Table 3.
Association Analysis of DME Genetic Effects with Safety and Efficacy Phenotypes in Each of the Tested Drug Cohorts: (a) Olanzapine; (b) Perphenazine; (c) Quetiapine; (d) Risperidone; (e) Ziprasidone
| (a) Olanzapine | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| CYP1A2 *1F |
p-value (Pearson/ Fisher’s exact) |
p-value (L-R test) |
FMO3 | p-value (Pearson/ Fisher’s exact) |
p-value (L-R test) |
||||||
| Genotype | LL | HL | HH | MM | MN | NN | |||||
|
Safety
test |
Disc. Due to ADRs | 5 | 25 | 28 | 0.92 | 0.42 | 16 | 22 | 21 | 0.24 | 0.73* |
| Treatment completion |
13 | 52 | 58 | 21 | 58 | 45 | |||||
|
Efficacy
test |
Disc. Due to inadequate efficacy |
4 | 6 | 15 | 0.22 | 0.51 | 4 | 13 | 8 | 0.89 | 0.78 |
| Treatment completion |
13 | 52 | 58 | 21 | 58 | 45 | |||||
| (b) Perphenazine | ||||||
|---|---|---|---|---|---|---|
| CYP2D6 | p-value (Pearson/ Fisher’s exact) |
p-value (L-R test) |
||||
| Genotype | PM | IM | EM | |||
| Safety test | Disc. Due to ADRs | 1 | 5 | 18 | 0.13 | 0.93 |
| Treatment completion | 0 | 5 | 46 | |||
|
Efficacy
test |
Disc. Due to inadequate efficacy |
0 | 0 | 20 | 0.31 | 0.09 |
| Treatment completion | 0 | 5 | 46 | |||
| (c) Quetiapine | ||||||
|---|---|---|---|---|---|---|
| CYP3A5 | p-value (Pearson/ Fisher’s exact) |
p-value (L-R test) |
||||
| Genotype | MM | MN | NN | |||
| Safety test | Disc. Due to ADRs | 26 | 11 | 9 | 0.54 | 0.08 |
| Treatment completion | 41 | 13 | 8 | |||
|
Efficacy
test |
Disc. Due to inadequate efficacy |
33 | 11 | 5 | 0.9 | 0.02 |
| Treatment completion | 41 | 13 | 8 | |||
| (d) Risperidone | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| CYP2D6 | p-value (Pearson/ Fisher’s exact) |
p-value (L-R test) |
CYP3A5 | p-value (Pearson/ Fisher’s exact) |
p-value (L-R test) |
||||||
| Genotype | PM | IM | EM | MM | MN | NN | |||||
|
Safety
test |
Disc. Due to ADRs | 2 | 7 | 27 | 0.08 | 0.44 | 24 | 6 | 7 | 0.11 | 0.65 |
| Treatment completion |
5 | 7 | 87 | 63 | 28 | 8 | |||||
|
Efficacy
test |
Disc. Due to inadequate efficacy |
1 | 3 | 42 | 0.91 | 0.64 | 24 | 17 | 5 | 0.42 | 0.04 |
| Treatment completion |
5 | 7 | 87 | 63 | 28 | 8 | |||||
| (e) Ziprasidone | ||||||
|---|---|---|---|---|---|---|
| CYP3A5 | p-value (Pearson/ Fisher’s exact) |
p-value (L-R test) |
||||
| Genotype | MM | MN | NN | |||
| Safety test | Disc. Due to ADRs | 19 | 8 | 5 | 0.6 | 0.77 |
| Treatment completion | 33 | 9 | 5 | |||
|
Efficacy
test |
Disc. Due to inadequate efficacy |
13 | 7 | 3 | 0.5 | 0.08 |
| Treatment completion | 33 | 9 | 5 | |||
Abbreviations: Disc, Discontinuation; M, Mutant/lower activity allele; N, normal/higher activity allele; L, lower inducibility variant; H, higher inducibility allele; L-R, logistic regression.
Race-by-gene interaction term for FMO3 in the Olanzapine cohort was statistically significant in the safety test (p=0.05). Each race group was therefore analyzed separately, with the African-American group (N=59) reaching p=0.013.