Evidence map›Paper›PMID 35922716›Full record

ArticleEuropean journal of clinical pharmacology2022

Relationship between CYP2C8, UGT1A1, and ABCG2 gene polymorphisms and the exposure, efficacy, and toxicity of eltrombopag in the treatment of refractory aplastic anemia.

Wei Zuo, Bo Liu, Miao Chen, Bo Zhang, Bing Han

Abstract read
PubMed Publisher
In one paragraph

Article in European journal of clinical pharmacology, 2022. 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
0.9field-weighted citation impact, top 28% 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, 5 citations in OpenAlex.

  1. Article
  2. Investigation of thePharmaceuticals (Basel, Switzerland) · 2025
    Article
  3. 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

5 authors at 3 institutions in 1 country.

Wei ZuoDepartment of Pharmacy, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical Colleague Hospital, Chinese Academe of Medical Science, No. 1 Shuaifuyuan, Wangfujing, Dongcheng District, Beijing, 100730, China.
Bo LiuDepartment of Pharmacy, Beijing Xiaotangshan Hospital, Beijing, 102211, China.
Miao ChenDepartment of Hematology, Peking Union Medical Colleague Hospital, Chinese Academe of Medical Science, No. 1 Shuaifuyuan, Wangfujing, Dongcheng District, Beijing, 100730, China.
Bo ZhangDepartment of Pharmacy, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical Colleague Hospital, Chinese Academe of Medical Science, No. 1 Shuaifuyuan, Wangfujing, Dongcheng District, Beijing, 100730, China. zhangbopumch@163.com.
Bing HanDepartment of Hematology, Peking Union Medical Colleague Hospital, Chinese Academe of Medical Science, No. 1 Shuaifuyuan, Wangfujing, Dongcheng District, Beijing, 100730, China. hanbing_li@sina.com.
Chinese Academy of Medical Sciences & Peking Union Medical College · CNPeking Union Medical College Hospital · CNTang Hospital · CN

Funding

Chinese Academy of Medical Sciences (CAMS) innovation fund for medical sciences CIFMS 2021-I2M-1-003Fundamental Research Funds for the Central Universities 2020-RW310-003National Natural Science Foundation of China Grants 81970106National Natural Science Foundation of China Grants 81974183
6 · The paper itself

Abstract

purposeEltrombopag (ELT) is an effective drug for relapsed/refractory aplastic anemia (AA). Our previous study showed that ELT concentration was correlated with the effects of ELT. However, the factors affecting ELT concentration in patients with relapsed/refractory AA were not clarified. Therefore, we aimed to evaluate correlations between drug disposition-related gene polymorphisms and the concentration, efficacy, and toxicity of ELT.

methodsForty-five patients who underwent ELT administration from January 2018 to January 2019 at Peking Union Medical Colleague Hospital (PUMCH) were included. The corresponding clinical information was also collected. ELT plasma concentrations were detected by high-performance liquid chromatography-mass spectrometry (HPLC/MS). CYP2C8, (UGT)1A1, and ABCG21 were genotyped by polymerase chain reaction (PCR). The influence of gene polymorphisms on the plasma concentration, efficacy, and toxicity of ELT was analyzed.

resultsThe mean dose required to obtain the optimal effects was significantly lower in the UGT1A1*6 variant carriers than in the UGT1A1*6 WT carriers. There was a significant correlation between the (UGT)1A1*6 polymorphism and higher ELT plasma concentrations (> 11.2 μg/mL). By logistic regression analysis, the efficacy of ELT was related to plasma concentration and a combined genotype of (UGT)1A1*6 and ABCG2. There were no significant associations between genotypes and adverse drug reactions (ADRs) or ELT concentrations and ADRs.

conclusionUGT1A1*6 is a predictor of the ELT plasma concentration and may help to determine the initial therapeutic dose in relapsed/refractory AA patients. Both drug exposure and patient genotype should be considered for better responses to ELT.

Indexed as

Anemia, AplasticATP Binding Cassette Transporter, Subfamily G, Member 2BenzoatesCamptothecinCytochrome P-450 CYP2C8GenotypeGlucuronosyltransferaseHumansHydrazinesNeoplasm ProteinsPolymorphism, GeneticPyrazolesABCG2 protein, humanATP Binding Cassette Transporter, Subfamily G, Member 2BenzoatesCamptothecinCYP2C8 protein, humanCytochrome P-450 CYP2C8eltrombopagGlucuronosyltransferaseHydrazinesNeoplasm ProteinsPyrazolesAplastic anemiaEltrombopagGene polymorphismPlasma concentrationUridine diphosphate glucuronosyltransferase 1A1

Identifiers

PMID35922716
OpenAlexW4289653716

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.