Evidence map›Paper›PMID 26762378›Full record

Trial reportPsychopharmacology2016

Effects of propranolol on conversational reciprocity in autism spectrum disorder: a pilot, double-blind, single-dose psychopharmacological challenge study.

Rachel M Zamzow, Bradley J Ferguson, Janine P Stichter, Eric C Porges, Alexandra S Ragsdale, Morgan L Lewis, David Q Beversdorf

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Psychopharmacology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06066710 (Trial of Propranolol in Older Adults With Primary Progressive Aphasia), which is not on this map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
2.5field-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.

NCT06066710 early_phase1recruitingnot on this mapstarted 2025, after this paper: background citation

Trial of Propranolol in Older Adults With Primary Progressive Aphasia

TypeinterventionalSponsorUniversity of Missouri-ColumbiaRan2025 to 2027Enrolled30ConditionsAphasia, Primary ProgressiveArmsPropranolol, Magnetic Resonance Imaging (MRI), Placebo
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 52 citations in OpenAlex.

  1. Review
  2. Novel therapeutics in autism spectrum disorder.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. β-Blockers for Autism-Psychopharmacology bulletin · 2023
    Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Autism : the international journal of research and practice · 2020
    Article
  19. Speech-Stimulating Substances in Autism Spectrum Disorders.Behavioral sciences (Basel, Switzerland) · 2019
    Review
  20. 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

7 authors at 3 institutions in 1 country.

Rachel M ZamzowInterdisciplinary Neuroscience Program, University of Missouri, Columbia, MO, USA.
Bradley J FergusonInterdisciplinary Neuroscience Program, University of Missouri, Columbia, MO, USA.
Janine P StichterDepartment of Special Education, University of Missouri, Columbia, MO, USA.
Eric C PorgesCenter for Cognitive Aging and Memory (CAM), Institute on Aging, McKnight Brain Institute, Department of Aging and Geriatric Research, University of Florida, Gainesville, FL, 32608, USA.
Alexandra S RagsdaleDepartment of Biological Sciences, University of Missouri, Columbia, MO, USA.
Morgan L LewisDepartment of Biological Sciences, University of Missouri, Columbia, MO, USA.
David Q BeversdorfDepartment of Psychological Sciences, University of Missouri, Columbia, MO, USA. beversdorfd@health.missouri.edu.ORCID http://orcid.org/0000-0002-0298-0634
University of Missouri · USUniversity of Florida · USUniversity of Missouri Hospital · US

Funding

PHS HHS 1R40MC19926
6 · The paper itself

Abstract

rationalePharmacological intervention for autism spectrum disorder (ASD) is an important addition to treatment, yet currently available agents target co-morbid psychiatric concerns, such as aggression and irritability. Propranolol, a beta-adrenergic antagonist with anxiolytic effects, has been shown to improve verbal fluency and working memory in adults and adolescents with ASD in single-dose challenges.

objectivesThe present pilot study explores the acute effects of propranolol on a measure of conversational reciprocity in this population. We also examined whether autonomic activity and anxiety moderate or mediate response to the drug, given relationships between these variables and ASD, as well as the drug's effects.

methodsIn a within-subject crossover design, 20 individuals with ASD received a single dose of propranolol or placebo during two sessions in a double-blinded, counterbalanced manner. After drug administration, participants performed a conversational reciprocity task by engaging in a short conversation with the researcher. Measurements of autonomic activity and anxiety were obtained before and after drug administration.

resultsPropranolol significantly improved performance on the conversational reciprocity task total [d = 0.40] and nonverbal communication domain scores when compared to the placebo condition. However, neither autonomic activity nor anxiety was significantly associated with drug response.

conclusionsAcute propranolol administration improved conversational reciprocity in ASD. Further exploration of these preliminary findings, as well as other potential treatment response predictors, with serial doses is warranted.

Indexed as

Social BehaviorAdolescentAdrenergic beta-AntagonistsAdultAggressionAnxietyAutism Spectrum DisorderAutonomic Nervous SystemCross-Over StudiesDouble-Blind MethodFemaleHumansMalePilot ProjectsPropranololYoung AdultAdrenergic beta-AntagonistsPropranololAnxietyAutismAutonomicConversational reciprocityNoradrenergicPropranolol

Identifiers

PMID26762378
OpenAlexW2238949730

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.