Evidence map›Paper›PMID 40079709›Full record

ArticleMovement disorders : official journal of the Movement Disorder Society2025

Treatment Efficacy of Theophylline in ADCY5-Related Dyskinesia: A Retrospective Case Series Study.

Dirk Taenzler, Frank Hause, Andreas Merkenschlager, Andrea Sinz

Abstract read
In one paragraph

Article in Movement disorders : official journal of the Movement Disorder Society, 2025. 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. Distinct Brain Drivers and Shared Cerebello-Cortical Input in ADCY5 and SGCE Hyperkinetic Movements.Movement disorders : official journal of the Movement Disorder Society · 2026
    Article
  2. Psychiatric Disorders and Apathy in Mixed Movement Disorders Linked to ADCY5 (MxMD-ADCY5).Movement disorders : official journal of the Movement Disorder Society · 2026
    Article
  3. Article
  4. Review
  5. Mixed Movement Disorder Caused byCase reports in neurological medicine · 2026
    Article
  6. Update on Genetic Chorea.European journal of neurology · 2025
    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

4 authors.

Dirk TaenzlerDepartment of Pharmaceutical Chemistry and Bioanalytics, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.
Frank HauseDepartment of Pharmaceutical Chemistry and Bioanalytics, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.ORCID 0000-0002-6879-6944
Andreas MerkenschlagerDepartment of Pediatrics, University of Leipzig Medical Center, Leipzig, Germany.ORCID 0000-0001-9959-2306
Andrea SinzDepartment of Pharmaceutical Chemistry and Bioanalytics, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.ORCID 0000-0003-1521-4899

Funding

Bundesministerium für Wirtschaft und Energie ZIM KK5096401SK0Deutsche Forschungsgemeinschaft 391498659Deutsche Forschungsgemeinschaft INST 271/404-1 FUGGDeutsche Forschungsgemeinschaft INST 271/405-1 FUGGDeutsche Forschungsgemeinschaft RTG 2467Martin Luther University Halle-Wittenberg Center for Structural Mass SpectrometryRegion of Saxony-Anhalt
6 · The paper itself

Abstract

backgroundADCY5-related dyskinesia is a rare disorder caused by mutations in the ADCY5 gene resulting in abnormal involuntary movements. Currently, there are no standardized guidelines to treat this condition.

objectiveThe aim of this study was to evaluate the efficacy of theophylline administration in improving symptoms and quality of life in patients with ADCY5-related dyskinesia.

methodsA retrospective study was conducted involving 12 patients (aged 2-41 years) with ADCY5-related dyskinesia. Participants completed a questionnaire about theophylline administration, including dosage, improvement of symptoms, adverse effects, and changes in quality of life. Data were analyzed for reported efficacy and side effects.

resultsTheophylline administration demonstrated substantial efficacy, with 92% (11 of 12) of patients reporting significant improvements in their movement disorders. The average improvement score was 7.0 ± 1.9 (mean ± SD) on a 10-point scale. Notable improvements included reductions in severity and frequency of episodes, improved gait, more independent mobility, psychosocial well-being, and quality of sleep. Adverse effects were reported by 6 patients, including dystonia, worsening of speech, headaches, nausea, impaired sleep, and agitation.

conclusionsTheophylline shows substantial promise as a treatment option for ADCY5-related dyskinesia, improving various aspects of patients' quality of life and movement disorder symptoms. Further research is needed to optimize dosing, to understand long-term effects, and to explore combinational drug therapies. Despite the small cohort size and the retrospective nature of this study, the results support theophylline administration to decrease dyskinetic movements and enhance overall quality of life in patients. © 2025 The Author(s). Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.

Indexed as

Adenylyl CyclasesDyskinesiasTheophyllineAdolescentAdultChildChild, PreschoolFemaleHumansMaleQuality of LifeRetrospective StudiesTreatment OutcomeYoung AdultAdenylyl Cyclasesadenylyl cyclase type VTheophyllineADCY5dyskinesiagenetic disordertheophylline

Identifiers

PMID40079709
PMCPMC12160982

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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.