Evidence map›Paper›PMID 29325731›Full record

ReviewCurrent problems in pediatric and adolescent health care2018

Pharmacogenomic Testing in Child and Adolescent Psychiatry: An Evidence-Based Review.

Anna M Wehry, Laura Ramsey, Shane E Dulemba, Sarah A Mossman, Jeffrey R Strawn

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Current problems in pediatric and adolescent health care, 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 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
6.2field-weighted citation impact, top 3% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Pooled it
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  14. Research Review: Pediatric anxiety disorders - what have we learnt in the last 10 years?Journal of child psychology and psychiatry, and allied disciplines · 2021
    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

5 authors at 2 institutions in 1 country.

Anna M WehryUniversity of Cincinnati, College of Medicine, Box 0559, Cincinnati, OH 45267-0559.
Laura RamseyDivision of Clinical Pharmacology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Shane E DulembaDivision of Child and Adolescent, Cincinnati Children's Hospital, Cincinnati, OH.
Sarah A MossmanUniversity of Cincinnati, College of Medicine, Box 0559, Cincinnati, OH 45267-0559.
Jeffrey R StrawnUniversity of Cincinnati, College of Medicine, Box 0559, Cincinnati, OH 45267-0559. Electronic address: strawnjr@ucmail.uc.edu.
University of Cincinnati Medical Center · USCincinnati Children's Hospital Medical Center · US

Funding

Neurofunctional Predictors of Treatment Response in Adolescents with GADK23MH106037 · NIMH · UNIVERSITY OF CINCINNATI · PI STRAWN, JEFFREY ROBERT · 2014 to 2017
$745k
NIMH NIH HHS K23 MH106037
6 · The paper itself

Abstract

Significant advances have been made in the application of pharmacogenomic testing for the treatment of patients with psychiatric disorders. Over the past decade, a number of studies have evaluated the utility of pharmacogenomic testing in pediatric patients with psychiatric disorders. The evidence base for pharmacogenomic testing in youth with depressive and anxiety disorders as well as attention/deficit hyperactivity disorder (ADHD) is reviewed in this article. General pharmacogenomic principles are summarized and functional polymorphisms in P450 enzymes (and associated metabolizer phenotypes), the serotonin transporter promoter polymorphisms, serotonin 2A receptor genes (e.g., HT2AR) and catecholamine pathway genes (e.g., COMT) are reviewed. These commonly tested pharmacogenomic markers are discussed with regard to studies of drug levels, efficacy and side effects. The translation of pharmacogenomics to individualized/precision medicine in pediatric patients with ADHD, anxiety and depressive disorders has accelerated; however, its application remains challenging given that there are numerous divergent pathways between medication/medication dose and clinical response and side effects. Nonetheless, by leveraging variations in individual genes that may be relevant to medication metabolism or medication target engagement, pharmacogenomic testing may have a role in predicting treatment response, side effects and medication selection in youth with ADHD, depressive and anxiety disorders.

Indexed as

AdolescentAdolescent PsychiatryAntidepressive Agents, Second-GenerationAnxiety DisordersAttention Deficit Disorder with HyperactivityCatechol O-MethyltransferaseChildChild PsychiatryCytochrome P-450 CYP2D6 InhibitorsCytochrome P-450 Enzyme SystemDepressive DisorderHumansPharmacogeneticsPharmacogenomic TestingReceptor, Serotonin, 5-HT2ASelective Serotonin Reuptake InhibitorsAntidepressive Agents, Second-GenerationCatechol O-MethyltransferaseCOMT protein, humanCytochrome P-450 CYP2D6 InhibitorsCytochrome P-450 Enzyme SystemReceptor, Serotonin, 5-HT2ASelective Serotonin Reuptake InhibitorsSerotonin Plasma Membrane Transport Proteins

Identifiers

PMID29325731
PMCPMC5828875
OpenAlexW2785544881

What OpenQuestion holds

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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.