Pharmacogenomic testing for mental health (Part I): documenting early adopter perceptions of use for eight scenarios

Per Med. 2021 May;18(3):223-232. doi: 10.2217/pme-2020-0083. Epub 2021 Mar 17.

Abstract

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.

Keywords: adverse effects; altered metabolizer status; clinical decision support; cost; early adopters; medication selection; patient confidence; quantitative; survey.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Attention Deficit Disorder with Hyperactivity / drug therapy*
  • Attention Deficit Disorder with Hyperactivity / genetics
  • Attitude of Health Personnel*
  • Cytochrome P-450 Enzyme System / genetics*
  • Depression / drug therapy*
  • Depression / genetics
  • Female
  • Humans
  • Male
  • Mental Health
  • Middle Aged
  • Pharmacogenomic Testing / statistics & numerical data*

Substances

  • Cytochrome P-450 Enzyme System