Evidence map›Paper›PMID 23290512›Full record

ArticleThe Journal of pediatrics2013

Fluticasone propionate pharmacogenetics: CYP3A4*22 polymorphism and pediatric asthma control.

Chris Stockmann, Bernhard Fassl, Roger Gaedigk, Flory Nkoy, Derek A Uchida, Steven Monson, Christopher A Reilly, J Steven Leeder, Garold S Yost, Robert M Ward

Open access · greenAbstract read
In one paragraph

Article in The Journal of pediatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
4.8field-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

27 citing papers in PubMed, 65 citations in OpenAlex.

  1. Trial
  2. Article
  3. Pharmacogenetics of childhood uncontrolled asthma.Expert review of clinical immunology · 2025
    Review
  4. Article
  5. Impact of CYP3A5 Polymorphisms on Pediatric Asthma Outcomes.International journal of molecular sciences · 2024
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Review
  13. The Need for Pediatric Drug Development.The Journal of pediatrics · 2018
    Article
  14. Article
  15. Review
  16. Article
  17. [Research advances in gene polymorphisms in biological pathways of drugs for asthma].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2016
    Review
  18. Review
  19. Article
  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

10 authors at 2 institutions in 1 country.

Chris StockmannDepartment of Pediatrics, University of Utah School of Medicine, Salt Lake City, UT 84108, USA.
Bernhard Fassl
Roger Gaedigk
Flory Nkoy
Derek A Uchida
Steven Monson
Christopher A Reilly
J Steven Leeder
Garold S Yost
Robert M Ward
University of Utah · USUniversity of Missouri–Kansas City · US

Funding

UNIVERSITY OF UTAH CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCE-UL1: BPCAUL1RR025764 · NCRR · UNIVERSITY OF UTAH · PI MCCLAIN, DONALD A. · 2008 to 2011
$19.4M
P450 Metabolism of Glucocorticoids in Lungs of Pediatric AsthmaticsR01HD060559 · NICHD · UNIVERSITY OF UTAH · PI REILLY, CHRISTOPHER A · 2010 to 2014
$2.3M
NCRR NIH HHS 5UL1RR025764-02NCRR NIH HHS UL1 RR025764NICHD NIH HHS R01 HD060559
6 · The paper itself

Abstract

objectiveTo determine the relationship between allelic variations in genes involved in fluticasone propionate (FP) metabolism and asthma control among children with asthma managed with inhaled FP. STUDY

designThe relationship between variability in asthma control scores and genetic variation in drug metabolism was assessed by genotyping 9 single nucleotide polymorphisms in the CYP3A4, CYP3A5, and CYP3A7 genes. Genotype information was compared with asthma control scores (0=well controlled to 15=poorly controlled), determined using a questionnaire modified from the National Heart Lung and Blood Institute's Expert Panel 3 guidelines.

resultsOur study cohort comprised 734 children with asthma (mean age, 8.8±4.3 years) and was predominantly male (61%) and non-Hispanic white (53%). More than one-half of the children (56%; n=413) were receiving an inhaled glucocorticoid daily, with FP the most frequently prescribed agent (65%). Among the children receiving daily FP, single nucleotide polymorphisms in CYP3A5 and CYP3A7 were not associated with asthma control scores. In contrast, asthma control scores were significantly improved in the 20 children (7%) with the CYP3A4*22 allele (median, 3; range, 0-6) compared with the 201 children without the CYP3A4*22 allele (median, 4; range, 0-15; P=.02). The presence of CYP3A4*22 was associated with improved asthma control scores by 2.1 points (95% CI, 0.5-3.8).

conclusionThe presence of CYP3A4*22, which is associated with decreased hepatic CYP3A4 expression and activity, was accompanied by improved asthma control in the FP-treated children. Decreased CYP3A4 activity may improve asthma control with inhaled FP.

Indexed as

Administration, InhalationAdolescentAndrostadienesAsthmaBronchodilator AgentsChildChild, PreschoolCytochrome P-450 CYP3AFemaleFluticasoneHumansMalePharmacogeneticsPolymorphism, GeneticProspective StudiesSurveys and QuestionnairesAndrostadienesBronchodilator AgentsCYP3A4 protein, humanCytochrome P-450 CYP3AFluticasone

Identifiers

PMID23290512
PMCPMC3620714
OpenAlexW2002923710

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.