Evidence map›Paper›PMID 24394201›Full record

ArticleThe pharmacogenomics journal2014

Building pharmacogenetics into a pharmacovigilance program in Singapore: using serious skin rash as a pilot study.

D S L Toh, L L Tan, D C W Aw, S M Pang, S H Lim, T Thirumoorthy, H Y Lee, Y K Tay, S K Tan, A Vasudevan and 9 more

Abstract read
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In one paragraph

Article in The pharmacogenomics journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.7field-weighted citation impact, top 8% 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

16 citing papers in PubMed, 46 citations in OpenAlex.

  1. Article
  2. Genetic Determinants inJournal of personalized medicine · 2021
    Review
  3. Review
  4. Multidisciplinary care in Stevens-Johnson syndrome.Therapeutic advances in chronic disease · 2020
    Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Review
  11. Observational
  12. Increased risk of strontium ranelate-related SJS/TEN is associated with HLA.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2016
    Article
  13. Review
  14. Review
  15. Article
  16. SJS/TEN 2017: Building Multidisciplinary Networks to Drive Science and Translation.The journal of allergy and clinical immunology. In practice
    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

19 authors at 7 institutions in 1 country.

D S L TohVigilance Branch, Health Sciences Authority, Singapore.
L L TanVigilance Branch, Health Sciences Authority, Singapore.
D C W AwDermatology Department, National University Hospital, Singapore.
S M PangDermatology Department, Singapore General Hospital, Singapore.
S H Lim1] Neurology Department, Singapore General Hospital, Singapore [2] Duke-NUS Graduate Medical School, Singapore.
T ThirumoorthyDermatology Department, Singapore General Hospital, Singapore.
H Y LeeDermatology Department, Singapore General Hospital, Singapore.
Y K Tay1] Dermatology Department, Changi General Hospital, Singapore [2] Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
S K TanDermatology Department, Changi General Hospital, Singapore.
A VasudevanRheumatology Department, Changi General Hospital, Singapore.
A LateefRheumatology Department, National University Hospital, Singapore.
Y Y ChongRheumatology and Immunology Department, Singapore General Hospital, Singapore.
Y C Chan1] Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore [2] Neurology Department, National University Hospital, Singapore.
C LokeVigilance Branch, Health Sciences Authority, Singapore.
C L ChanVigilance Branch, Health Sciences Authority, Singapore.
E S C Koay1] Molecular Diagnosis Centre, National University Hospital, Singapore [2] Pathology Department, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
E C RenSingapore Immunology Network, Agency for Science, Technology and Research, Singapore.
E J D LeePharmacology Department, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
C Sung1] Vigilance Branch, Health Sciences Authority, Singapore [2] Duke-NUS Graduate Medical School, Singapore.
Singapore General Hospital · SGHealth Sciences Authority · SGChangi General Hospital · SGNational University Hospital · SGNational University of Singapore · SGAgency for Science, Technology and Research · SGDuke-NUS Medical School · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To study the possible genetic associations with adverse drug reactions (ADR), the Singapore Health Sciences Authority (HSA) has piloted a program to collect DNA and phenotype data of ADR cases as part of its pharmacovigilance program. Between 2009 and 2012, HSA screened 158 cases of Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN). To assess the association between HLA-B*1502 and carbamazepine (CBZ)-induced SJS/TEN, 13 cases and 26 drug-tolerant controls were analyzed. All 13 CBZ-SJS/TEN cases and 3/26 controls were HLA-B*1502 positive (odds ratio 181, 95% confidence interval: 8.7-3785, P=6.9 × 10(-8)). Discussions of the finding with the Ministry of Health and an expert panel led to the decision to make HLA-B*1502 testing the standard of care prior to first use of CBZ in Asians and to subsidize the genotyping test at public hospitals. This program illustrates the role of a regulatory authority in advancing the use of pharmacogenetics for drug safety.

Indexed as

PharmacogeneticsPharmacovigilanceAdultAllelesCarbamazepineCase-Control StudiesExanthemaGenotypeHLA-B AntigensHumansMiddle AgedPilot ProjectsSingaporeStevens-Johnson SyndromeCarbamazepineHLA-B Antigens

Identifiers

PMID24394201
OpenAlexW2068042402

What OpenQuestion holds

Textmetadata
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.