Evidence map›Paper›PMID 41482637›Full record

Trial reportThe Journal of clinical endocrinology and metabolism2026

Diazoxide Choline Extended-release Tablets in Prader-Willi Syndrome: A Randomized, Double-blind, Withdrawal Period Study.

Jennifer L Miller, Nicola Bridges, Eric I Felner, Parisa Salehi, Jack A Yanovski, David A Stevenson, Jorge Mejia-Corletto, Mohamad G Shaikh, M Jennifer Abuzzahab, Amy Fleischman and 17 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of clinical endocrinology and metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

5 citing papers in PubMed.

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

27 authors.

Jennifer L MillerDepartment of Pediatric Endocrinology, University of Florida College of Medicine, Gainesville, FL 32608, USA.ORCID 0000-0003-4370-3438
Nicola BridgesDepartment of Endocrinology, Chelsea and Westminster Hospital, London SW10 9NH, UK.
Eric I FelnerDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA 30322, USA.
Parisa SalehiEndocrinology, Seattle Children's Hospital, Seattle, WA 98105, USA.
Jack A YanovskiUS Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD 20892, USA.
David A StevensonDepartment of Clinical Genetics, Stanford University, Palo Alto, CA 94305, USA.
Jorge Mejia-CorlettoDepartment of Pediatric Endocrinology, NYU Langone Health, Mineola, NY 11501, USA.
Mohamad G ShaikhDepartment of Endocrinology, Royal Hospital for Children, Glasgow G51 4TF, UK.
M Jennifer AbuzzahabDepartment of Endocrinology, Children's Minnesota, St. Paul, MN 55102, USA.
Amy FleischmanDivision of Endocrinology, Boston Children's Hospital, Boston, MA 02115, USA.
Virginia KimonisDivision of Endocrinology, University of California, Irvine, and Children's Hospital of Orange County, Orange, CA 92868, USA.ORCID 0000-0003-1567-4449
Ashley H ShoemakerDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, TN 37212, USA.
Anthony HollandDepartment of Psychiatry, Cambridgeshire & Peterborough NHS Foundation Trust, Fulbourn Hospital, Cambridge CB21 5EF, UK.
Lynne M BirdDepartment of Genetics, University of California, San Diego/Rady Childrens Hospital, San Diego, CA 92123, USA.
Kathryn S ObrynbaEndocrinology, Nationwide Children's Hospital, Columbus, OH 43205, USA.
Melissa LahDepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Elizabeth LittlejohnDepartment of Pediatric Endocrinology, University of Michigan Health-Sparrow Clinical Research Institute, Lansing, MI 48912, USA.
Katerina HarwoodDepartment of Pediatric Endocrinology, St. Joseph's University Medical Center, Paterson, NJ 07503, USA.
Heidi SheaEndocrinology, Research Institute of Dallas, Dallas, TX 75231, USA.
David ViskochilDepartment of Pediatrics, University of Utah, Salt Lake City, UT 84108, USA.
Patricia HiranoSoleno Therapeutics, Redwood City, CA 94065, USA.
Kristen YenSoleno Therapeutics, Redwood City, CA 94065, USA.
Shaila BallalSoleno Therapeutics, Redwood City, CA 94065, USA.
Michael HuangSoleno Therapeutics, Redwood City, CA 94065, USA.
Neil M CowenSoleno Therapeutics, Redwood City, CA 94065, USA.
Anish BhatnagarSoleno Therapeutics, Redwood City, CA 94065, USA.
Evelien GeversEndocrinology, Queen Mary University London, London E1 4NS, UK.ORCID 0000-0002-4397-4126

Funding

Soleno Therapeutics.
6 · The paper itself

Abstract

contextThe hallmark condition of Prader-Willi syndrome, a rare, genetic neurobehavioral/metabolic disorder, is life-threatening hyperphagia.

objectiveWe assessed the efficacy and safety of diazoxide choline extended-release (DCCR) tablets for the treatment of hyperphagia in adults and children four years of age and older with Prader-Willi syndrome.

methodsWe conducted a 16-week, randomized withdrawal study in children and adults with Prader-Willi syndrome and hyperphagia. Participants who previously completed randomized (13-week DCCR or placebo) and open-label (2.5-4.5 years DCCR) studies were randomized 1:1 to receive once-daily DCCR or placebo. The primary endpoint was Hyperphagia Questionnaire for Clinical Trials (HQ-CT) total score change from baseline to 16 weeks. Secondary endpoints included Clinical Global Impression of Severity (CGI-S) and Improvement (CGI-I); exploratory endpoints included weight and body mass index (BMI) z-score.

resultsSeventy-seven participants were randomized (DCCR:38; placebo:39). Statistically significant increases in HQ-CT from baseline to week 16 were observed with placebo vs DCCR [least square (LS) mean (standard error) change 7.6 (1.09)] with placebo and 2.6 (1.12) with DCCR; P = .0022. CGI scores favored DCCR but were not significantly changed. Consistent with the hyperphagia response, the placebo cohort gained more weight and increased their BMI z-score more than the DCCR cohort [LS mean weight difference (95% confidence interval) -1.6 kg (-3.1, -0.1)]; LS mean z-score difference was -0.09 (-0.17, -0.01). Adverse events were similar with both treatments, with no serious adverse events in the DCCR arm.

conclusionContinued DCCR treatment was superior to placebo for hyperphagia. DCCR appears to offer meaningful therapeutic benefits for people with Prader-Willi syndrome.

Indexed as

CholineDiazoxideHyperphagiaPrader-Willi SyndromeAdolescentAdultChildChild, PreschoolDelayed-Action PreparationsDouble-Blind MethodFemaleHumansMaleMiddle AgedTabletsTreatment OutcomeCholineDelayed-Action PreparationsDiazoxideTabletsdiazoxide choline extended-release tabletshyperphagiaPrader-Willi syndromerandomized withdrawal period study

Identifiers

PMID41482637
PMCPMC13183442

What OpenQuestion holds

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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.