Evidence map›Paper›PMID 39444600›Full record

ArticleFrontiers in pharmacology2024

Pharmacogenetics testing for poor response to antidepressants: a transnosographic case series.

Marie-Agnès Lorvellec, Gilles Sipahimalani, Bertrand Lahutte, Hervé Delacour, Antoine Baldacci, Emeric Saguin

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Article in Frontiers in pharmacology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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.

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

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

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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

6 authors.

Marie-Agnès Lorvellec *Department of Psychiatry, Bégin National Military Teaching Hospital, Saint-Mandé, France.
Gilles Sipahimalani *Department of Psychiatry, Bégin National Military Teaching Hospital, Saint-Mandé, France.
Bertrand LahutteDepartment of Psychiatry, Bégin National Military Teaching Hospital, Saint-Mandé, France.
Hervé DelacourEcole du Val-de-Grâce, French Military Medical Academy, Paris, France.
Antoine BaldacciDepartment of Psychiatry, Bégin National Military Teaching Hospital, Saint-Mandé, France.
Emeric SaguinDepartment of Psychiatry, Bégin National Military Teaching Hospital, Saint-Mandé, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Pharmacogenetics (PGx) holds promise for optimizing psychotropic medication use, with Methods: This case series includes 40 patients who underwent PGx testing due to antidepressant ineffectiveness or ADRs between June 2020 and April 2022. We describe the patients' demographic, clinical, and genetic characteristics and assess the value of PGx testing based on feedback from their psychiatrists. Results: The most common diagnoses were major depressive disorder (60.0%) and post-traumatic stress disorder (30.0%). Ineffectiveness was reported in 65.0% of patients, ADRs in 2.5%, and both in 32.5%. The antidepressants involved included SSRIs (45.0%), SNRIs (27.5%), atypical antidepressants (20.0%), and tricyclics (17.5%). Only 17.5% of patients had normal Discussion: Our findings suggest that PGx testing can guide prescribing decisions for patients with antidepressant ineffectiveness or ADRs. The relatively high prevalence of genetic variants affecting pharmacokinetics supports the broader adoption of PGx testing in psychiatric practice.

Indexed as

adverse drug reactionantidepressantclinical utilityCYP2C19CYP2D6drug responsepharmacogeneticspsychiatry

Identifiers

PMID39444600
PMCPMC11496244

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