Pharmacogenomic testing for mental health (Part I): documenting early adopter perceptions of use for eight scenarios.
Beatriz Manzor MitrzykMelissa A PlegueReema KadriShivang U DanakJoseph D HubbardEmily A KaipDana N RobersonVicki L EllingrodKaren B FarrisMack T Ruffin IvMichael S KlinkmanLorraine R BuisPublished in: Personalized medicine (2021)
Aim: We sought to understand how early adopters used pharmacogenomic (PGx) testing for treating depression and attention deficient hyperactivity disorder (ADHD). Patients & methods: We conducted a phone survey with prescribers who had previously ordered an Informed PGx (Progenity, Inc., MI, USA) test. Results: We identified 1037 prescribers in our sampling period. Respondents (n = 64) were predominantly female (61.5%) and in pediatrics (n = 42; 64.6%). PGx testing was used for multiple scenarios (mean 3.3 ± 1.6); the most common was after no response to medication was observed (80%; 51/64). Most respondents state that test results typically reveal an altered metabolizer status. Conclusion: PGx test results ordered by early adopters often reveal altered metabolizers which leads them to change the depression/ADHD medication regimen. Future work should evaluate the clinical utility of PGx testing for depression/ADHD treatment.
Keyphrases
- attention deficit hyperactivity disorder
- working memory
- mental health
- autism spectrum disorder
- depressive symptoms
- healthcare
- climate change
- end stage renal disease
- sleep quality
- genome wide
- ejection fraction
- newly diagnosed
- chronic kidney disease
- single cell
- emergency department
- cross sectional
- prognostic factors
- peritoneal dialysis
- clinical decision support
- current status
- combination therapy