Evidence map›Paper›PMID 25622123›Full record

ArticleJournal of addiction medicine

Impact of prospectively determined A118G polymorphism on treatment response to injectable naltrexone among methamphetamine-dependent patients: an open-label, pilot study.

Reshmi Pal, John E Mendelson, Keith Flower, Kathleen Garrison, Garret Yount, Jeremy R Coyle, Gantt P Galloway

Open access · greenAbstract readControlled Clinical Trial
In one paragraph

Article in Journal of addiction medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 31% 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

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. 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

7 authors at 1 institution in 1 country.

Reshmi PalFrom the Addiction and Pharmacology Research Laboratory (RP, JEM, KG, GY, GPG), California Pacific Medical Center Research Institute, San Francisco, CA; School of Medicine (KF), University of California, San Francisco, CA; and Department of Statistics (JRC), University of California, Berkeley, CA.
John E Mendelson
Keith Flower
Kathleen Garrison
Garret Yount
Jeremy R Coyle
Gantt P Galloway
University of California, San Francisco · US

Funding

Methamphetamine Pharmacotherapy Development CenterP50DA018179 · NIDA · CALIFORNIA PACIFIC MED CTR RES INSTITUTE · PI GALLOWAY, GANTT P · 2004 to 2009
$5.8M
A Pilot Trial of Naltrexone for Methamphetamine Addiction - Role of the A118G SNPR01DA027161 · NIDA · CALIFORNIA PACIFIC MED CTR RES INSTITUTE · PI MENDELSON, JOHN E. · 2009 to 2010
$675k
NIDA NIH HHS DA018179NIDA NIH HHS P50 DA018179NIDA NIH HHS R01 DA027161
6 · The paper itself

Abstract

objectivesMethamphetamine (MA) addiction has no known effective pharmacotherapy. Small trials showed beneficial effects for oral naltrexone in amphetamine users. Trials in alcohol-dependent subjects showed better response in persons with the A118G single nucleotide polymorphism of the μ-opioid receptor. We conducted a pharmacogenetic trial of sustained release intramuscular naltrexone to examine the role of the A118G single nucleotide polymorphism in MA dependence.

methodAll eligible A118G subjects screened were enrolled; an equal number of wild type (A118A) subjects were selected using modified urn randomization, balanced on sex and frequency of recent MA use. Enrolled subjects received a single 380 mg naltrexone injection and weekly psychotherapy for 4 weeks. Self-report of MA use and urine toxicology for MA was assessed twice weekly. Urine samples with less than 1000 ng/mL of MA were considered negative.

resultsEleven A118G and 11 A118A subjects were enrolled. There were no significant differences between the groups in days of abstinence from MA use (11.5 vs 14.8, respectively, P = 0.51), the number of MA-negative urine samples (1.7 vs 1.8, respectively, P = 0.97), consecutive MA-negative urine samples (1.0 vs 1.5, respectively, P = 0.91), or the number of MA-negative urine samples before first relapse (0.9 vs 1.5, respectively, P = 0.86).

conclusionsAlthough A118G polymorphism has been shown to be associated with improved treatment response to naltrexone among alcoholics, whether this polymorphism impacts naltrexone treatment response among MA users is unclear at this time.

Indexed as

AdolescentAdultAmphetamine-Related DisordersDelayed-Action PreparationsFemaleHumansMaleMethamphetamineMiddle AgedNaltrexoneNarcotic AntagonistsPilot ProjectsPolymorphism, Single NucleotideReceptors, Opioid, muYoung AdultDelayed-Action PreparationsMethamphetamineNaltrexoneNarcotic AntagonistsReceptors, Opioid, mu

Identifiers

PMID25622123
PMCPMC4375053
OpenAlexW2315999729

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.