Evidence map›Paper›PMID 28244808›Full record

Trial reportPharmacogenomics2017

CYP2D6 pharmacogenetic and oxycodone pharmacokinetic association study in pediatric surgical patients.

Rajiv Balyan, Marc Mecoli, Raja Venkatasubramanian, Vidya Chidambaran, Nichole Kamos, Smokey Clay, David L Moore, Jagroop Mavi, Chris D Glover, Peter Szmuk and 2 more

Abstract readClinical Trial, Phase IVMulticenter StudyObservational Study
In one paragraph

Trial report in Pharmacogenomics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
5.5field-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

20 citing papers in PubMed, 48 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Review
  5. Article
  6. Association ofAnnals of translational medicine · 2022
    Article
  7. The Role of Pharmacogenomics in Opioid Prescribing.Current treatment options in oncology · 2022
    Review
  8. Pharmacogenetic Gene-Drug Associations in Pediatric Burn and Surgery Patients.Journal of burn care & research : official publication of the American Burn Association · 2022
    Article
  9. Review
  10. Pharmacogenomics of Opioid Treatment for Pain Management.Methods in molecular biology (Clifton, N.J.) · 2022
    Article
  11. Opioid Analgesic Prescription in French Children: A National Population-Based Study.International journal of environmental research and public health · 2021
    Article
  12. Observational
  13. Review
  14. Review
  15. Opioids: A Review of Pharmacokinetics and Pharmacodynamics in Neonates, Infants, and Children.European journal of drug metabolism and pharmacokinetics · 2019
    Review
  16. Review
  17. PharmGKB summary: oxycodone pathway, pharmacokinetics.Pharmacogenetics and genomics · 2018
    Article
  18. Article
  19. Review
  20. 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

12 authors at 5 institutions in 1 country.

Rajiv BalyanDepartment of Anesthesia, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 2001, Cincinnati, OH 45229, USA.
Marc MecoliDepartment of Anesthesia, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 2001, Cincinnati, OH 45229, USA.
Raja VenkatasubramanianDepartment of Anesthesia, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 2001, Cincinnati, OH 45229, USA.
Vidya ChidambaranDepartment of Anesthesia, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 2001, Cincinnati, OH 45229, USA.
Nichole KamosDepartment of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, OH 45267, USA.
Smokey ClayDepartment of Anesthesia, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 2001, Cincinnati, OH 45229, USA.
David L MooreDepartment of Anesthesia, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 2001, Cincinnati, OH 45229, USA.
Jagroop MaviDepartment of Anesthesia, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 2001, Cincinnati, OH 45229, USA.
Chris D GloverDepartment of Anesthesia, Texas Children's Hospital, Baylor College of Medicine, Houston, TX 77030, USA.
Peter SzmukDepartment of Anesthesiology & Pain Management, University of Texas Southwestern & Children's Medical Center, Dallas, TX 75390, USA.
Alexander VinksDivision of Clinical Pharmacology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA.
Senthilkumar SadhasivamDepartment of Anesthesia, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 2001, Cincinnati, OH 45229, USA.
Cincinnati Children's Hospital Medical Center · USUniversity of Cincinnati Medical Center · USChildren's Medical Center · USTexas Children's Hospital · USUniversity of Cincinnati · US

Funding

Pharmacogenetics of Oxycodone, Personalized Care and Persistent Surgical PainR01HD089458 · NICHD · INDIANA UNIVERSITY INDIANAPOLIS · PI SADHASIVAM, SENTHILKUMAR · 2016 to 2020
$2.5M
Morphine Pharmacogenomics to Predict Risk of Respiratory Depression in ChildrenK23HD082782 · NICHD · CINCINNATI CHILDRENS HOSP MED CTR · PI CHIDAMBARAN, VIDYA · 2014 to 2018
$655k
NICHD NIH HHS K23 HD082782NICHD NIH HHS R01 HD089458
6 · The paper itself

Abstract

aimOxycodone is partly metabolized to the active metabolite oxymorphone by hepatic CYP2D6 in the liver. Significant genetic variability in CYP2D6 activity affects oxymorphone formation. This study aimed to associate CYP2D6 genotype and oxycodone's metabolism.

methods30 children were administered oral oxycodone postoperatively. Plasma levels of oxycodone and oxymorphone, and CYP2D6 genotype were analyzed. CYP2D6 genotype and oxycodone metabolism phenotype were determined based on CYP2D6 total activity score (TAS) and metabolism phenotype: poor metabolizer (PM), intermediate metabolizer (IM), extensive metabolizer (EM) or ultrarapid metabolizer (UM).

resultsCompared with PM/IM subjects, significantly greater oxymorphone exposure was seen in EM subjects (p = 0.02 for C

conclusionCYP2D6 phenotypes explain metabolism of oxycodone in children, and oxymorphone exposure is higher in CYP2D6 EM phenotype. Further studies are needed to predict the occurrence of adverse event and tailor oxycodone dose for a specific CYP2D6 phenotype.

Indexed as

Administration, OralAdolescentAnalgesics, OpioidChildChild, PreschoolCytochrome P-450 CYP2D6FemaleHumansMaleOxycodonePharmacogeneticsPilot ProjectsPostoperative PainProspective StudiesAnalgesics, OpioidCytochrome P-450 CYP2D6OxycodoneCYP2D6oxycodonepediatricspharmacogeneticspharmacokineticssurgical pain

Identifiers

PMID28244808
PMCPMC5558529
OpenAlexW2588724131

What OpenQuestion holds

Textmetadata
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.