Evidence map›Paper›PMID 25801146›Full record

GuidelineClinical pharmacology and therapeutics2015

Clinical Pharmacogenetics Implementation Consortium (CPIC) Guidelines for CYP3A5 Genotype and Tacrolimus Dosing.

K A Birdwell, B Decker, J M Barbarino, J F Peterson, C M Stein, W Sadee, D Wang, A A Vinks, Y He, J J Swen and 6 more

3 registry-linked trialsAbstract readPractice Guideline
In one paragraph

Guideline in Clinical pharmacology and therapeutics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 386 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
386citing papers in PubMed, 7 pooled it
–field-weighted citation impact
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.

NCT04645667 completednot on this mapstarted 2021, after this paper: background citation

Development of a Population Pharmacokinetic Model to Optimize Tacrolimus Dosing in Adult Recipients of Allogeneic Hematopoietic Stem Cell Transplant.

TypeobservationalSponsorUNC Lineberger Comprehensive Cancer CenterRan2021 to 2023Enrolled38ConditionsAcute GVHDArmsTacrolimus
NCT04825262 nacompletednot on this mapstarted 2021, after this paper: background citation

Efficacy of Achieving Early Target Trough Levels of Tacrolimus Using CYP3A5 Guided Dosing Versus Weight-based Dosing in a Multi-ethnic Population of Kidney Transplant Recipients in Singapore

TypeinterventionalSponsorSingapore General HospitalRan2021 to 2024Enrolled74ConditionsKidney Transplant Rejection, Kidney Transplant, ComplicationsArmsTacrolimus
NCT05490511 phase1completednot on this mapstarted 2022, after this paper: background citation

Drug-gene-nutraceutical Interactions of Cannabidiol and Tacrolimus

TypeinterventionalSponsorIndiana UniversityRan2022 to 2025Enrolled57ConditionsCBD, Transplant Complication, Kidney Disease, ChronicArmsTacrolimus single dose, Epidiolex single dose, Epidiolex steady-state and tacrolimus single dose
3 · Its place in the literature

Who cites it

386 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline
  3. Polymorphisms inFrontiers in pharmacology · 2025
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Effects ofFrontiers in pharmacology · 2023
    Pooled it
  8. Trial
  9. Trial
  10. Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Observational
  17. Genetic PolymorphismsPharmaceuticals (Basel, Switzerland) · 2026
    Article
  18. Review
  19. Article
  20. Article

326 more citing papers are in PubMed but not listed here.

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

16 authors.

K A BirdwellDivision of Nephrology Department of Medicine, Vanderbilt University, Nashville, Tennessee, USA.
B DeckerDivision of Nephrology and Division of Clinical Pharmacology, Indiana University School of Medicine, Indianapolis, Indiana, USA.
J M BarbarinoDepartment of Genetics, Stanford University, Stanford, California, USA.
J F PetersonDepartment of Medicine, Vanderbilt University, Nashville, Tennessee, USA.
C M SteinDepartment of Medicine, Vanderbilt University, Nashville, Tennessee, USA.
W SadeeCenter for Pharmacogenomics, School of Medicine, The Ohio State University, Columbus, Ohio, USA.
D WangCenter for Pharmacogenomics, School of Medicine, The Ohio State University, Columbus, Ohio, USA.
A A VinksDivision of Clinical Pharmacology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Y HeInstitute of Clinical Pharmacology, Central South University, Changsha, Hunan, Peoples Republic of China.
J J SwenDepartment of Clinical Pharmacy and Toxicology, Leiden University Medical Center, Leiden, The Netherlands.
J S LeederDivision of Clinical Pharmacology and Therapeutic Innovation, Department of Pediatrics, Children's Mercy Hospitals and Clinics, Kansas City, Missouri, USA.
Rhn van SchaikDepartment of Clinical Chemistry, Erasmus MC Rotterdam, The Netherlands.
K E ThummelDepartment of Pharmaceutics, University of Washington, Seattle, Washington, USA.
T E KleinDepartment of Genetics, Stanford University, Stanford, California, USA.
K E CaudleDepartment of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
I A M MacPheeInstitute of Medical and Biomedical Education, Renal Medicine, St. George's, University of London, London, UK.

