutamate antagonist, CP‐101,606, on dyskinesia and parkinsonism
Open accessAbstract
Glutamate antagonists decrease dyskinesia and augment the antiparkinsonian effects of levodopa in animal models of Parkinson's disease (PD). In a randomized, double‐blind, placebo‐controlled clinical trial, we investigated the acute effects of placebo and two doses of a NR2B subunit selective NMDA glutamate antagonist, CP‐101,606, on the response to 2‐hour levodopa infusions in 12 PD subjects with motor fluctuations and dyskinesia. Both doses of CP‐101,606 reduced the maximum severity of levodopa‐induced dyskinesia ∼30% but neither dose improved Parkinsonism. CP‐101,606 was associated with a dose‐related dissociation and amnesia. These results support the hypothesis that glutamate antagonists may be useful antidyskinetic agents. However, future studies will have to determine if the benefits of dyskinesia suppression can be achieved without adverse cognitive effects. © 2008 Movement Disorder Society
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Broadly, these agents demonstrated no significant antidepressant efficacy and an adverse events profile that led to early terminations of some clinical trials in MDD, TRD, and Parkinson's disease.
“Broadly, these agents demonstrated no significant antidepressant efficacy and an adverse events profile that led to the early terminations of some clinical trials in indications such as MDD, TRD, and Parkinson's disease [169,170]”
From Ketamine in neuropsychiatric disorders: an update (2024) · cites this paper as [169]
The Results (Adverse Events; page unavailable) report abnormal thinking, depersonalization, and amnesia in patients with Parkinson’s disease receiving CP-101,606. The paper does not report antidepressant efficacy in MDD or TRD, or say that adverse events led to early termination of a trial. (LLM, conf=0.84)
Experimental — accuracy not yet measuredNR2B-specific subunit antagonists such as traxoprodil, MK-0657, and eliprodil were developed but suffered similar failures.
“NR2B-specific subunit antagonists such as traxoprodil (CP-101,606), MK-0657 (CERC-301), and eliprodil (EVT-101) were developed but suffered similar failures.”
From Ketamine in neuropsychiatric disorders: an update (2024) · cites this paper as [169]
The Introduction identifies CP-101,606 as an NR2B-selective antagonist, and the References identify traxoprodil by name. The Discussion’s Conclusion says motor and cognitive effects may limit the class’s usefulness, but it does not call CP-101,606 a failure; it also suggests a lower dose might offer an acceptable balance of benefit and adverse effects. The paper does not address MK-0657 or eliprodil. (LLM, conf=0.85)
Experimental — accuracy not yet measured
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Self-citation
- Authors
- Nutt, J. G., Gunzler, S. A., Kirchhoff, T., Hogarth, P., Weaver, J. L., Krams, M., Jamerson, B., Menniti, F. S., & Landen, J. W.
- Affiliations
- Oregon Health & Science University (US)
- Pfizer (United States) (US)
- Campbell University (US)
- Corresponding author
- Nutt, John G.
- Venue
- Movement Disorders
- Publisher
- Wiley
- Published
- 2008-10-15
- Volume
- 23
- Issue
- 13
- Pages
- 1860-1866
- ISSN
- 0885-3185 (ISSN-L)
- 1531-8257
- PMC
- PMC3390310
- OpenAlex
- W1982761758
- Cited by
- 133
- References
- 32
- Citations by year
- 2025: 2 · 2023: 7 · 2022: 5 · 2021: 9 · 2020: 11 · 2019: 6 · 2018: 7 · 2017: 7 · 2016: 5 · 2015: 10 · 2014: 13 · 2013: 19 · 2012: 6
- FWCI
- 5.51
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Movement Disorders (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Deutsches Krebsforschungszentrum
- National Institute of Neurological Disorders and Stroke (R01NS021062)
- National Center for Research Resources (UL1RR024140)
- Topics
- Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
- Health Sciences › Medicine › Neurology › Neurological disorders and treatments
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Nuclear Receptors and Signaling
- Keywords
- CP-101,606, NR2B subunit, NMDA receptor antagonists, glutamate receptor antagonists, levodopa-induced dyskinesia, parkinsonism, Parkinson's disease, motor fluctuations, dissociation, amnesia, cognitive side effects
- MeSH terms
- Aged, Double-Blind Method, Humans, Levodopa, Middle Aged, Piperidines, Severity of Illness Index, Dopamine Agents, Cross-Over Studies, Excitatory Amino Acid Antagonists, Parkinsonian Disorders, Dyskinesias
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