Evidence map›Paper›PMID 27367536›Full record

ArticleDrug testing and analysis2017

Hepatotoxicity associated with weight loss or sports dietary supplements, including OxyELITE Pro™ - United States, 2013.

Kevin Chatham-Stephens, Ethel Taylor, Arthur Chang, Amy Peterson, Johnni Daniel, Colleen Martin, Patricia Deuster, Rebecca Noe, Stephanie Kieszak, Josh Schier and 2 more

Open access · greenAbstract read
In one paragraph

Article in Drug testing and analysis, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
6.0field-weighted citation impact, top 5% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Hepatotoxicity due to herbal dietary supplements: Past, present and the future.Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association · 2022
    Review
  7. Article
  8. Signatures in drug-induced liver injury.Current opinion in gastroenterology · 2020
    Review
  9. Article
  10. Article
  11. Article
  12. Adverse Effects of Nutraceuticals and Dietary Supplements.Annual review of pharmacology and toxicology · 2018
    Review
  13. Article
  14. Safety assessment of the dietary supplement OxyELITE™ Pro (New Formula) in inbred and outbred mouse strains.Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association · 2017
    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

12 authors at 5 institutions in 4 countries.

Kevin Chatham-StephensEIS officer, 1600 Clifton Road NE MS C-09, Atlanta, GA.
Ethel TaylorDivision of Environmental Hazards and Health Effects, National Center for Environmental Health, Centers for Disease Control and Prevention.
Arthur ChangDivision of Environmental Hazards and Health Effects, National Center for Environmental Health, Centers for Disease Control and Prevention.
Amy PetersonDivision of Integrated Biosurveillance, Armed Forces Health Surveillance Center.
Johnni DanielDivision of Environmental Hazards and Health Effects, National Center for Environmental Health, Centers for Disease Control and Prevention.
Colleen MartinDivision of Environmental Hazards and Health Effects, National Center for Environmental Health, Centers for Disease Control and Prevention.
Patricia DeusterDepartment of Military and Emergency Medicine, Uniformed Services University.
Rebecca NoeDivision of Environmental Hazards and Health Effects, National Center for Environmental Health, Centers for Disease Control and Prevention.
Stephanie KieszakDivision of Environmental Hazards and Health Effects, National Center for Environmental Health, Centers for Disease Control and Prevention.
Josh SchierDivision of Environmental Hazards and Health Effects, National Center for Environmental Health, Centers for Disease Control and Prevention.
Karl KlontzOffice of Analytics and Outreach, Center for Food Safety and Applied Nutrition, Food and Drug Administration.
Lauren LewisDivision of Environmental Hazards and Health Effects, National Center for Environmental Health, Centers for Disease Control and Prevention.
National Center for Environmental Health · USArmed Forces Health Surveillance Center · USClifton Hospital · GBFood and Drug Administration · THUnifor · NO

Funding

Veterinary Student Research TrainingT35OD010991 · OD · TEXAS A&M AGRILIFE RESEARCH · PI GADDY, DANA · 2012 to 2025
$920k
Intramural CDC HHS CC999999NIH HHS T35 OD010991
6 · The paper itself

Abstract

In September 2013, the Hawaii Department of Health (HDOH) was notified of seven adults who developed acute hepatitis after taking OxyELITE Pro™, a weight loss and sports dietary supplement. CDC assisted HDOH with their investigation, then conducted case-finding outside of Hawaii with FDA and the Department of Defense (DoD). We defined cases as acute hepatitis of unknown etiology that occurred from April 1, 2013, through December 5, 2013, following exposure to a weight loss or muscle-building dietary supplement, such as OxyELITE Pro™. We conducted case-finding through multiple sources, including data from poison centers (National Poison Data System [NPDS]) and FDA MedWatch. We identified 40 case-patients in 23 states and two military bases with acute hepatitis of unknown etiology and exposure to a weight loss or muscle building dietary supplement. Of 35 case-patients who reported their race, 15 (42.9%) reported white and 9 (25.7%) reported Asian. Commonly reported symptoms included jaundice, fatigue, and dark urine. Twenty-five (62.5%) case-patients reported taking OxyELITE Pro™. Of these 25 patients, 17 of 22 (77.3%) with available data were hospitalized and 1 received a liver transplant. NPDS and FDA MedWatch each captured seven (17.5%) case-patients. Improving the ability to search surveillance systems like NPDS and FDA MedWatch for individual and grouped dietary supplements, as well as coordinating case-finding with DoD, may benefit ongoing surveillance efforts and future outbreak responses involving adverse health effects from dietary supplements. This investigation highlights opportunities and challenges in using multiple sources to identify cases of suspected supplement associated adverse events. Published 2016. This article is a U.S. Government work and is in the public domain in the USA.

Indexed as

AdultAnabolic AgentsAnti-Obesity AgentsChemical and Drug Induced Liver InjuryDietary SupplementsFemaleHepatitisHospitalizationHumansLiverMaleMiddle AgedUnited StatesYoung AdultAnabolic AgentsAnti-Obesity AgentshepatitisOxyELITE ProSupplement

Identifiers

PMID27367536
PMCPMC5579712
OpenAlexW2467779386

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.