Evidence map›Paper›PMID 29588611›Full record

ArticlePharmacogenomics and personalized medicine2018

The utility of pharmacogenetic testing to support the treatment of bipolar disorder.

Marta Ielmini, Nicola Poloni, Ivano Caselli, Jordi Espadaler, Miquel Tuson, Alessandro Grecchi, Camilla Callegari

Registry-linked trialAbstract read
In one paragraph

Article in Pharmacogenomics and personalized medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04923204 (Genetic Variations Associated With the Therapeutic Response and Profile of Adverse Effects in the Treatment of Bipolar Depression), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT04923204 completednot on this map

Genetic Variations Associated With the Therapeutic Response and Profile of Adverse Effects in the Treatment of Bipolar Depression

TypeobservationalSponsorAB Biotics, SARan2016 to 2019Enrolled76ConditionsBipolar DisorderArmsPharmacogenomic-testing with NEUROPHARMAGEN
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Approaches to assessing the provider experience with clinical pharmacogenomic information: a scoping review.Genetics in medicine : official journal of the American College of Medical Genetics · 2021
    Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. The art and science of drug titration.Therapeutic advances in drug safety · 2020
    Review
  12. Article
  13. Article
  14. 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

7 authors.

Marta IelminiDepartment of Medicine and Surgery, Division of Psychiatry, University of Insubria, Varese, Italy.
Nicola PoloniDepartment of Medicine and Surgery, Division of Psychiatry, University of Insubria, Varese, Italy.
Ivano CaselliDepartment of Medicine and Surgery, Division of Psychiatry, University of Insubria, Varese, Italy.
Jordi EspadalerAB-BIOTICS S.A, R&D Unit, Sant Cugat del Valles, Barcelona, Spain.
Miquel TusonAB-BIOTICS S.A, R&D Unit, Sant Cugat del Valles, Barcelona, Spain.
Alessandro GrecchiASST Santi Paolo e Carlo Borromeo, Division of Psychiatry, Milan, Italy.
Camilla CallegariDepartment of Medicine and Surgery, Division of Psychiatry, University of Insubria, Varese, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBipolar disorder (BD) is a frequent cause of disability, health care costs, and risk of suicide. Pharmacogenetic tests (PGTs) could help clinicians to identify those patients predisposed to the occurrence of adverse events (AEs) improving the understanding of the correlation between genetic variants and drug response. MATERIALS AND

methodsThe study evaluated 30 patients affected by BD type I or II (according to

resultsAt T0, only 4 patients (13%) had an optimal therapy in line with the PGT suggestions. At 3-month follow-up, 13 patients (40%) had received a change of therapy consistent to the test, showing a significant statistical improvement in the Clinical Global Impression item Severity (CGI-S) score over time compared to those not having changes consistent with the test. Regarding AEs, at baseline 9 out of 10 (90%) of the patients who received a therapy modification according to the test presented AEs, and a significant within-group reduction was observed after 3 months (

conclusionDespite the small sample size, the study shows promising data about the usefulness of PGT to support clinicians in reaching a more effective and tolerated treatment in the routine approach of BD.

Indexed as

adverse eventsbipolar disordermood disorderpersonalized medicinepharmacogeneticspharmacogenetics testingtolerability

Identifiers

PMID29588611
PMCPMC5860421

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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.