Evidence map›Paper›PMID 24663076›Full record

Observational studyThe pharmacogenomics journal2014

Effect of CYP2D6, CYP2C9 and ABCB1 genotypes on fluoxetine plasma concentrations and clinical improvement in children and adolescent patients.

P Gassó, N Rodríguez, S Mas, M Pagerols, A Blázquez, M T Plana, M Torra, L Lázaro, A Lafuente

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in The pharmacogenomics journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
4.9field-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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. The Effect of ABCB1 Polymorphisms on the Efficacy of Antidepressants.Basic & clinical pharmacology & toxicology · 2025
    Pooled it
  2. Pooled it
  3. Trial
  4. Unlocking Performance: Pharmacogenomic Insights for Athletes.Sports medicine international open · 2026
    Review
  5. Pharmacogenomics ofPharmaceutics · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Gene-Based Dose Optimization in Children.Annual review of pharmacology and toxicology · 2020
    Review
  16. Does G2677T Polymorphism of the MDR1 Gene Make a Difference in the Therapeutic Response to Paroxetine in Depressed Patients in a Slovakian Population?Medical science monitor : international medical journal of experimental and clinical research · 2018
    Article
  17. Review
  18. Article
  19. Review
  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

9 authors at 4 institutions in 1 country.

P Gassó1] Department of Anatomic Pathology, Pharmacology and Microbiology, University of Barcelona, Barcelona, Spain [2] Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.
N RodríguezDepartment of Anatomic Pathology, Pharmacology and Microbiology, University of Barcelona, Barcelona, Spain.
S Mas1] Department of Anatomic Pathology, Pharmacology and Microbiology, University of Barcelona, Barcelona, Spain [2] Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain [3] Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, Spain.
M PagerolsDepartment of Anatomic Pathology, Pharmacology and Microbiology, University of Barcelona, Barcelona, Spain.
A BlázquezDepartment of Child and Adolescent Psychiatry and Psychology, Institute of Neurosciences, Hospital Clinic de Barcelona, Barcelona, Spain.
M T PlanaDepartment of Child and Adolescent Psychiatry and Psychology, Institute of Neurosciences, Hospital Clinic de Barcelona, Barcelona, Spain.
M TorraPharmacology and Toxicology Department, CDB, Hospital Clínic de Barcelona, Barcelona, Spain.
L Lázaro1] Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain [2] Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, Spain [3] Department of Child and Adolescent Psychiatry and Psychology, Institute of Neurosciences, Hospital Clinic de Barcelona, Barcelona, Spain [4] Department of Psychiatry and Clinical Psychobiology, University of Barcelona, Barcelona, Spain.
A Lafuente1] Department of Anatomic Pathology, Pharmacology and Microbiology, University of Barcelona, Barcelona, Spain [2] Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain [3] Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, Spain.
Universitat de Barcelona · ESHospital Clínic de Barcelona · ESCentro de Investigación Biomédica en Red de Salud Mental · ESConsorci Institut D'Investigacions Biomediques August Pi I Sunyer · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is little known about pharmacogenetic of fluoxetine in children and adolescents. In this study, we evaluate, for the first time, the influence of CYP2D6, CYP2C9 and ABCB1 genotypes on the steady-state plasma concentrations of fluoxetine and its active metabolite (S)-norfluoxetine, and on the clinical improvement in children and adolescent patients receiving fluoxetine treatment. The assessment was performed in 83 patients after 8 and 12 weeks of treatment. Fluoxetine/(S)-norfluoxetine ratio was negatively correlated with the number of active CYP2D6 alleles (r: -0.450; P<0.001). Regarding the G2677T ABCB1 polymorphism, T allele carriers showed significantly higher improvements on the majority of scales including the Clinical Global Impression-Improvement scale (P<0.001). Our results confirm the influence of CYP2D6 genetic variants in fluoxetine pharmacokinetics and provide evidence for the potential effect of the ABCB1 genotype on the clinical improvement in children and adolescent patients treated with fluoxetine.

Indexed as

AdolescentATP Binding Cassette Transporter, Subfamily BChildCytochrome P-450 CYP2C9Cytochrome P-450 CYP2D6FemaleFluoxetineGenotypeHumansMaleABCB1 protein, humanATP Binding Cassette Transporter, Subfamily BCytochrome P-450 CYP2C9Cytochrome P-450 CYP2D6Fluoxetine

Identifiers

PMID24663076
OpenAlexW2054337645

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.