Premenstrual dysphoric disorder
diseaseOn this page
Also known as PMDD
Summary
Premenstrual dysphoric disorder (MONDO:1010182) is a disease with 1 cohort gene and 34 clinical trials. Top therapeutic interventions include paroxetine, fluoxetine, and sertraline.
At a glance
- Cohort genes: 1
- ClinVar variants: 4
- Clinical trials: 34
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | premenstrual dysphoric disorder |
| Mondo ID | MONDO:1010182 |
| UMLS | C0520676 |
| MedGen | 636161 |
| Is cancer (heuristic) | no |
Also known as: PMDD
Data availability: 4 ClinVar variants.
Disease family
Classification path: disease › human disease › disease by body system or component › reproductive system disorder › female reproductive system disorder › menstrual disorder › premenstrual tension › premenstrual dysphoric disorder
Genetics & variants
GWAS landscape
No GWAS associations recorded — common-variant (GWAS) studies don’t cover this disease (typical for Mendelian / rare diseases). See the curated gene cohort and Mendelian overlap below.
Variant details and genetic-evidence tiers
ClinVar germline variants
4 retrieved; paginated sample, class counts are floors:
2 risk factor, 2 benign
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 916007 | GRCh37/hg19 5q34(chr5:160715688-160717804) | GABRB2 | risk factor | no assertion criteria provided |
| 916011 | GRCh37/hg19 5q34(chr5:160796703-160797020) | GABRB2 | risk factor | no assertion criteria provided |
| 916008 | GRCh37/hg19 5q34(chr5:160715688-160717804) | GABRB2 | Benign | no assertion criteria provided |
| 916012 | GRCh37/hg19 5q34(chr5:160796703-160797020) | GABRB2 | Benign | no assertion criteria provided |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 0 · Orphanet: 1 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| GABRB2 | Orphanet:442835 | Non-specific early-onset epileptic encephalopathy |
Cohort genes → proteins
1 cohort genes, 1 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| multi_evidence | 1 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| GABRB2 | HGNC:4082 | ENSG00000145864 | P47870 | Gamma-aminobutyric acid receptor subunit beta-2 | clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| GABRB2 | Gamma-aminobutyric acid receptor subunit beta-2 | Beta subunit of the heteropentameric ligand-gated chloride channel gated by gamma-aminobutyric acid (GABA), a major inhibitory neurotransmitter in the brain. |
Protein-family classification
Druggable: 0 · Difficult: 0 · Unknown: 1 · Druggable fraction: 0.0
Family distribution
Cohort families vs a genome-wide background (hypergeometric, BH-FDR; fold = observed/expected). Counts kept; sorted by enrichment, so the catch-all Other/Unknown bucket no longer leads.
| Family | Genes | Fold | FDR |
|---|---|---|---|
| Other/Unknown | 1 | 1.8× | 0.558 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| GABRB2 | Other/Unknown | no | GABAAb_rcpt, GABAA/Glycine_rcpt, Neurotrans-gated_channel_TM |
Expression context
Cohort genes with no expression data: 0.
1 cohort gene are a single-cell marker in ≥1 SCXA experiment.
Breadth distribution (Bgee present_calls)
| Bucket | Genes |
|---|---|
| narrow (1-5 tissues) | 0 |
| moderate (6-20) | 0 |
| broad (>20) | 1 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| Brodmann (1909) area 23 | 1 |
| endothelial cell | 1 |
| lateral nuclear group of thalamus | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| GABRB2 | 198 | broad | marker | Brodmann (1909) area 23, endothelial cell, lateral nuclear group of thalamus |
Protein interactions among cohort
Intra-cohort edges: 0.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| GABRB2 | 2,186 |
Structural data
PDB: 1 · AlphaFold-only: 0 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| GABRB2 | P47870 | 31 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 2. Enrichment computed across 1 evidence-associated genes (1 with Reactome annotation).
