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The purpose of this study is to assess the effects of CXB722 on neuroendocrine stress response and subjective reports related to mood and stress during and after experimentally induced stress among healthy young males.
Acute stress produces a cascade of physiological and psychological effects, including increased cardiovascular function, increases in circulating levels of stress hormones and neurotransmitter levels, and changes in mood and subjective state. The Trier Social Stress Test (TSST) is a standardized, well-validated procedure that was developed in order to provide a controlled method for exposing subjects to a stressor. The TSST consists of a public speaking and a mental arithmetic test performed in the context of a mock job interview.
A drug that could safely block or mitigate the stress response would have multiple applications in medicine, beyond treating anxiety, because stress is associated with many disease states, including cardiovascular disease. The drug being studied, CXB722, is thought to show promise in diminishing the physiologic and psychological effects of stress.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental | Treatment Group |
|
| 2 | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CXB722 | Drug | 900 mg CXB722 oral liquid suspension twice a day for 8 days |
|
| Measure | Description | Time Frame |
|---|---|---|
| Plasma cortisol and salivary cortisol levels | Screening and Study Day 8 |
| Measure | Description | Time Frame |
|---|---|---|
| Plasma ACTH | Screening and Study Day 8 | |
| Plasma epinephrine and norepinephrine | Screening and Study Day 8 | |
| Profile of Mood States (POMS) Tension-Anxiety |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Carlos Santana, MD | USF Physicians Group, Associate Professor, Director of Adult Outpatient Services, Department of Psychiatry and Behavioral Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of South Florida | Tampa | Florida | 33612 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 8255414 | Background | Kirschbaum C, Pirke KM, Hellhammer DH. The 'Trier Social Stress Test'--a tool for investigating psychobiological stress responses in a laboratory setting. Neuropsychobiology. 1993;28(1-2):76-81. doi: 10.1159/000119004. | |
| 8451256 | Background | Kirschbaum C, Strasburger CJ, Langkrar J. Attenuated cortisol response to psychological stress but not to CRH or ergometry in young habitual smokers. Pharmacol Biochem Behav. 1993 Mar;44(3):527-31. doi: 10.1016/0091-3057(93)90162-m. |
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| ID | Term |
|---|---|
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| C038979 | pivagabine |
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| Placebo | Drug | matching oral liquid suspension placebo twice a day for 8 days |
|
| Screening and Study Day 8 |
| Fatigue-Inertia, and Vigor-Activity factor scores | Screening and Study Day 8 |
| "State" score on the Spielberger State-Trait Anxiety Scale (SSTAS) | Screening and Study Day 8 |
| Seven Visual Analog Scales (VAS) | Screening and Study Day 8 |
| HR, and systolic and diastolic BP | Screening and Study Day 8 |