Evidence map›Paper›PMID 31473291›Full record

Trial reportJournal of the American Academy of Child and Adolescent Psychiatry2020

A Randomized Controlled Trial of Interventions for Growth Suppression in Children With Attention-Deficit/Hyperactivity Disorder Treated With Central Nervous System Stimulants.

James G Waxmonsky, William E Pelham, Adriana Campa, Daniel A Waschbusch, Tan Li, Rebecca Marshall, Lysett Babocsai, Hugh Humphery, Elizabeth Gnagy, James Swanson and 3 more

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

Trial report in Journal of the American Academy of Child and Adolescent Psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01109849 (Novel Approach to Stimulant Induced Weight Suppression and Its Impact on Growth), which is not on this map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
2.5field-weighted citation impact, top 11% 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.

NCT01109849 phase3completednot on this map

Novel Approach to Stimulant Induced Weight Suppression and Its Impact on Growth

TypeinterventionalSponsorFlorida International UniversityRan2010 to 2016Enrolled230ConditionsADHD, GrowthArmsbehavior therapy, Extended release (ER) methylphenidate product, monitoring, drug holiday, caloric supplement
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Article
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  10. Review
  11. Methylphenidate Promotes Premature Growth Plate Closure: In Vitro Evidence.International journal of molecular sciences · 2023
    Article
  12. Article
  13. Review
  14. Perspectives in Psychopharmacology.Focus (American Psychiatric Publishing) · 2021
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 3 countries.

James G WaxmonskyPenn State College of Medicine, Hershey, Pennsylvania. Electronic address: jwaxmonsky@pennstatehealth.psu.edu.
William E PelhamArizona State University, Tempe.
Adriana CampaRobert Stempel College of Public Health and Social Work, Florida International University, Miami.
Daniel A WaschbuschPenn State College of Medicine, Hershey, Pennsylvania.
Tan LiRobert Stempel College of Public Health and Social Work, Florida International University, Miami.
Rebecca MarshallHerbert Wertheim College of Medicine, Florida International University, Miami.
Lysett BabocsaiUniversity of Heidelberg, Germany.
Hugh HumpheryHerbert Wertheim College of Medicine, Florida International University, Miami.
Elizabeth GnagyFlorida International University, Miami.
James SwansonSchool of Medicine, University of California, Irvine.
Tomasz HanćAdam Mickiewicz University, Poznan, Poland.
Negar FallahazadRobert Stempel College of Public Health and Social Work, Florida International University, Miami.
William E PelhamFlorida International University, Miami.
Florida International University · USPenn State Milton S. Hershey Medical Center · USAdam Mickiewicz University in Poznań · PLHeidelberg University · DEUniversity of California, Irvine · US

Funding

Research training in substance use prevention: Closing the research-practice gapT32DA039772 · NIDA · ARIZONA STATE UNIVERSITY-TEMPE CAMPUS · PI Cady Berkel, Nancy A. Gonzales · 2015 to 2026
$4.2M
Estimating Mediation Effects in Prevention StudiesR37DA009757 · NIDA · ARIZONA STATE UNIVERSITY-TEMPE CAMPUS · PI MACKINNON, DAVID P · 2015 to 2024
$3.5M
Examining Tolerance to CNS Stimulants in ADDR01MH099030 · NIMH · FLORIDA INTERNATIONAL UNIVERSITY · PI PELHAM, WILLIAM E, SWANSON, JAMES M · 2013 to 2017
$3.3M
A Novel Approach to Stimulant-Induced Weight Suppression and its Impact on GrowthR01MH083692 · NIMH · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI PELHAM, WILLIAM E, WAXMONSKY, JAMES GAIER · 2009 to 2014
$3.1M
Neural correlates of adult outcomes of childhood ADHD: Affect, reward and controlR01MH101096 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LADOUCEUR, CECILE D., MOLINA, BROOKE S.G. · 2014 to 2018
$3.0M
Mechanisms of Response to Substance Use Prevention Intervention for Adolescents with ADHDR01DA034731 · NIDA · FLORIDA INTERNATIONAL UNIVERSITY · PI PELHAM, WILLIAM E · 2014 to 2018
$2.9M
Applying novel technologies and methods to inform the ontology of self-regulationUH2DA041713 · NIDA · DARTMOUTH COLLEGE · PI MARSCH, LISA A., POLDRACK, RUSSELL A · 2015 to 2017
$2.8M
Designing a Novel Behavioral Treatment Protocol for Children Characterized by ConR34MH085796 · NIMH · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI COLES, ERIKA · 2010 to 2012
$648k
A Novel Multimodal Intervention for Children with ADHD and Impaired MoodR34MH080791 · NIMH · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI WAXMONSKY, JAMES GAIER · 2008 to 2010
$628k
Identifying Children and Teens at Risk for Early Onset Alcohol Use: An Innovative Application of Machine Learning Algorithms to PreventionF31AA026768 · NIAAA · ARIZONA STATE UNIVERSITY-TEMPE CAMPUS · PI PELHAM III, WILLIAM ELLERBE · 2018 to 2019
$88k
NIAAA NIH HHS F31 AA026768NIDA NIH HHS R01 DA034731NIDA NIH HHS R37 DA009757NIDA NIH HHS T32 DA039772NIDA NIH HHS UH2 DA041713NIMH NIH HHS R01 MH083692NIMH NIH HHS R01 MH099030NIMH NIH HHS R01 MH101096NIMH NIH HHS R34 MH080791NIMH NIH HHS R34 MH085796
6 · The paper itself

Abstract

objectiveTo examine the impact of central nervous system (CNS) stimulants on the growth of children with attention-deficit/hyperactivity disorder (ADHD), and to assess the efficacy and feasibility of weight recovery interventions on growth.

methodA total of 230 children aged 5 to 12 years with ADHD with no history of chronic CNS stimulant use were randomly assigned to receive daily CNS stimulants (78%, primarily osmotic release oral system-methylphenidate [OROS-MPH]) or behavioral treatment (22%) for 30 months. After 6 months, children evidencing a decline in body mass index (BMI) of >0.5 z-units were randomized to 1 of 3 weight recovery treatments (WRTs): monthly monitoring of height/weight (MON) plus continued daily medication; drug holidays (DH) with medication limited to school days; or daily caloric supplementation (CS) with a 150-kcal supplement plus daily medication.

resultsBefore WRT assignment, medication was associated with significant reductions in standardized weight and height (p values <.01). Adherence to CS and DH during WRT was high, with significant increases in daily caloric intake and decreases in weekly medication exposure (p values <.05). Across all WRT participants (n = 71), weight velocity increased significantly after WRT randomization (β

conclusionDrug holidays, caloric supplementation, and increased monitoring all led to increased weight velocity in children taking CNS stimulants, but none led to increased height velocity. CLINICAL TRIAL REGISTRATION INFORMATION: Novel Approach to Stimulant Induced Weight Suppression and Its Impact on Growth; https://clinicaltrials.gov/; NCT01109849.

Indexed as

Attention Deficit Disorder with HyperactivityCentral Nervous System StimulantsMethylphenidateBody Mass IndexBody WeightChildChild, PreschoolHumansTreatment OutcomeCentral Nervous System StimulantsMethylphenidateattention-deficit/hyperactivity disorderCNS stimulantsgrowth

Identifiers

PMID31473291
PMCPMC7048642
OpenAlexW2970133833

What OpenQuestion holds

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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.