Evidence map›Paper›PMID 42033397›Full record

ArticleJournal of child neurology2026

Preliminary Prospective Study of Pharmaceutical-Grade Cannabidiol for Seizure Frequency, Anxiety, and Comorbid Symptoms in Pediatric Epilepsy: Associations With Circulating Endocannabinoids and Lipid Biomarkers.

Sophia Hopkins, Amanda Weber, Jamie MacDougall, Julia Evanski, Hilary A Marusak, Aimee Luat

Abstract read
In one paragraph

Article in Journal of child neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Sophia HopkinsCollege of Medicine, Central Michigan University, Mount Pleasant, MI, USA.
Amanda WeberDivision of Neurology, Department of Pediatrics, Nationwide Children's Hospital and The Ohio State, University College of Medicine, Columbus, OH, USA.
Jamie MacDougallDepartment of Pediatrics, Children's Hospital of Michigan, Detroit, MI, USA.
Julia EvanskiNeuroscience Graduate Program, University of Michigan Medical School, Ann Arbor, MI, USA.
Hilary A MarusakDepartment of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, MI, USA.ORCID 0000-0002-0771-6795
Aimee LuatDepartment of Pediatrics, Children's Hospital of Michigan, Detroit, MI, USA.

Funding

Cannabidiol-enhanced cognitive behavioral therapy for generalized anxiety disorderR61MH137105 · NIMH · WAYNE STATE UNIVERSITY · PI LESLIE H Lundahl, Hilary Marusak · 2025 to 2026
$3.4M
Exercise facilitation of adolescent fear extinction, frontolimbic circuitry, and endocannabinoidsR01MH132830 · NIMH · WAYNE STATE UNIVERSITY · PI Hilary Marusak · 2023 to 2026
$2.9M
NIMH NIH HHS R01 MH132830NIMH NIH HHS R61 MH137105
6 · The paper itself

Abstract

Anxiety commonly co-occurs with childhood epilepsy, yet treatments targeting both are limited. Epidiolex (cannabidiol, CBD) is an FDA-approved treatment for seizures associated with rare pediatric epilepsies and may have anxiolytic effects. We evaluated its effects on seizures and anxiety in pediatric patients with refractory epilepsy, representing diverse seizure etiologies and circulating endocannabinoids and related biomarkers. Twelve participants (12.17 ± 5.17 years; 6 female) initiated Epidiolex for 4-6 weeks. Caregivers completed pre- and post-treatment seizure diaries; validated anxiety and quality-of-life assessments; and plasma endocannabinoids, related lipids, and CBD metabolites-including 7-hydroxycannabidiol (7-OH-CBD)-were measured. Post-treatment, 73% of caregivers reported improvements in anxiety and seizure frequency with minimal side effects and improved sleep. Plasma 2-arachidonoylglycerol increased from baseline to study end, with greater elevations in those with lower baseline concentrations. Plasma 7-OH-CBD increased from baseline to study end, confirming systemic CBD exposure. Epidiolex may provide anxiolytic benefits across pediatric epilepsy, potentially involving endocannabinoids.

Indexed as

anxietychildrenepilepsy

Identifiers

PMID42033397
PMCPMC13120719

What OpenQuestion holds

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Registered trials

None linked

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.