Evidence map›Paper›PMID 28647012›Full record

Trial reportJournal of the American Academy of Child and Adolescent Psychiatry2017

Striatal Activation Predicts Differential Therapeutic Responses to Methylphenidate and Atomoxetine.

Kurt P Schulz, Anne-Claude V Bédard, Jin Fan, Thomas B Hildebrandt, Mark A Stein, Iliyan Ivanov, Jeffrey M Halperin, Jeffrey H Newcorn

Registry-linked trialOpen access · greenAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Academy of Child and Adolescent Psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00183391 (Measuring and Predicting Response to Atomoxetine and Methylphenidate), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% 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.

NCT00183391 phase4completednot on this map

Measuring and Predicting Response to Atomoxetine and Methylphenidate

TypeinterventionalSponsorIcahn School of Medicine at Mount SinaiRan2005 to 2011Enrolled232ConditionsAttention Deficit Disorder With HyperactivityArmsAtomoxetine, Methylphenidate
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Neural basis for individual differences in the attention-enhancing effects of methylphenidate.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Therapeutic Approaches for ADHD by Developmental Stage and Clinical Presentation.International journal of environmental research and public health · 2022
    Review
  10. Review
  11. Toward Precision Medicine in ADHD.Frontiers in behavioral neuroscience · 2022
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Localising movement disorders in childhood.The Lancet. Child & adolescent health · 2019
    Review
  18. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Kurt P SchulzIcahn School of Medicine at Mount Sinai, New York.
Anne-Claude V BédardUniversity of Toronto, Canada.
Jin FanIcahn School of Medicine at Mount Sinai, New York; Queens College of the City University of New York.
Thomas B HildebrandtIcahn School of Medicine at Mount Sinai, New York.
Mark A SteinUniversity of Washington, Seattle.
Iliyan IvanovIcahn School of Medicine at Mount Sinai, New York.
Jeffrey M HalperinIcahn School of Medicine at Mount Sinai, New York; Queens College of the City University of New York.
Jeffrey H NewcornIcahn School of Medicine at Mount Sinai, New York. Electronic address: jeffrey.newcorn@mssm.edu.
Icahn School of Medicine at Mount Sinai · USUniversity of Toronto · CAUniversity of Washington · US

Funding

Imaging Stimulant and NonStimulant Treatments for ADHD: A Network-Based ApproachR01MH095766 · NIMH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI NEWCORN, JEFFREY H, SCHULZ, KURT P. · 2012 to 2016
$3.2M
Predicting Response to Atomoxetine and MethlyphenidateR01MH070935 · NIMH · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI NEWCORN, JEFFREY H · 2005 to 2009
$3.0M
Integrative Approach to Functional Neuroimaging of ADHDK01MH070892 · NIMH · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI SCHULZ, KURT P. · 2005 to 2009
$775k
NIMH NIH HHS K01 MH070892NIMH NIH HHS R01 MH070935NIMH NIH HHS R01 MH095766
6 · The paper itself

Abstract

objectiveMethylphenidate has prominent effects in the dopamine-rich striatum that are absent for the selective norepinephrine transporter inhibitor atomoxetine. This study tested whether baseline striatal activation would predict differential response to the two medications in youth with attention-deficit/hyperactivity disorder (ADHD).

methodA total of 36 youth with ADHD performed a Go/No-Go test during functional magnetic resonance imaging at baseline and were treated with methylphenidate and atomoxetine using a randomized cross-over design. Whole-brain task-related activation was regressed on clinical response.

resultsTask-related activation in right caudate nucleus was predicted by an interaction of clinical responses to methylphenidate and atomoxetine (F

conclusionEnhanced caudate activation for response inhibition may be a candidate biomarker of superior response to methylphenidate over atomoxetine in youth with ADHD, purportedly reflecting the dopaminergic effects of methylphenidate but not atomoxetine in the striatum, whereas motor cortex activation may predict response to atomoxetine. These data do not yet translate directly to the clinical setting, but the approach is potentially important for informing future research and illustrates that it may be possible to predict differential treatment response using a biomarker-driven approach. CLINICAL TRIAL REGISTRATION INFORMATION: Stimulant Versus Nonstimulant Medication for Attention Deficit Hyperactivity Disorder in Children; https://clinicaltrials.gov/; NCT00183391.

Indexed as

Attention Deficit Disorder with HyperactivityCaudate NucleusInhibition, PsychologicalMotor CortexAdolescentAdrenergic Uptake InhibitorsAtomoxetine HydrochlorideCentral Nervous System StimulantsChildFemaleHumansMagnetic Resonance ImagingMaleMethylphenidateAdrenergic Uptake InhibitorsAtomoxetine HydrochlorideCentral Nervous System StimulantsMethylphenidateADHDatomoxetinecaudate nucleusfMRImethylphenidate

Identifiers

PMID28647012
PMCPMC12925823
OpenAlexW2613553999

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.