Evidence map›Paper›PMID 27825374›Full record

Trial reportGenome medicine2016

Low heritability in pharmacokinetics of talinolol: a pharmacogenetic twin study on the heritability of the pharmacokinetics of talinolol, a putative probe drug of MDR1 and other membrane transporters.

Johannes Matthaei, Mladen V Tzvetkov, Valerie Gal, Cordula Sachse-Seeboth, Daniel Sehrt, Jakob B Hjelmborg, Ute Hofmann, Matthias Schwab, Reinhold Kerb, Jürgen Brockmöller

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in Genome medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01845194 (Open Label Repeated Dose Study for the Evaluation of Heritability of and Genetic Influences on Drug Pharmacokinetics), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 21% 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.

NCT01845194 phase1completednot on this map

Open Label Repeated Dose Study for the Evaluation of Heritability of and Genetic Influences on Drug Pharmacokinetics (TWINS II)

TypeinterventionalSponsorInstitut fuer anwendungsorientierte Forschung und klinische Studien GmbHRan2009 to 2013Enrolled117ConditionsDrug Biotransformation, Membrane TransportArmsCodeine, Midazolam, Pravastatin, Torsemide, Talinolol
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
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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

10 authors at 3 institutions in 2 countries.

Johannes MatthaeiInstitute for Clinical Pharmacology, University Medical Center, Georg-August University, Robert-Koch-Straße 40, 37075, Göttingen, Germany. johannes.matthaei@med.uni-goettingen.de.ORCID 0000-0001-8118-0717
Mladen V TzvetkovInstitute for Clinical Pharmacology, University Medical Center, Georg-August University, Robert-Koch-Straße 40, 37075, Göttingen, Germany.
Valerie GalInstitute for Clinical Pharmacology, University Medical Center, Georg-August University, Robert-Koch-Straße 40, 37075, Göttingen, Germany.
Cordula Sachse-SeebothInstitute for Clinical Pharmacology, University Medical Center, Georg-August University, Robert-Koch-Straße 40, 37075, Göttingen, Germany.
Daniel SehrtInstitute for Clinical Pharmacology, University Medical Center, Georg-August University, Robert-Koch-Straße 40, 37075, Göttingen, Germany.
Jakob B HjelmborgDepartment of Epidemiology, Biostatistics and Biodemography, University of Southern Denmark, J. B. Winsløwsvej 9B, 5000, Odense, Denmark.
Ute HofmannDr. Margarete Fischer-Bosch Institute of Clinical Pharmacology, University of Tübingen, Auerbachstraße 112, 70376, Stuttgart, Germany.
Matthias SchwabDr. Margarete Fischer-Bosch Institute of Clinical Pharmacology, University of Tübingen, Auerbachstraße 112, 70376, Stuttgart, Germany.
Reinhold KerbDr. Margarete Fischer-Bosch Institute of Clinical Pharmacology, University of Tübingen, Auerbachstraße 112, 70376, Stuttgart, Germany.
Jürgen BrockmöllerInstitute for Clinical Pharmacology, University Medical Center, Georg-August University, Robert-Koch-Straße 40, 37075, Göttingen, Germany.
University of Göttingen · DEDr. Margarete Fischer-Bosch-Institute of Clinical Pharmacology · DEUniversity of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEfflux transporters like MDR1 and MRP2 may modulate the pharmacokinetics of about 50 % of all drugs. It is currently unknown how much of the variation in the activities of important drug membrane transporters like MDR1 or MRP2 is determined by genetic or by environmental factors. In this study we assessed the heritability of the pharmacokinetics of talinolol as a putative probe drug for MDR1 and possibly other membrane transporters.

methodsTalinolol pharmacokinetics were investigated in a repeated dose study in 42 monozygotic and 13 same-sex dizygotic twin pairs. The oral clearance of talinolol was predefined as the primary parameter. Heritability was analyzed by structural equation modeling and by within- and between-subject variance and talinolol clearance was correlated with polymorphisms in MDR1, MRP2, BCRP, MDR5, OATP1B1, and OCT1.

resultsTalinolol clearance varied approximately ninefold in the studied sample of healthy volunteers. The correlation of clearances between siblings was not significantly different for the monozygotic and dizygotic pairs. All data analyses consistently showed that variation of talinolol pharmacokinetics was mainly determined by environmental effects. Structural equation modeling attributed 53.5 % of the variation of oral clearance to common environmental effects influencing both siblings to the same extent and 46.5 % to unique environmental effects randomly affecting individual subjects. Talinolol pharmacokinetics were significantly dependent on sex, body mass index, total protein consumption, and vegetable consumption.

conclusionsThe twin study revealed that environmental factors explained much more of the variation in pharmacokinetics of talinolol than genetic factors.

trial registrationEuropean clinical trials database number: EUDRA-CT 2008-006223-31. Registered 26 September 2008. ClinicalTrials.gov number: NCT01845194 .

Indexed as

ATP-Binding Cassette, Sub-Family C ProteinsATP Binding Cassette Transporter, Subfamily BBody Mass IndexFemaleGene-Environment InteractionGenotypeHumansMaleMembrane Transport ProteinsMultidrug Resistance-Associated Protein 2PharmacogeneticsPropanolaminesSex FactorsTwins, DizygoticTwins, MonozygoticTwin Studies as TopicABCB1 protein, humanABCC2 protein, humanATP-Binding Cassette, Sub-Family C ProteinsATP Binding Cassette Transporter, Subfamily BMembrane Transport ProteinsMultidrug Resistance-Associated Protein 2PropanolaminestalinololABCB1ABCC2BCRPHeritabilityMDR1MDR5MRP2P-glycoproteinTalinololTwin study

Identifiers

PMID27825374
PMCPMC5101708
OpenAlexW2555040915

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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.