Evidence map›Paper›PMID 20889164›Full record

Trial reportThe Journal of pediatrics2011

Efficacy of succimer chelation of mercury at background exposures in toddlers: a randomized trial.

Yang Cao, Aimin Chen, Robert L Jones, Jerilynn Radcliffe, Kim N Dietrich, Kathleen L Caldwell, Shyamal Peddada, Walter J Rogan

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The Journal of pediatrics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

8 citing papers in PubMed, 27 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Postnatal exposure to methyl mercury and neuropsychological development in 7-year-old urban inner-city children exposed to lead in the United States.Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence · 2014
    Article
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 6 institutions in 2 countries.

Yang CaoEpidemiology Branch, National Institute of Environmental Health Sciences, Research Triangle Park, NC 27709, USA.
Aimin Chen
Robert L Jones
Jerilynn Radcliffe
Kim N Dietrich
Kathleen L Caldwell
Shyamal Peddada
Walter J Rogan
National Institute of Environmental Health Sciences · USUniversity of Cincinnati Medical Center · USCenters for Disease Control and Prevention · USChildren's Hospital of Philadelphia · USNational Center for Environmental Health · USSecond Military Medical University · CN

Funding

NIEHS Statistical Consulting ServiceZIAES045005 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI PEDDADA, SHYAMAL · 2009 to 2011
$2.8M
Toxicity Of Lead In Children--Clinical TrialZIAES043011 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI ROGAN, WALTER · 2009 to 2014
$1.5M
Collaborative research in environmental health sciencesZIAES103066 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI PEDDADA, SHYAMAL · 2012 to 2017
$732k
Intramural NIH HHS ZIA ES043011
6 · The paper itself

Abstract

objectiveTo examine whether succimer, a mercaptan compound known to reduce blood lead concentration in children, reduces blood mercury concentration. STUDY

designWe used samples from a randomized clinical trial of succimer chelation for lead-exposed children. We measured mercury levels in pre-treatment samples from 767 children. We also measured mercury levels in blood samples drawn 1 week after treatment began (n = 768) and in a 20% random sample of the children who received the maximum 3 courses of treatment (n = 67). A bootstrap-based isotonic regression method was used to compare the trend with time in the difference between the adjusted mean mercury concentrations in the succimer group and that in the placebo group.

resultsThe adjusted mean organic mercury concentration in the succimer group relative to the placebo group fell from 99% at baseline to 82% after 3 courses of treatment (P for trend = .048), but this resulted from the prevention of the age-related increase in the succimer group.

conclusionSuccimer chelation for low level organic mercury exposure in children has limited efficacy.

Indexed as

Chelating AgentsChild, PreschoolDouble-Blind MethodFemaleHumansInfantIntention to Treat AnalysisLimit of DetectionLinear ModelsMaleMercuryMercury PoisoningSuccimerUnited StatesChelating AgentsMercurySuccimer

Identifiers

PMID20889164
PMCPMC3086399
OpenAlexW2038930623

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.