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
PharmGKB: pharmacogenomics knowledge for precision medicineR24GM061374 · NIGMS · STANFORD UNIVERSITY · PI ALTMAN, RUSS BIAGIO, KLEIN, TERI ELLEN · 2010 to 2018
$25.2M
Pharmacogenomics of Anti-platlet Intervention-2 (PAPI-2) StudyU01HL105198 · NHLBI · UNIVERSITY OF MARYLAND BALTIMORE · PI SHULDINER, ALAN R. · 2010 to 2014
$13.6M
Pharmacogenetics in Rural and Underserved PopulationsU01GM092676 · NIGMS · UNIVERSITY OF WASHINGTON · PI BURKE, WYLIE G., THUMMEL, KENNETH E. · 2010 to 2014
$9.9M
PAARK4Kids-Pharmacogenomics of Anticancer Agents Research in ChildrenU01GM092666 · NIGMS · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI RELLING, MARY V · 2010 to 2014
$8.9M
Expression Genetics in Drug TherapyU01GM092655 · NIGMS · OHIO STATE UNIVERSITY · PI SADEE, WOLFGANG · 2010 to 2014
$8.6M
Pharmacogenomics of CVD risk ReductionU01GM074518 · NIGMS · UNIVERSITY OF MARYLAND BALTIMORE · PI SHULDINER, ALAN R. · 2005 to 2009
$7.3M
Clinical Pharmacogenetics Implementation Consortium (CPIC)R24GM115264 · NIGMS · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI KLEIN, TERI ELLEN, RELLING, MARY V · 2015 to 2017
$3.6M
Drug Metabolism Genotypes in Clinical PracticeR01GM109145 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI STEIN, CHARLES M. · 2014 to 2018
$1.1M
Pharmacogenomics of Tacrolimus and New Onset Diabetes After Kidney TransplantK23GM100183 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BIRDWELL, KELLY A · 2011 to 2015
$942k
NCATS NIH HHS UL1 TR000445NCATS NIH HHS UL1TR000445NHLBI NIH HHS U01 HL0105198NHLBI NIH HHS U01 HL105198NIGMS NIH HHS GM109145NIGMS NIH HHS K23 GM100183NIGMS NIH HHS K23GM100183NIGMS NIH HHS R01 GM109145NIGMS NIH HHS R24 GM061374NIGMS NIH HHS R24 GM115264NIGMS NIH HHS R24 GM61374NIGMS NIH HHS U01 GM074518NIGMS NIH HHS U01 GM092655NIGMS NIH HHS U01 GM092666NIGMS NIH HHS U01 GM092676NIGMS NIH HHS U01 GM92666
6 · The paper itself

Abstract

Tacrolimus is the mainstay immunosuppressant drug used after solid organ and hematopoietic stem cell transplantation. Individuals who express CYP3A5 (extensive and intermediate metabolizers) generally have decreased dose-adjusted trough concentrations of tacrolimus as compared with those who are CYP3A5 nonexpressers (poor metabolizers), possibly delaying achievement of target blood concentrations. We summarize evidence from the published literature supporting this association and provide dosing recommendations for tacrolimus based on CYP3A5 genotype when known (updates at www.pharmgkb.org).

Indexed as

Cytochrome P-450 CYP3AGenetic TestingGenotypeHematopoietic Stem Cell TransplantationHumansImmunosuppressive AgentsOrgan TransplantationTacrolimusCytochrome P-450 CYP3AImmunosuppressive AgentsTacrolimus

Identifiers

PMID25801146
PMCPMC4481158

What OpenQuestion holds

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Read underepoch 390

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.