Evidence map›Paper›PMID 38086927›Full record

Trial reportPsychopharmacology2024

Randomized controlled trial of propranolol on social communication and anxiety in children and young adults with autism spectrum disorder.

David Q Beversdorf, Bradley Ferguson, Samantha Hunter, Kathy Hirst, Bridget Lolli, Katherine R Bellesheim, Amy U Barton, Julie Muckerman, Nicole Takahashi, Kimberly Selders and 6 more

Abstract readRandomized Controlled TrialMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Psychopharmacology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

6 citing papers in PubMed, 13 citations in OpenAlex.

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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

16 authors at 6 institutions in 1 country.

David Q BeversdorfThompson Center for Autism & Neurodevelopmental Disorders, University of Missouri, One Hospital Drive, Columbia, MO, DC069.1065212, USA. beversdorfd@health.missouri.edu.ORCID http://orcid.org/0000-0002-0298-0634
Bradley FergusonThompson Center for Autism & Neurodevelopmental Disorders, University of Missouri, One Hospital Drive, Columbia, MO, DC069.1065212, USA.
Samantha HunterThompson Center for Autism & Neurodevelopmental Disorders, University of Missouri, One Hospital Drive, Columbia, MO, DC069.1065212, USA.
Kathy HirstThompson Center for Autism & Neurodevelopmental Disorders, University of Missouri, One Hospital Drive, Columbia, MO, DC069.1065212, USA.
Bridget LolliThompson Center for Autism & Neurodevelopmental Disorders, University of Missouri, One Hospital Drive, Columbia, MO, DC069.1065212, USA.
Katherine R BellesheimUniversity of Michigan, Ann Arbor, USA.
Amy U BartonNorthwest Missouri State University, Maryville, USA.
Julie MuckermanThompson Center for Autism & Neurodevelopmental Disorders, University of Missouri, One Hospital Drive, Columbia, MO, DC069.1065212, USA.
Nicole TakahashiThompson Center for Autism & Neurodevelopmental Disorders, University of Missouri, One Hospital Drive, Columbia, MO, DC069.1065212, USA.
Kimberly SeldersThompson Center for Autism & Neurodevelopmental Disorders, University of Missouri, One Hospital Drive, Columbia, MO, DC069.1065212, USA.
Ryan HolemThompson Center for Autism & Neurodevelopmental Disorders, University of Missouri, One Hospital Drive, Columbia, MO, DC069.1065212, USA.
Kristin SohlDeparment of Child Health, University of Missouri, Columbia, USA.
Peter DykeDeparment of Child Health, University of Missouri, Columbia, USA.
Janine StichterDepartment of Special Education, University of Missouri, Columbia, USA.
Micah MazurekUniversity of Virginia, Charlottesville, USA.
Stephen KanneWeill-Cornell Medical College, NY, USA.
University of Missouri · USUniversity of Missouri Health System · USCornell University · USNorthwest Missouri State University · USUniversity of Michigan · USUniversity of Virginia · US

Funding

Congressionally Directed Medical Research Programs W81XWH-16-1-0321
6 · The paper itself

Abstract

rationaleAutism spectrum disorder (ASD) is characterized by impaired social communication and is also frequently characterized by co-occurring anxiety. Propranolol is widely utilized to treat performance and public speaking anxiety. Single-dose psychopharmacological challenge studies suggested benefits using propranolol for verbal tasks and social interaction.

objectiveWe conducted a double-blinded, placebo-controlled trial of the β-adrenergic antagonist propranolol in ASD for social interaction, anxiety, and language.

methodsSeventy-four participants with ASD, age 7-24 years, were enrolled and randomized to a 12-week course of propranolol or placebo, with blinded assessments at baseline, 6 weeks, and 12 weeks. The primary outcome was the General Social Outcome Measure-2 (GSOM-2) for social interaction, and secondary outcomes were the Clinician Global Clinical Impression-Improvement (CGI-I) ratings independently conducted for social interaction, anxiety, and language at 6 weeks and 12 weeks.

resultsSixty-nine participants completed the 12-week visit. No significant effect of drug was found for the GSOM-2 or the CGI-I for social interaction or language. CGI-I for anxiety showed greater improvement with propranolol at the 12-week time point (p = 0.045, odds ratio = 2.58 (95% CI = 1.02-6.52). Expected decreases in heart rate and blood pressure were observed with propranolol, and side effects were uncommon.

conclusionsPropranolol did not impact social interaction measures or language, but there were indications of a beneficial effect for anxiety. This will need confirmation in a larger multicenter trial, monitoring markers or characteristics to identify those participants most likely to respond to propranolol for anxiety, and determine whether there is a subset of participants that are responsive for other previously reported outcomes.

Indexed as

Autism Spectrum DisorderPropranololAdolescentAdrenergic beta-AntagonistsAdultAnxietyChildCommunicationHumansTreatment OutcomeYoung AdultAdrenergic beta-AntagonistsPropranololAdrenergicAnxietyAutismClinical trialPropranololSocial

Identifiers

PMID38086927
OpenAlexW4389684046

What OpenQuestion holds

Textmetadata
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.