Evidence map›Paper›PMID 32015455›Full record

SynthesisThe pharmacogenomics journal2020

The effect of CYP2D6 variation on antipsychotic-induced hyperprolactinaemia: a systematic review and meta-analysis.

Maria Stella Calafato, Isabelle Austin-Zimmerman, Johan H Thygesen, Mani Sairam, Antonio Metastasio, Louise Marston, Francisco Abad-Santos, Anjali Bhat, Jasmine Harju-Seppänen, Haritz Irizar and 2 more

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in The pharmacogenomics journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

13 citing papers in PubMed, 17 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Clinical effects of CYP2D6 phenoconversion in patients with psychosis.Journal of psychopharmacology (Oxford, England) · 2024
    Article
  5. UnidentifiedJournal of psychopharmacology (Oxford, England) · 2024
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Pharmacogenomics in Psychiatry Practice: The Value and the Challenges.International journal of molecular sciences · 2022
    Review
  11. Review
  12. Article
  13. 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

12 authors at 5 institutions in 2 countries.

Maria Stella Calafato *Mental Health Neuroscience Research Department, Division of Psychiatry, University College London, London, UK.
Isabelle Austin-Zimmerman *Mental Health Neuroscience Research Department, Division of Psychiatry, University College London, London, UK.ORCID http://orcid.org/0000-0002-3428-5070
Johan H ThygesenMental Health Neuroscience Research Department, Division of Psychiatry, University College London, London, UK.
Mani SairamRomsey Community Mental Health Team, Southern Health NHS Foundation Trust, London, UK.
Antonio MetastasioMental Health Neuroscience Research Department, Division of Psychiatry, University College London, London, UK.
Louise MarstonDepartment of Primary Care and Population Health, University College London, London, UK.
Francisco Abad-SantosClinical Pharmacology Department, Hospital Universitario de la Princesa, Instituto Teófilo Hernando, Universidad Autónoma de Madrid, Instituto de Investigación Sanitaria Princesa (IP), Madrid, Spain.ORCID http://orcid.org/0000-0002-6519-8885
Anjali BhatMental Health Neuroscience Research Department, Division of Psychiatry, University College London, London, UK.
Jasmine Harju-SeppänenMental Health Neuroscience Research Department, Division of Psychiatry, University College London, London, UK.
Haritz IrizarMental Health Neuroscience Research Department, Division of Psychiatry, University College London, London, UK.
Eirini ZartaloudiMental Health Neuroscience Research Department, Division of Psychiatry, University College London, London, UK.
Elvira BramonMental Health Neuroscience Research Department, Division of Psychiatry, University College London, London, UK. e.bramon@ucl.ac.uk.ORCID http://orcid.org/0000-0003-1369-5983
Mental Health Research UK · GBHospital Universitario de La Princesa · ESKing's College London · GBSouthern Health NHS Foundation Trust · GBUniversity College London · GB

Funding

Department of Health PDA/02/06/016Medical Research Council G0901310Medical Research Council G1100583Medical Research Council MC_PC_16014Wellcome Trust 085475/B/08/ZWellcome Trust 085475/Z/08/Z
6 · The paper itself

Abstract

Hyperprolactinemia is a known adverse drug reaction to antipsychotic treatment. Antipsychotic blood levels are influenced by cytochrome P450 enzymes, primarily CYP2D6. Variation in CYP450 genes may affect the risk of antipsychotic-induced hyperprolactinemia. We undertook a systematic review and meta-analysis to assess whether CYP2D6 functional genetic variants are associated with antipsychotic-induced hyperprolactinemia. The systematic review identified 16 relevant papers, seven of which were suitable for the meta-analysis (n = 303 participants including 134 extreme metabolisers). Participants were classified into four phenotype groups as poor, intermediate, extensive, and ultra-rapid metabolisers. A random effects meta-analysis was used and Cohen's d calculated as the effect size for each primary study. We found no significant differences in prolactin levels between CYP2D6 metabolic groups. Current evidence does not support using CYP2D6 genotyping to reduce risk of antipsychotic-induced hyperprolactinemia. However, statistical power is limited. Future studies with larger samples and including a range of prolactin-elevating drugs are needed.

Indexed as

Pharmacogenomic VariantsAntipsychotic AgentsBiomarkersCytochrome P-450 CYP2D6FemaleHumansHyperprolactinemiaMalePharmacogeneticsPhenotypeProlactinRisk AssessmentRisk FactorsAntipsychotic AgentsBiomarkersCytochrome P-450 CYP2D6Prolactin

Identifiers

PMID32015455
OpenAlexW3003658099

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.