Evidence map›Paper›PMID 26262902›Full record

Trial reportJournal of child and adolescent psychopharmacology2015

Pharmacogenetic Study of Serotonin Transporter and 5HT2A Genotypes in Autism.

Fedra Najjar, Thomas Owley, Matthew W Mosconi, Suma Jacob, Kwan Hur, Stephen J Guter, John A Sweeney, Robert D Gibbons, Edwin H Cook, Jeffrey R Bishop

Abstract readClinical Trial
In one paragraph

Trial report in Journal of child and adolescent psychopharmacology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 33% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pharmacogenomic Studies in Intellectual Disabilities and Autism Spectrum Disorder: A Systematic Review.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2021
    Pooled it
  2. Trial
  3. Review
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  5. Review
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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

10 authors at 6 institutions in 1 country.

Fedra Najjar1 Institute for Juvenile Research, Department of Psychiatry, University of Illinois at Chicago , Chicago, Illinois.
Thomas Owley2 Department of Psychiatry, Rush University , Chicago, Illinois.
Matthew W Mosconi3 Department of Psychiatry, University of Texas Southwestern Medical Center , Dallas Texas.
Suma Jacob4 Department of Psychiatry, University of Minnesota , Minneapolis, Minnesota.
Kwan Hur5 Department of Public Health Sciences, University of Chicago , Chicago, Illinois.
Stephen J Guter1 Institute for Juvenile Research, Department of Psychiatry, University of Illinois at Chicago , Chicago, Illinois.
John A Sweeney3 Department of Psychiatry, University of Texas Southwestern Medical Center , Dallas Texas.
Robert D Gibbons5 Department of Public Health Sciences, University of Chicago , Chicago, Illinois.
Edwin H Cook1 Institute for Juvenile Research, Department of Psychiatry, University of Illinois at Chicago , Chicago, Illinois.
Jeffrey R Bishop6 Department of Experimental and Clinical Pharmacology, University of Minnesota , Minneapolis, Minnesota.
University of Illinois Chicago · USThe University of Texas Southwestern Medical Center · USUniversity of Minnesota · USChicago Department of Public Health · USRush University · USUniversity of Chicago · US

Funding

Neurophysiological and acute pharmacological studies in FXS patientsU54HD082008 · NICHD · UT SOUTHWESTERN MEDICAL CENTER · PI HUBER, KIMBERLY M. · 2014 to 2019
$9.8M
NICHD NIH HHS U54 HD082008
6 · The paper itself

Abstract

objectiveThe purpose of this study was to determine whether polymorphisms in the serotonin transporter (SLC6A4) and serotonin-2A receptor (HTR2A) genes are associated with response to escitalopram in patients with autism spectrum disorder (ASD).

methodsForty-four participants with ASD were enrolled in a 6 week, forced titration, open label examination of the selective serotonin reuptake inhibitor (SSRI) escitalopram. Doses increased at weekly intervals starting at 2.5mg daily with a maximum possible dose of 20 mg daily achieved by the end of the study. If adverse events were experienced, participants subsequently received the previously tolerated dose for the duration of study. SLC6A4 (5-HTTLPR) and HTR2A (rs7997012) genotype groups were assessed in relation to treatment outcomes and drug doses.

resultsInsistence on sameness and irritability symptoms significantly improved over the course of the 6 week treatment period (p<0.0001) in this open-label trial. There were no significant differences observed in the rate of symptom improvement over time across genotype groups. Similarly, dosing trajectory was not significantly associated with genotype groups.

conclusionsPrevious studies have identified SLC6A4 and HTR2A associations with SSRI response in patients with depression and 5-HTTLPR (SLC6A4) associations with escitalopram response in ASD. We did not observe evidence for similar relationships in this ASD study.

Indexed as

AdolescentAdultAutism Spectrum DisorderChildChild, PreschoolCitalopramDose-Response Relationship, DrugFemaleGenotypeHumansMalePharmacogeneticsPolymorphism, Single NucleotideReceptor, Serotonin, 5-HT2ASelective Serotonin Reuptake InhibitorsSerotonin Plasma Membrane Transport ProteinsCitalopramReceptor, Serotonin, 5-HT2ASelective Serotonin Reuptake InhibitorsSerotonin Plasma Membrane Transport ProteinsSLC6A4 protein, human

Identifiers

PMID26262902
PMCPMC4544820
OpenAlexW2396265904

What OpenQuestion holds

Textmetadata
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.