Evidence map›Paper›PMID 29536216›Full record

Trial reportJournal of autism and developmental disorders2018

An Exploratory Trial of Transdermal Nicotine for Aggression and Irritability in Adults with Autism Spectrum Disorder.

Alan S Lewis, Gerrit Ian van Schalkwyk, Mayra Ortiz Lopez, Fred R Volkmar, Marina R Picciotto, Denis G Sukhodolsky

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of autism and developmental disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03838484 (Effects of Transdermal Nicotine on Response Inhibition to Emotional Cues in Schizophrenia), which is not on this map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 21% 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.

NCT03838484 naterminatednot on this mapstarted 2019, after this paper: background citation

Effects of Transdermal Nicotine on Response Inhibition to Emotional Cues in Schizophrenia

TypeinterventionalSponsorVanderbilt University Medical CenterRan2019 to 2020Enrolled18ConditionsSchizophrenia, Impulsive BehaviorArmsNicotine Patch, 7 Mg/24 Hr, Placebo patch
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Beyond the Outburst: Charting a New Frontier for Understanding and Treating Irritability in Autistic Adults.Autism research : official journal of the International Society for Autism Research · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Review
  11. Article
  12. Frontiers in neuroscience · 2021
    Article
  13. Article
  14. Independent and Combined Effects of Nicotine or Chronic Tobacco Smoking and HIV on the Brain: A Review of Preclinical and Clinical Studies.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2020
    Review
  15. Review
  16. Review
  17. Basal Forebrain Modulation of Olfactory CodingInternational journal of psychological research
    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

6 authors at 2 institutions in 1 country.

Alan S LewisDepartment of Psychiatry, Yale University School of Medicine, New Haven, CT, USA. alan.lewis@yale.edu.ORCID 0000-0002-7165-5376
Gerrit Ian van SchalkwykChild Study Center, Yale University School of Medicine, New Haven, CT, USA.
Mayra Ortiz LopezChild Study Center, Yale University School of Medicine, New Haven, CT, USA.
Fred R VolkmarChild Study Center, Yale University School of Medicine, New Haven, CT, USA.
Marina R PicciottoDepartment of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
Denis G SukhodolskyChild Study Center, Yale University School of Medicine, New Haven, CT, USA.
Yale University · USProvidence College · US

Funding

RESEARCH TRAINING - BIOLOGICAL SCIENCEST32MH014276 · NIMH · YALE UNIVERSITY · PI Marina R Picciotto · 1985 to 2026
$7.2M
Cholinergic Contribution to Circuits Underlying DepressionR01MH077681 · NIMH · YALE UNIVERSITY · PI MINEUR, YANN SEBASTIEN, PICCIOTTO, MARINA R · 2006 to 2025
$7.0M
Clinical Neuroscience Research Training Program in PsychiatryT32MH019961 · NIMH · YALE UNIVERSITY · PI Christopher John Pittenger · 1996 to 2026
$5.9M
Anatomical basis for nicotine addiction in miceR01DA014241 · NIDA · YALE UNIVERSITY · PI PICCIOTTO, MARINA R · 2001 to 2018
$5.2M
Schizophrenia Research FellowshipR25MH071584 · NIMH · YALE UNIVERSITY · PI Christopher John Pittenger · 2005 to 2026
$4.4M
Anatomical Basis for Nicotine AddictionR37DA014241 · NIDA · YALE UNIVERSITY · PI Marina R Picciotto · 2020 to 2026
$2.7M
American Academy of Child and Adolescent Psychiatry Pilot Award for General Psychiatry ResidentsAutism Speaks 9699Child Study Center, Yale School of Medicine Child Study Center AssociatesNIDA NIH HHS R01 DA014241NIDA NIH HHS R01DA14241NIDA NIH HHS R37 DA014241NIMH NIH HHS R01 MH077681NIMH NIH HHS R01MH077681NIMH NIH HHS R25 MH071584NIMH NIH HHS R25MH071584NIMH NIH HHS T32 MH014276NIMH NIH HHS T32 MH019961NIMH NIH HHS T32MH019961NIMH NIH HHS T32MH14276
6 · The paper itself

Abstract

Nicotinic acetylcholine receptors (nAChRs), particularly the α7 nAChR, are implicated in the pathophysiology of both autism spectrum disorder (ASD) and aggressive behavior. We explored the feasibility, tolerability, and preliminary efficacy of targeting nAChRs using transdermal nicotine to reduce aggressive symptoms in adults with ASD. Eight subjects were randomized in a double-blind crossover trial of 7 mg transdermal nicotine or placebo, each for 1 week. All participants tolerated nicotine treatment well. Five subjects contributed data to the primary outcome, Aberrant Behavior Checklist-Irritability (ABC-I) subscale change from baseline, which was improved by nicotine compared to placebo. Sleep ratings were also improved by nicotine and correlated with ABC-I improvement. These findings support further investigation of nAChR agonists for aggression and sleep in ASD.

Indexed as

AggressionIrritable MoodAdolescentAdultAutism Spectrum DisorderDouble-Blind MethodFemaleHumansMaleMiddle AgedNicotineNicotinic AgonistsTransdermal PatchNicotineNicotinic AgonistsAdultAggressionAutism spectrum disorderIrritabilityNicotineNicotinic acetylcholine receptorSleep

Identifiers

PMID29536216
PMCPMC6394231
OpenAlexW2789719001

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.