Title |
An Exploratory Trial of Transdermal Nicotine for Aggression and Irritability in Adults with Autism Spectrum Disorder
|
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Published in |
Journal of Autism and Developmental Disorders, March 2018
|
DOI | 10.1007/s10803-018-3536-7 |
Pubmed ID | |
Authors |
Alan S. Lewis, Gerrit Ian van Schalkwyk, Mayra Ortiz Lopez, Fred R. Volkmar, Marina R. Picciotto, Denis G. Sukhodolsky |
Abstract |
Nicotinic acetylcholine receptors (nAChRs), particularly the α7 nAChR, are implicated in the pathophysiology of both autism spectrum disorder (ASD) and aggressive behavior. We explored the feasibility, tolerability, and preliminary efficacy of targeting nAChRs using transdermal nicotine to reduce aggressive symptoms in adults with ASD. Eight subjects were randomized in a double-blind crossover trial of 7 mg transdermal nicotine or placebo, each for 1 week. All participants tolerated nicotine treatment well. Five subjects contributed data to the primary outcome, Aberrant Behavior Checklist-Irritability (ABC-I) subscale change from baseline, which was improved by nicotine compared to placebo. Sleep ratings were also improved by nicotine and correlated with ABC-I improvement. These findings support further investigation of nAChR agonists for aggression and sleep in ASD. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 14 | 26% |
United Kingdom | 4 | 7% |
Spain | 3 | 6% |
Australia | 3 | 6% |
Germany | 2 | 4% |
Canada | 2 | 4% |
Netherlands | 1 | 2% |
Finland | 1 | 2% |
South Africa | 1 | 2% |
Other | 3 | 6% |
Unknown | 20 | 37% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 48 | 89% |
Scientists | 4 | 7% |
Science communicators (journalists, bloggers, editors) | 1 | 2% |
Practitioners (doctors, other healthcare professionals) | 1 | 2% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 99 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 12 | 12% |
Student > Master | 11 | 11% |
Student > Doctoral Student | 9 | 9% |
Researcher | 7 | 7% |
Student > Bachelor | 5 | 5% |
Other | 12 | 12% |
Unknown | 43 | 43% |
Readers by discipline | Count | As % |
---|---|---|
Psychology | 23 | 23% |
Medicine and Dentistry | 11 | 11% |
Neuroscience | 6 | 6% |
Social Sciences | 3 | 3% |
Business, Management and Accounting | 2 | 2% |
Other | 5 | 5% |
Unknown | 49 | 49% |