Evidence map›Paper›PMID 39824923›Full record

Trial reportScientific reports2025

Oxytocin levels in response to CRH administration in hypopituitarism and hypothalamic damage: a randomized, crossover, placebo-controlled trial.

Queralt Asla, Maite Garrido, Eulàlia Urgell, Sílvia Terzan, Alicia Santos, Mercè Fernández, Nimmy Varghese, Cihan Atila, Anna Calabrese, Betina Biagetti and 7 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04902235 (Identification and Clinical Relevance of an Oxytocin Deficient State), which is not on this 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.

NCT04902235 phase4completednot on this map

Identification and Clinical Relevance of an Oxytocin Deficient State: a Randomized, Crossover, Placebo-controlled, Proof-of-concept Physiopathological Study (CRH Study)

TypeinterventionalSponsorFundació Institut de Recerca de l'Hospital de la Santa Creu i Sant PauRan2021 to 2023Enrolled52ConditionsHypopituitarism, Central Diabetes Insipidus, Panhypopituitarism, Psychological DisorderArmsExperimental: CRH administration, Control: Placebo administration
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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

17 authors.

Queralt AslaDepartment of Endocrinology and Nutrition, Hospital de la Santa Creu i Sant Pau, IR-SANT PAU, CIBERER-U747 ISCIII, ENDO-ERN, Barcelona, Spain.
Maite GarridoCentre d'Investigació del Medicament (CIM), IR-SANT PAU, Barcelona, Spain.
Eulàlia UrgellDepartment of Biochemistry, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Sílvia TerzanDepartment of Biochemistry, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Alicia SantosDepartment of Endocrinology and Nutrition, Hospital de la Santa Creu i Sant Pau, IR-SANT PAU, CIBERER-U747 ISCIII, ENDO-ERN, Barcelona, Spain.
Mercè FernándezDepartment of Endocrinology and Nutrition, Hospital de la Santa Creu i Sant Pau - Hospital Dos de Maig, Barcelona, Spain.
Nimmy VargheseResearch Cluster Molecular and Cognitive Neurosciences, Universität Basel, Basel, Switzerland.
Cihan AtilaEndocrinology, Diabetology and Metabolism, Universitätsspital Basel, Basel, Switzerland.
Anna CalabreseDepartment of Clinical and Biological Sciences, Internal Medicine, University of Turin, S. Luigi Hospital, Torino, Italy.
Betina BiagettiDepartment of Endocrinology and Nutrition, Hospital Universitari Vall d'Hebron, ENDO-ERN, Barcelona, Spain.
Franziska PlessowNeuroendocrine Unit, Massachusetts General Hospital, Boston, USA.
Ignasi GichDepartment of Clinical Epidemiology and Public Health, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Mirjam Christ-CrainEndocrinology, Diabetology and Metabolism, Universitätsspital Basel, Basel, Switzerland.
Anne EckertResearch Cluster Molecular and Cognitive Neurosciences, Universität Basel, Basel, Switzerland.
Susan M WebbDepartment of Medicine, Universitat Autònoma de Barcelona, Bellaterra, Spain.
Elizabeth A LawsonNeuroendocrine Unit, Massachusetts General Hospital, Boston, USA.
Anna AulinasDepartment of Endocrinology and Nutrition, Hospital de la Santa Creu i Sant Pau, IR-SANT PAU, CIBERER-U747 ISCIII, ENDO-ERN, Barcelona, Spain. aaulinas@santpau.cat.ORCID 0000-0002-1205-7114

Funding

Instituto de Salud Carlos III JR19/00013Instituto de Salud Carlos III (Co-funded by European Regional Development Fund/European Social Fund "A way to make Europe"/"Investing in your future") FIS PI20/01165
6 · The paper itself

Abstract

Increasing evidence supports the presence of oxytocin deficiency (OXT-D) in patients with hypopituitarism and hypothalamic damage (HHD), that might be associated with neuropsychological deficits and sexual dysfunction, leading to worse quality of life (QoL). Therefore, identifying a provocative test to diagnose an OXT-D will be important. Corticotropin-releasing hormone (CRH) is a candidate for such a test as it increases oxytocin secretion in animal models. This study aimed to examine the effects of CRH on oxytocin release in HHD compared to healthy controls (HC) and to describe the psychopathology, sexual function and QoL and their associations with oxytocin. This is a single-blind, randomized, placebo-controlled, proof-of-concept study (NCT04902235) with crossover assignment (CRH vs. placebo). Nineteen HHD patients (10 females) and 20 HC (11 females) completed two visits, receiving CRH or placebo in random order and completed validated questionnaires to assess psychopathology, sexual function and QoL. Samples were collected over 120 min to assess oxytocin. Linear mixed-effects regression model evaluated the change in oxytocin after CRH/placebo in HHD vs. HC. CRH administration did not impact oxytocin concentrations across groups over time (p = 0.97). HHD had greater psychopathology (most ps < 0.05), sexual dysfunction (p < 0.03) and worse QoL (p < 0.001) compared to HC, nevertheless, baseline oxytocin concentrations and area under the curve of oxytocin were not significantly associated with psychopathology, sexual function or QoL, neither in HHD or HC. In conclusion, CRH administration does not appear to be a suitable provocative test for diagnosing OXT-D in HHD. Identifying a reliable diagnostic test for OXT-D remains crucial. Alternative provocative tests or biomarkers should be explored.

Indexed as

Corticotropin-Releasing HormoneHypopituitarismHypothalamic DiseasesHypothalamusOxytocinAdultCross-Over StudiesFemaleHumansMaleMiddle AgedQuality of LifeSingle-Blind MethodCorticotropin-Releasing HormoneOxytocinArginine-vasopressin deficiencyCorticotropin-releasing hormoneHypopituitarismHypothalamic damageOxytocinPituitary disease

Identifiers

PMID39824923
PMCPMC11742408

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Registered trials

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.