Evidence map›Paper›PMID 18725220›Full record

Trial reportGastroenterology2008

A controlled pharmacogenetic trial of sibutramine on weight loss and body composition in obese or overweight adults.

April B M Grudell, Seth Sweetser, Michael Camilleri, Deborah J Eckert, Maria I Vazquez-Roque, Paula J Carlson, Duane D Burton, Autumn E Braddock, Matthew M Clark, Karen M Graszer and 2 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Gastroenterology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
6.4field-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.

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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Brain serotonin transporter occupancy by oral sibutramine dosed to steady state: a PET study using (11)C-DASB in healthy humans.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2010
    Trial
  6. Review
  7. Review
  8. Review
  9. Review
  10. The importance of gene-environment interactions in human obesity.Clinical science (London, England : 1979) · 2016
    Review
  11. Article
  12. Article
  13. Article
  14. Assessing gene-gene interactions in pharmacogenomics.Molecular diagnosis & therapy · 2012
    Review
  15. Article
  16. Article
  17. Article
  18. Predictors of weight loss and maintenance in patients treated with antiobesity drugs.Diabetes, metabolic syndrome and obesity : targets and therapy · 2011
    Article
  19. Genetics of type 2 diabetes.Current opinion in clinical nutrition and metabolic care · 2010
    Review
  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 2 institutions in 1 country.

April B M GrudellClinical Enteric Neuroscience Translational and Epidemiological Research, Mayo Clinic, Rochester, Minnesota 55905, USA.
Seth Sweetser
Michael Camilleri
Deborah J Eckert
Maria I Vazquez-Roque
Paula J Carlson
Duane D Burton
Autumn E Braddock
Matthew M Clark
Karen M Graszer
Sarah A Kalsy
Alan R Zinsmeister
Mayo Clinic in Florida · USMayo Clinic · US

Funding

MAYO CLINIC CENTER FOR TRANSLATIONAL SCIENCE ACTIVITIESUL1RR024150 · NCRR · MAYO CLINIC ROCHESTER · PI RIZZA, ROBERT A. · 2006 to 2011
$66.4M
Obesity and Energy Metabolism CoreP30DK050456 · NIDDK · UNIVERSITY OF MINNESOTA TWIN CITIES · PI BERNLOHR, DAVID A · 1995 to 2015
$17.0M
Pharmacogenomics of Gastric Function &Weight in ObesityR01DK067071 · NIDDK · MAYO CLINIC ROCHESTER · PI CAMILLERI, MICHAEL L. · 2004 to 2020
$4.7M
ALPHA 2 ADRENERGIC CONTROL IN IRRITABLE BOWEL SYNDROMEK24DK002638 · NIDDK · MAYO CLINIC ROCHESTER · PI CAMILLERI, MICHAEL L. · 1999 to 2008
$1.1M
NCRR NIH HHS RR024150NCRR NIH HHS UL1 RR024150NIDDK NIH HHS DK50456NIDDK NIH HHS K24 DK002638NIDDK NIH HHS K24 DK 02638NIDDK NIH HHS P30 DK050456NIDDK NIH HHS R01 DK067071NIDDK NIH HHS R01 DK67071
6 · The paper itself

Abstract

BACKGROUND &

aimsWeight loss in response to sibutramine is highly variable. We assessed the association of specific markers of polymorphisms of candidate alpha2A adrenoreceptor, 5-HT transporter, and GNbeta3 genes and weight loss with sibutramine.

methodsWe conducted a randomized, double-blind, pharmacogenetic study of behavioral therapy and sibutramine (10 or 15 mg daily) or placebo for 12 weeks in 181 overweight or obese participants. We measured body weight, body mass index, body composition, gastric emptying, and genetic variation (alpha2A C1291G, 5-HTTLPR, and GNbeta3 C825T genotypes). Analysis of covariance was used to assess treatment effects on and associations of the specific markers of candidate genes with weight loss and body composition.

resultsSibutramine, 10 and 15 mg, caused weight loss (P = .009); there was a statistically significant gene by dose interaction for GNbeta3 genotype. For each candidate gene, significant treatment effects at 12 weeks were observed (P < .017) for all specific genotype variants (Delta weight loss in the 2 sibutramine doses vs placebo): alpha2A CC (Delta, approximately 5 kg), GNbeta3 TC/TT (Delta, approximately 6 kg), and 5-HTTLPR LS/SS (Delta, approximately 4.5 kg). Gene pairs resulted in significantly greater sibutramine treatment effects on weight (both P < .002): in participants with 5-HTTLPR LS/SS with GNbeta3 TC/TT; Delta, approximately 6 kg and those with alpha2A CC with GNbeta3 TC/TT; Delta, approximately 8 kg; however, effects were not synergistic. Treatment with sibutramine also resulted in significantly greater reduction of body fat for specific alpha2A CC and GNbeta3 TC/TT genotype variants individually (both P < .02).

conclusionsPatient selection based on candidate genes may enhance response to multidimensional sibutramine and behavioral therapy for obesity.

Indexed as

AdultAppetite DepressantsBody CompositionCyclobutanesFeeding BehaviorFemaleGastric EmptyingGenotypeHeterotrimeric GTP-Binding ProteinsHumansMaleMiddle AgedObesityOverweightReceptors, Adrenergic, alpha-2Serotonin Plasma Membrane Transport ProteinsADRA2A protein, humanAppetite DepressantsCyclobutanesG-protein beta3 subunitHeterotrimeric GTP-Binding ProteinsReceptors, Adrenergic, alpha-2Serotonin Plasma Membrane Transport Proteinssibutramine

Identifiers

PMID18725220
PMCPMC2629484
OpenAlexW1970851710

What OpenQuestion holds

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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.