Evidence map›Paper›PMID 19153830›Full record

Trial reportBreast cancer research and treatment2009

Association between CYP2D6 genotype and tamoxifen-induced hot flashes in a prospective cohort.

N Lynn Henry, James M Rae, Lang Li, Faouzi Azzouz, Todd C Skaar, Zereunesay Desta, Matthew J Sikora, Santosh Philips, Anne T Nguyen, Anna Maria Storniolo and 4 more

Open access · greenAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Breast cancer research and treatment, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 5 pooled it
14.9field-weighted citation impact, top 1% 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

34 citing papers in PubMed, 5 syntheses or guidelines pooled it, 73 citations in OpenAlex.

  1. Pooled it
  2. Genetic Variation and Hot Flashes: A Systematic Review.The Journal of clinical endocrinology and metabolism · 2020
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Trial
  9. Genes · 2026
    Article
  10. Review
  11. Influence of CYP2D6 polymorphisms on tamoxifen side effects in patients with breast cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Article
  12. Article
  13. Review
  14. Article
  15. Endocrine Therapy in Early Breast Cancer.Breast care (Basel, Switzerland) · 2020
    Review
  16. Article
  17. Article
  18. Observational
  19. 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

14 authors at 5 institutions in 1 country.

N Lynn HenryBreast Oncology Program, University of Michigan Comprehensive Cancer Center, Ann Arbor, MI, USA, norahh@med.umich.edu.
James M Rae
Lang Li
Faouzi Azzouz
Todd C Skaar
Zereunesay Desta
Matthew J Sikora
Santosh Philips
Anne T Nguyen
Anna Maria Storniolo
Daniel F Hayes
David A Flockhart
Vered Stearns
Consortium on Breast Cancer Pharmacogenomics Investigators
Indiana University – Purdue University Indianapolis · USMichigan Center for Translational Pathology · USUniversity of Michigan–Ann Arbor · USIndiana University School of MedicineSidney Kimmel Comprehensive Cancer Center · US

Funding

ZINC GLUCONATE GLYCINE LOZENGES &VITAMIN C EFFECTS ON COMMON COLDM01RR000042 · NCRR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI RUBENFIRE, MELVYN · 1985 to 2007
$40.8M
ZOSUQUIDAR TRIHYDROCHLORIDE DURING CONVENTIONAL INDUCTION AND POST-REMISSIONM01RR000750 · NCRR · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI RODRIGUEZ, HENRY · 1985 to 2008
$25.5M
TAMAXIFEN PHARMACOGENETICSU01GM061373 · NIGMS · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI FLOCKHART, DAVID ALASTAIR · 2000 to 2009
$17.0M
ZAP-70 EXPRESSION, CD38 EXPRESSION AND PROGNOSIS IN CHRONIC LYMPHOCYTIC LEUKEMIAM01RR020359 · NCRR · CHILDREN'S RESEARCH INSTITUTE · PI HINDS, PAMELA S · 2005 to 2010
$13.8M
Indiana University Comprehensive Training in Clinical PharmacologyT32GM008425 · NIGMS · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI Zeruesenay Desta, Michael Thomas Eadon · 1992 to 2026
$7.7M
Michigan BIRCWH Career Development ProgramK12HD001438 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI JOHNSON, TIMOTHY RB · 2000 to 2014
$6.7M
Clinical Relevance of Cytochrome P450 PharmacogeneticsK24RR020815 · NCRR · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI FLOCKHART, DAVID ALASTAIR · 2005 to 2009
$718k
NCRR NIH HHS K24 RR020815NCRR NIH HHS K24RR020815NCRR NIH HHS M01 RR000042NCRR NIH HHS M01-RR000042NCRR NIH HHS M01 RR000750NCRR NIH HHS M01-RR00750NCRR NIH HHS M01 RR020359NCRR NIH HHS M01-RR020359NICHD NIH HHS K12 HD001438NIGMS NIH HHS T32 GM008425NIGMS NIH HHS T32-GM08425NIGMS NIH HHS U01 GM061373NIGMS NIH HHS U-01 GM61373
6 · The paper itself

Abstract

Women with reduced CYP2D6 activity have low endoxifen concentrations and likely worse long term benefits from tamoxifen. We investigated the association between CYP2D6 genotype and tamoxifen-induced hot flashes in a prospective cohort. We collected hot flash frequency and severity data over 12 months from 297 women initiating tamoxifen. We performed CYP2D6 genotyping using the AmpliChip CYP450 test and correlated inherited genetic polymorphisms in CYP2D6 and tamoxifen-induced hot flashes. Intermediate metabolizers had greater mean hot flash scores after 4 months of tamoxifen therapy (44.3) compared to poor metabolizers (20.6, P = 0.038) or extensive metabolizers (26.9, P = 0.011). At 4 months, we observed a trend toward fewer severe hot flashes in poor metabolizers compared to intermediate plus extensive metabolizers (P = 0.062). CYP2D6 activity may be a modest predictive factor for tamoxifen-induced hot flashes. The presence or absence of hot flashes should not be used to determine tamoxifen's efficacy.

Indexed as

Genetic Predisposition to DiseaseBreast NeoplasmsCohort StudiesCytochrome P-450 CYP2D6FemaleGenotypeHot FlashesHumansPolymorphism, GeneticSelective Estrogen Receptor ModulatorsTamoxifenCytochrome P-450 CYP2D6Selective Estrogen Receptor ModulatorsTamoxifen

Identifiers

PMID19153830
PMCPMC2746261
OpenAlexW2036142944

What OpenQuestion holds

Textmetadata
LicenceTDM
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.