Summary annotation for HLA-B*13:01; sulfasalazine; drug reaction with eosinophilia and systemic symptoms (level 3 Toxicity)

AllelePhenotype
*13:01
Function not assigned More allele information
Patients with the HLA-B*13:01 allele may have an increased risk of DRESS when treated with sulfasalazine as compared to patients with no HLA-B*13:01 alleles or negative for the HLA-B*13:01 test. Other genetic and clinical factors may also influence a patient's risk of sulfasalazine-induced adverse reactions.
The level of evidence on this clinical annotation reflects the strength of the evidence base at the level of the gene and not at the level of individual alleles.

Level of Evidence Calculation More information

Total Score
3
Score Breakdown
  • Variant Annotations = 3
  • Dosing Guideline Annotations = 0
  • Drug Label Annotations = 0
Level Modifiers
Calculated Level from Score
Level 3Learn more about Summary Annotation Levels of Evidence(opens in new window)

Evidence

  • 0 Dosing Guideline Annotations
  • 0 Drug Label Annotations
  • 1 Variant Annotation from 1 Publication
    • 1 Positive association Variant Annotation
    • 0 Negative association Variant Annotations

1. Annotation of HLA-B haplotype HLA-B*13:01

HLA-B *13:01 is associated with increased risk of drug reaction with eosinophilia and systemic symptoms when treated with sulfasalazine.

Allele described as *13:01 in the comparison with healthy controls, and *13:01:01 in the comparison with tolerant controls.

Gene

HLA-B

Haplotype

HLA-B*13:01

Phenotype Category

Toxicity

Association Significance

The study reports this association is significant

ID

1185235152

Study Parameters

1.

Study type

case/control

Study size

36 (cases=6; controls=30)

Association p-value

= 0.004

Statistical analysis

OR: 13

Confidence interval

1.76 - 95.8

Biogeographical group
More info on groups

East Asian

Population description

Study Cohort: Case= 6 patients with Salazosulfapyridine-induced DRESS, controls = salazosulfapyridine-tolerant patients. Allele carrier frequency was compared between these groups.

2.

Study type

case/control

Study size

289 (cases=6; controls=283)

Association p-value

= 0.007

Statistical analysis

OR: 11.16

Confidence interval

1.98 - 62.85

Biogeographical group
More info on groups

East Asian

Population description

Study Cohort: Cases = 6 patients with Salazosulfapyridine-induced DRESS, controls = healthy Han Chinese subjects. Allele carrier frequency was compared between these groups.

History

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