Pathways by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 1 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| GABA receptor activation | 1 | 317.2× | 0.004 | GABRB2 |
| Signaling by ERBB4 | 1 | 271.9× | 0.004 | GABRB2 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 1 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| cellular response to histamine | 1 | 2808.7× | 0.002 | GABRB2 |
| inner ear receptor cell development | 1 | 2407.4× | 0.002 | GABRB2 |
| innervation | 1 | 887.0× | 0.003 | GABRB2 |
| inhibitory synapse assembly | 1 | 624.1× | 0.003 | GABRB2 |
| gamma-aminobutyric acid signaling pathway | 1 | 543.6× | 0.003 | GABRB2 |
| synaptic transmission, GABAergic | 1 | 495.6× | 0.003 | GABRB2 |
| cochlea development | 1 | 468.1× | 0.003 | GABRB2 |
| chloride transmembrane transport | 1 | 237.3× | 0.005 | GABRB2 |
| chemical synaptic transmission | 1 | 77.3× | 0.013 | GABRB2 |
Therapeutics
Drug target analysis
Approved (phase 4): 1 · Phase ≥3: 1 · Phased (≥1): 1 · Undrugged: 0
Druggability breadth: 1 of 1 evidence-associated genes (100%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).
Genes with an approved drug
The molecule shown is one approved compound that hits the gene — not necessarily a drug of choice or one indicated for this disease.
| Symbol | Example approved molecule |
|---|---|
| GABRB2 | CANNABIDIOL |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| GABRB2 | 47 | 4 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| CANNABIDIOL | 4 | GABRB2 |
| ENZALUTAMIDE | 4 | GABRB2 |
| DIAZEPAM | 4 | GABRB2 |
| LIOTHYRONINE | 4 | GABRB2 |
| GANAXOLONE | 4 | GABRB2 |
| BREXANOLONE | 4 | GABRB2 |
| APALUTAMIDE | 4 | GABRB2 |
| FLUMAZENIL | 4 | GABRB2 |
| CLONAZEPAM | 4 | GABRB2 |
| FLUNITRAZEPAM | 4 | GABRB2 |
| ZALEPLON | 4 | GABRB2 |
| STIRIPENTOL | 4 | GABRB2 |
| ZURANOLONE | 4 | GABRB2 |
| PROPOFOL | 4 | GABRB2 |
| ALPRAZOLAM | 4 | GABRB2 |
| ETOMIDATE | 4 | GABRB2 |
| ZOLPIDEM | 4 | GABRB2 |
| ESZOPICLONE | 4 | GABRB2 |
| PENTOBARBITAL | 4 | GABRB2 |
| CANDESARTAN CILEXETIL | 4 | GABRB2 |
| SIMVASTATIN | 4 | GABRB2 |
| EPINASTINE | 4 | GABRB2 |
| GLAFENINE | 4 | GABRB2 |
| TIPRANAVIR | 4 | GABRB2 |
| BENPERIDOL | 4 | GABRB2 |
| ASENAPINE | 4 | GABRB2 |
| TROGLITAZONE | 4 | GABRB2 |
| CLOZAPINE | 4 | GABRB2 |
| CHLORAMBUCIL | 4 | GABRB2 |
| CRIZOTINIB | 4 | GABRB2 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 0.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| GABRB2 | 549 | Binding:463, Functional:81, Toxicity:4, ADMET:1 |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| GABRB2 | 549 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 1; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Chemical tractability of cohort targets
30 approved/phased compounds have measured bioactivity against a cohort gene (and aren’t yet in disease-level trials). This is a research / tractability signal, NOT a therapeutic recommendation — a bioactivity row often reflects off-target or screening binding (e.g. promiscuous kinase inhibitors against a cohort kinase), implying no disease mechanism.
