Evidence map›Paper›PMID 18996862›Full record

Trial reportThe American journal of clinical nutrition2008

Use of modified cornstarch therapy to extend fasting in glycogen storage disease types Ia and Ib.

Catherine E Correia, Kaustuv Bhattacharya, Philip J Lee, Jonathan J Shuster, Douglas W Theriaque, Meena N Shankar, G Peter A Smit, David A Weinstein

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of clinical nutrition, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
2.4field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 104 citations in OpenAlex.

  1. Trial
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  8. Observational
  9. Review
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  14. A case of glycogen storage disease typeZhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2023
    Article
  15. Article
  16. Review
  17. Development of minimally invasiveMolecular genetics and metabolism reports · 2022
    Article
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  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 3 countries.

Catherine E CorreiaGlycogen Storage Disease Program and Division of Pediatric Endocrinology, University of Florida College of Medicine, Gainesville, FL 32610-0296, USA.
Kaustuv Bhattacharya
Philip J Lee
Jonathan J Shuster
Douglas W Theriaque
Meena N Shankar
G Peter A Smit
David A Weinstein
State University System of Florida · USUniversity of Florida · USFlorida State University · USUniversity College London · GBUniversity of London · GB

Funding

WHITE MATTER AND COGNITION IN PARKINSON'S DISEASEM01RR000082 · NCRR · UNIVERSITY OF FLORIDA · PI FOOTE, KELLY D · 1985 to 2009
$29.7M
UF CLINICAL AND TRANSLATIONAL SCIENCE AWARDUL1RR029890 · NCRR · UNIVERSITY OF FLORIDA · PI NELSON, DAVID R · 2009 to 2011
$14.4M
UF Clinical and Translational Science AwardUL1TR000064 · NCATS · UNIVERSITY OF FLORIDA · PI NELSON, DAVID R · 2012 to 2014
$12.2M
Hepcidin Expression in the Anemia of Chronic DiseaseK23RR017560 · NCRR · UNIVERSITY OF FLORIDA · PI WEINSTEIN, DAVID A · 2003 to 2007
$629k
NCATS NIH HHS UL1 TR000064NCRR NIH HHS K23 RR 017560NCRR NIH HHS K23 RR017560NCRR NIH HHS M01 RR000082NCRR NIH HHS M01 RR 00082NCRR NIH HHS UL1 RR029890
6 · The paper itself

Abstract

backgroundType I glycogen storage disease (GSD) is caused by a deficiency of glucose-6-phosphatase resulting in severe fasting hypoglycemia.

objectiveWe compared the efficacy of a new modified starch with the currently used cornstarch therapy in patients with type Ia and Ib GSD.

designThis was a randomized, 2-d, double-blinded, crossover pilot study comparing the commonly used uncooked cornstarch with the experimental starch in 12 subjects (6 GSDIa, 6 GSDIb) aged >or=13 y. At 2200, the subjects were given 100 g of digestible starch, and glucose and lactate were measured hourly until the subject's plasma glucose concentration reached 60 mg/dL or until the subject had fasted for 10 h. The order in which the products were tested was randomized in a blinded fashion.

resultsThe matched-pair Gehan rank test for censored survival was used to compare the therapies. The experimental starch maintained blood glucose concentrations significantly longer than did the traditional therapy (P = 0.013) in the 2-sided analysis. Most of the benefit was found to be after glucose concentrations fell below 70 mg/dL. The currently used cornstarch resulted in higher peak glucose concentrations and a more rapid rate of fall than did the new starch.

conclusionsThe experimental starch was superior to standard therapy in preventing hypoglycemia (<or=60 mg/dL). This therapy may allow patients with GSD to sleep through the night without awakening for therapy while enhancing safety. Additional studies are warranted to determine whether alternative dosing will further improve control in the therapeutic blood glucose range.

Indexed as

AdolescentBlood GlucoseCross-Over StudiesDose-Response Relationship, DrugDouble-Blind MethodFastingFemaleGlycogen Storage Disease Type IHumansHypoglycemiaMalePilot ProjectsSafetyStarchBlood GlucoseStarch

Identifiers

PMID18996862
PMCPMC3808112
OpenAlexW2095684458

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.