Pediatric endocrinology

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

J Clin Endocrinol MetabPublished Randomised controlled trial

Authors' conclusion

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

Study context

Population
Children and adults with Prader-Willi syndrome and hyperphagia who had completed prior randomized (13-week DCCR or placebo) and open-label (2.5–4.5 years DCCR) studiesrandomized 1:1
Participants
77 children
Comparison
Continued once-daily DCCR vs placebo
  • DCCRn = 38
  • Placebon = 39reference
Primary endpoint
Hyperphagia Questionnaire for Clinical Trials (HQ-CT) total score change from baseline
Follow-up
16 weeks
Methodological detailsrandomized withdrawal, double-blind, placebo-controlled
  • Randomized withdrawal
  • Double-blind
  • Placebo-controlled

Primary result

As reported in the abstract

HQ-CT total score change from baseline · week 16

DCCR

2.6

Least square (LS) mean · SE 1.12

Placebo

7.6

LS mean · SE 1.09

P = 0.0022

Secondary outcomes

OutcomeLS mean weight difference (kg) (95% CI)
Weight (exploratory)Placebo gained more weight−1.6 (−3.1 to −0.1)
OutcomeLS mean z-score difference (CI)
BMI z-score (exploratory)Placebo increased BMI z-score more−0.09 (−0.17 to −0.01)

Clinical Global Impression of Severity (CGI-S) and CGI-I

CGI scores favored DCCR but were not significantly changed

Safety

Serious adverse events in DCCR
0
Adverse events similar with both treatments

Original publication

Diazoxide Choline Extended-release Tablets in Prader-Willi Syndrome: A Randomized, Double-blind, Withdrawal Period Study. J Clin Endocrinol Metab. Published 2 January 2026. doi:10.1210/clinem/dgaf661

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