Evidence map›Paper›PMID 41359147›Full record

ArticleInternational journal of bipolar disorders2025

Antipsychotic use in bipolar disorder: clinical and genomic correlates- a Mayo clinic bipolar disorder biobank study.

Balwinder Singh, Ada Man-Choi Ho, Brandon J Coombes, Francisco Romo-Nava, David J Bond, Marin Veldic, Richard S Pendegraft, Anthony Batzler, Alfredo B Cuellar-Barboza, Manuel Gardea-Reséndez and 5 more

Abstract read
In one paragraph

Article in International journal of bipolar disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

3 citing papers in PubMed.

  1. The anxious bipolar phenotype: clinical complexity and treatment response.International journal of bipolar disorders · 2026
    Article
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Balwinder Singh *Department of Psychiatry and Psychology, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA. singh.balwinder@mayo.edu.
Ada Man-Choi Ho *Department of Psychiatry and Psychology, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.
Brandon J CoombesDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA.
Francisco Romo-NavaLindner Center of HOPE, Mason, OH, USA.
David J BondDepartment of Psychiatry & Behavioral Sciences, Johns Hopkins University, Baltimore, MD, USA.
Marin VeldicDepartment of Psychiatry and Psychology, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.
Richard S PendegraftDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA.
Anthony BatzlerDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA.
Alfredo B Cuellar-BarbozaDepartment of Psychiatry and Psychology, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.
Manuel Gardea-ReséndezDepartment of Psychiatry and Psychology, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.
Miguel L PrietoDepartment of Psychiatry and Psychology, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.
Aysegul OzerdemDepartment of Psychiatry and Psychology, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.
Susan L McElroyLindner Center of HOPE, Mason, OH, USA.
Joanna M Biernacka *Department of Psychiatry and Psychology, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.
Mark A Frye *Department of Psychiatry and Psychology, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.

Funding

Institutional Career Development CoreKL2TR002379 · NCATS · MAYO CLINIC ROCHESTER · PI NILUFER ERTEKIN-TANER · 2017 to 2026
$14.9M
NCATS NIH HHS KL2 TR002379
6 · The paper itself

Abstract

backgroundResponsiveness to mood-stabilizing pharmacotherapy varies in bipolar disorder (BD). We investigated clinical correlates of second-generation antipsychotic (SGA) treatment response and conducted the first genome-wide association study (GWAS), including exploratory polygenic scores (PGS), of SGA pharmacogenomic treatment response in BD.

methodsTreatment response was quantified using the Alda scale, and GWAS was performed using Alda-A score, controlling for sex, genotyping batch, and the genomic principal components.

resultsThe cohort included 2,159 adults with BD (1,416 BD-I, 691 BD-II, 51 schizoaffective BD), mean age 41.8 years, 62% female, 84% white, and 14% Hispanic. Nearly half (48%) were treated with SGAs. Current SGA users were younger (41.2 ± 14.7 vs. 42.5 ± 15.3 years, p = 0.040), more likely to be Hispanic (14% vs. 11%, p = 0.047), had a higher body mass index (BMI; 30.4 ± 7.6 vs. 29.5 ± 7.1 kg/m

conclusionsSGAs are frequently utilized as mood stabilizers in patients with BD and are associated with manic psychosis and eating disorders. GAS7 variants may predict SGA response, but larger, more diverse cohorts are needed for validation.

Indexed as

AntipsychoticsBipolar disorderPharmacogenomicsTreatment response

Identifiers

PMID41359147
PMCPMC12799845

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.