Evidence map›Paper›PMID 29230023›Full record

SynthesisMolecular psychiatry2018

Pharmacogenetics predictors of methylphenidate efficacy in childhood ADHD.

N M Myer, J R Boland, S V Faraone

Registry-linked trialOpen access · greenAbstract readMeta-Analysis
In one paragraph

Synthesis in Molecular psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03730870 (Assessment of Pharmacogenomics Testing for Improving Pediatric ADHD Psychopharmacological Treatment), which is not on this map. Cited by 48 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 3 pooled it
4.5field-weighted citation impact, top 5% 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.

NCT03730870 naterminatednot on this mapstarted 2019, after this paper: background citation

Assessment of Pharmacogenomics Testing for Improving Pediatric ADHD Psychopharmacological Treatment: A Randomized Controlled Trial

TypeinterventionalSponsorClinical and Translational Genome Research Institute, Inc.Ran2019 to 2020Enrolled21ConditionsAttention Deficit Disorders With HyperactivityArmsPharmacogenomics report
3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 3 syntheses or guidelines pooled it, 88 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Review
  6. Article
  7. Can response to ADHD medication be predicted?European child & adolescent psychiatry · 2025
    Observational
  8. Article
  9. Article
  10. Dopamine Transporter andJournal of child and adolescent psychopharmacology · 2024
    Article
  11. Article
  12. Review
  13. Review
  14. Review
  15. Review
  16. Article
  17. Influence ofInternational journal of environmental research and public health · 2022
    Article
  18. Review and Meta-analysis on the Impact of theBiological psychiatry global open science · 2022
    Article
  19. Article
  20. Review
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

3 authors at 1 institution in 1 country.

N M MyerDepartment of Neurosciences and Physiology, SUNY Upstate Medical University, Syracuse, NY, USA. nmyer14@gmail.com.
J R BolandDepartment of Neurosciences and Physiology, SUNY Upstate Medical University, Syracuse, NY, USA.
S V FaraoneDepartment of Neurosciences and Physiology, SUNY Upstate Medical University, Syracuse, NY, USA.
SUNY Upstate Medical University · US

Funding

Longitudinal Family/Molecular Genetic Study to Validate Research Domain CriteriaR01MH101519 · NIMH · UPSTATE MEDICAL UNIVERSITY · PI FARAONE, STEPHEN V, GLATT, STEPHEN J · 2014 to 2018
$3.5M
3/7 Psychiatric Genomics Consortium: Finding actionable variationU01MH109536 · NIMH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI CHARNEY, ALEXANDER W, HUCKINS, LAURA MARIANNE · 2016 to 2020
$2.7M
NIMH NIH HHS R01 MH101519NIMH NIH HHS U01 MH109536
6 · The paper itself

Abstract

Stimulant medication has long been effective in treating attention-deficit/hyperactivity disorder (ADHD) and is currently the first-line pharmacological treatment for children. Both methylphenidate and amphetamine modulate extracellular catecholamine levels through interaction with dopaminergic, adrenergic and serotonergic system components; it is therefore likely that catecholaminergic molecular components influence the effects of ADHD treatment. Using meta-analysis, we sought to identify predictors of pharmacotherapy to further the clinical implementation of personalized medicine. We identified 36 studies (3647 children) linking the effectiveness of methylphenidate treatment with DNA variants. Pooled-data revealed a statistically significant association between single nucleotide polymorphisms (SNPs) rs1800544 ADRA2A (odds ratio: 1.69; confidence interval: 1.12-2.55), rs4680 COMT (odds ratio (OR): 1.40; confidence interval: 1.04-1.87), rs5569 SLC6A2 (odds ratio: 1.73; confidence interval: 1.26-2.37) and rs28386840 SLC6A2 (odds ratio: 2.93; confidence interval: 1.76-4.90), and, repeat variants variable number tandem repeat (VNTR) 4 DRD4 (odds ratio: 1.66; confidence interval: 1.16-2.37) and VNTR 10 SLC6A3 (odds ratio: 0.74; confidence interval: 0.60-0.90), whereas the following variants were not statistically significant: rs1947274 LPHN3 (odds ratio: 0.95; confidence interval: 0.71-1.26), rs5661665 LPHN3 (odds ratio: 1.07; confidence interval: 0.84-1.37) and VNTR 7 DRD4 (odds ratio: 0.68; confidence interval: 0.47-1.00). Funnel plot asymmetry among SLC6A3 studies was identified and attributed largely to small study effects. Egger's regression test and Duval and Tweedie's 'trim and fill' were used to examine and correct for publication bias. These findings have major implications for advancing our therapeutic approach to childhood ADHD treatment.

Indexed as

Attention Deficit Disorder with HyperactivityBiomarkers, PharmacologicalCatechol O-MethyltransferaseChildDopamine Plasma Membrane Transport ProteinsFemaleGenotypeHumansMaleMethylphenidateMinisatellite RepeatsNorepinephrine Plasma Membrane Transport ProteinsPharmacogeneticsPolymorphism, Single NucleotideReceptors, Adrenergic, alpha-2Receptors, Dopamine D4ADRA2A protein, humanBiomarkers, PharmacologicalCatechol O-MethyltransferaseCOMT protein, humanDopamine Plasma Membrane Transport ProteinsDRD4 protein, humanMethylphenidateNorepinephrine Plasma Membrane Transport ProteinsReceptors, Adrenergic, alpha-2Receptors, Dopamine D4SLC6A2 protein, humanSLC6A3 protein, human

Identifiers

PMID29230023
PMCPMC7039663
OpenAlexW2772773692

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.