Evidence map›Paper›PMID 42027147›Full record

Trial reportEpigenomics2026

S-adenosylmethionine as an epigenetic treatment of depression in adults with childhood trauma.

Anne Alkema, Winni Schalkwijk, Evelien Bohte, Luc Draisma, Astrid Hoppe, Charlotte Koch, Veerle Refuge, Birgit Romberg, Jurjen J Luykx, Judith J M Jans and 3 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Epigenomics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

13 authors.

Anne AlkemaDepartment of Psychiatry, Brain Center University Medical Center Utrecht, University Utrecht, Utrecht, The Netherlands.
Winni SchalkwijkDepartment of Psychiatry, Brain Center University Medical Center Utrecht, University Utrecht, Utrecht, The Netherlands.
Evelien BohteDepartment of Emergency Psychiatry, Arkin Mental Health Care, Amsterdam, The Netherlands.
Luc DraismaDepartment of Psychiatry, Brain Center University Medical Center Utrecht, University Utrecht, Utrecht, The Netherlands.
Astrid HoppeDepartment of Psychiatry, Brain Center University Medical Center Utrecht, University Utrecht, Utrecht, The Netherlands.
Charlotte KochDepartment of Psychiatry, Brain Center University Medical Center Utrecht, University Utrecht, Utrecht, The Netherlands.
Veerle RefugeDepartment of Common Mental Health Disorders, Altrecht GGZ, Utrecht, The Netherlands.
Birgit RombergDepartment of Pharmacy, University Medical Center Utrecht, Utrecht, The Netherlands.
Jurjen J LuykxDepartment of Psychiatry, Amsterdam UMC, Amsterdam, The Netherlands.
Judith J M JansDepartment of Genetics, Section Metabolic Diagnostics, University Medical Center Utrecht, Utrecht, The Netherlands.
Wiepke CahnDepartment of Psychiatry, Brain Center University Medical Center Utrecht, University Utrecht, Utrecht, The Netherlands.
Eline RegeerAltrecht Science, Altrecht GGZ, Utrecht, The Netherlands.
Marco P M BoksDepartment of Psychiatry, Brain Center University Medical Center Utrecht, University Utrecht, Utrecht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildhood trauma is associated with increased risk of depression and epigenetic alterations in stress-related pathways. Preclinical studies suggest that methyl donors may facilitate DNA methylation changes. This first-in-human trial of epigenetic treatment investigated methyl donor S-adenosylmethionine (SAMe) as add-on to trauma-focused therapy for depression.

methodsIn this randomized, double-blind, placebo-controlled trial with 6-month follow-up, 31 adults with trauma-related depression were enrolled. Participants received 1200 mg SAMe or placebo alongside 12-weeks trauma-focused therapy. Depression symptoms were assessed using the Hamilton Rating Scale of Depression (HAM-D). Plasma SAMe levels and genome-wide DNA methylation were measured pre- and post-treatment, including epigenome-wide association analyses, differentially methylated region analyses, and epigenetic clock measures.

resultsTwenty-eight participants completed the study. Depression symptoms decreased significantly during treatment and remained improved at follow-up, reflecting the effect of psychotherapy, without clinical benefit of SAMe. SAMe supplementation did not alter plasma SAMe levels. However, SAMe treatment was associated with differential methylation across 66 regions. Epigenetic clock analyses showed no consistent treatment-related changes.

conclusionsThis first-in-human epigenetic intervention study in psychiatry demonstrates the feasibility of combining trauma-focused psychotherapy with targeted epigenetic analyses. While SAMe showed no additive clinical effects, the results provide important leads for future trials. CLINICAL TRIAL IDENTIFIER (EUDRACT): 2017-002097-38.

Indexed as

DepressionEpigenesis, GeneticS-AdenosylmethionineAdultDNA MethylationDouble-Blind MethodFemaleHumansMaleMiddle AgedS-Adenosylmethionineadverse childhood experiencesclinical trialdepressive disorderEpigenomicsS-adenosylmethionine

Identifiers

PMID42027147
PMCPMC13166236

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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.