June 04, 2026

Top News
Autobahn Reports Positive Phase 2 Data for Elunetirom, a Novel Thyroid Receptor Agonist, in Bipolar Depression
Drug Development

Positive Phase 2 topline data for elunetirom, a CNS-targeted thyroid receptor agonist, demonstrates rapid and significant efficacy as an adjunctive treatment for bipolar depression with a favorable safety profile.

Drug Development
Autobahn Therapeutics Reports Positive Phase 2 Topline Data for Elunetirom in Bipolar Depression, Demonstrating Rapid, Robust, and Durable Antidepressant Effects - BioSpace

Autobahn Therapeutics reported positive Phase 2 topline data for elunetirom in bipolar depression, showing rapid, robust, and durable antidepressant effects.

Pharmacogenomics
A saliva swab could tell clinicians which ADHD drug works before a patient takes it - Benefits and Pensions Monitor

Research suggests a saliva-based biomarker may predict individual response to ADHD medications, offering a potential tool for precision prescribing.

Clinical Pearl
Catatonia Induced by D2 Receptor Antagonist Antiemetics in a Patient With Multiple Sclerosis

This case report highlights the risk of catatonia precipitated by D2 receptor antagonist antiemetics (metoclopramide and domperidone) in patients with multiple sclerosis, emphasizing the need for caution when prescribing these agents to individuals with blood-brain barrier compromise.

Clinical Pearls

Bite-sized clinical takeaways from today's literature (sources from Oct 02 – Jun 04)

  • Avoid early tapering from opioid agonist treatment (methadone or buprenorphine/naloxone) due to significantly increased all-cause mortality risk compared to maintaining treatment for 12-48 months.
  • Consider elunetirom as a rapid-acting adjunctive option for bipolar depression, given Phase 2 data demonstrating robust efficacy and a favorable safety profile.
  • Maintain lithium monotherapy as a first-line maintenance treatment for bipolar disorder, supported by case register evidence reinforcing its long-term efficacy.
  • Utilize integrated treatment models for patients with schizophrenia and opioid use disorder to improve medication adherence and reduce hospitalizations.
  • Exercise caution when prescribing D2 receptor antagonist antiemetics like metoclopramide to patients with blood-brain barrier compromise due to the risk of precipitating catatonia.
  • Re-evaluate the necessity of long-term antidepressant relapse prevention beyond 12 months, as recent analyses suggest benefits may be overstated.
  • Consider N-acetylcysteine for patients with comorbid bipolar disorder and alcohol use disorder, as it significantly reduces heavy drinking days and dorsal anterior cingulate cortex glutamate levels.
  • Monitor for antipsychotic-induced weight gain using pharmacogenomic testing to predict individual susceptibility in adults with severe mental illness.
  • Use intranasal midazolam (BXCL501) for the acute management of agitation in patients with bipolar disorder and schizophrenia in home settings.
  • Apply new consensus guidelines from the British Association for Psychopharmacology when managing substance dependence pharmacologically.

Drug Development 2

A Positron Emission Tomography (PET) Study to Evaluate Dopamine D2 and D3 Receptor Occupancy by SIPI6398

A clinical trial is evaluating the dopamine D2 and D3 receptor occupancy of SIPI6398, a novel investigational agent for schizophrenia.

Inhaled Mebufotenin (GH001) for Adult Patients With Postpartum Depression: A Phase 2a Open-Label Clinical Trial

A Phase 2a open-label trial evaluates the safety and antidepressant efficacy of inhaled mebufotenin (GH001), a rapid-acting 5-HT agonist, in adult patients with postpartum depression.

Pharmacogenomics 2

Your Genes May Explain Why Your ADHD Medication Isn't Working. Now There's a Test for That. - Yahoo Finance

New pharmacogenomic testing is available to help explain individual variability in response to ADHD medications, offering a clinical tool for optimizing prescribing decisions.

A meta-analysis of potential genetic factors associated with antipsychotic-induced weight gain in adults with severe mental illness

This meta-analysis synthesizes current evidence on genetic factors associated with antipsychotic-induced weight gain in adults with severe mental illness, highlighting the role of pharmacogenomics in predicting this adverse effect.

Clinical Pearl 2

Glutamate- and GABA-targeted drugs for Cc-occurring bipolar and alcohol use disorders: a randomized, double-blind, placebo-controlled, crossover study of N-acetylcysteine, gabapentin, and placebo

A randomized crossover trial found that N-acetylcysteine, but not gabapentin, significantly reduced dorsal anterior cingulate cortex glutamate levels and heavy drinking days in patients with comorbid bipolar disorder and alcohol use disorder, supporting further mechanistic trials of glutamatergic modulation.

Effects of cannabidiol on behavioral and psychological symptoms of vascular dementia: A randomized, double-blind, placebo-controlled clinical trial

A randomized, double-blind, placebo-controlled trial evaluates the efficacy of cannabidiol for managing behavioral and psychological symptoms of vascular dementia.

