Evidence map›Paper›PMID 31520524›Full record

ArticleMolecular genetics & genomic medicine2019

Metformin treatment in young children with fragile X syndrome.

Hazel Maridith B Biag, Laura A Potter, Victoria Wilkins, Sumra Afzal, Alexis Rosvall, Maria Jimena Salcedo-Arellano, Akash Rajaratnam, Ramiro Manzano-Nunez, Andrea Schneider, Flora Tassone and 2 more

3 registry-linked trialsOpen access · goldAbstract readCase Reports
In one paragraph

Article in Molecular genetics & genomic medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
5.2field-weighted citation impact, top 4% 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.

NCT04930471 unknown statusnot on this mapstarted 2021, after this paper: background citation

A Multi-center, Prospective, Cohort Study to Elucidate the Effects of Metformin Treatment on Steroid Hormones and Social Behavior. Linking Autistic Behaviorial Symptoms to Changes in Steroid Hormone Availability

TypeobservationalSponsorInsel Gruppe AG, University Hospital BernRan2021 to 2023Enrolled45ConditionsAutistic DisorderArmsMetformin
NCT05853601 phase1 / phase2active not recruitingnot on this mapstarted 2023, after this paper: background citation

Theophylline Prophylaxis During Hypothermia to Limit Neonatal Nephron Damage

TypeinterventionalSponsorMedical College of WisconsinRan2023 to 2027Enrolled30ConditionsAcute Kidney Injury, HIEArmsSingle Dose Theophylline, Repeat Dose Theophylline
NCT07120971 early_phase1recruitingnot on this mapstarted 2025, after this paper: background citation

A Phase 0/Phase 1 Trial of Metformin for Premature Infants With Bronchopulmonary Dysplasia

TypeinterventionalSponsorMedical College of WisconsinRan2025 to 2030Enrolled40ConditionsBronchopulmonary Dysplasia (BPD)ArmsMetformin (open-label)
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 66 citations in OpenAlex.

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  8. Cells · 2024
    Review
  9. Therapeutic efficacy of the BKCa channel opener chlorzoxazone in a mouse model of Fragile X syndrome.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Article
  10. Review
  11. Review
  12. Early metformin treatment: An effective approach for targeting fragile X syndrome pathophysiology.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  13. Adiponectin rescues synaptic plasticity in the dentate gyrus of a mouse model of Fragile X Syndrome.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2024
    Article
  14. Article
  15. State-of-the-art therapies for fragile X syndrome.Developmental medicine and child neurology · 2024
    Review
  16. Review
  17. Article
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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

12 authors at 6 institutions in 2 countries.

Hazel Maridith B BiagMedical Investigation of Neurodevelopmental Disorders (MIND) Institute, University of California Davis Medical Center, Sacramento, California.ORCID 0000-0003-1786-5847
Laura A PotterMedical Investigation of Neurodevelopmental Disorders (MIND) Institute, University of California Davis Medical Center, Sacramento, California.
Victoria WilkinsDepartment of Pediatric Inpatient Medicine, University of Utah and Primary Children's Hospital, Salt Lake City, Utah.
Sumra AfzalMedical Investigation of Neurodevelopmental Disorders (MIND) Institute, University of California Davis Medical Center, Sacramento, California.
Alexis RosvallUniversity of California Davis School of Medicine, Sacramento, California.
Maria Jimena Salcedo-ArellanoMedical Investigation of Neurodevelopmental Disorders (MIND) Institute, University of California Davis Medical Center, Sacramento, California.ORCID 0000-0002-2412-9146
Akash RajaratnamMedical Investigation of Neurodevelopmental Disorders (MIND) Institute, University of California Davis Medical Center, Sacramento, California.
Ramiro Manzano-NunezFundación Valle del Lili, Clinical Research Center, Cali, Colombia.ORCID 0000-0001-7444-9634
Andrea SchneiderMedical Investigation of Neurodevelopmental Disorders (MIND) Institute, University of California Davis Medical Center, Sacramento, California.ORCID 0000-0002-4674-7244
Flora TassoneMedical Investigation of Neurodevelopmental Disorders (MIND) Institute, University of California Davis Medical Center, Sacramento, California.
Susan M RiveraMedical Investigation of Neurodevelopmental Disorders (MIND) Institute, University of California Davis Medical Center, Sacramento, California.
Randi J HagermanMedical Investigation of Neurodevelopmental Disorders (MIND) Institute, University of California Davis Medical Center, Sacramento, California.ORCID 0000-0001-5029-8448
University of California Davis Medical Center · USAllen Institute for Brain Science · USFundación Valle del Lili · COPrimary Children's Hospital · USUniversity of California, Davis · USUniversity School · US

Funding

UC Davis Clinical and Translational Science CenterUL1TR001860 · NCATS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI KENYON, NICHOLAS J., LYLES, COURTNEY REES · 2016 to 2025
$47.3M
Rodent Behavior CoreU54HD079125 · NICHD · UNIVERSITY OF CALIFORNIA AT DAVIS · PI ABBEDUTO, LEONARD J. · 2013 to 2019
$8.5M
NCATS NIH HHS UL1 TR001860NICHD NIH HHS U54 HD079125
6 · The paper itself

Abstract

backgroundMetformin is a drug commonly used in individuals with type 2 diabetes, obesity, and impaired glucose tolerance. It has a strong safety profile in both children and adults. Studies utilizing the Drosophila model and knock out mouse model of fragile X syndrome (FXS) have found metformin to rescue memory, social novelty deficits, and neuroanatomical abnormalities. These studies provided preliminary evidence that metformin could be used as a targeted treatment for the cognitive and behavioral problems associated with FXS. Previously, a case series of children and adults with FXS treated with metformin demonstrated improvements in irritability, social responsiveness, language, and hyperactivity.

methodsHere, we present nine children with FXS between 2 and 7 years of age who were treated clinically with metformin and monitored for behavioral and metabolic changes.

resultsParent reports and developmental testing before and after metformin are presented. There were improvements in language development and behavior (such as lethargy and stereotypy) in most of the patients.

conclusionThese results support the need for a controlled trial of metformin in children with FXS under 7 years old whose brains are in a critical developmental window and thus may experience a greater degree of clinical benefit from metformin.

Indexed as

ChildChild, PreschoolFragile X SyndromeHumansHypoglycemic AgentsMaleMetforminNeurodevelopmental DisordersPrognosisHypoglycemic AgentsMetforminFMR1fragile X syndromemetformintargeted treatmentstranslational medicine

Identifiers

PMID31520524
PMCPMC6825840
OpenAlexW2972397981

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.