Evidence map›Paper›PMID 18657677›Full record

Trial reportAmerican heart journal2008

Alpha-adducin polymorphism associated with increased risk of adverse cardiovascular outcomes: results from GENEtic Substudy of the INternational VErapamil SR-trandolapril STudy (INVEST-GENES).

Tobias Gerhard, Yan Gong, Amber L Beitelshees, Xianyun Mao, Maximilian T Lobmeyer, Rhonda M Cooper-DeHoff, Taimour Y Langaee, Nicholas J Schork, Mark D Shriver, Carl J Pepine and 2 more

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

Trial report in American heart journal, 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 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
11.7field-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.

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

21 citing papers in PubMed, 50 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. A Mutation inJournal of the American Society of Nephrology : JASN · 2020
    Article
  5. Article
  6. Article
  7. Personalized Management of Cardiovascular Disorders.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2017
    Review
  8. Review
  9. Article
  10. Review
  11. Cardiovascular pharmacogenomics.Circulation research · 2011
    Review
  12. Article
  13. Gene-drug interaction in stroke.Stroke research and treatment · 2011
    Article
  14. Expectations, validity, and reality in pharmacogenetics.Journal of clinical epidemiology · 2010
    Review
  15. The Pharmacogenomics of Anti-Hypertensive Therapy.Pharmaceuticals (Basel, Switzerland) · 2010
    Review
  16. Article
  17. Article
  18. Review
  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

12 authors at 3 institutions in 1 country.

Tobias GerhardCollege of Pharmacy, University of Florida, Gainesville, FL 32610-0486, USA.
Yan Gong
Amber L Beitelshees
Xianyun Mao
Maximilian T Lobmeyer
Rhonda M Cooper-DeHoff
Taimour Y Langaee
Nicholas J Schork
Mark D Shriver
Carl J Pepine
Julie A Johnson
INVEST Investigators
University of Florida · USPennsylvania State University · USUniversity of California, San Diego · US

Funding

Hypertension PharmacogeneticsR01HL074730 · NHLBI · UNIVERSITY OF FLORIDA · PI JOHNSON, JULIE A. · 2003 to 2006
$3.4M
NHLBI NIH HHS R01 HL074730
6 · The paper itself

Abstract

backgroundThe alpha-adducin (ADD1) Gly460Trp polymorphism has been associated with hypertension and response to diuretic therapy, but controversy exists.

methodsThe present study was conducted to prospectively investigate the relationship among the ADD1 Gly460Trp polymorphism, diuretic use, and adverse cardiovascular outcomes among 5,979 patients with hypertensive coronary artery disease, who participated in the INVEST and provided genomic DNA. The primary outcome was defined as the first occurrence of nonfatal stroke, nonfatal myocardial infarction, or all-cause death. Secondary outcomes were the components of the primary outcome. Ancestry informative markers were used to control for population stratification.

resultsIn blacks, ADD1 variant carriers were at higher risk for a primary outcome event than wild-type homozygotes (adjusted hazard ratio 2.62, 95% CI 1.23-5.58, P = .012), with a similar trend in whites and Hispanics, albeit a smaller magnitude of effect (adjusted hazard ratio 1.43, 0.86-2.39 in Hispanics; 1.24, 0.90-1.71 in whites). Secondary outcome analysis showed that the all-cause death was driving the differences in primary outcomes by genotype. There was no interaction between the ADD1 polymorphism and diuretic use for either primary outcome or secondary outcomes.

conclusionsIn hypertensive patients with coronary artery disease, black ADD1 variant carriers showed a 2.6-fold excess risk for a primary outcome event and an 8-fold increase risk of death. White and Hispanic ADD1 variant carriers showed an increased but nonsignificant excess risk. However, the effect of diuretic use on risk of cardiovascular outcomes did not vary by ADD1 carrier status.

Indexed as

Polymorphism, GeneticAdducinsAgedBlack PeopleCalmodulin-Binding ProteinsCoronary Artery DiseaseCytoskeletal ProteinsDiureticsDrug Therapy, CombinationFemaleGenotypeHispanic or LatinoHumansHypertensionKaplan-Meier EstimateMaleAdducinsCalmodulin-Binding ProteinsCytoskeletal ProteinsDiuretics

Identifiers

PMID18657677
PMCPMC2547143
OpenAlexW2171077971

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.