Evidence map›Paper›PMID 25496338›Full record

Trial reportAddiction biology2016

Self-efficacy mediates the effects of topiramate and GRIK1 genotype on drinking.

Henry R Kranzler, Stephen Armeli, Reagan Wetherill, Richard Feinn, Howard Tennen, Joel Gelernter, Jonathan Covault, Timothy Pond

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Addiction biology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.6field-weighted citation impact, top 11% 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

12 citing papers in PubMed, 24 citations in OpenAlex.

  1. Trial
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  3. Article
  4. Review
  5. Review
  6. Pharmacogenetics of alcohol addiction: current perspectives.The application of clinical genetics · 2019
    Article
  7. Review
  8. Article
  9. Review
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  11. Article
  12. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 1 country.

Henry R KranzlerCenter for Studies of Addiction, Department of Psychiatry, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA, USA.
Stephen ArmeliDepartment of Psychology, Fairleigh Dickinson University, Teaneck, NJ, USA.
Reagan WetherillCenter for Studies of Addiction, Department of Psychiatry, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA, USA.
Richard FeinnDepartment of Medical Science, Frank Netter School of Medicine, Quinnipiac University, Hamden, CT, USA.
Howard TennenDepartment of Community Medicine and Healthcare, University of Connecticut School of Medicine, Farmington, CT, USA.
Joel GelernterDepartment of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
Jonathan CovaultAlcohol Research Center, Department of Psychiatry, University of Connecticut School of Medicine, Farmington, CT, USA.
Timothy PondCenter for Studies of Addiction, Department of Psychiatry, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA, USA.
University of Pennsylvania · USFairleigh Dickinson University · USQuinnipiac University · USUConn Health · USUniversity of Connecticut · USYale University · US

Funding

Vulnerabilities for coping-related drinking among post-college young adultsP60AA003510 · NIAAA · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI BABOR, THOMAS F · 2008 to 2017
$17.5M
Pharmacogenetic Analysis of Topiramate Treatment of AUDR01AA023192 · NIAAA · UNIVERSITY OF PENNSYLVANIA · PI KRANZLER, HENRY RICHARD · 2014 to 2018
$2.7M
Novel Approaches to Alcoholism Pharmacotherapy and RiskK24AA013736 · NIAAA · UNIVERSITY OF PENNSYLVANIA · PI KRANZLER, HENRY RICHARD · 2002 to 2012
$1.5M
Effectiveness of Bavisant:Characterizing Individual DifferencesK23AA023894 · NIAAA · UNIVERSITY OF PENNSYLVANIA · PI WETHERILL, REAGAN R · 2015 to 2019
$856k
NIAAA NIH HHS K23 AA023894NIAAA NIH HHS K24 AA013736NIAAA NIH HHS K24 AA13736NIAAA NIH HHS P60 AA003510NIAAA NIH HHS P60 AA03510NIAAA NIH HHS R01 AA023192
6 · The paper itself

Abstract

Previous studies indicate that topiramate reduces alcohol use among problem drinkers, with one study showing that the effect was moderated by a polymorphism (rs2832407) in GRIK1, the gene encoding the GluK1 kainate subunit. We examined whether the interactive effect of medication and genotype (1) altered the association between daily self-efficacy and later-day drinking; and (2) had an indirect effect on drinking via self-efficacy. In a 12-week, placebo-controlled trial of topiramate, we used daily interactive voice response technology to measure self-efficacy (i.e. confidence in avoiding heavy drinking later in the day) and drinking behavior in 122 European-American heavy drinkers. Topiramate's effects on both self-efficacy and drinking level were moderated by rs2832407. C-allele homozygotes treated with topiramate showed higher levels of self-efficacy and lower levels of nighttime drinking across the 12-week trial. Further, the interactive effect of topiramate and genotype on mean nighttime drinking levels was mediated by mean levels of self-efficacy. By modeling topiramate's effects on nighttime drinking across multiple levels of analysis, we found that self-efficacy, a key psychologic construct, mediated the effect of topiramate, which was moderated by rs2832407 genotype. Thus, it may be possible to use an individualized assessment (i.e. genotype) to select treatment to optimize the reduction in heavy drinking and thereby provide a personalized treatment approach.

Indexed as

Self EfficacyAdolescentAdultAgedAlcohol DrinkingAllelesFemaleFructoseHeterozygoteHomozygoteHumansKainic Acid ReceptorsMaleMiddle AgedNeuroprotective AgentsPolymorphism, Single NucleotideFructoseKainic Acid ReceptorsNeuroprotective AgentsTopiramateGRIK1mediated moderationpersonalized treatmentpharmacogeneticsself-efficacytopiramate

Identifiers

PMID25496338
PMCPMC4468044
OpenAlexW1525444543

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.