Evidence map›Paper›PMID 34423627›Full record

ArticleJournal of clinical research in pediatric endocrinology2023

Weight Loss During Topiramate Treatment in a Severely Obese Adolescent with Congenital Adrenal Hyperplasia and Migraine

Amy Seagroves, Heather M. Ross, Alaina P. Vidmar, Mitchell E. Geffner, William S. Kim, Darryl Hwang, Claudia Borzutzky, Nicole R. Fraga, Mimi S. Kim

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical research in pediatric endocrinology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 51% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
  3. 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 2 institutions in 1 country.

Amy SeagrovesChildren’s Hospital Los Angeles, Center for Endocrinology, Diabetes and Metabolism, California, USAORCID 0000-0003-4628-753X
Heather M. RossChildren’s Hospital Los Angeles, Center for Endocrinology, Diabetes and Metabolism, California, USAORCID 0000-0003-2394-6619
Alaina P. VidmarChildren’s Hospital Los Angeles, Center for Endocrinology, Diabetes and Metabolism, California, USAORCID 0000-0003-3790-6255
Mitchell E. GeffnerChildren’s Hospital Los Angeles, Center for Endocrinology, Diabetes and Metabolism, California, USAORCID 0000-0002-0384-3287
William S. KimChildren’s Hospital Los Angeles, Center for Endocrinology, Diabetes and Metabolism, California, USAORCID 0000-0002-9099-2124
Darryl HwangUniversity of Southern California, Keck School of Medicine, Department of Pediatrics, California, USAORCID 0000-0002-1111-9176
Claudia BorzutzkyUniversity of Southern California, Keck School of Medicine, Department of Pediatrics, California, USAORCID 0000-0002-5731-8074
Nicole R. FragaChildren’s Hospital Los Angeles, Center for Endocrinology, Diabetes and Metabolism, California, USAORCID 0000-0003-1812-6536
Mimi S. KimChildren’s Hospital Los Angeles, Center for Endocrinology, Diabetes and Metabolism, California, USAORCID 0000-0002-6266-3569
Children's Hospital of Los Angeles · USUniversity of Southern California · US

Funding

Southern California Clinical and Translational Science InstituteUL1TR001855 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Thomas A Buchanan, Michele D. Kipke · 2016 to 2026
$81.3M
LOS ANGELES BASIN CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR031986 · NCRR · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BUCHANAN, THOMAS A · 2010 to 2011
$21.1M
Southern California Clinical and Translational Science InstituteKL2TR000131 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BUCHANAN, THOMAS A · 2012 to 2015
$2.1M
Brain and Adipose Contributors to Food Seeking in Youth with Adrenal HyperplasiaK23HD084735 · NICHD · CHILDREN'S HOSPITAL OF LOS ANGELES · PI KIM, MIMI SUSAN · 2016 to 2018
$474k
Effects of Androgen Excess on Lipid Distribution in Congenital Adrenal HyperplasiaR03HD101718 · NICHD · CHILDREN'S HOSPITAL OF LOS ANGELES · PI KIM, MIMI SUSAN · 2020 to 2021
$183k
NCATS NIH HHS KL2 TR000131NCATS NIH HHS UL1 TR001855NCRR NIH HHS UL1 RR031986NICHD NIH HHS K23 HD084735NICHD NIH HHS R03 HD101718
6 · The paper itself

Abstract

Youth with classical congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency exhibit an increased prevalence of obesity, early adiposity rebound, and increased abdominal adiposity compared to unaffected youth. Current obesity management in CAH largely focuses on lifestyle modifications. There is evidence that topiramate therapy is effective in reducing body mass index (BMI), as well as visceral adipose tissue (VAT), in unaffected adolescents with exogenous obesity. However, little is known about the efficacy of topiramate in patients with classical CAH. We report on a 17-year-old female with severe obesity and salt-wasting CAH due to 21-hydroxylase deficiency, who demonstrated reductions in BMI, as well as abdominal visceral and subcutaneous adipose tissue (SAT) while on topiramate therapy. The patient was diagnosed with classical CAH as a newborn with a 17-hydroxyprogesterone 11,000 ng/dL. She had a BMI over the 95

Indexed as

21-hydroxylasedeficiencyadolescentbody compositionbody fat percentageCongenital adrenal hyperplasiaobesitytopiramate

Identifiers

PMID34423627
PMCPMC9976166
OpenAlexW3195679562

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.