Evidence map›Paper›PMID 19506580›Full record

SynthesisThe pharmacogenomics journal2009

Association of genotypes of the CYP3A cluster with midazolam disposition in vivo.

J Miao, Y Jin, R L Marunde, C J Gorski, S Kim, S Quinney, M Radovich, L Li, S D Hall

Erratum issuedOpen access · greenAbstract readComparative StudyMeta-Analysis
In one paragraph

Synthesis in The pharmacogenomics journal, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
5.4field-weighted citation impact, top 5% 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, 70 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Frontiers in pharmacology · 2023
    Article
  9. Sex and Age Influence on Association ofDiagnostics (Basel, Switzerland) · 2022
    Article
  10. Article
  11. Article
  12. Article
  13. Frontiers in genetics · 2021
    Review
  14. Review
  15. Representation of CYP3A4, CYP3A5 and UGT1A4 Polymorphisms within Croatian Breast Cancer Patients' Population.International journal of environmental research and public health · 2020
    Article
  16. Article
  17. Observational
  18. Article
  19. Article
  20. The effect of piperine on midazolam plasma concentration in healthy volunteers, a research on the CYP3A-involving metabolism.Daru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences · 2014
    Article
4 · The record

Corrections and comments

  • Erratum issued
    Gorski, C J [added]
5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

J MiaoDivision of Clinical Pharmacology, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
Y Jin
R L Marunde
C J Gorski
S Kim
S Quinney
M Radovich
L Li
S D Hall
Indiana University – Purdue University Indianapolis · USIndiana University School of MedicineSichuan University · CN

Funding

Clinical Importance of Drug-Drug InteractionsR01AG025152 · NIA · UNIVERSITY OF PENNSYLVANIA · PI HENNESSY, SEAN, LI, LANG · 2006 to 2021
$8.1M
Bayesian Tools for PBPK Models in Drug Onteraction Res.R01GM074217 · NIGMS · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI LI, LANG · 2005 to 2009
$1.3M
NIA NIH HHS R01 AG025152NIGMS NIH HHS GM74217NIGMS NIH HHS R01 GM074217
6 · The paper itself

Abstract

The genes that encode for CYP3A4 and CYP3A5 are located in the same region (CYP3A cluster) on chromosome 7. Midazolam (MDZ) is a substrate for both CYP3A4 and CYP3A5. We hypothesize that MDZ disposition in vivo is associated with genotypes of the CYP3A cluster. A meta-analysis of the pharmacokinetic (PK) parameters from seven clinical trials was carried out, in which MDZ was administered both intravenously and orally. DNA samples were available from 116 patients. There were significant ethnic differences in the allelic frequencies of these four common single-nucleotide polymorphisms (SNPs) in the CYP3A cluster. Significant linkage disequilibrium was found between CYP3A5(*)3 and CYP3A4(*)1A in Caucasians, and between CYP3A5(*)1 and CYP3A4(*)1B in African Americans. There were no differences in MDZ disposition in vivo between different genotypes, haplotypes and diplotypes in the CYP3A cluster (P>0.05). No significant differences in MDZ PK parameters were observed between Caucasians and African Americans. Women had higher weight-corrected systemic and oral clearance than men, but dose-adjusted AUC and bioavailability differences were not observed between sexes. The clinical importance of elevated CYP3A activity in women remains to be determined. The r(GC)'s of MDZ PK parameters were between 0.3 and 13.6%. In conclusion, the meta-analysis of seven studies suggests that environmental factors explain the majority of CYP3A activity variation. Further studies are necessary to define the functional significance of SNPs in the CYP3A cluster and the effects of CYP3A genotypes on MDZ disposition in vivo.

Indexed as

Polymorphism, Single NucleotideAdministration, OralAdultAgedAge FactorsBiological AvailabilityBlack or African AmericanClinical Trials as TopicCytochrome P-450 CYP3ACytochrome P-450 Enzyme SystemFemaleGene FrequencyHaplotypesHumansInfusions, IntravenousLinkage DisequilibriumCYP3A4 protein, humanCYP3A5 protein, humanCYP3A protein, humanCytochrome P-450 CYP3ACytochrome P-450 Enzyme SystemMidazolam

Identifiers

PMID19506580
PMCPMC2749890
OpenAlexW2126655119

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.