Evidence map›Paper›PMID 28296334›Full record

Trial reportClinical and translational science2017

A Study on CYP2C19 and CYP2D6 Polymorphic Effects on Pharmacokinetics and Pharmacodynamics of Amitriptyline in Healthy Koreans.

S Ryu, S Park, J H Lee, Y R Kim, H S Na, H S Lim, H Y Choi, I Y Hwang, J G Lee, Z W Park and 3 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical and translational science, 2017. 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
2.5field-weighted citation impact, top 13% 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, 24 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Precision Medicine in Antidepressants Treatment.Handbook of experimental pharmacology · 2023
    Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. The Role of Genetic Polymorphisms in Chronic Pain Patients.International journal of molecular sciences · 2018
    Review
  14. Translating Precision.Clinical and translational science · 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

13 authors at 3 institutions in 1 country.

S RyuClinical Research Division, National Institute of Food and Drug Safety, Ministry of Food and Drug Safety, Republic of Korea.
S ParkClinical Research Division, National Institute of Food and Drug Safety, Ministry of Food and Drug Safety, Republic of Korea.
J H LeeClinical Research Division, National Institute of Food and Drug Safety, Ministry of Food and Drug Safety, Republic of Korea.
Y R KimClinical Research Division, National Institute of Food and Drug Safety, Ministry of Food and Drug Safety, Republic of Korea.
H S NaClinical Research Division, National Institute of Food and Drug Safety, Ministry of Food and Drug Safety, Republic of Korea.
H S LimDepartment of Clinical Pharmacology and Therapeutics, College of Medicine, University of Ulsan, Asan Medical Center, Republic of Korea.
H Y ChoiDepartment of Clinical Pharmacology and Therapeutics, College of Medicine, University of Ulsan, Asan Medical Center, Republic of Korea.
I Y HwangClinical Research Division, National Institute of Food and Drug Safety, Ministry of Food and Drug Safety, Republic of Korea.
J G LeeClinical Research Division, National Institute of Food and Drug Safety, Ministry of Food and Drug Safety, Republic of Korea.
Z W ParkClinical Research Division, National Institute of Food and Drug Safety, Ministry of Food and Drug Safety, Republic of Korea.
W Y OhClinical Research Division, National Institute of Food and Drug Safety, Ministry of Food and Drug Safety, Republic of Korea.
J M KimClinical Research Division, National Institute of Food and Drug Safety, Ministry of Food and Drug Safety, Republic of Korea.
S E ChoiClinical Research Division, National Institute of Food and Drug Safety, Ministry of Food and Drug Safety, Republic of Korea.
Ministry of Food and Drug Safety · KRAsan Medical Center · KRUniversity of Ulsan · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We performed a double-blinded, genotype-based stratification study to explore the pharmacokinetics and pharmacodynamics of amitriptyline according to CYP2C19 and CYP2D6 genotype in Korean subjects. Twenty-four healthy adults were grouped by genotype of CYP2C19 and CYP2D6. After a single dose of 25 mg of amitriptyline, blood samples were collected and anticholinergic effects were measured. The extent of N-demethylation of amitriptyline significantly decreased in subjects carrying two nonfunctional alleles of CYP2C19. The extent of hydroxylation of amitriptyline or nortriptyline was significantly reduced in subjects carrying two CYP2D6 decreased functional alleles compared with those with no or one decreased functional allele. The overall metabolic pathway of amitriptyline was more likely to be dominated by CYP2C19 than CYP2D6. The gene variations of CYP2C19 and CYP2D6 did not change the pharmacodynamic effect. The findings of this study will provide useful information on individualized drug treatment with amitriptyline considering both CYP2D6 and CYP2C19 gene variations.

Indexed as

Polymorphism, GeneticAdrenergic Uptake InhibitorsAdultAllelesAmitriptylineAntidepressive Agents, TricyclicAsian PeopleCytochrome P-450 CYP2C19Cytochrome P-450 CYP2D6Double-Blind MethodGene FrequencyGenotypeHealthy VolunteersHumansMaleNortriptylineAdrenergic Uptake InhibitorsAmitriptylineAntidepressive Agents, TricyclicCYP2C19 protein, humanCytochrome P-450 CYP2C19Cytochrome P-450 CYP2D6Nortriptyline

Identifiers

PMID28296334
PMCPMC5355968
OpenAlexW2598461073

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.