Evidence map›Paper›PMID 29925684›Full record

Trial reportJCI insight2018

Intranasal carbetocin reduces hyperphagia in individuals with Prader-Willi syndrome.

Elisabeth M Dykens, Jennifer Miller, Moris Angulo, Elizabeth Roof, Michael Reidy, Hind T Hatoum, Richard Willey, Guy Bolton, Paul Korner

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in JCI insight, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
6.3field-weighted citation impact, top 3% 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

43 citing papers in PubMed, 82 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Review
  9. Review
  10. Review
  11. Review
  12. Review
  13. Article
  14. Review
  15. Review
  16. Review
  17. Article
  18. Article
  19. Review
  20. Clinical Trials in Prader-Willi Syndrome: A Review.International journal of molecular sciences · 2023
    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

9 authors at 3 institutions in 2 countries.

Elisabeth M DykensKennedy Center for Research on Human Development, Vanderbilt University, Nashville, Tennessee, USA.
Jennifer MillerDivision of Pediatric Endocrinology, University of Florida, College of Medicine, Gainesville, Florida, USA.
Moris AnguloDepartment of Pediatrics, Winthrop University Hospital, Mineola, New York, USA.
Elizabeth RoofKennedy Center for Research on Human Development, Vanderbilt University, Nashville, Tennessee, USA.
Michael ReidyFerring Pharmaceuticals Inc., Parsippany, New Jersey, USA.
Hind T HatoumHind T. Hatoum & Company, Chicago, Illinois, USA.
Richard WilleyFerring Pharmaceuticals Inc., Parsippany, New Jersey, USA.
Guy BoltonFerring Pharmaceuticals Inc., Parsippany, New Jersey, USA.
Paul KornerFerring Pharmaceuticals Inc., Parsippany, New Jersey, USA.
Ferring Pharmaceuticals (Switzerland) · CHVanderbilt University · USWinthrop-University Hospital · US

Funding

Research Project: Sensory and Multisensory Contributions to AutismU54HD083211 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DYKENS, ELISABETH MAY · 2015 to 2019
$7.1M
NICHD NIH HHS U54 HD083211
6 · The paper itself

Abstract

backgroundPrader-Willi syndrome (PWS) is a genetic neurodevelopmental disorder of life-threatening hyperphagia, obesity, intellectual deficits, compulsivity, and other behavioral problems. The efficacy and safety of i.n. carbetocin, an oxytocin analog, was evaluated in a prospective, randomized, double-blinded trial in adolescents with PWS.

methodsEligible patients aged 10-18 years with genetically confirmed PWS were randomized (1:1) to i.n. carbetocin or placebo 3 times daily for 14 days. The primary efficacy endpoint was change in parent/caregiver-rated Hyperphagia in PWS Questionnaire-Responsiveness (HPWSQ-R) total score. Secondary efficacy endpoints included HPWSQ-R behavior, drive, and severity domains; clinician-rated HPWSQ; Children's Yale-Brown Obsessive-Compulsive Severity Scale; food domain of the Reiss Profile; and Clinical Global Impression-Improvement scale. Endpoints were assessed using analysis of covariance. Relationship between primary and secondary endpoints was assessed using Pearson correlation coefficients. Safety was assessed throughout the study.

resultsDemographics and clinical characteristics were similar between treatment groups (carbetocin, n = 17; placebo, n = 20). Patients receiving carbetocin had statistically significant reductions in HPWSQ-R total score at study end (-15.6) versus patients receiving placebo (-8.9; P = 0.029); several secondary efficacy endpoints also demonstrated significant differences (P < 0.05). Treatment effects for the primary and secondary endpoints were highly correlated (P ≤ 0.0001). Incidence of adverse events (AEs) was similar between treatment groups.

conclusionI.n. carbetocin was well tolerated and improved hyperphagia and behavioral symptoms of PWS.

trial registrationClinicalTrials.gov: NCT01968187FUNDING. The study was funded by Ferring Pharmaceuticals. Recruitment was aided by ongoing work in PWS performed through Eunice Kennedy Shriver National Institute of Child Health and Human Development grant U54 HD083211.

Indexed as

AdolescentChildDouble-Blind MethodEndpoint DeterminationFemaleHumansHyperphagiaMaleObesityOxytocinPrader-Willi SyndromeProspective StudiesSurveys and QuestionnairesTreatment OutcomecarbetocinOxytocinClinical TrialsNeurodevelopmentNeuroscience

Identifiers

PMID29925684
PMCPMC6124421
OpenAlexW2808798188

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.