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. 2021 Aug 12;21(13):1–214.

Table A27:

Risk Difference in Response for Pharmacogenomic-Guided Medication Selection Compared With Treatment as Usual Based on HAM-D17

Author, Year Follow-Up (wk) (N PGx/TAU) % Response Risk Difference (95% CI) P Valueb
PGx TAU
GeneSight
Greden et al, 201957 8 Alla: 621/678
PPa: 560/607
26.1
26
19.8
19.9
0.06 (0.02, 0.11)b
0.06 (0.01, 0.11)b
.007b
.01b
Winner et al, 201365 10 25/24 36 20.8 0.15 (−;0.10, 0.40)b .23b
Hall-Flavin et al, 201355 8 72/93 43.1 26.9 0.16 (0.02, 0.31)b .03b
Neuropharmagen
Han et al, 201860
Perez et al, 201762
8
12
NR
141/139
64.7
45.4
39.6
40.3
NR
0.05 (−;0.06, 0.17)b
.014c
.39b
Genecept
Perlis et al, 202061 8 146/150 39.7 48 –0.08 (−;0.20, 0.03)b .17
NeuroIDgenetix
Bradley et al, 201858 12
8
140/121d
140/121d
64
49
46
41
0.17 (0.05, 0.29)b,d
0.08 (−;0.4, 0.20)b,d
.0045b
.20b
Unspecified Test
Shan et al, 201963 8 ITT: 31/40
PP: 21/27
74.2
90.5
57.5
70.4
0.17 (−;0.05, 0.38)b
0.20 (−;0.01, 0.41)b
.144
.152

Abbreviations: CI, confidence interval; HAM-D17, 17-item Hamilton Depression Rating Scale; ITT, intent to treat; NR, not reported; PGx, pharmacogenomic-guided treatment; PP, per protocol; RR, relative risk, TAU, treatment as usual.

a

Full cohort included all patients who met eligibility criteria. Per-protocol cohort excluded patients with score of < 14 on HAM-D17 at baseline and patients with protocol violations or whose clinicians did not view pharmacogenomic report before baseline. Only patients who completed 8-week follow-up were included in both analyses.

b

Calculated from data provided in study. Estimates might vary from publication owing to variation in statistical analyses used or rounding differences.

c

P value is provided for difference in proportions and might not reflect risk difference.

d

Only patients with moderate and severe depression were included in analysis (excluded mild depression).