AI Article Synopsis

  • A study was conducted to evaluate how effective and safe pharmacogenomics (PGx) is for prescribing antidepressants in depressed patients by reviewing existing research and conducting a meta-analysis.
  • The analysis included a thorough search of major databases, revealing that patients on PGx-guided medications had a significantly higher likelihood of achieving remission (41%-78% more likely) and responding to treatment (20%-49% more likely) compared to those receiving standard treatment.
  • While PGx-guided prescribing shows promise in enhancing depression treatment, the benefits can differ greatly depending on the specific studies and the types of PGx tests used.

Article Abstract

Aim: To determine the efficacy and safety of pharmacogenomics (PGx)-guided antidepressant prescribing in patients with depression through an umbrella review and updated meta-analysis.

Methods: A comprehensive systematic search was conducted on PsycINFO, PubMed, Embase and the Cochrane databases. The pooled effect sizes of randomized controlled trials (RCTs) were expressed as mean differences for continuous data and risk ratios for noncontinuous data.

Results: Patients who received PGx-guided medications were 41% to 78% more likely to achieve remission and 20% to 49% more likely to respond to antidepressants than patients receiving treatment-as-usual (TAU).

Conclusion: PGx-guided antidepressant prescribing improves the treatment of depression. However, the significance and magnitude of the benefit varies widely between studies and different PGx testing panels.

Systematic Review Registration: https://www.crd.york.ac.uk/prospero/, identifier CRD42022321324.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11289719PMC
http://dx.doi.org/10.3389/fpsyt.2024.1276410DOI Listing

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