Genetic Influence on Efficacy of Pharmacotherapy for Pediatric Attention-Deficit/Hyperactivity Disorder: Overview and Current Status of Research
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Multiple stimulant and non-stimulant medications are approved for the treatment of attention-deficit/hyperactivity disorder (ADHD), one of the most prevalent childhood neurodevelopmental disorders. Choosing among the available agents and determining the most effective ADHD medication for a given child can be a time-consuming process due to the high inter-individual variability in treatment efficacy. As a result, there is growing interest in identifying predictors of ADHD medication response in children through the burgeoning field of pharmacogenomics. This article reviews childhood ADHD pharmacogenomics efficacy studies published during the last decade (2009-2019), which have largely focused on pharmacodynamic candidate gene investigations of methylphenidate and atomoxetine response, with a smaller number investigating pharmacokinetic candidate genes and genome-wide approaches. Findings from studies which have advanced the field of ADHD pharmacogenomics through investigation of meta-analytic approaches and gene-gene interactions are also overviewed. Despite recent progress, no one genetic variant or currently available pharmacogenomics test has demonstrated clinical utility in pinpointing the optimal ADHD medication for a given individual patient, highlighting the need for further investigation.
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No clear guidelines have been developed for pharmacogenomics of MPH and there is still much to understand.
“no clear guidelines have been developed and there is still much to understand in this regard [50].”
From Molecular Characterisation of the Mechanism of Action of Stimulant Drugs Lisdexamfetamine and Methylphenidate on ADHD Neurobiology: A Review (2022) · cites this paper as [50]
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Sorted by citations
Quintero, J., Gutiérrez-Casares, J. R., & Álamo, C. (2022) · Neurology and Therapy · doi:10.1007/s40120-022-00392-2 · Cited by 70 · see citing works
“Although the research in this field has been increasing in recent years, and has the potential to affect prescription and possibly improve the outcomes of patients with ADHD [49], no clear guidelines have been developed and there is still much to understand in this regard [50].”
Background
- Authors
- Elsayed, N. A., Yamamoto, K. M., & Froehlich, T. E.
- Affiliations
- Cincinnati Children's Hospital Medical Center (US)
- Corresponding author
- Froehlich, Tanya E.
- ORCID
- Froehlich, Tanya E.
- Venue
- CNS Drugs
- Published
- 2020-03-04
- Volume
- 34
- Issue
- 4
- Pages
- 389-414
- ISSN
- 1172-7047 (ISSN-L)
- 1179-1934
- PMC
- PMC8083895
- OpenAlex
- W3010185637
- Cited by
- 23
- References
- 22
- Citations by year
- 2026: 2 · 2025: 2 · 2023: 7 · 2022: 11 · 2021: 1
- FWCI
- 0.79
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- CNS Drugs (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R01MH105425)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacogenetics and Drug Metabolism
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Keywords
- attention deficit hyperactivity disorder, pharmacogenomics, children with ADHD, stimulant medication, methylphenidate, atomoxetine, candidate genes, pharmacokinetic genes, gene-gene interaction, treatment response prediction, genome-wide association study, meta-analysis
- MeSH terms
- Animals, Attention Deficit Disorder with Hyperactivity, Child, Pharmaceutical Preparations, Humans, Pharmacogenetics, Genetic Variation
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