Table 2.
Association Analysis of all Relevant DME Genetic Effects on Optimized Dose in Univariate and Covariance Analyses
| Drug group | Gene & variant | Main effect | Analysis of covariance |
|
|---|---|---|---|---|
| Effect size † | p-value | p-value | ||
| Perphenazine | CYP2D6_combined | β = +0.33 | 0.30 | 0.22 |
| CYP1A2*1F | β= +0.17 | 0.30 | * | |
| CYP2C8_combined | β= −0.33 | 0.13 | * | |
| CYP2C9_combined | β= −0.08 | 0.71 | * | |
| CYP2C19*2 | β= −0.001 | 0.99 | * | |
| Risperidone | CYP2D6_combined | β = −0.07 | 0.64 | 0.17 |
| CYP3A5_combined | β= −0.12 | 0.24 | 0.49 | |
| CYP3A4*1B | β= −0.06 | 0.53 | * | |
| ABCB1_combined | β= −0.12 | 0.20 | 0.81 | |
| Olanzapine | CYP1A2*1F | β= −0.15 | 0.11 | 0.08 |
| FMO3_combined | β= −0.05 | 0.56 | 0.54 | |
| UGT1A4_combined | β= +0.07 | 0.58 | * | |
| CYP3A5_combined | β= −0.002 | 0.98 | * | |
| CYP1A4*1B | β= +0.08 | 0.35 | * | |
| CYP2D6_combined | β = −0.06 | 0.64 | * | |
| Quetiapine | CYP3A5_combined | β= +0.03 | 0.79 | 0.46 |
| CYP3A4*1B | β= +0.05 | 0.60 | * | |
| ABCB1_combined | β= −0.001 | 0.99 | * | |
| CYP2D6_combined | β = −0.04 | 0.78 | * | |
| CYP2C9_combined | β= −0.01 | 0.94 | * | |
| Ziprasidone | CYP3A5_combined | β= −0.15 | 0.21 | 0.34‡ |
| CYP3A4*1B | β= −0.1 | 0.40 | * | |
| ABCB1_combined | β= +0.02 | 0.88 | * | |
β is the slope of the linear regression model defined by Y = α + β × X, where Y is optimized dose and X is the genetic factor tested. Annotation of “gene_combined” relates to the sum functionality of the gene as reflected by the two haplotypes individuals carry (defined in Supplementary Materials and Methods, Table 3).
Asterisks denote variants which were considered as potential covariates in the step-wise regression model.
Nominal p-values are reported.
Main effects are registered in reference to the lower/absent enzymatic activity genotypes, expecting the effect to be positive (i.e. lower activity genotypes are expected to settle on lower optimized doses).
Race-by-gene interaction term was statistically significant (p=0.04) in the ziprasidone cohort, but a multivariate analysis in each race group separately yielded p= 0.36 and 0.12 for African-Americans and Caucasians, respectively.