Cited by 23Attention Deficit Hyperactivity DisorderPharmacogenetics and Drug MetabolismNeurotransmitter Receptor Influence on Behavior

Genetic Influence on Efficacy of Pharmacotherapy for Pediatric Attention-Deficit/Hyperactivity Disorder: Overview and Current Status of Research

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Elsayed, Nada A., Yamamoto, Kaila M., Froehlich, Tanya E.·2020·CNS Drugs

Abstract

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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Cited by

Sorted by citations

Authors
Elsayed, N. A., Yamamoto, K. M., & Froehlich, T. E.
Affiliations
Cincinnati Children's Hospital Medical Center (US)
Corresponding author
Froehlich, Tanya E.
Venue
CNS Drugs
Published
2020-03-04
Volume
34
Issue
4
Pages
389-414
ISSN
  • 1172-7047 (ISSN-L)
  • 1179-1934
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
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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