Evidence map›Paper›PMID 18615004›Full record

Trial reportClinical pharmacology and therapeutics2008

beta-adrenergic receptor gene polymorphisms and beta-blocker treatment outcomes in hypertension.

M A Pacanowski, Y Gong, R M Cooper-Dehoff, N J Schork, M D Shriver, T Y Langaee, C J Pepine, J A Johnson, INVEST Investigators

Registry-linked trialOpen access · greenAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Clinical pharmacology and therapeutics, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00133692 (INternational VErapamil SR Trandolapril STudy), which is not on this map. Cited by 63 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 3 pooled it
5.0field-weighted citation impact, top 4% 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.

NCT00133692 phase4completednot on this map

INternational VErapamil SR Trandolapril STudy

TypeinterventionalSponsorUniversity of FloridaRan1997 to 2003Enrolled22,000ConditionsHypertension, Coronary Artery DiseaseArmsVerapamil SR/Trandolapril/Hydrochlorothiazide (HCTZ), Atenolol/HCTZ/Trandolapril
3 · Its place in the literature

Who cites it

63 citing papers in PubMed, 3 syntheses or guidelines pooled it, 143 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Pharmacogenetic and microRNA mechanisms of beta blocker use on bone.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2025
    Trial
  5. βJournal of clinical pharmacology · 2019
    Trial
  6. Trial
  7. Trial
  8. Observational
  9. Article
  10. Article
  11. Receptor Pharmacogenomics: Deciphering Genetic Influence on Drug Response.International journal of molecular sciences · 2024
    Review
  12. Comparison between the ECG Outcomes of Metoprolol and Bisoprolol.Cardiovascular & hematological agents in medicinal chemistry · 2024
    Article
  13. Genetic Variants of Adrenoceptors.Handbook of experimental pharmacology · 2024
    Review
  14. Article
  15. Article
  16. Article
  17. βJournal of the American Heart Association · 2023
    Article
  18. Cardiovascular precision medicine - A pharmacogenomic perspective.Cambridge prisms. Precision medicine · 2023
    Review
  19. Article
  20. Article

3 more citing papers are in PubMed but not listed here.

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

9 authors at 4 institutions in 1 country.

M A PacanowskiDepartment of Pharmacy Practice and Center for Pharmacogenomics, University of Florida College of Pharmacy, Gainesville, Florida, USA.
Y Gong
R M Cooper-Dehoff
N J Schork
M D Shriver
T Y Langaee
C J Pepine
J A Johnson
INVEST Investigators
Florida College · USUniversity of Florida · USPennsylvania State University · USScripps Research Institute · US

Funding

Phenotyping--vasoactive post synaptic agonist pharmacogU01HL069758 · NHLBI · UNIVERSITY OF CALIFORNIA SAN DIEGO · PI O'CONNOR, DANIEL T · 2001 to 2004
$12.1M
Hypertension PharmacogeneticsR01HL074730 · NHLBI · UNIVERSITY OF FLORIDA · PI JOHNSON, JULIE A. · 2003 to 2006
$3.4M
EXTRAMULAR RESEARCH FACILITIES CONSTRUCTIONC06RR017568 · NCRR · UNIVERSITY OF FLORIDA · PI RIFFEE, WILLIAM H · 2003 to 2003
$900k
NCRR NIH HHS C06 RR017568NCRR NIH HHS RR017568NHLBI NIH HHS HL074730NHLBI NIH HHS HL69758NHLBI NIH HHS R01 HL074730NHLBI NIH HHS U01 HL069758
6 · The paper itself

Abstract

Numerous studies have demonstrated that beta(1)- and beta(2)-adrenergic receptor gene (ADRB1 and ADRB2) variants influence cardiovascular risk and beta-blocker responses in hypertension and heart failure. We evaluated the relationship between ADRB1 and ADRB2 haplotypes, cardiovascular risk (death, nonfatal myocardial infarction (MI), and nonfatal stroke), and atenolol-based vs. verapamil sustained-release (SR)-based antihypertensive therapy in 5,895 coronary artery disease (CAD) patients. After an average of 2.8 years, death rates were higher in patients carrying the ADRB1 Ser49-Arg389 haplotype (hazard ratio (HR) 3.66, 95% confidence interval (95% CI) 1.68-7.99). This mortality risk was significant in patients randomly assigned to verapamil SR (HR 8.58, 95% CI 2.06-35.8) but not atenolol (HR 2.31, 95% CI 0.82-6.55), suggesting a protective role for the beta-blocker. ADRB2 haplotype associations were divergent within the treatment groups but did not remain significant after adjustment for multiple comparisons. ADRB1 haplotype variation is associated with mortality risk, and beta-blockers may be preferred in subgroups of patients defined by ADRB1 or ADRB2 polymorphisms.

Indexed as

Polymorphism, GeneticAdrenergic beta-AntagonistsAgedAtenololConfidence IntervalsCoronary DiseaseDose-Response Relationship, DrugDrug Administration ScheduleFemaleHeterozygoteHumansHypertensionMaleMiddle AgedPharmacogeneticsProbabilityAdrenergic beta-AntagonistsAtenololReceptors, Adrenergic, beta-1Receptors, Adrenergic, beta-2Verapamil

Identifiers

PMID18615004
PMCPMC2675574
OpenAlexW2084903435

What OpenQuestion holds

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Registered trials

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.