Table 3. Atypical antipsychotic studies: genetic associations with efficacy outcomes.
Author, year | Design | Black/Total N | Condition(s)a Drug(s)b | Variants and relative directionality of effect on efficacy among Blacksc |
Li 201850 | Pooled trials | 219/587 | Sz; L | ↑ (STXBP5L variants);↓Eff (CTNNA2 SNP) |
Li 201851 | Pooled trials | 195/429 | Sz; L | = (multiple genes and SNPs) |
Hwang 2012, 2011, 2010, 2007, 2006, 200542–47 | Pooled studies | 98/426 | Sz; C,O,R,H | ↓ (120-bp repeat and (G)n repeat, DRD4); θ (48-bp repeat, DRD4; DRD1 haplotype); ↑ (DRD1 genotype and haplotype; SNPs and haplotypes, DRD2) |
Fijal 200948 | RCT, post hoc | 78/153 | Sz,Sa; R | ↑ PANSS negative symptom change (COMT SNP); = PANSS total score change (GRM3 SNP); θ PANSS positive symptom change (GRM3 SNP) |
Zuo 200941 | RCT | 54/181 | Sz; H,C | θ (DTNBP1 haplotype, diplotype); ↑ (clozapine; DTNBP1 SNP); ↑ (haloperidol; DTNBP1 SNP) |
Campbell 200849 | RCT, post hoc | 198/678 | Sz;P,Z,O,R,Q | ↑ (RGS4 SNP) |
Muller 200540 | Pooled cohorts | 57/145 | Sz; C,H,O,R | θ (GNB3 SNP) |
Key: ↑ increased efficacy; ↓ decreased efficacy; =equal efficacy; θ genetic effect on efficacy found in another group not found among Blacks; bp, base pair; PANSS, Positive and Negative Syndrome Scale; RCT, randomized controlled trial; SNP, single nucleotide polymorphism.
a. Sa, schizoaffective disorder; Sz, schizophrenia.
b. A, aripiprazole; C, clozapine; H, haloperidol; L, lurasidone; O, olanzapine; P, perphenazine; Q, quetiapine; R, risperidone; Z, zuprasidone.
c. Compared with other racial and/or ethnic groups.