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ArticlePCN reports : psychiatry and clinical neurosciences2025

Influence of pharmacokinetics-related gene polymorphisms on plasma levels of clozapine and its metabolites in Japanese patients with schizophrenia.

Shinya Kinoshita, Hideyuki Motohashi, Keiichiro Nishida, Seiichiro Tarutani, Tetsufumi Kanazawa, Junya Nagai

Abstract read
In one paragraph

Article in PCN reports : psychiatry and clinical neurosciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

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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

1 citing paper in PubMed.

  1. 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

6 authors.

Shinya KinoshitaDepartment of Neuropsychiatry, Faculty of Medicine Osaka Medical and Pharmaceutical University Takatsuki Osaka Japan.
Hideyuki MotohashiDepartment of Pharmaceutics, Faculty of Pharmacy Osaka Medical and Pharmaceutical University Takatsuki Osaka Japan.
Keiichiro NishidaDepartment of Neuropsychiatry, Faculty of Medicine Osaka Medical and Pharmaceutical University Takatsuki Osaka Japan.ORCID https://orcid.org/0000-0003-3818-9657
Seiichiro TarutaniDepartment of Neuropsychiatry, Faculty of Medicine Osaka Medical and Pharmaceutical University Takatsuki Osaka Japan.ORCID https://orcid.org/0000-0001-5544-6788
Tetsufumi KanazawaDepartment of Neuropsychiatry, Faculty of Medicine Osaka Medical and Pharmaceutical University Takatsuki Osaka Japan.ORCID https://orcid.org/0000-0003-3781-297X
Junya NagaiDepartment of Pharmaceutics, Faculty of Pharmacy Osaka Medical and Pharmaceutical University Takatsuki Osaka Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: Clozapine is an atypical antipsychotic drug that is most effective against treatment-resistant schizophrenia and causes serious adverse effects, including agranulocytosis. We examined the relationships between age, sex, genetic polymorphisms, and the plasma concentrations of clozapine and its metabolites (N-desmethylclozapine and clozapine N-oxide) in Japanese patients with schizophrenia. Methods: DNA was isolated from the peripheral blood samples of 27 patients with schizophrenia receiving clozapine maintenance treatment, and the pharmacokinetics-related genes ( Results: The plasma concentrations of clozapine and its two major metabolites, N-desmethylclozapine and clozapine-N-oxide, showed significant positive correlations with the daily dose. Neither age nor sex substantially influenced the dose-adjusted plasma concentrations of clozapine or its two metabolites. The plasma concentrations of clozapine and its two metabolites did not notably differ among the genotypes of cytochrome P450 (CYP): Conclusion: The

Indexed as

clozapinedrug‐metabolizing enzymesdrug transporterspolymorphismschizophrenia

Identifiers

PMID40740505
PMCPMC12308912

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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.