Evidence map›Paper›PMID 23897038›Full record

Trial reportThe American journal of psychiatry2013

Determination of genotype combinations that can predict the outcome of the treatment of alcohol dependence using the 5-HT(3) antagonist ondansetron.

Bankole A Johnson, Chamindi Seneviratne, Xin-Qun Wang, Nassima Ait-Daoud, Ming D Li

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of psychiatry, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
6.5field-weighted citation impact, top 2% 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

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 94 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Subgroup Identification in Personalized Treatment of Alcohol Dependence.Alcoholism, clinical and experimental research · 2015
    Trial
  6. Trial
  7. Trial
  8. Review
  9. The Link between Alcohol Consumption and Kidney Injury.The American journal of pathology · 2026
    Review
  10. Article
  11. Article
  12. Review
  13. Tapping into 5-HTInternational journal of molecular sciences · 2021
    Review
  14. Review
  15. Article
  16. Review
  17. Article
  18. Review
  19. Pharmacogenetics of alcohol use disorder treatments: an update.Expert opinion on drug metabolism & toxicology · 2019
    Review
  20. Pharmacogenetics of alcohol addiction: current perspectives.The application of clinical genetics · 2019
    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 at 1 institution in 1 country.

Bankole A Johnson
Chamindi Seneviratne
Xin-Qun Wang
Nassima Ait-Daoud
Ming D Li
Intercept Pharmaceuticals (United States) · US

Funding

MAPPING OF SUSCEPTIBILITY LOCI FOR NICOTINE DEPENDENCER01DA012844 · NIDA · UNIVERSITY OF VIRGINIA · PI LI, MING D · 1999 to 2013
$10.0M
Pharmacologic Treatments in Emerging AdultsR01AA010522 · NIAAA · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI JOHNSON, BANKOLE A · 1995 to 2012
$7.0M
New Pharmacotherapy for Alcohol and Co-morbid DisordersR01AA019720 · NIAAA · UNIVERSITY OF VIRGINIA · PI AIT-DAOUD, NASSIMA, ANTHENELLI, ROBERT M · 2010 to 2014
$4.4M
1/2-Pharmacogenetic Treatments for AlcoholismR01AA021163 · NIAAA · UNIVERSITY OF VIRGINIA · PI GORELICK, DAVID ALAN, SENEVIRATNE, CHAMINDI · 2012 to 2017
$2.7M
NIAAA NIH HHS 1 R01 AA021163-01NIAAA NIH HHS 5 R01 AA010522-17NIAAA NIH HHS 5 R01 AA019720-02NIAAA NIH HHS R01 AA010522NIAAA NIH HHS R01 AA019720NIAAA NIH HHS R01 AA021163NIDA NIH HHS 5 R01 DA012844-12NIDA NIH HHS R01 DA012844
6 · The paper itself

Abstract

objectiveThe authors previously reported that the 5'-HTTLPR-LL and rs1042173-TT (SLC6A4-LL/TT) genotypes in the serotonin transporter gene predicted a significant reduction in the severity of alcohol consumption among alcoholics receiving the 5-HT3 antagonist ondansetron. In this study, they explored additional markers of ondansetron treatment response in alcoholics by examining polymorphisms in the HTR3A and HTR3B genes, which regulate directly the function and binding of 5-HT3 receptors to ondansetron.

methodThe authors genotyped one rare and 18 common single-nucleotide polymorphisms in HTR3A and HTR3B in the same sample that they genotyped for SLC6A4-LL/TT in the previous randomized, double-blind, 11-week clinical trial. Participants were 283 European Americans who received oral ondansetron (4 mg/kg of body weight twice daily) or placebo along with weekly cognitive-behavioral therapy. Associations of individual and combined genotypes with treatment response on drinking outcomes were analyzed.

resultsIndividuals carrying one or more of genotypes rs1150226-AG and rs1176713-GG in HTR3A and rs17614942-AC in HTR3B showed a significant overall mean difference between ondansetron and placebo in drinks per drinking day (22.50; effect size=0.867), percentage of heavy drinking days (220.58%; effect size=0.780), and percentage of days abstinent (18.18%; effect size=0.683). Combining these HTR3A/HTR3B and SLC6A4-LL/TT genotypes increased the target cohort from approaching 20% (identified in the previous study) to 34%.

conclusionsThe authors present initial evidence suggesting that a combined fivemarker genotype panel can be used to predict the outcome of treatment of alcohol dependence with ondansetron. Additional, larger pharmacogenetic studies would help to validate these results.

Indexed as

AlcoholismCognitive Behavioral TherapyOndansetronAdultAlcohol DrinkingCombined Modality TherapyDrug MonitoringDrug ResistanceFemaleGenetic MarkersGenetic Predisposition to DiseaseGenetic TestingHumansMalePolymorphism, Single NucleotideReceptors, Serotonin, 5-HT3Genetic MarkersHTR3A protein, humanHTR3B protein, humanOndansetronReceptors, Serotonin, 5-HT3Serotonin AntagonistsSerotonin Plasma Membrane Transport ProteinsSLC6A4 protein, human

Identifiers

PMID23897038
PMCPMC3809153
OpenAlexW2143344901

What OpenQuestion holds

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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.