Serotonin-receptor Agonism in Reward Processing (SARP)

University of Oxford

Status and phase

Completed

Phase 2

Conditions

Anhedonia

Treatments

Drug: Placebo comparator

Drug: Buspirone 20mg

Study type

Interventional

Funder types

Other

Identifiers

NCT05357547

SARP01

Details and patient eligibility

About

There is growing animal and human evidence for role of 5HT1A receptor agonism in treating depression and reward deficits. The next step is to translate this evidence directly into humans by characterising the effects of buspirone, as a 5HT1A agonist, on cognitive models of reward and emotional processing.

There is a paucity of behavioural evidence for the effect of 5HT1A receptor agonism, using buspirone as a probe, on primary reward processing (e.g. food), effort-based decision making or reward learning. Furthermore, the effects of 5HT1A agonism on non-emotive cognition, such as working memory, has yet to be investigated at a behavioural level in humans.

This study will characterise the effects of buspirone, as a probe for 5HT1A receptor agonism, on reward processing in human cognitive models. Furthermore it will examine its role in emotional processing and working memory. This will add to the evidence base of the neurocognitive effects of 5HT1A receptor agonism in humans, which is of relevance to the development of this as a target for future treatment development.

The study will be a double blinded, placebo controlled study involving healthy volunteers. Participants will receive a single dose of buspirone and then undergo a battery of psychometric testing to examine reward processing, emotional processing and a memory. Frequent monitoring of temperature and salivary cortisol shall be taken as surrogate markers of pre- and postsynaptic 5HT1A receptor activation.

Enrollment

63 patients

Sex

All

Ages

18 to 55 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Participant is willing and able to give informed consent for participation in the research
Male or female
Body mass index in the range of 18 to 30
Not currently taking any medications (except for contraception)

Exclusion criteria

• Any current Axis 1 The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) psychiatric disorder
Any previous episode of a severe mental illness,
A first degree relative diagnosed with Bipolar Affective Disorder Type 1 or Schizophrenia
Body Mass Index outside the range of 18 to 30 inclusive
Any significant current medical condition likely to interfere with conduct of the study or analysis of data (epilepsy, renal disease, hepatic disease, myasthenia gravis, acute closed-angle glaucoma)
Current use of psychoactive and / or medically significant medication as judged by a study medic, whether prescribed or bought over the counter (the contraceptive pill, the Depo-Provera injection or the progesterone implant will not result in exclusion)
Past history of dependence to illicit substances, and any consumption of illicit substances in the three months prior to the study
Currently pregnant or breast feeding
Known lactase deficiency or any other problem absorbing lactose, galactose, or glucose
Participation in a study using the same tasks in the last year
Any physical (including visual and auditory) or language impairment that would make complying with the study protocol challenging. This includes any taste/olfactory disturbance e.g. secondary to Covid-19 infection