Evidence map›Paper›PMID 22413836›Full record

Trial reportJournal of translational medicine2012

Power to identify a genetic predictor of antihypertensive drug response using different methods to measure blood pressure response.

Stephen T Turner, Gary L Schwartz, Arlene B Chapman, Amber L Beitelshees, John G Gums, Rhonda M Cooper-Dehoff, Eric Boerwinkle, Julie A Johnson, Kent R Bailey

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of translational medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00005520 (Genetic Epidemiology of Responses to Antihypertensives), which is not on this map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT00005520 completednot on this map

Genetic Epidemiology of Responses to Antihypertensives

TypeobservationalSponsorMayo ClinicRan1997 to 2008Enrolled1,200ConditionsCardiovascular Diseases, Heart Diseases, HypertensionArmsHydrochlorothiazide, Candesartan
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Genome-Wide Meta-Analysis of Blood Pressure Response to βJournal of the American Heart Association · 2019
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
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  10. Circulating microRNA Biomarkers of Thiazide Response in Hypertension.Journal of the American Heart Association · 2024
    Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Pharmacogenomics of hypertension and heart disease.Current hypertension reports · 2015
    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

9 authors.

Stephen T TurnerDivision of Nephrology and Hypertension, Department of Medicine, Mayo Clinic, Rochester, MN 55905, USA. sturner@mayo.edu
Gary L Schwartz
Arlene B Chapman
Amber L Beitelshees
John G Gums
Rhonda M Cooper-Dehoff
Eric Boerwinkle
Julie A Johnson
Kent R Bailey

Funding

MAYO CLINIC CENTER FOR TRANSLATIONAL SCIENCE ACTIVITIESUL1RR024150 · NCRR · MAYO CLINIC ROCHESTER · PI RIZZA, ROBERT A. · 2006 to 2011
$66.4M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025008 · NCRR · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2007 to 2011
$29.0M
Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
Pharmacogenomic Evaluation of Antihypertensive ResponsesU01GM074492 · NIGMS · UNIVERSITY OF FLORIDA · PI JOHNSON, JULIE A. · 2005 to 2014
$20.7M
UF Clinical and Translational Science AwardUL1TR000064 · NCATS · UNIVERSITY OF FLORIDA · PI NELSON, DAVID R · 2012 to 2014
$12.2M
Metabolic Effects of Antihypertensive DrugsK23HL086558 · NHLBI · UNIVERSITY OF FLORIDA · PI COOPER-DEHOFF, RHONDA M · 2007 to 2011
$672k
Uncoupling Protein Polymorphisms and Cardiometabolic Responses to Beta-BlockersK23HL091120 · NHLBI · UNIVERSITY OF MARYLAND BALTIMORE · PI BEITELSHEES, AMBER L · 2008 to 2012
$661k
NCATS NIH HHS UL1 TR000064NCATS NIH HHS UL1 TR000454NCRR NIH HHS UL1-RR024150NCRR NIH HHS UL1-RR025008NCRR NIH HHS UL1-RR092890NHLBI NIH HHS HL086558NHLBI NIH HHS HL091120NHLBI NIH HHS K23 HL091120NIGMS NIH HHS U01 GM074492NIGMS NIH HHS U01-GM074492
6 · The paper itself

Abstract

backgroundTo determine whether office, home, ambulatory daytime and nighttime blood pressure (BP) responses to antihypertensive drug therapy measure the same signal and which method provides greatest power to identify genetic predictors of BP response.

methodsWe analyzed office, home, ambulatory daytime and nighttime BP responses in hypertensive adults randomized to atenolol (N = 242) or hydrochlorothiazide (N = 257) in the Pharmacogenomic Evaluation of Antihypertensive Responses Study. Since different measured BP responses may have different predictors, we tested the "same signal" model by using linear regression methods to determine whether known predictors of BP response depend on the method of BP measurement. We estimated signal-to-noise ratios and compared power to identify a genetic polymorphism predicting BP response measured by each method separately and by weighted averages of multiple methods.

resultsAfter adjustment for pretreatment BP level, known predictors of BP response including plasma renin activity, race, and sex were independent of the method of BP measurement. Signal-to-noise ratios were more than 2-fold greater for home and ambulatory daytime BP responses than for office and ambulatory nighttime BP responses and up to 11-fold greater for weighted averages of all four methods. Power to identify a genetic polymorphism predicting BP response was directly related to the signal-to-noise ratio and, therefore, greatest with the weighted averages.

conclusionSince different methods of measuring BP response to antihypertensive drug therapy measure the same signal, weighted averages of the BP responses measured by multiple methods minimize measurement error and optimize power to identify genetic predictors of BP response.

Indexed as

AdultAntihypertensive AgentsAtenololBlood PressureBlood Pressure DeterminationBlood Pressure Monitoring, AmbulatoryFemaleHumansHydrochlorothiazideLinear ModelsMaleMiddle AgedMultivariate AnalysisPolymorphism, Single NucleotideSample SizeSignal-To-Noise RatioAntihypertensive AgentsAtenololHydrochlorothiazide

Identifiers

PMID22413836
PMCPMC3342146

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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.