Evidence map›Paper›PMID 22271411›Full record

Trial reportDigestive diseases and sciences2012

Pharmacogenetics of the effects of colesevelam on colonic transit in irritable bowel syndrome with diarrhea.

Banny S Wong, Michael Camilleri, Paula J Carlson, Suwebatu Odunsi-Shiyanbade, Sanna McKinzie, Irene Busciglio, Duane Burton, Alan R Zinsmeister

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Digestive diseases and sciences, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 6% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Guideline
  2. Effects of Colesevelam on Bowel Symptoms, Biomarkers, and Colonic Mucosal Gene Expression in Patients With Bile Acid Diarrhea in a Randomized Trial.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2020
    Trial
  3. Review
  4. Article
  5. Review
  6. Review
  7. Irritable bowel syndrome.Nature reviews. Disease primers · 2016
    Review
  8. Review
  9. Advances in understanding of bile acid diarrhea.Expert review of gastroenterology & hepatology · 2014
    Review
  10. Article
  11. Article
  12. Increased bile acid biosynthesis is associated with irritable bowel syndrome with diarrhea.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2012
    Article
  13. Review
  14. The role of pharmacogenetics in nonmalignant gastrointestinal diseases.Nature reviews. Gastroenterology & hepatology · 2012
    Review
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

8 authors at 3 institutions in 1 country.

Banny S WongClinical Enteric Neuroscience Translational and Epidemiological Research (CENTER), Mayo Clinic, Charlton 8-110, 200 First Street S.W., Rochester, MN 55905, USA.
Michael Camilleri
Paula J Carlson
Suwebatu Odunsi-Shiyanbade
Sanna McKinzie
Irene Busciglio
Duane Burton
Alan R Zinsmeister
Mayo Clinic · USWinnMed · USMayo Clinic in Florida · US

Funding

MAYO CLINIC CENTER FOR TRANSLATIONAL SCIENCE ACTIVITIESUL1RR024150 · NCRR · MAYO CLINIC ROCHESTER · PI RIZZA, ROBERT A. · 2006 to 2011
$66.4M
Bile Acids, Genetic Control and Colonic Function in Irritable Bowel SyndromeR01DK092179 · NIDDK · MAYO CLINIC ROCHESTER · PI CAMILLERI, MICHAEL L. · 2011 to 2015
$1.8M
NCRR NIH HHS RR24150NCRR NIH HHS UL1 RR024150NIDDK NIH HHS R01 DK092179NIDDK NIH HHS R01-DK092179
6 · The paper itself

Abstract

backgroundProtein products of klothoβ (KLB) and fibroblast growth factor receptor 4 (FGFR4) impact fibroblast growth factor 19-mediated feedback inhibition of hepatic bile acid (BA) synthesis. Variants of KLB and FGFR4 influence colonic transit (CT) in diarrhea-predominant irritable bowel syndrome (IBS-D).

aimThe purpose of this study was to test the hypothesis that colesevelam's slowing effects on CT in IBS-D patients is influenced by genetic variants in KLB and FGFR4.

methodsWe examined pharmacogenetic effects of KLB and FGFR4 coding variants (SNPs) on scintigraphic CT response to the BA sequestrant, colesevelam 1.875 g b.i.d. versus placebo (PLA) for 14 days in 24 female IBS-D patients.

resultsFGFR4 rs351855 and KLB rs497501 were associated with differential colesevelam effects on ascending colon (AC) half-emptying time (t(1/2), P = 0.046 and P = 0.085 respectively) and on overall CT at 24 h (geometric center, GC24: P = 0.073 and P = 0.042, respectively), with slower transit for rs351855 GA/AA (but not for GG) and rs497501 CA/AA (but not CC) genotypes.

conclusionFGFR4 rs351855 and KLB rs4975017 SNPs may identify a subset of IBS-D patients with beneficial response to colesevelam.

Indexed as

Bile Acids and SaltsDiarrheaIrritable Bowel SyndromeAdultAllylamineAnticholesteremic AgentsBiotransformationColesevelam HydrochlorideColonFeedback, PhysiologicalFemaleFibroblast Growth FactorsGastrointestinal TransitHumansKlotho ProteinsMembrane ProteinsAllylamineAnticholesteremic AgentsBile Acids and SaltsColesevelam HydrochlorideFGF19 protein, humanFibroblast Growth FactorsKLB protein, humanKlotho ProteinsMembrane ProteinsReceptor, Fibroblast Growth Factor, Type 4

Identifiers

PMID22271411
PMCPMC3809827
OpenAlexW2068849438

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.