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. 2020 Nov 25;78(3):1–11. doi: 10.1001/jamapsychiatry.2020.3643

Table 3. Detailed Statistical Report of the Association of Metabolism Status With Antipsychotic and Antidepressant Exposure.

Drug Enzyme No. of studies No. of patients by metabolism group RoM (95% CI) P value I2 value, %
Reference Comparator
Antipsychotics
Aripiprazole CYP2D6 5 693 NM 90 PM 1.51 (1.38-1.65) <.001 0
CYP2D6 9 664 NM 134 IM 1.47 (1.38-1.57) <.001 65
CYP2D6 12 814 NM 224 PM plus IM 1.48 (1.41-1.56) <.001 56
Clozapine CYP2D6 1 22 NM 4 PM 1.00 (0.43-2.32) >.99 NA
CYP2D6 2 33 NM 15 IM 1.22 (0.79-1.88) .51 0
CYP2C19 2 70 NM 8 PM 1.92 (1.32-2.79) .008 0
CYP2C19 4 127 NM 65 IM 1.00 (0.84-1.19) .84 10
Haloperidol CYP2D6 4 267 NM 46 PM 1.68 (1.40-1.91) <.001 21
CYP2D6 9 265 NM 158 IM 1.14 (1.05-1.25) .003 0
Quetiapine CYP2D6 1 171 NM 20 PM 1.32 (1.10-1.58) <.001 NA
Risperidone CYP2D6 13 937 NM 172 PM 1.40 (1.30-1.50) <.001 17
CYP2D6 11 469 NM 186 IM 1.31 (1.20-1.43) <.001 44
CYP2D6 23 1134 NM 358 PM plus IM 1.36 (1.28-1.44) <.001 34
Antidepressants
Amitriptyline CYP2D6 1 17 NM 4 PM 1.04 (0.65-1.68) .86 NA
CYP2D6 2 26 NM 9 IM 1.50 (1.23-1.84) <.001 0
CYP2C19 1 4 NM 6 PM 1.07 (0.81-1.41) .58 NA
CYP2C19 1 30 NM 18 IM 1.06 (0.89-1.25) .50 NA
Escitalopram CYP2C19 4 1110 NM 152 PM 2.63 (2.40-2.89) <.001 84
CYP2C19 4 1110 NM 760 IM 1.38 (1.28-1.48) <.001 86
Fluvoxamine CYP2D6 6 74 NM 72 IM 1.52 (1.23-1.89) <.001 0
CYP2C19 1 6 NM 6 IM 0.87 (0.31-2.45) .77 NA
CYP2C19 1 6 NM 6 PM 0.90 (0.31-2.65) .84 NA
Fluoxetine CYP2D6 1 8 NM 3 PM 2.26 (1.68-2.83) <.001 NA
CYP2C19 1 4 NM 6 PM 2.94 (2.36-3.67) <.001 NA
CYP2C19 2 71 NM 27 IM 1.48 (1.24-1.76) <.001 13
Mirtazapine CYP2D6 4 125 NM 19 PM 1.39 (1.23-1.57) <.001 64
CYP2D6 1 17 NM 14 IM 1.51 (1.20-1.91) .010 NA
Nortriptyline CYP2D6 1 5 NM 4 PM 3.32 (2.08-5.29) <.001 NA
CYP2D6 3 23 NM 14 IM 2.36 (2.10-2.65) <.001 74
Paroxetine CYP2D6 2 62 NM 11 PM 5.13 (3.82-6.87) <.001 85
CYP2D6 3 27 NM 14 IM 3.50 (2.52-4.85) <.001 0
Sertraline CYP2C19 3 565 NM 352 IM 1.38 (1.27-1.51) <.001 0
CYP2C19 2 537 NM 40 PM 2.70 (2.15-3.39) <.001 0
Venlafaxine CYP2D6 6 486 NM 120 PM 1.18 (1.04-1.33) .01 50
CYP2D6 3 436 NM 87 IM 1.14 (1.03-1.26) .009 70
CYP2D6 8 509 NM 207 PM plus IM 1.19 (1.09-1.29) <.001 40
CYP2C19 1 422 NM 21 PM 2.13 (1.54-2.93) <.001 NA
CYP2C19 1 422 NM 247 IM 1.19 (1.11-1.31) <.001 NA

Abbreviations: IM, intermediate metabolizer; NA, not applicable; NM, normal metabolizer; PM, poor metabolizer; RoM, ratio of means.