Evidence map›Paper›PMID 38935296›Full record

Trial reportEndocrine2024

Plasma oxytocin levels in response to glucagon in patients with arginine vasopressin deficiency (central diabetes insipidus) and healthy controls.

Cihan Atila, Shalini Mekkattu, Rakithan Murugesu, Odile Gaisl, Nimmy Varghese, Anne Eckert, Mirjam Christ-Crain

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Endocrine, 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
–field-weighted citation impact
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.

  1. Trial
  2. Article
  3. Arginine Vasopressin Deficiency and Oxytocin Deficiency in the Endocrine Clinic.The Journal of clinical endocrinology and metabolism · 2026
    Review
  4. Review
  5. Review
  6. 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

7 authors.

Cihan Atila *Department of Endocrinology, Diabetology and Metabolism, University Hospital Basel, Basel, Switzerland.
Shalini Mekkattu *Department of Endocrinology, Diabetology and Metabolism, University Hospital Basel, Basel, Switzerland.
Rakithan MurugesuDepartment of Endocrinology, Diabetology and Metabolism, University Hospital Basel, Basel, Switzerland.
Odile GaislDepartment of Endocrinology, Diabetology and Metabolism, University Hospital Basel, Basel, Switzerland.
Nimmy VarghesePsychiatric University Hospital, University of Basel, Basel, Switzerland.
Anne EckertPsychiatric University Hospital, University of Basel, Basel, Switzerland.
Mirjam Christ-CrainDepartment of Endocrinology, Diabetology and Metabolism, University Hospital Basel, Basel, Switzerland. mirjam.christ-crain@usb.ch.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe recently demonstrated an additional oxytocin (OT) deficiency in patients with arginine vasopressin (AVP) deficiency (central diabetes insipidus) by using 3,4-methylenedioxy-methamphetamine (MDMA) as a novel provocation test. However, the implication of the MDMA provocation test in clinical practice might be challenging. Glucagon effectively stimulates vasopressinergic neurons with a strong increase in plasma copeptin. We therefore hypothesized that this provocation test might also stimulate OT.

methodsThis is a predefined secondary analysis of a prospective double-blind, randomised, placebo-controlled cross-over trial involving ten patients with AVP deficiency and ten sex- and body-mass index-matched healthy participants at the University Hospital Basel, Switzerland. Each participant underwent the glucagon test (s.c. injection of 1 mg glucagon) and placebo test (s.c. injection of 0.9% normal saline). Plasma OT levels were measured at baseline, 60, 120 and 180 min after injection. The primary objective was to determine whether glucagon stimulates OT and whether OT levels differ between patients with AVP deficiency and healthy participants. The primary outcome (maximum change in OT within 180 min) was compared between groups and conditions using a linear mixed effects model.

resultsIn healthy participants, the median OT at baseline was 82.7 pg/ml [62.3-94.3] and slightly increased to a maximum of 93.3 pg/ml [87.2-121.1] after injection of glucagon, resulting in a change increase of 24.9 pg/ml [5.1-27.8]. Similarly, in patients with AVP deficiency, the median OT at baseline was 73.9 pg/ml [65.3-81.6] and slightly increased after glucagon injection to 114.9 pg/ml [70.9-140.9], resulting in a change increase of 36.8 pg/ml [-2.2 to 51.2]. The results from the mixed model showed no effect between glucagon compared to placebo on OT (difference: -0.5 pg/ml; 95%-CI [-25, 24]; p = 0.97) and no significant treatment-by-group interaction effect between patients compared to healthy participants (interaction: 28 pg/ml; 95%-CI [-7, 62]; p = 0.13).

conclusionWe found no effect of glucagon on plasma OT levels and no difference between patients with AVP deficiency and healthy participants.

Indexed as

Arginine VasopressinCross-Over StudiesDiabetes Insipidus, NeurogenicGlucagonOxytocinAdultDouble-Blind MethodFemaleHumansMaleMiddle AgedProspective StudiesYoung AdultArginine VasopressinGlucagonOxytocinDiabetes insipidusGlucagon testHypopituitarismOxytocinPituitaryStimulation test

Identifiers

PMID38935296
PMCPMC11489228

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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.