Podcast Summary 1

[Podcast] Essentials: Psychedelics & Neurostimulation for Brain Rewiring | Dr. Nolan Williams

This podcast episode reviews the neurobiology and therapeutic potential of neuromodulation (TMS/SAINT) and psychedelic-assisted therapies (psilocybin, MDMA, ibogaine, ayahuasca) for depression and PTSD, though it lacks specific clinical trial data or prescribing guidelines.

Diagnosis & Treatment 5

Mindfulness and Biofeedback for Anxiety Disorders

A completed clinical trial comparing the Reacor adaptive biofeedback system, escitalopram, and their combination for the treatment of anxiety disorders.

Predictors of deep brain stimulation response in patients with obsessive compulsive disorder: a systematic review and meta-analysis

A meta-analysis identifies higher baseline OCD severity as a predictor of long-term response to deep brain stimulation, while concurrent antipsychotic and antidepressant use predicts poorer outcomes.

Rethink long-term antidepressants: Review finds little benefit beyond 12 months

A review published in the Australian Journal of General Practice suggests limited benefit and increased health risks for antidepressant use beyond 12 months, recommending regular treatment reviews.

Symptom impact and safety of ketogenic therapy in adults with anorexia nervosa: a feasibility trial

A feasibility trial suggests ketogenic dietary therapy is safe and may reduce core symptoms of anorexia nervosa in adults, offering a potential non-pharmacologic treatment option.

Clinical practice guidelines and quality standards for early intervention in psychosis: an AGREE II appraisal and systematic review of service components

This systematic review of international guidelines identifies core components for early intervention in psychosis, emphasizing cautious antipsychotic use for clinical high-risk patients and structured pharmacological monitoring for first-episode psychosis.

Digital Health 1

Spectral EEG-guided adaptive neuromodulation for social anxiety disorder, performance-only subtype: a case report

A case report suggests spectral EEG-guided personalized TMS may reduce social anxiety symptoms and normalize EEG patterns, warranting further investigation as an adjunctive treatment.

Neuroscience 2

Functional MRI evidence of brain alterations in premenstrual dysphoric disorder: a systematic review

This systematic review of fMRI studies identifies specific neural circuit alterations in PMDD, providing a mechanistic basis for the partial non-response to SSRIs and informing the development of novel therapeutic targets.

Deep brain stimulation boosts myelination and shifts brain networks linked to depression

A study reveals that deep brain stimulation (DBS) remodels white matter pathways and alters neural networks, providing a biological mechanism for its efficacy in severe depression.

Policy & Regulation 4

Axsome pushes back generic entry for narcolepsy drug until 2040

Axsome Therapeutics has settled with the last applicant to delay generic competition for the narcolepsy drug Sunosi until 2040, preserving market exclusivity.

Expert Panel Recommended Regular Review of Psychotropic Medications - U.S. Medicine

An expert panel recommends regular review of psychotropic medications to optimize prescribing practices and patient safety.

The FDA issued a Complete Response Letter for CTx-1301, a potential new treatment for ADHD, indicating regulatory hurdles for this psychopharmacologic candidate.

Axsome fends off generic competition to narcolepsy med Sunosi until 2040

Axsome Therapeutics has settled patent litigation for the narcolepsy drug Sunosi (solriamfetol), delaying generic competition until 2040 and securing market exclusivity while the company expands its indications to ADHD and depression.

Journal Article 4

Are Long-Term Antidepressant Benefits Overstated?

A new study challenges the long-term efficacy of antidepressants for relapse prevention beyond 12 months, suggesting benefits may be overstated.

Clozapine treatment in adolescents with schizophrenia and autism spectrum disorder: Comparative clinical profiles and treatment outcomes from a retrospective study

This retrospective study compares the clinical profiles and treatment outcomes of clozapine in adolescents with schizophrenia versus those with autism spectrum disorder, providing real-world evidence for its off-label use in severe ASD irritability.

Time to lithium: A case register study of lithium initiation in bipolar disorder

A case register study reinforces lithium monotherapy as a first-line maintenance treatment for bipolar disorder, supporting its continued use for long-term pharmacological management.

Incident benzodiazepine and Z-drug use and subsequent risk of alcohol- and drug-related problems: A nationwide matched cohort study with co-twin comparison

A nationwide matched cohort study with co-twin comparison investigates the association between incident benzodiazepine and Z-drug use and the subsequent risk of developing alcohol- and drug-related problems.

Mechanism of Action 3

Translational pathways of oxytocin therapy in schizophrenia: bridging negative symptom domains and neural mechanisms

This review synthesizes translational research on oxytocin therapy for schizophrenia negative symptoms, detailing its multi-target neural mechanisms and highlighting the need for precision psychiatry approaches to address clinical heterogeneity.

Psilocybin ameliorates neuropathic pain-like behaviour in mice and facilitates gabapentin-mediated analgesia - Nature

Preclinical study demonstrates that psilocybin reduces neuropathic pain behaviors in mice and enhances the analgesic effects of gabapentin, suggesting a potential mechanistic basis for psilocybin's role in pain modulation.

The effects of psilocybin on time perception in humans: A comparative analysis of subjective and objective measures

A double-blinded placebo-controlled study investigates the impact of psilocybin on subjective and objective time perception, contributing to the mechanistic understanding of psychedelic effects relevant to psychiatric treatment.

Substance Use 1