Evidence map›Paper›PMID 40116580›Full record

SynthesisPharmacogenomics

Pharmacogenomic markers associated with drug-induced QT prolongation: a systematic review.

Marlene Schouby Bentestuen, Christian Noe Weis, Caroline Bækmann Jeppesen, Liv Swea Thiele, Janne Pia Thirstrup, Juan Cordero-Solorzano, Henrik Kjærulf Jensen, Anna Starnawska, Alexander Sebastian Hauser, Christiane Gasse

Abstract readSystematic Review
In one paragraph

Synthesis in Pharmacogenomics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

10 authors.

Marlene Schouby BentestuenPsychosis Research Unit, Aarhus University Hospital Psychiatry, Aarhus, Denmark.ORCID 0000-0003-2710-2544
Christian Noe WeisDepartment of Forensic Psychiatry, Aarhus University Hospital Psychiatry, Aarhus, Denmark.
Caroline Bækmann JeppesenDepartment of Paediatrics and Adolescent Medicine, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0002-6502-4586
Liv Swea ThieleDepartment of Affective Disorders, Aarhus University Hospital Psychiatry, Aarhus, Denmark.
Janne Pia ThirstrupDepartment of Clinical Medicine, Health, Aarhus University, Aarhus, Denmark.
Juan Cordero-SolorzanoDepartment of Biomedicine, Health, Aarhus University, Aarhus, Denmark.ORCID 0000-0002-0641-4998
Henrik Kjærulf JensenDepartment of Clinical Medicine, Health, Aarhus University, Aarhus, Denmark.ORCID 0000-0003-1802-4302
Anna StarnawskaDepartment of Biomedicine, Health, Aarhus University, Aarhus, Denmark.ORCID 0000-0002-2932-6210
Alexander Sebastian HauserDepartment of Drug Design and Pharmacology, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0003-1098-6419
Christiane GassePsychosis Research Unit, Aarhus University Hospital Psychiatry, Aarhus, Denmark.ORCID 0000-0001-6194-1099

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo systematically assess clinical studies involving patients undergoing drug therapy, comparing different genotypes to assess the relationship with changes in QT intervals, with no limitations on study design, setting, population, dosing regimens, or duration.

methodsThis systematic review followed PRISMA guidelines and a pre-registered protocol. Clinical human studies on PGx markers of diQTP were identified, assessed using standardized tools, and categorized by design. Gene associations were classified as pharmacokinetic or pharmacodynamic. Identified genes underwent pathway enrichment analyses. Drugs were classified by third-level Anatomical Therapeutic Chemical (ATC) codes. Descriptive statistics were computed by study category and drug classes.

resultsOf 4,493 reports, 84 studies were included, identifying 213 unique variants across 42 drug classes, of which 10% were replicated. KCNE1-Asp85Asn was the most consistent variant. Most findings (82%) were derived from candidate gene studies, suggesting bias toward known markers. The diQTP-associated genes were mainly linked to "cardiac conduction" and "muscle contraction" pathways (false discovery rate = 4.71 × 10

conclusionKey genes, drugs, and pathways were identified, but few consistent PGx markers emerged. Extensive, unbiased studies with diverse populations are crucial to advancing the field. REGISTRATION: A protocol was pre-registered at PROSPERO under registration number CRD42022296097. DATA DEPOSITION: Data sets generated by this review are available at figshare: DOI: 10.6084/m9.figshare.27959616.

Indexed as

Drug-Related Side Effects and Adverse ReactionsLong QT SyndromePharmacogeneticsGenetic MarkersHumansGenetic Markerscardiac safetydrug-induced arrhythmiaDrug-induced QT prolongationdrug safetypersonalized medicinepharmacogeneticspharmacogenomics

Identifiers

PMID40116580
PMCPMC11988217

What OpenQuestion holds

Textmetadata
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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.