| Compound | Max phase | Cohort target (bioactivity) |
|---|---|---|
| CANNABIDIOL | 4 | GABRB2 |
| ENZALUTAMIDE | 4 | GABRB2 |
| DIAZEPAM | 4 | GABRB2 |
| LIOTHYRONINE | 4 | GABRB2 |
| GANAXOLONE | 4 | GABRB2 |
| BREXANOLONE | 4 | GABRB2 |
| APALUTAMIDE | 4 | GABRB2 |
| FLUMAZENIL | 4 | GABRB2 |
| CLONAZEPAM | 4 | GABRB2 |
| FLUNITRAZEPAM | 4 | GABRB2 |
| ZALEPLON | 4 | GABRB2 |
| STIRIPENTOL | 4 | GABRB2 |
| ZURANOLONE | 4 | GABRB2 |
| PROPOFOL | 4 | GABRB2 |
| ALPRAZOLAM | 4 | GABRB2 |
| ETOMIDATE | 4 | GABRB2 |
| ZOLPIDEM | 4 | GABRB2 |
| ESZOPICLONE | 4 | GABRB2 |
| PENTOBARBITAL | 4 | GABRB2 |
| CANDESARTAN CILEXETIL | 4 | GABRB2 |
| SIMVASTATIN | 4 | GABRB2 |
| EPINASTINE | 4 | GABRB2 |
| GLAFENINE | 4 | GABRB2 |
| TIPRANAVIR | 4 | GABRB2 |
| BENPERIDOL | 4 | GABRB2 |
| ASENAPINE | 4 | GABRB2 |
| TROGLITAZONE | 4 | GABRB2 |
| CLOZAPINE | 4 | GABRB2 |
| CHLORAMBUCIL | 4 | GABRB2 |
| CRIZOTINIB | 4 | GABRB2 |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 1 | GABRB2 |
| B | Phased (≥1) drug, not yet approved | 0 | |
| C | Druggable family + PDB, no drug | 0 | |
| D | Druggable family + AlphaFold only, no drug | 0 | |
| E | Difficult family or no structure, no drug | 0 |
Undrugged target profiles
0 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
Clinical trials & evidence
Clinical trials
Clinical trials: 34.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 18 |
| PHASE4 | 7 |
| PHASE3 | 3 |
| PHASE2 | 3 |
| PHASE2/PHASE3 | 2 |
| PHASE1/PHASE2 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT06704594 | PHASE4 | RECRUITING | Allopregnanolone and Dynamic GABA-A Receptor Plasticity in Selective Serotonin Reuptake Inhibitor Responsive Premenstrual Dysphoric Disorder |
| NCT00516113 | PHASE4 | COMPLETED | A Placebo-Controlled Study to Investigate the Onset of Action of Paroxetine in Premenstrual Dysphoria |
| NCT00536198 | PHASE4 | COMPLETED | Evaluating the Effectiveness of Sertraline in Treating Women With Premenstrual Dysphoric Disorder |
| NCT00678574 | PHASE4 | COMPLETED | The Role of GABA and Neurosteroids in Premenstrual Dysphoric Disorder |
| NCT00927095 | PHASE4 | COMPLETED | Continuous Oral Contraceptive Treatment in Premenstrual Dysphoric Disorder (PMDD) |
| NCT02777372 | PHASE4 | COMPLETED | Stress & Premenstrual Symptoms Study |
| NCT04123483 | PHASE4 | WITHDRAWN | EnBrace HR for PMS With Prominent Mood Symptoms or Menstrual Related Mood Disorders |
| NCT00620581 | PHASE3 | COMPLETED | Luteal Phase Administration of Paroxetine for the Treatment of PMDD |
| NCT00824187 | PHASE3 | COMPLETED | YAZ Premenstrual Dysphoric Disorder (PMDD) in China |
| NCT01217775 | PHASE3 | UNKNOWN | Intranasal PH80 Spray for Acute Management of the Symptoms of Premenstrual Dysphoric Disorder |
| NCT02508103 | PHASE2/PHASE3 | COMPLETED | Emotional Processing and Oxytocin Mechanisms in Premenstrual Dysphoric Disorder: A Pilot Study |
| NCT06227676 | PHASE2/PHASE3 | COMPLETED | Effect of ‘Cramp Bites’ on Period Cramps in Women Aged 18-25 |
| NCT00089414 | PHASE2 | TERMINATED | Treatment of Menstrually Related Disorders With Continuous v. Interrupted Oral Contraceptives |
