Evidence map›Paper›PMID 33296519›Full record

Trial reportClinical endocrinology2021

Oxytocin in young children with Prader-Willi syndrome: Results of a randomized, double-blind, placebo-controlled, crossover trial investigating 3 months of oxytocin.

Layla Damen, Lionne N Grootjen, Alicia F Juriaans, Stephany H Donze, T Martin Huisman, Jenny A Visser, Patric J D Delhanty, Anita C S Hokken-Koelega

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical endocrinology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Management of Childhood Obesity.International journal of molecular sciences · 2026
    Review
  4. Observational
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  19. Clinical Trials in Prader-Willi Syndrome: A Review.International journal of molecular sciences · 2023
    Review
  20. 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

8 authors at 1 institution in 2 countries.

Layla DamenDutch Growth Research Foundation, Rotterdam, the Netherlands.ORCID 0000-0003-2562-6176
Lionne N GrootjenDutch Growth Research Foundation, Rotterdam, the Netherlands.
Alicia F JuriaansDutch Growth Research Foundation, Rotterdam, the Netherlands.
Stephany H DonzeDutch Growth Research Foundation, Rotterdam, the Netherlands.ORCID 0000-0002-9249-4284
T Martin HuismanDepartment of Internal Medicine, Erasmus University Medical Center, Rotterdam, the Netherlands.
Jenny A VisserDepartment of Internal Medicine, Erasmus University Medical Center, Rotterdam, the Netherlands.
Patric J D DelhantyDepartment of Internal Medicine, Erasmus University Medical Center, Rotterdam, the Netherlands.
Anita C S Hokken-KoelegaDutch Growth Research Foundation, Rotterdam, the Netherlands.
Erasmus MC · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextPrader-Willi syndrome (PWS) is characterized by hypothalamic dysfunction, hyperphagia and a typical behavioural phenotype, with characteristics of autism spectrum disorder (ASD) like stubbornness, temper tantrums and compulsivity. It has been suggested that the oxytocin system in patients with PWS is dysfunctional. In ASD, intranasal oxytocin treatment has favourable effects on behaviour.

objectiveTo evaluate the effects of 3 months of twice daily intranasal oxytocin (dose range 16-40 IU/day), compared to placebo, on behaviour and hyperphagia in children with PWS.

designRandomized, double-blind, placebo-controlled, crossover study in the Dutch PWS Reference Center. PATIENTS: Twenty-six children with PWS aged 3-11 years.

main outcome measures(Change in) behaviour and hyperphagia measured by Oxytocin Questionnaire and Dykens hyperphagia questionnaire.

resultsIn the total group, no significant effects of oxytocin on social behaviour or hyperphagia were found. However, in boys, the Oxytocin Questionnaire scores improved significantly during oxytocin treatment, compared to a deterioration during placebo (4.5 (-0.8 to 15.3) vs. -4.0 (-11.3 to 0.8), P = .025). The Dykens hyperphagia questionnaire scores remained similar during oxytocin treatment, while there was a deterioration during placebo (0.0 (-0.8 to 4.3) vs. -3.5 (-6.0 to 0.0), P = .046). Patients with a deletion had significant improvements in both questionnaire scores during oxytocin treatment, but deteriorations during placebo. Oxytocin treatment was well tolerated, and there were no serious adverse events.

conclusionsIntranasal oxytocin treatment has positive effects on social and eating behaviour in 3-11 years aged boys with PWS and in children with a deletion without safety concerns. Intranasal oxytocin in children with PWS might be considered, but individual effects should be carefully evaluated and treatment discontinued if no effects are found.

Indexed as

Autism Spectrum DisorderPrader-Willi SyndromeChildChild, PreschoolCross-Over StudiesHumansHyperphagiaMaleOxytocinOxytocinbehaviourchildrenhyperphagiaintranasal oxytocinPrader-Willi syndrome

Identifiers

PMID33296519
PMCPMC8246775
OpenAlexW3111565520

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.