Evidence map›Paper›PMID 18332899›Full record

ReviewThe pharmacogenomics journal2008

Pharmacogenetics of hypersensitivity to abacavir: from PGx hypothesis to confirmation to clinical utility.

A R Hughes, W R Spreen, M Mosteller, L L Warren, E H Lai, C H Brothers, C Cox, A J Nelsen, S Hughes, D E Thorborn and 4 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in The pharmacogenomics journal, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
9.6field-weighted citation impact, top 2% of its field
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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 89 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Genomics in Health and Biomedicine.Advances in experimental medicine and biology · 2026
    Review
  4. A Comprehensive Review ofPharmaceuticals (Basel, Switzerland) · 2021
    Review
  5. Review
  6. Genetic Testing in Clinical Settings.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2018
    Review
  7. Review
  8. Sensitivity to hepatotoxicity due to epigallocatechin gallate is affected by genetic background in diversity outbred mice.Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association · 2015
    Article
  9. Review
  10. Systematic reviews of animal models: methodology versus epistemology.International journal of medical sciences · 2013
    Review
  11. Article
  12. Personalized medicine: is it a pharmacogenetic mirage?British journal of clinical pharmacology · 2012
    Review
  13. Article
  14. Animal models and conserved processes.Theoretical biology & medical modelling · 2012
    Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

14 authors at 6 institutions in 2 countries.

A R HughesGlaxoSmithKline Pharmacogenetics, Research Triangle Park, NC 27709, USA. arlene.r.hughes@gsk.com
W R Spreen
M Mosteller
L L Warren
E H Lai
C H Brothers
C Cox
A J Nelsen
S Hughes
D E Thorborn
B Stancil
S V Hetherington
D K Burns
A D Roses
GlaxoSmithKline (United States) · USResearch Triangle Park Foundation · USDuke University Hospital · USGlaxoSmithKline (United Kingdom) · GBGW Pharmaceuticals (United Kingdom) · GBTriangle · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The hypersensitivity (HSR) to abacavir (ABC) pharmacogenetics (PGx) program represents the progression from an exploratory discovery to a validated biomarker. Within the program, two retrospective PGx studies were conducted to identify HIV-1 patients at increased risk for ABC HSR, a treatment-limiting and potentially life-threatening adverse event. A strong statistical association between the major histocompatibility complex allele, HLA-B*5701, and clinically diagnosed ABC HSR was identified but varied between racial populations. Subsequently, ABC skin patch testing was introduced as a research tool to supplement clinical case ascertainment. In a randomized, prospective study evaluating the clinical utility of HLA-B*5701 screening, avoidance of ABC in HLA-B*5701-positive patients significantly reduced clinically diagnosed ABC HSR and eliminated patch test-positive ABC HSR. Finally, a retrospective PGx study supports the generalizability of the association across races. Prospective HLA-B*5701 screening should greatly reduce the incidence of ABC HSR by identifying patients at high risk for ABC HSR before they are treated.

Indexed as

PharmacogeneticsAbacavirDideoxynucleosidesDrug HypersensitivityHLA-B AntigensHumansPatch TestsReverse Transcriptase InhibitorsAbacavirDideoxynucleosidesHLA-B AntigensReverse Transcriptase Inhibitors

Identifiers

PMID18332899
OpenAlexW2065600450

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.