Evidence map›Paper›PMID 27655235›Full record

ArticleBMC psychiatry2016

Clinical trial of modulatory effects of oxytocin treatment on higher-order social cognition in autism spectrum disorder: a randomized, placebo-controlled, double-blind and crossover trial.

Katrin Preckel, Philipp Kanske, Tania Singer, Frieder M Paulus, Sören Krach

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 6% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Empathy in Autism Spectrum Disorder.Journal of autism and developmental disorders · 2019
    Article
  10. Article
  11. Article
  12. Oxytocin under opioid antagonism leads to supralinear enhancement of social attention.Proceedings of the National Academy of Sciences of the United States of America · 2017
    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

5 authors at 2 institutions in 1 country.

Katrin PreckelMax Planck Institute for Human Cognitive and Brain Sciences, Stephanstraße 1A, 04107, Leipzig, Germany. preckel@cbs.mpg.de.ORCID http://orcid.org/0000-0003-1498-3813
Philipp KanskeMax Planck Institute for Human Cognitive and Brain Sciences, Stephanstraße 1A, 04107, Leipzig, Germany.
Tania SingerMax Planck Institute for Human Cognitive and Brain Sciences, Stephanstraße 1A, 04107, Leipzig, Germany.
Frieder M PaulusUniversitätsklinikum Schleswig-Holstein, Campus Lübeck, Klinik für Psychiatrie und Psychotherapie, Ratzeburger Allee 160, 23562, Lübeck, Germany.
Sören KrachUniversitätsklinikum Schleswig-Holstein, Campus Lübeck, Klinik für Psychiatrie und Psychotherapie, Ratzeburger Allee 160, 23562, Lübeck, Germany.
Max Planck Institute for Human Cognitive and Brain Sciences · DEUniversity Hospital Schleswig-Holstein · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAutism spectrum disorders are neurodevelopmental conditions with severe impairments in social communication and interaction. Pioneering research suggests that oxytocin can improve motivation, cognition and attention to social cues in patients with autism spectrum disorder. The aim of this clinical trial is to characterize basic mechanisms of action of acute oxytocin treatment on neural levels and to relate these to changes in different levels of socio-affective and -cognitive functioning.

methodsThis clinical study is a randomized, double-blind, cross-over, placebo-controlled, multicenter functional magnetic resonance imaging study with two arms. A sample of 102 male autism spectrum disorder patients, diagnosed with Infantile Autistic Disorder (F84.0 according to ICD-10), Asperger Syndrome (F84.5 according to ICD-10), or Atypical Autism (F84.1 according to ICD-10) will be recruited and will receive oxytocin and placebo nasal spray on two different days. Autism spectrum disorder patients will be randomized to determine who receives oxytocin on the first and who on the second visit. Healthy control participants will be recruited and case-control matched to the autism spectrum disorder patients. The primary outcome will be neural network activity, measured with functional magnetic resonance imaging while participants perform socio-affective and -cognitive tasks. Behavioral markers such as theory of mind accuracy ratings and response times will be assessed as secondary outcomes in addition to physiological measures such as skin conductance. Trait measures for alexithymia, interpersonal reactivity, and social anxiety will also be evaluated. Additionally, we will analyze the effect of oxytocin receptor gene variants and how these potentially influence the primary and secondary outcome measures. Functional magnetic resonance imaging assessments will take place at two time points which will be scheduled at least two weeks apart to ensure a sufficient wash-out time after oxytocin treatment. The study has been approved by an ethical review board and the competent authority. DISCUSSION: Revealing the mechanisms of acute oxytocin administration, especially on the socio-affective and -cognitive domains at hand, will be a further step towards novel therapeutic interventions regarding autism.

trial registrationGerman Clinical Trial Register DRKS00010053 . The trial was registered on the 8

Indexed as

Autism spectrum disorderEmotional reactivityEmpathyfMRIOxytocinOxytocin receptor geneSocial motivationSocial rewardTheory of mind

Identifiers

PMID27655235
PMCPMC5031348
OpenAlexW2521722361

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.