Evidence map›Paper›PMID 22925276›Full record

Trial reportGenes, brain, and behavior2012

Modifying the role of serotonergic 5-HTTLPR and TPH2 variants on disulfiram treatment of cocaine addiction: a preliminary study.

D A Nielsen, M J Harding, S C Hamon, W Huang, T R Kosten

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Genes, brain, and behavior, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 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.

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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Disulfiram for the treatment of cocaine dependence.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Review
  8. Article
  9. Article
  10. Review
  11. Pharmacogenetics of Addiction Therapy.Methods in molecular biology (Clifton, N.J.) · 2022
    Article
  12. Article
  13. Article
  14. Observational
  15. Article
  16. Article
  17. INTEGRATIVE BAYESIAN ANALYSIS OF NEUROIMAGING-GENETIC DATA THROUGH HIERARCHICAL DIMENSION REDUCTION.Proceedings. IEEE International Symposium on Biomedical Imaging · 2016
    Article
  18. Article
  19. 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

5 authors.

D A NielsenMenninger Department of Psychiatry and Behavioral Sciences.
M J HardingMenninger Department of Psychiatry and Behavioral Sciences.
S C HamonLaboratory of Statistical Genetics, The Rockefeller University, New York, NY, 10065, USA.
W HuangMenninger Department of Psychiatry and Behavioral Sciences.
T R KostenMenninger Department of Psychiatry and Behavioral Sciences.

Funding

Tiagabine and Disulfiram for Cocaine DependenceP50DA018197 · NIDA · YALE UNIVERSITY · PI NEWTON, THOMAS FREDERICK · 2004 to 2013
$12.6M
NIDA NIH HHS 5 P50 DA018197-05NIDA NIH HHS P50 DA018197
6 · The paper itself

Abstract

Disulfiram is a cocaine pharmacotherapy that may act through increasing serotonin, benefiting patients with genetically low serotonin transporter levels (5-HTTLPR, S' allele carriers) and low serotonin synthesis (TPH2, A allele carriers). We stabilized 71 cocaine and opioid co-dependent patients on methadone for 2 weeks and randomized them into disulfiram and placebo groups for 10 weeks. We genotyped the SLC6A4 5-HTTLPR (rs4795541, rs25531) and TPH2 1125A>T (rs4290270) variants and evaluated their role in moderating disulfiram treatment for cocaine dependence. Cocaine-positive urines dropped from 78% to 54% for the disulfiram group and from 77% to 76% for the placebo group among the 5-HTTLPR S' allele carriers (F = 16.2; df = 1,301; P < 0.0001). TPH2 A allele carriers responded better to disulfiram than placebo (F = 16.0; df = 1,223; P < 0.0001). Patients with both an S' allele and a TPH2 A allele reduced cocaine urines from 71% to 53% on disulfiram and had no change on placebo (F = 21.6; df = 1,185; P < 0.00001).

Indexed as

AdultAllelesCocaineCocaine-Related DisordersComorbidityDisulfiramFemaleGenetic Carrier ScreeningGenetic VariationGenotypeHeroin DependenceHumansMaleMethadoneMiddle AgedSerotoninCocaineDisulfiramMethadoneSerotoninSerotonin Plasma Membrane Transport ProteinsSLC6A4 protein, humanTPH2 protein, humanTryptophan HydroxylaseCocainedisulfiramgenepolymorphismserotonintreatment

Identifiers

PMID22925276
PMCPMC3521860

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.