Evidence map›Paper›PMID 37553347›Full record

Observational studyTranslational psychiatry2023

Immunotherapy responsiveness and risk of relapse in Down syndrome regression disorder.

Jonathan D Santoro, Noemi A Spinazzi, Robyn A Filipink, Panteha Hayati-Rezvan, Ryan Kammeyer, Lina Patel, Elise A Sannar, Luke Dwyer, Abhik K Banerjee, Mellad Khoshnood and 16 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Translational psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 5% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Genetics of catatonia: a systematic review of case reports and a gene pathway analysis.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Pooled it
  2. Review
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  6. Observational
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  9. Observational
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  11. Article
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  14. Down Syndrome and Autoimmune Disease.Clinical reviews in allergy & immunology · 2024
    Review
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  16. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors at 19 institutions in 3 countries.

Jonathan D SantoroDivision of Neurology, Children's Hospital Los Angeles, Los Angeles, CA, USA. santoroj@usc.edu.ORCID http://orcid.org/0000-0002-8350-8234
Noemi A SpinazziDepartment of Pediatrics, Benioff Children's Hospital, University of California San Francisco, San Francisco, CA, USA.
Robyn A FilipinkDivision of Child Neurology, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA.
Panteha Hayati-RezvanDivision of Research on Children, Youth and Families, Keck School of Medicine of USC, Los Angeles, CA, USA.
Ryan KammeyerDepartment of Neurology, Children's Hospital of Colorado, Aurora, CO, USA.
Lina PatelDepartment of Psychiatry, University of Colorado School of Medicine, Aurora, CO, USA.
Elise A SannarDepartment of Psychiatry, University of Colorado School of Medicine, Aurora, CO, USA.
Luke DwyerDepartment of Psychiatry, University of Utah, Salt Lake City, UT, USA.
Abhik K BanerjeeDivision of Neurology, Children's Hospital Los Angeles, Los Angeles, CA, USA.
Mellad KhoshnoodDivision of Neurology, Children's Hospital Los Angeles, Los Angeles, CA, USA.
Saba JafarpourDivision of Neurology, Children's Hospital Los Angeles, Los Angeles, CA, USA.
Natalie K BoydDivision of Neurology, Children's Hospital Los Angeles, Los Angeles, CA, USA.
Rebecca PartridgeVirginia Mason Health System, Issaquah, WA, USA.
Grace Y GombolayDepartment of Pediatrics, Division of Neurology Emory University and Children's Healthcare of Atlanta, Atlanta, GA, USA.
Alison L ChristyProvidence Health System, Portland, OR, USA.
Diego Real de AsuaAdult Down Syndrome Outpatient Clinic, Department of Internal Medicine, Fundación de Investigación Biomédica, Hospital Universitario de La Princesa, Madrid, Spain.
Maria Del Carmen OrtegaDepartment of Psychiatry, Clinica Universidad de Navarra, Madrid, Spain.ORCID http://orcid.org/0000-0002-3964-0123
Melanie A ManningDepartment of Pediatrics, Stanford University School of Medicine, Palo Alto, CA, USA.
Heather Van MaterDivision of Rheumatology, Department of Pediatrics, Duke University School of Medicine, Durham, NC, USA.
Gordan WorleyDivision of Pediatric Neurology and Developmental Medicine, Department of Pediatrics, Duke University School of Medicine, Durham, NC, USA.
Cathy FranklinQueensland Center for Intellectual and Developmental Disability, Mater Research Institute, The University of Queensland, South Brisbane, QLD, Australia.
Maria A StanleyDepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Ruth BrownDepartment of Psychology, Virginia Commonwealth University, Richmond, VA, USA.
George T CaponeDepartment of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Eileen A QuinnDepartment of Pediatrics, University of Toledo College of Medicine and Life Science, Toledo, OH, USA.
Michael S RafiiDepartment of Neurology, Keck School of Medicine of the University of Southern California, Los Angeles, CA, USA.ORCID http://orcid.org/0000-0003-2640-2094
Children's Hospital of Los Angeles · USDuke University · USUniversity of Colorado Denver · USUniversity of Southern California · USChildren's Hospital Colorado · USChildren's Hospital of Pittsburgh · USClinica Universidad de Navarra · ESEmory University · USFamilies USA · USHospital Universitario de La Princesa · ESJohns Hopkins University · USProvidence College · USStanford University · USThe University of Queensland · AUUniversity of California, San Francisco · USUniversity of Toledo · USUniversity of Utah · USUniversity of Wisconsin–Madison · USVirginia Commonwealth University · 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
Southern California Clinical and Translational Science InstituteUL1TR000130 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BUCHANAN, THOMAS A · 2012 to 2015
$36.0M
Sleep and Circadian Dysfunction, Brain and Neurobehavioral Development in AutismP50HD103538 · NICHD · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI Stewart H Mostofsky · 2020 to 2026
$9.9M
Impact of COVID-19 on the Mental Health of People with Down SyndromeK08HD092610 · NICHD · VIRGINIA COMMONWEALTH UNIVERSITY · PI BROWN, RUTH C · 2018 to 2022
$926k
NCATS NIH HHS UL1 TR000130NCATS NIH HHS UL1 TR001855NICHD NIH HHS K08 HD092610NICHD NIH HHS P50 HD103538
6 · The paper itself

Abstract

Down syndrome regression disorder (DSRD) is a clinical symptom cluster consisting of neuropsychiatric regression without an identifiable cause. This study evaluated the clinical effectiveness of IVIg and evaluated clinical characteristics associated with relapse after therapy discontinuation. A prospective, multi-center, non-randomized, observational study was performed. Patients met criteria for DSRD and were treated with IVIg. All patients underwent a standardized wean-off therapy after 9-12 months of treatment. Baseline, on-therapy, and relapse scores of the Neuropsychiatric Inventory Total Score (NPITS), Clinical Global Impression-Severity (CGI-S), and the Bush-Francis Catatonia Rating Scale (BFCRS) were used to track clinical symptoms. Eighty-two individuals were enrolled in this study. Patients had lower BFCRS (MD: -6.68; 95% CI: -8.23, -5.14), CGI-S (MD: -1.27; 95% CI: -1.73, -0.81), and NPITS scores (MD: -6.50; 95% CI: -7.53, -5.47) while they were on therapy compared to baseline. Approximately 46% of the patients (n = 38) experienced neurologic relapse with wean of IVIg. Patients with neurologic relapse were more likely to have any abnormal neurodiagnostic study (χ

Indexed as

Down SyndromeHumansImmunoglobulins, IntravenousImmunotherapyProspective StudiesRecurrenceImmunoglobulins, Intravenous

Identifiers

PMID37553347
PMCPMC10409776
OpenAlexW4385667279

What OpenQuestion holds

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Registered trials

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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.