Emerging Therapeutics in the Treatment of Substance Use Disorders: A Focus on GLP-1 Receptor Agonists, D3R Antagonists, and CRF Antagonists

The prevalence and rising use of alcohol, opioids, and stimulants have led to substance use disorders (SUDs) that are a significant public health challenge. Traditional treatments offer some benefit; however, they often limited by efficacy, side effects, and accessibility, highlighting the urgent ne...

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Main Authors: Khaled Draghmeh, Brian Fuehrlein
Format: Article
Language:English
Published: IMR Press 2025-04-01
Series:Journal of Integrative Neuroscience
Subjects:
Online Access:https://www.imrpress.com/journal/JIN/24/4/10.31083/JIN26361
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author Khaled Draghmeh
Brian Fuehrlein
author_facet Khaled Draghmeh
Brian Fuehrlein
author_sort Khaled Draghmeh
collection DOAJ
description The prevalence and rising use of alcohol, opioids, and stimulants have led to substance use disorders (SUDs) that are a significant public health challenge. Traditional treatments offer some benefit; however, they often limited by efficacy, side effects, and accessibility, highlighting the urgent need for novel therapeutics. This review explores the current literature surrounding three different classes of novel treatments: glucagon-like peptide-1 (GLP-1) receptor agonists, dopamine D3 receptor (D3R) antagonists, and corticotropin-releasing factor (CRF) antagonists. These therapeutics collectively target different aspects of the addiction process, such as stress and relapse prevention, reward modulation, and the reduction of drug-seeking behavior, leading to a combined multifaceted approach to treating SUDs. This review includes preclinical and clinical evidence supporting the use of these therapies, highlighting their potential to reduce substance use and prevent relapse to alcohol, opioid, and stimulant use. Despite the potentially promising findings of these treatments, further research is necessary to fully understand their mechanisms, optimize their application, and confirm their efficacy in clinical settings.
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spelling doaj-art-ae011f0b915d4ecba4258bb4cf569b1e2025-08-20T02:20:13ZengIMR PressJournal of Integrative Neuroscience0219-63522025-04-012442636110.31083/JIN26361S0219-6352(24)00879-9Emerging Therapeutics in the Treatment of Substance Use Disorders: A Focus on GLP-1 Receptor Agonists, D3R Antagonists, and CRF AntagonistsKhaled Draghmeh0Brian Fuehrlein1Department of Research, VA Connecticut Healthcare System, West Haven, CT 06516, USADepartment of Psychiatry, Yale School of Medicine, New Haven, CT 06510, USAThe prevalence and rising use of alcohol, opioids, and stimulants have led to substance use disorders (SUDs) that are a significant public health challenge. Traditional treatments offer some benefit; however, they often limited by efficacy, side effects, and accessibility, highlighting the urgent need for novel therapeutics. This review explores the current literature surrounding three different classes of novel treatments: glucagon-like peptide-1 (GLP-1) receptor agonists, dopamine D3 receptor (D3R) antagonists, and corticotropin-releasing factor (CRF) antagonists. These therapeutics collectively target different aspects of the addiction process, such as stress and relapse prevention, reward modulation, and the reduction of drug-seeking behavior, leading to a combined multifaceted approach to treating SUDs. This review includes preclinical and clinical evidence supporting the use of these therapies, highlighting their potential to reduce substance use and prevent relapse to alcohol, opioid, and stimulant use. Despite the potentially promising findings of these treatments, further research is necessary to fully understand their mechanisms, optimize their application, and confirm their efficacy in clinical settings.https://www.imrpress.com/journal/JIN/24/4/10.31083/JIN26361novel therapeuticsalcoholopioidstimulantsglucagon-like peptide-1 receptor (glp-1) agonistsdopamine d3 receptor (d3r) antagonistscorticotropin-releasing factor (crf) antagonists
spellingShingle Khaled Draghmeh
Brian Fuehrlein
Emerging Therapeutics in the Treatment of Substance Use Disorders: A Focus on GLP-1 Receptor Agonists, D3R Antagonists, and CRF Antagonists
Journal of Integrative Neuroscience
novel therapeutics
alcohol
opioid
stimulants
glucagon-like peptide-1 receptor (glp-1) agonists
dopamine d3 receptor (d3r) antagonists
corticotropin-releasing factor (crf) antagonists
title Emerging Therapeutics in the Treatment of Substance Use Disorders: A Focus on GLP-1 Receptor Agonists, D3R Antagonists, and CRF Antagonists
title_full Emerging Therapeutics in the Treatment of Substance Use Disorders: A Focus on GLP-1 Receptor Agonists, D3R Antagonists, and CRF Antagonists
title_fullStr Emerging Therapeutics in the Treatment of Substance Use Disorders: A Focus on GLP-1 Receptor Agonists, D3R Antagonists, and CRF Antagonists
title_full_unstemmed Emerging Therapeutics in the Treatment of Substance Use Disorders: A Focus on GLP-1 Receptor Agonists, D3R Antagonists, and CRF Antagonists
title_short Emerging Therapeutics in the Treatment of Substance Use Disorders: A Focus on GLP-1 Receptor Agonists, D3R Antagonists, and CRF Antagonists
title_sort emerging therapeutics in the treatment of substance use disorders a focus on glp 1 receptor agonists d3r antagonists and crf antagonists
topic novel therapeutics
alcohol
opioid
stimulants
glucagon-like peptide-1 receptor (glp-1) agonists
dopamine d3 receptor (d3r) antagonists
corticotropin-releasing factor (crf) antagonists
url https://www.imrpress.com/journal/JIN/24/4/10.31083/JIN26361
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