Evidence map›Paper›PMID 28146606›Full record

Trial reportBritish journal of clinical pharmacology2017

The CYP3A biomarker 4β-hydroxycholesterol does not improve tacrolimus dose predictions early after kidney transplantation.

Elisabet Størset, Kristine Hole, Karsten Midtvedt, Stein Bergan, Espen Molden, Anders Åsberg

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in British journal of clinical pharmacology, 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
2.3field-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, 18 citations in OpenAlex.

  1. Trial
  2. Novel Approaches to Characterize Individual Drug Metabolism and Advance Precision Medicine.Drug metabolism and disposition: the biological fate of chemicals · 2023
    Review
  3. Tacrolimus-why pharmacokinetics matter in the clinic.Frontiers in transplantation · 2023
    Review
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  8. Review
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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

6 authors at 3 institutions in 1 country.

Elisabet StørsetDepartment of Transplant Medicine, Oslo University Hospital Rikshospitalet, Oslo, Norway.
Kristine HoleCenter for Psychopharmacology, Diakonhjemmet Hospital, Oslo, Norway.
Karsten MidtvedtDepartment of Transplant Medicine, Oslo University Hospital Rikshospitalet, Oslo, Norway.
Stein BerganDepartment of Pharmaceutical Biosciences, School of Pharmacy, University of Oslo, Norway.
Espen MoldenCenter for Psychopharmacology, Diakonhjemmet Hospital, Oslo, Norway.
Anders ÅsbergDepartment of Transplant Medicine, Oslo University Hospital Rikshospitalet, Oslo, Norway.ORCID 0000-0002-0628-1769
Oslo University Hospital · NODiakonhjemmet Hospital · NOUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTacrolimus is a cornerstone in modern immunosuppressive therapy after kidney transplantation. Tacrolimus dosing is challenged by considerable pharmacokinetic variability, both between patients and over time after transplantation, partly due to variability in cytochrome P450 3A (CYP3A) activity. The aim of this study was to assess the value of the endogenous CYP3A marker 4β-hydroxycholesterol (4βOHC) for tacrolimus dose individualization early after kidney transplantation.

methodsData were obtained from 79 adult kidney transplant recipients who contributed a total of 625 4βOHC measurements and 1999 tacrolimus whole blood concentrations during the first 2 months after transplantation. The relationships between 4βOHC levels and individual estimates of tacrolimus apparent plasma clearance (CL/F

resultsThere was no significant correlation between pre-transplant 4βOHC levels and tacrolimus CL/F

conclusions4βOHC does not appear to have a clinical potential to improve individualization of tacrolimus doses early after kidney transplantation.

Indexed as

AdultAgedAged, 80 and overBiomarkersCytochrome P-450 CYP3ADose-Response Relationship, DrugDrug Dosage CalculationsFemaleGenotypeGraft RejectionHumansHydroxycholesterolsImmunosuppression TherapyImmunosuppressive AgentsKidney TransplantationMaleBiomarkerscholest-5-ene-3,4-diolCYP3A protein, humanCytochrome P-450 CYP3AHydroxycholesterolsImmunosuppressive AgentsTacrolimus4β-hydroxycholesterolkidney transplantationpopulation pharmacokineticstacrolimus

Identifiers

PMID28146606
PMCPMC5465334
OpenAlexW2584499641

What Socratic 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 Socratic graph.