Evidence map›Paper›PMID 32066683›Full record

ArticleTranslational psychiatry2020

Genetic associations with clozapine-induced myocarditis in patients with schizophrenia.

Paul Lacaze, Kathlyn J Ronaldson, Eunice J Zhang, Ana Alfirevic, Hardik Shah, Leah Newman, Maya Strahl, Melissa Smith, Chad Bousman, Ben Francis and 8 more

Open access · goldAbstract read
In one paragraph

Article in Translational psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 6% 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, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Clozapine-induced Myocarditis in Korea: Analysis of a Nationwide Database and Comparison to Other Countries.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2026
    Article
  3. Clozapine-Induced Myocarditis in Huntington's Disease: Case Report.Turk psikiyatri dergisi = Turkish journal of psychiatry · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. An overview of HLA variants in COVID-19 vaccine-induced autoimmunity.International journal of molecular epidemiology and genetics · 2025
    Review
  12. Review
  13. IL-1RA autoantibodies: insights into mechanisms and associated diseases.American journal of translational research · 2024
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. HLA-associated adverse drug reactions - scoping review.Clinical and translational science · 2021
    Article
  19. Article
  20. 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

18 authors at 6 institutions in 4 countries.

Paul Lacaze *Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC, Australia. paul.lacaze@monash.edu.ORCID http://orcid.org/0000-0002-0902-6798
Kathlyn J Ronaldson *Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC, Australia.ORCID http://orcid.org/0000-0003-4728-009X
Eunice J Zhang *MRC Centre for Drug Safety Science, Wolfson Centre for Personalised Medicine, University of Liverpool, The Royal Liverpool and Broadgreen University Hospitals NHS Trust, and Liverpool Health Partners, Liverpool, UK.
Ana AlfirevicMRC Centre for Drug Safety Science, Wolfson Centre for Personalised Medicine, University of Liverpool, The Royal Liverpool and Broadgreen University Hospitals NHS Trust, and Liverpool Health Partners, Liverpool, UK.
Hardik ShahDepartment of Genetics and Genomic Sciences, Icahn Institute for Genomics and Multiscale Biology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Leah NewmanDepartment of Genetics and Genomic Sciences, Icahn Institute for Genomics and Multiscale Biology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Maya StrahlDepartment of Genetics and Genomic Sciences, Icahn Institute for Genomics and Multiscale Biology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Melissa SmithDepartment of Genetics and Genomic Sciences, Icahn Institute for Genomics and Multiscale Biology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Chad BousmanDepartments of Medical Genetics, Psychiatry, and Physiology & Pharmacology, University of Calgary, Calgary, AB, Canada.
Ben FrancisDepartment of Biostatistics, University of Liverpool, Liverpool, UK.
Andrew P MorrisDepartment of Biostatistics, University of Liverpool, Liverpool, UK.
Trevor WilsonMedical Genomics Facility, Hudson Institute of Medical Research, Melbourne, VIC, Australia.
Fernando RosselloUniversity of Melbourne Centre for Cancer Research, University of Melbourne, Melbourne, VIC, Australia.
David PowellBioinformatics Platform, Monash Biomedicine Discovery Institute, Monash University, Melbourne, VIC, Australia.
Vivien VasicMedical Genomics Facility, Hudson Institute of Medical Research, Melbourne, VIC, Australia.
Robert SebraDepartment of Genetics and Genomic Sciences, Icahn Institute for Genomics and Multiscale Biology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
John J McNeilDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
Munir PirmohamedMRC Centre for Drug Safety Science, Wolfson Centre for Personalised Medicine, University of Liverpool, The Royal Liverpool and Broadgreen University Hospitals NHS Trust, and Liverpool Health Partners, Liverpool, UK.
Icahn School of Medicine at Mount Sinai · USUniversity of Liverpool · GBMonash University · AUHudson Institute of Medical Research · AUThe University of Melbourne · AUUniversity of Calgary · CA

Funding

Medical Research Council MR/L006758/1
6 · The paper itself

Abstract

Clozapine is the most effective antipsychotic drug for schizophrenia, yet it can cause life-threatening adverse drug reactions, including myocarditis. The aim of this study was to determine whether schizophrenia patients with clozapine-induced myocarditis have a genetic predisposition compared with clozapine-tolerant controls. We measured different types of genetic variation, including genome-wide single-nucleotide polymorphisms (SNPs), coding variants that alter protein expression, and variable forms of human leucocyte antigen (HLA) genes, alongside traditional clinical risk factors in 42 cases and 67 controls. We calculated a polygenic risk score (PRS) based on variation at 96 different genetic sites, to estimate the genetic liability to clozapine-induced myocarditis. Our genome-wide association analysis identified four SNPs suggestive of increased myocarditis risk (P < 1 × 10

Indexed as

AgranulocytosisAntipsychotic AgentsClozapineMyocarditisSchizophreniaGenome-Wide Association StudyHumansAntipsychotic AgentsClozapine

Identifiers

PMID32066683
PMCPMC7026069
OpenAlexW3000765374

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.