Evidence map›Paper›PMID 40025514›Full record

Trial reportOrphanet journal of rare diseases2025

Early oxytocin treatment in infants with Prader-Willi syndrome is safe and is associated with better endocrine, metabolic and behavioral outcomes.

Marion Valette, Gwenaelle Diene, Mélanie Glattard, Julie Cortadellas, Catherine Molinas, Sandy Faye, Grégoire Benvegnu, Kader Boulanouar, Pierre Payoux, Jean-Pierre Salles and 3 more

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Orphanet journal of rare diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03081832 (Long Term Evaluation of Infants Aged From 3 to 4 Years Old Included in the Ancient Study), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

NCT03081832 nacompletednot on this map

Long Term Evaluation of Infants Aged From 3 to 4 Years Old Included in the Ancient Study (Repeated Administrations of Oxytocin in Infants With Prader Willi Syndrome Aged From 0 to 6 Months) and Comparison With Not Treated and Age-matched Prader Willi Syndrome Infants (OT2SUITE)

TypeinterventionalSponsorUniversity Hospital, ToulouseRan2017 to 2018Enrolled34ConditionsPrader-Willi SyndromeArmsOxytocin, Control
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Review
  3. Review
  4. Review
  5. 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

13 authors.

Marion ValetteCentre de Référence Maladies Rares PRADORT (syndrome de PRADer-Willi et autres Obésités Rares avec Troubles du Comportement Alimentaire), Hôpital des Enfants, CHU Toulouse, Université Toulouse III Paul Sabatier, 330, Avenue de Grande Bretagne, TSA 70034, 31059, Toulouse Cedex 9, France.
Gwenaelle DieneCentre de Référence Maladies Rares PRADORT (syndrome de PRADer-Willi et autres Obésités Rares avec Troubles du Comportement Alimentaire), Hôpital des Enfants, CHU Toulouse, Université Toulouse III Paul Sabatier, 330, Avenue de Grande Bretagne, TSA 70034, 31059, Toulouse Cedex 9, France.
Mélanie GlattardCentre de Référence Maladies Rares PRADORT (syndrome de PRADer-Willi et autres Obésités Rares avec Troubles du Comportement Alimentaire), Hôpital des Enfants, CHU Toulouse, Université Toulouse III Paul Sabatier, 330, Avenue de Grande Bretagne, TSA 70034, 31059, Toulouse Cedex 9, France.
Julie CortadellasCentre de Référence Maladies Rares PRADORT (syndrome de PRADer-Willi et autres Obésités Rares avec Troubles du Comportement Alimentaire), Hôpital des Enfants, CHU Toulouse, Université Toulouse III Paul Sabatier, 330, Avenue de Grande Bretagne, TSA 70034, 31059, Toulouse Cedex 9, France.
Catherine MolinasCentre de Référence Maladies Rares PRADORT (syndrome de PRADer-Willi et autres Obésités Rares avec Troubles du Comportement Alimentaire), Hôpital des Enfants, CHU Toulouse, Université Toulouse III Paul Sabatier, 330, Avenue de Grande Bretagne, TSA 70034, 31059, Toulouse Cedex 9, France.
Sandy FayeCentre de Référence Maladies Rares PRADORT (syndrome de PRADer-Willi et autres Obésités Rares avec Troubles du Comportement Alimentaire), Hôpital des Enfants, CHU Toulouse, Université Toulouse III Paul Sabatier, 330, Avenue de Grande Bretagne, TSA 70034, 31059, Toulouse Cedex 9, France.
Grégoire BenvegnuCentre de Référence Maladies Rares PRADORT (syndrome de PRADer-Willi et autres Obésités Rares avec Troubles du Comportement Alimentaire), Hôpital des Enfants, CHU Toulouse, Université Toulouse III Paul Sabatier, 330, Avenue de Grande Bretagne, TSA 70034, 31059, Toulouse Cedex 9, France.
Kader BoulanouarTOulouse NeuroImaging Center (TONIC), Université de Toulouse, Inserm UMR 1214, Université Toulouse III Paul Sabatier, Toulouse, France.
Pierre PayouxTOulouse NeuroImaging Center (TONIC), Université de Toulouse, Inserm UMR 1214, Université Toulouse III Paul Sabatier, Toulouse, France.
Jean-Pierre SallesInstitut Toulousain des Maladies Infectieuses et Inflammatoires (Infinity) Inserm UMR1291 - CNRS UMR5051, Université Toulouse III Paul Sabatier, Toulouse, France.
Catherine ArnaudCERPOP (Centre d'Epidémiologie et de Recherche en sante des POpulations), UMR 1295 Inserm, Université Toulouse III Paul Sabatier, Toulouse, France.
Sophie ÇabalCentre de Référence Maladies Rares PRADORT (syndrome de PRADer-Willi et autres Obésités Rares avec Troubles du Comportement Alimentaire), Hôpital des Enfants, CHU Toulouse, Université Toulouse III Paul Sabatier, 330, Avenue de Grande Bretagne, TSA 70034, 31059, Toulouse Cedex 9, France.
Maithé TauberCentre de Référence Maladies Rares PRADORT (syndrome de PRADer-Willi et autres Obésités Rares avec Troubles du Comportement Alimentaire), Hôpital des Enfants, CHU Toulouse, Université Toulouse III Paul Sabatier, 330, Avenue de Grande Bretagne, TSA 70034, 31059, Toulouse Cedex 9, France. tauber.mt@chu-toulouse.fr.ORCID http://orcid.org/0000-0002-0363-7862

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOxytocin (OT) plays an important role in modulating behavior, social interactions and feeding. Prader-Willi syndrome (PWS), a rare genetic neurodevelopmental disorder, is a model of hypothalamic disorder including OT dysfunction. We previously showed that infants with PWS who had received an early short course (7 days) of intranasal OT treatment improved their oral and social skills. We aim to document the long-term tolerance and effects of early intranasal OT treatment on the disease trajectory.

methodsWe performed a comparative clinical trial including the 17 children who had received OT as infants in our previous study and compared them to 17 PWS non-exposed children at 3-4 years old. Primary endpoint was the total communication score on the Vineland Adaptive Behavior Scales-2nd edition (VABS-II). Secondary endpoints were the other domains of VABS-II, behavior scored by the Child Behavior Checklist, feeding skills, endocrine and metabolic profiles, and brain connectivity on functional magnetic resonance imaging.

resultsWe documented the long-term safety of early OT treatment. The VABS-II communication score was not different between the two groups, defined as OT-exposed and non-exposed, whereas a trend toward a higher socialization score was found in the OT-exposed children (p = 0.06). Circulating IGF-1 and HDL cholesterol were significantly higher in the OT-exposed group (p < 0.05). OT-exposed children had normal acylated ghrelin levels, which were lower than those observed in non-exposed children (p = 0.06), and they displayed higher connectivity of the orbitofrontal cortex brain region.

conclusionEarly OT treatment in infants with PWS is safe up to 3-4 years of age. OT-exposed children display better social, endocrine and metabolic outcomes. This study documents for the first time in human the biological window of opportunity of early OT treatment, which may change the trajectory of the PWS condition.

trial registrationClinical trial NCT03081832 Retrospectively registered https://clinicaltrials.gov/search?cond=NCT03081832 .

Indexed as

OxytocinPrader-Willi SyndromeChild, PreschoolFemaleHumansInfantMaleOxytocinBehaviorBrain connectivityInfantsLong-term effectsMetabolismOxytocinPrader–Willi syndrome

Identifiers

PMID40025514
PMCPMC11872305

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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.