Evidence map›Paper›PMID 27457818›Full record

Trial reportThe pharmacogenomics journal2016

Genetic variation in catechol-O-methyltransferase modifies effects of clonidine treatment in chronic fatigue syndrome.

K T Hall, J Kossowsky, T F Oberlander, T J Kaptchuk, J P Saul, V B Wyller, E Fagermoen, D Sulheim, J Gjerstad, A Winger and 1 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The pharmacogenomics journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.8field-weighted citation impact, top 10% 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, 25 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Drug-Placebo Additivity in Randomized Clinical Trials.Clinical pharmacology and therapeutics · 2019
    Article
  9. Review
  10. Article
  11. Article
  12. The Association Between C-Reactive Protein and Postoperative Delirium Differs by Catechol-O-Methyltransferase Genotype.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2019
    Article
  13. Pharmacogenomics and the Placebo Response.ACS chemical neuroscience · 2018
    Review
  14. Review
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

11 authors at 9 institutions in 4 countries.

K T HallDivision of Preventive Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA.
J KossowskyHarvard Medical School, Boston, MA, USA.
T F OberlanderChild and Family Research Institute, Department of Pediatrics, and School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
T J KaptchukHarvard Medical School, Boston, MA, USA.
J P SaulDivision of Cardiology, Department of Pediatrics, Medical University of South Carolina, Charleston, SC, USA.
V B WyllerDepartment of Paediatrics, Akershus University Hospital, Lørenskog, Norway.
E FagermoenDepartment of Anesthesiology and Critical Care, Oslo University Hospital, Oslo, Norway.
D SulheimDepartment of Pediatrics, Lillehammer County Hospital, Brumunddal, Norway.
J GjerstadNational Institute of Occupational Health, Department, Oslo, Norway.
A WingerDepartment of Nursing and Health Promotion, Faculty of Health, Oslo University College of Applied Sciences, Oslo, Norway.
K J MukamalHarvard Medical School, Boston, MA, USA.
Harvard University · USAkershus University Hospital · NOBoston Children's Hospital · USBrigham and Women's Hospital · USChild and Family Research Institute · CAMedical University of South Carolina · USNational Institute of Occupational Health · NOOsloMet – Oslo Metropolitan University · NOOslo University Hospital · NO

Funding

RESEARCH TRAINING-MEDICAL INFORMATICS 90T15LM007092 · NLM · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI Nils Gehlenborg · 1992 to 2026
$32.8M
Research Training in Complementary and Integrative MedicineT32AT000051 · NCCIH · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI GLORIA Y YEH · 1999 to 2026
$10.2M
Enhancing the Placebo Effect in Irritable Bowel SyndromeR01AT001414 · NCCIH · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI KAPTCHUK, TED · 2003 to 2006
$2.5M
Mentoring and Research in Placebo Studies, Asian Medicine, and CAMK24AT004095 · NCCIH · HARVARD MEDICAL SCHOOL · PI KAPTCHUK, TED · 2007 to 2016
$1.4M
Epidemiological, pharmacogenomic and clinical impact of catechol-O-methyltransferase on cardiovascular diseaseK01HL130625 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI HALL, KATHRYN TAYO · 2016 to 2021
$921k
GINSENG'S EFFECTS ON MRNA PROFILES IN A DIABETES-2 MODELF32AT000051 · NCCIH · UNIVERSITY OF TEXAS AUSTIN · PI PAN, SHUJIA J · 1999 to 2001
$96k
NCCIH NIH HHS F32 AT000051NCCIH NIH HHS K24 AT004095NCCIH NIH HHS R01 AT001414NCCIH NIH HHS T32 AT000051NHLBI NIH HHS K01 HL130625NLM NIH HHS T15 LM007092
6 · The paper itself

Abstract

Clonidine, an α2-adrenergic receptor agonist, decreases circulating norepinephrine and epinephrine, attenuating sympathetic activity. Although catechol-O-methyltransferase (COMT) metabolizes catecholamines, main effectors of sympathetic function, COMT genetic variation effects on clonidine treatment are unknown. Chronic fatigue syndrome (CFS) is hypothesized to result in part from dysregulated sympathetic function. A candidate gene analysis of COMT rs4680 effects on clinical outcomes in the Norwegian Study of Chronic Fatigue Syndrome in Adolescents: Pathophysiology and Intervention Trial (NorCAPITAL), a randomized double-blinded clonidine versus placebo trial, was conducted (N=104). Patients homozygous for rs4680 high-activity allele randomized to clonidine took 2500 fewer steps compared with placebo (Pinteraction=0.04). There were no differences between clonidine and placebo among patients with COMT low-activity alleles. Similar gene-drug interactions were observed for sleep (Pinteraction=0.003) and quality of life (Pinteraction=0.018). Detrimental effects of clonidine in the subset of CFS patients homozygous for COMT high-activity allele warrant investigation of potential clonidine-COMT interaction effects in other conditions.

Indexed as

Pharmacogenomic VariantsPolymorphism, Single NucleotideAdolescentAdrenergic alpha-2 Receptor AgonistsCatechol O-MethyltransferaseChildClonidineDouble-Blind MethodExercise ToleranceFatigue Syndrome, ChronicFemaleGenetic Association StudiesHomozygoteHumansMaleNorwayAdrenergic alpha-2 Receptor AgonistsCatechol O-MethyltransferaseClonidineCOMT protein, human

Identifiers

PMID27457818
PMCPMC5028250
OpenAlexW2492865706

What OpenQuestion holds

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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.