Acute sleep deprivation: the effects of the AMPAKINE compound CX717 on human cognitive performance, alertness and recovery sleep

J Psychopharmacol. 2012 Aug;26(8):1047-57. doi: 10.1177/0269881111405353. Epub 2011 Sep 22.

Abstract

AMPA receptor modulation is a potential novel approach to enhance cognitive performance. CX717 is a positive allosteric modulator of the AMPA receptor that has shown efficacy in rodent and primate cognition models. CX717 (100 mg, 300 mg and 1000 mg) and placebo were studied in 16 healthy male volunteers (18-45 years) in a randomized, crossover study. Cognitive function, arousal and recovery sleep (by polysomnography) were assessed during the extended wakefulness protocol. Placebo condition was associated with significant decrements in cognition, particularly at the circadian nadir (between 03:00 and 05:00). Pre-specified primary and secondary analyses (general linear mixed modelling, GLMM) at each separate time point did not reveal consistent improvements in performance or objective alertness with any dose of CX717. Exploratory repeated measures analysis, a method used to take into account the influence of individual differences, demonstrated an improvement in attention-based task performance following the 1000 mg dose. Analysis of the recovery sleep showed that CX717 1000 mg significantly reduced stage 4 and slow-wave sleep (p ≤ 0.05) with evidence of reduced electroencephalogram (EEG) slow-wave and spindle activity. The study suggests that CX717 only at the 1000 mg dose may counteract effects of sleep deprivation on attention-based tasks and that it may interfere with subsequent recovery sleep.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Allosteric Regulation / drug effects
  • Arousal / drug effects*
  • Brain Waves / drug effects
  • Brain Waves / physiology
  • Cognition Disorders / complications
  • Cognition Disorders / drug therapy*
  • Cognition Disorders / physiopathology
  • Cross-Over Studies
  • Dose-Response Relationship, Drug
  • Electroencephalography / drug effects
  • Electroencephalography / methods
  • Electroencephalography / psychology
  • Humans
  • Isoxazoles / adverse effects
  • Isoxazoles / therapeutic use*
  • Male
  • Middle Aged
  • Nootropic Agents / adverse effects
  • Nootropic Agents / therapeutic use
  • Polysomnography / drug effects
  • Polysomnography / methods
  • Psychomotor Performance / drug effects*
  • Psychomotor Performance / physiology
  • Receptors, AMPA / agonists
  • Sleep / drug effects*
  • Sleep / physiology
  • Sleep Deprivation / complications
  • Sleep Deprivation / drug therapy*
  • Sleep Deprivation / physiopathology
  • Wakefulness / drug effects*
  • Wakefulness / physiology

Substances

  • CX717
  • Isoxazoles
  • Nootropic Agents
  • Receptors, AMPA