Evidence map›Paper›PMID 28285751›Full record

Trial reportThe Journal of pediatrics2017

Androgen Treatment Effects on Motor Function, Cognition, and Behavior in Boys with Klinefelter Syndrome.

Judith L Ross, Harvey Kushner, Karen Kowal, Martha Bardsley, Shanlee Davis, Allan L Reiss, Nicole Tartaglia, David Roeltgen

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00348946 (Androgen Effect on Motor/Cognitive Outcome in Klinefelter Syndrome), which is not on this map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
8.8field-weighted citation impact, top 2% 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.

NCT00348946 phase2completednot on this map

Androgen Effect on Motor/Cognitive Outcome in Klinefelter Syndrome

TypeinterventionalSponsorThomas Jefferson UniversityRan2006 to 2017Enrolled93ConditionsKlinefelter SyndromeArmsandrogen oxandrolone, placebo
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 83 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Review
  14. Article
  15. Review
  16. A cross-sectional study of early language abilities in children with sex chromosome trisomy (XXY, XXX, XYY) aged 1-6 years.Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence · 2022
    Article
  17. Recent advancement in the treatment of boys and adolescents with hypogonadism.Therapeutic advances in endocrinology and metabolism · 2022
    Review
  18. Observational
  19. Article
  20. Morbidity in Klinefelter syndrome and the effect of testosterone treatment.American journal of medical genetics. Part C, Seminars in medical genetics · 2020
    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 6 institutions in 1 country.

Judith L RossThomas Jefferson University, Department of Pediatrics, Philadelphia, PA; A.I. DuPont Hospital for Children, Wilmington, DE. Electronic address: judith.ross@jefferson.edu.
Harvey KushnerBiomedical Research Institute, Philadelphia, PA.
Karen KowalThomas Jefferson University, Department of Pediatrics, Philadelphia, PA; A.I. DuPont Hospital for Children, Wilmington, DE.
Martha BardsleyThomas Jefferson University, Department of Pediatrics, Philadelphia, PA; A.I. DuPont Hospital for Children, Wilmington, DE.
Shanlee DavisDepartment of Pediatrics, University of Colorado School of Medicine, Aurora, CO.
Allan L ReissDepartment of Psychiatry, Stanford University, Palo Alto, CA.
Nicole TartagliaDepartment of Pediatrics, University of Colorado School of Medicine, Aurora, CO.
David RoeltgenShore Physicians Group, Somers Point, NJ.
Community Health Systems - Dupont Hospital · USUniversity of Colorado Denver · USBiomedical Research Institute · USDuPont (United States) · USShore Memorial Hospital · USStanford University · US

Funding

Androgen effect on motor/cognitive outcome in Klinefelter syndromeR01NS050597 · NINDS · THOMAS JEFFERSON UNIVERSITY · PI ROSS, JUDITH L · 2006 to 2010
$4.1M
Effects of Testosterone and Genetic Factors on Psychological and Motor Function iK23NS070337 · NINDS · UNIVERSITY OF COLORADO DENVER · PI TARTAGLIA, NICOLE RENEE · 2011 to 2015
$886k
NINDS NIH HHS K23 NS070337NINDS NIH HHS R01 NS050597
6 · The paper itself

Abstract

objectivesTo examine the effects of early low-dose androgen on motor, cognitive, and behavioral function in prepubertal boys with Klinefelter syndrome (47,XXY). STUDY

designDouble-blind trial of 84 boys, ages 4-12 years, randomized to oxandrolone (Ox; 0.06?mg/kg daily; n?=?43) or placebo (Pl; n?=?41) for 24 months. Standardized assessments were performed at baseline and every 12 months for 24 months evaluating motor, cognitive, and behavioral function.

resultsThe 24-month outcomes were better in the Ox vs. Pl group on 1 of 5 primary endpoints (motor function/strength): Bruininks Visual-Motor scale (P?=?.005), without significant differences between the 2 groups for the other 4 components. Secondary analyses suggested improvement in the Ox vs. Pl group in the anxiety/depression (P?=?.03) and social problems (P?=?.01) scales on the Child Behavior Checklist, anxiety (P?=?.04) on the Piers Harris Self Concept Scale, and interpersonal problems (P?=?.02) on the Children's Depression Inventory, without significant differences in hyperactive or aggressive behaviors.

conclusionsThis double-blind, randomized trial demonstrates that 24 months of childhood low-dose androgen treatment in boys with Klinefelter syndrome benefited 1 of 5 primary endpoints (visual-motor function). Secondary analyses demonstrated positive effects of androgen on aspects of psychosocial function (anxiety, depression, social problems), without significant effects on cognitive function, or hyperactive or aggressive behaviors.

trial registrationClinicalTrials.gov: NCT00348946.

Indexed as

Child BehaviorCognitionMuscle StrengthAndrogensAnxietyChildChild, PreschoolDepressionDouble-Blind MethodHumansInterpersonal RelationsKlinefelter SyndromeMaleNeuropsychological TestsOxandroloneAndrogensOxandrolone47,XXY Childandrogengonadal failureKlinefelter syndromelongitudinal studiesrandomized controlled trialsex chromosome aneuploidysex chromosome disorderssex chromosome variationstesticular functionUnited States

Identifiers

PMID28285751
PMCPMC6754744
OpenAlexW2592180214

What OpenQuestion holds

Textmetadata
LicenceTDM
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.