Evidence map›Paper›PMID 30443705›Full record

ArticleEuropean journal of clinical pharmacology2019

Non randomized study on the potential of nitisinone to inhibit cytochrome P450 2C9, 2D6, 2E1 and the organic anion transporters OAT1 and OAT3 in healthy volunteers.

Gunilla Huledal, Birgitta Olsson, Kristin Önnestam, Per Dalén, Daniel Lindqvist, Matthias Kruse, Anders Bröijersén

Open access · hybridAbstract readClinical Trial, Phase I
PubMed Publisher
In one paragraph

Article in European journal of clinical pharmacology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 31% 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

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
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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

7 authors at 1 institution in 1 country.

Gunilla HuledalSobi, SE-112 76, Stockholm, Sweden. gunilla.huledal@sobi.com.
Birgitta OlssonSobi, SE-112 76, Stockholm, Sweden.
Kristin ÖnnestamSobi, SE-112 76, Stockholm, Sweden.
Per DalénSobi, SE-112 76, Stockholm, Sweden.
Daniel LindqvistSobi, SE-112 76, Stockholm, Sweden.
Matthias KrusePAREXEL International GmbH, Berlin, Germany.
Anders BröijersénSobi, SE-112 76, Stockholm, Sweden.
Swedish Orphan Biovitrum (Sweden) · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeNitisinone inhibits the cytochrome P450 (CYP) subfamilies CYP2C9, CYP2D6, and CYP2E1 and the organic anion transporter (OAT) isoforms OAT1 and OAT3 in vitro. Since the effect of nitisinone on these enzymes and transporters in humans is still unknown, the purpose of this study was to evaluate the effect of nitisinone on these CYP subfamilies and OAT isoforms.

methodsThis was an open-label, nonrandomized, two-arm, phase 1 study (EudraCT: 2016-004297-17) in healthy volunteers. The substrates (tolbutamide, metoprolol, and chlorzoxazone for the respective CYPs and furosemide for the OATs) were administered as single doses, before and after 15 days of once daily dosing of 80 mg nitisinone, to determine the AUC

resultsThirty-six subjects were enrolled with 18 subjects included in each arm. The least square mean ratio (90% confidence interval) for AUC

conclusionsNitisinone did not affect CYP2D6 activity, was a weak inducer of CYP2E1, and was a weak inhibitor of OAT1 and OAT3. Nitisinone was a moderate inhibitor of CYP2C9, and treatment may therefore result in increased plasma concentrations of comedications metabolized primarily via this enzyme. CLINICAL TRIAL REGISTRY IDENTIFICATION: EudraCT 2016-004297-17.

Indexed as

AdolescentAdultArea Under CurveCyclohexanonesCytochrome P-450 CYP2C9Cytochrome P-450 CYP2D6Cytochrome P-450 CYP2E1Enzyme InhibitorsFemaleHealthy VolunteersHumansMaleMiddle AgedNitrobenzoatesOrganic Anion Transporters, Sodium-IndependentOrganic Anion Transport Protein 1CyclohexanonesCYP2C9 protein, humanCytochrome P-450 CYP2C9Cytochrome P-450 CYP2D6Cytochrome P-450 CYP2E1Enzyme InhibitorsnitisinoneNitrobenzoatesOrganic Anion Transporters, Sodium-IndependentOrganic Anion Transport Protein 1organic anion transport protein 3Clinical studyDrug-drug interactionHereditary tyrosinemia type 1NitisinoneNTBCPharmacokinetics

Identifiers

PMID30443705
OpenAlexW2900511347

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.