| NCT01875718 | PHASE1/PHASE2 | COMPLETED | A Phase I/II Study to Evaluate UC1010 Treatment in Premenstrual Dysphoric Disorder (PMDD) |
| NCT03697265 | PHASE2 | COMPLETED | A Study of Efficacy and Safety of Sepranolone (UC1010) in Patients With Premenstrual Dysphoric Disorder (PMDD) |
| NCT05098574 | PHASE2 | COMPLETED | Oral Contraceptives for Treating Premenstrual Dysphoric Disorder in Bipolar Disorder |
| NCT06130371 | Not specified | RECRUITING | Stress, Inflammation and Neuroimaging in Major Depressive Disorder as Compared to Premenstrual Dysphoric Disorder |
| NCT06462391 | Not specified | ACTIVE_NOT_RECRUITING | Adapting and Piloting Acceptance and Commitment Therapy (ACT) for Severe Premenstrual Mood Symptoms |
| NCT06496139 | Not specified | RECRUITING | Emotion Regulation-based Internet-delivered Cognitive Behavioural Therapy for Premenstrual Dysphoric Disorder |
| NCT06648382 | Not specified | RECRUITING | Pilot Study of the ‘Thriving With PMDs’ Program |
| NCT06771583 | Not specified | RECRUITING | Identification and Validation of Epigenetic Biomarkers of PMDD |
| NCT07189299 | Not specified | NOT_YET_RECRUITING | Microdosing LSD in Women With Premenstrual Disorders |
| NCT07554950 | Not specified | NOT_YET_RECRUITING | Evaluating the Impact of Psychoeducation and Sleep-informed Workshop Targeting Sleep Concerns in Women and Individuals With Premenstrual Dysphoric Disorder |
| NCT00518570 | Not specified | COMPLETED | Levetiracetam in the Treatment of Patients With Premenstrual Dysphoric Disorder (PMDD) |
| NCT01385709 | Not specified | COMPLETED | The Influence of the Menstrual Cycle on Lithium and Sertraline Blood Levels |
| NCT01799733 | Not specified | COMPLETED | Alternative Treatments for Premenstrual Dysphoric Disorder |
| NCT01945372 | Not specified | UNKNOWN | Neurofeedback Treatment of Affective Instability in Premenstrual Dysphoric Disorder(PMDD) |
| NCT02362191 | Not specified | TERMINATED | Targeting Inter-Hemispheric Alpha Coherence With tACS To Treat PMDD |
| NCT02448836 | Not specified | UNKNOWN | Deep Transcranial Magnetic Stimulation (dTMS) for the Treatment of Premenstrual Dysphoric Disorder (PMDD) |
| NCT03449979 | Not specified | COMPLETED | Single Session of tACS in a Depressive Episode |
| NCT03862469 | Not specified | COMPLETED | Premenstrual Hormonal and Affective State Evaluation (PHASE) Project |
| NCT05327075 | Not specified | UNKNOWN | Premenstrual Dysphoric Disorder:Knowledge,Attitude and Practice Among Egyptian Females |
| NCT05813366 | Not specified | UNKNOWN | Combined Effect of Tryptophan Rich Diet and Acupuncture on Depression Related to Premenstrual Dysphoric Disorder |
| NCT06136104 | Not specified | COMPLETED | The Effects of Mixhers HERTIME Supplements on Menstrual Symptoms |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| PAROXETINE | 4 | 4 |
| FLUOXETINE | 4 | 3 |
| SERTRALINE | 4 | 2 |
| DROSPIRENONE | 4 | 1 |
| ETHINYL ESTRADIOL | 4 | 1 |
| OXYTOCIN | 4 | 1 |
| SEPRANOLONE | 2 | 2 |
| LYSERGIDE | 2 | 1 |
| CHEMBL1788361 | 0 | 2 |
| CHEMBL4303358 | 0 | 1 |
Related Atlas pages
- Cohort genes: GABRB2
- Drugs: Paroxetine, Fluoxetine, Sertraline, Drospirenone, Ethinyl Estradiol, Oxytocin