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.