Evidence map›Paper›PMID 25079374›Full record

Trial reportJournal of clinical pharmacology2015

Haplotype variations in glutathione transferase zeta 1 influence the kinetics and dynamics of chronic dichloroacetate in children.

A L Shroads, B S Coats, C W McDonough, T Langaee, P W Stacpoole

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical pharmacology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02616484 (Phase 3 Trial of Dichloroacetate in Pyruvate Dehydrogenase Complex Deficiency), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.7field-weighted citation impact, top 18% 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.

NCT02616484 phase3active not recruitingnot on this mapstarted 2020, after this paper: background citation

Phase 3 Trial of Dichloroacetate in Pyruvate Dehydrogenase Complex Deficiency:

TypeinterventionalSponsorSaol Therapeutics IncRan2020 to 2025Enrolled34ConditionsPyruvate Dehydrogenase Complex DeficiencyArmsDichloroacetate (DCA), Placebo, Genotype
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 18 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Review
  5. Article
  6. Pharmacokinetic and Biochemical Profiling of Sodium Dichloroacetate in Pregnant Ewes and Fetuses.Drug metabolism and disposition: the biological fate of chemicals · 2020
    Article
  7. GlutathioneDrug design, development and therapy · 2018
    Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Chloride concentrations in human hepatic cytosol and mitochondria are a function of age.Biochemical and biophysical research communications · 2015
    Article
  13. 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 2 institutions in 1 country.

A L ShroadsDepartment of Medicine, College of Medicine, University of Florida, Gainesville, FL, USA.
B S Coats
C W McDonough
T Langaee
P W Stacpoole
Florida College · USUniversity of Florida · US

Funding

Using social networks to map and evaluate team science across CTSA hubsUL1TR001427 · NCATS · UNIVERSITY OF FLORIDA · PI MITCHELL, DUANE A. · 2015 to 2024
$37.2M
UF Clinical and Translational Science AwardUL1TR000064 · NCATS · UNIVERSITY OF FLORIDA · PI NELSON, DAVID R · 2012 to 2014
$12.2M
PLACENTAL/UTERINE &PROSTATE EFFECTS OF ORGANOCHLORINESP42ES007375 · NIEHS · UNIVERSITY OF FLORIDA · PI JAMES, MARGARET OLIVE · 1995 to 2006
$9.5M
South Carolina Clinical & Translational Research Institute (SCTR)UL1TR000062 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T. · 2012 to 2014
$9.4M
DICHLOROACETATE KINETICS, METABOLISM AND TOXICOLOGYR01ES007355 · NIEHS · UNIVERSITY OF FLORIDA · PI STACPOOLE, PETER WALLACE · 1995 to 2009
$4.1M
NOVEL CONTRAST AGENTS FOR MR IMAGING AND ULTRASOUNDR43FD001500 · FDA · INNER VISION, INC. · PI MATSUNAGA, TERRY ONICHI · 1991 to 1991
–
FDA HHS FD-R-001500NCATS NIH HHS UL1 TR000062NCATS NIH HHS UL1 TR000064NCATS NIH HHS UL1 TR001427NIEHS NIH HHS P42 ES007375NIEHS NIH HHS P42 ES07375NIEHS NIH HHS R01 ES007355NIEHS NIH HHS R01 ES07355
6 · The paper itself

Abstract

Dichloroacetate (DCA) is biotransformed by glutathione transferase zeta 1 (GSTZ1), a bifunctional enzyme that, as maleylacetoacetate isomerase (MAAI), catalyzes the penultimate step in tyrosine catabolism. DCA inhibits GSTZ1/MAAI, leading to delayed plasma drug clearance and to accumulation of potentially toxic tyrosine intermediates. Haplotype variability in GSTZ1 influences short-term DCA kinetics in healthy adults, but the impact of genotype in children treated chronically with DCA is unknown. Drug kinetics was studied in 17 children and adolescents with congenital mitochondrial diseases administered 1,2-(13) C-DCA. Plasma drug half-life and trough levels varied 3-6-fold, depending on GSTZ1/MAAI haplotype and correlated directly with urinary maleylacetone, a substrate for MAAI. However, chronic DCA exposure did not lead to progressive accumulation of plasma drug concentration; instead, kinetics parameters plateaued, consistent with the hypothesis that equipoise is established between the inhibitory effect of DCA on GSTZ1/MAAI and new enzyme synthesis. GSTZ1/MAAI haplotype variability affects DCA kinetics and biotransformation. However, these differences appear to be stable in most individuals and are not associated with DCA plasma accumulation or drug-associated toxicity in young children.

Indexed as

AcetoneAdolescentAdultAminolevulinic AcidChildChild, PreschoolDichloroacetic AcidDouble-Blind MethodFemaleGenetic Diseases, InbornGlutathione TransferaseHaplotypesHumansInfantKineticsMaleAcetoneAminolevulinic AcidDichloroacetic AcidGlutathione TransferaseGSTZ1 protein, humanMaleatesmaleylacetoneTyrosinecongenital lactic acidosisdichloroacetateglutathione transferase zeta 1maleylacetoacetate isomerasemitochondrial diseasepharmacogeneticspharmacokineticstyrosine

Identifiers

PMID25079374
PMCPMC4276489
OpenAlexW1582246071

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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.