Association of dopamine-related genetic loci to dopamine D3 receptor antagonist ABT-925 clinical response

ABT-925, a selective dopamine D 3 receptor (DRD3) antagonist, was tested in schizophrenia. A DRD3 gene polymorphism results in an S9G amino-acid change that has been associated with lower risk of schizophrenia, higher affinity for dopamine and some antipsychotics, and differential response to some a...

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Veröffentlicht in:Translational psychiatry 2013-04, Vol.3 (4), p.e245-e245
Hauptverfasser: Bhathena, A, Wang, Y, Kraft, J B, Idler, K B, Abel, S J, Holley-Shanks, R R, Robieson, W Z, Spear, B, Redden, L, Katz, D A
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container_end_page e245
container_issue 4
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container_title Translational psychiatry
container_volume 3
creator Bhathena, A
Wang, Y
Kraft, J B
Idler, K B
Abel, S J
Holley-Shanks, R R
Robieson, W Z
Spear, B
Redden, L
Katz, D A
description ABT-925, a selective dopamine D 3 receptor (DRD3) antagonist, was tested in schizophrenia. A DRD3 gene polymorphism results in an S9G amino-acid change that has been associated with lower risk of schizophrenia, higher affinity for dopamine and some antipsychotics, and differential response to some antipsychotics. The effect of S9G genotype on response to ABT-925 was examined. DNA samples ( N =117) were collected in a proof-of-concept, double-blind, randomized, placebo-controlled study of ABT-925 (50 or 150 mg QD) in acute exacerbation of schizophrenia. A pre-specified analysis assessed impact of genotype (SS versus SG+GG) on change from baseline to final evaluation for the Positive and Negative Syndrome Scale (PANSS) total score using analysis of covariance with genotype, treatment and genotype-by-treatment interaction as factors, and baseline score as covariate. Significant genotype-by-treatment interaction ( P =0.015) was observed for change from baseline to final evaluation for the PANSS total score. Within subgroup analyses showed significant improvement from placebo in the SG+GG group treated with ABT-925 150 mg. More favorable clinical outcomes were observed in patients treated with ABT-925 150 mg who carried the DRD3 G allele than in those who carried the DRD3 SS genotype.
doi_str_mv 10.1038/tp.2013.22
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A DRD3 gene polymorphism results in an S9G amino-acid change that has been associated with lower risk of schizophrenia, higher affinity for dopamine and some antipsychotics, and differential response to some antipsychotics. The effect of S9G genotype on response to ABT-925 was examined. DNA samples ( N =117) were collected in a proof-of-concept, double-blind, randomized, placebo-controlled study of ABT-925 (50 or 150 mg QD) in acute exacerbation of schizophrenia. A pre-specified analysis assessed impact of genotype (SS versus SG+GG) on change from baseline to final evaluation for the Positive and Negative Syndrome Scale (PANSS) total score using analysis of covariance with genotype, treatment and genotype-by-treatment interaction as factors, and baseline score as covariate. Significant genotype-by-treatment interaction ( P =0.015) was observed for change from baseline to final evaluation for the PANSS total score. Within subgroup analyses showed significant improvement from placebo in the SG+GG group treated with ABT-925 150 mg. More favorable clinical outcomes were observed in patients treated with ABT-925 150 mg who carried the DRD3 G allele than in those who carried the DRD3 SS genotype.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>23571810</pmid><doi>10.1038/tp.2013.22</doi><oa>free_for_read</oa></addata></record>
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subjects 631/92/436/434
692/699/476/1799
Adolescent
Adult
Aged
Alleles
Antipsychotic Agents - therapeutic use
Behavioral Sciences
Biological Psychology
Catechol O-Methyltransferase - genetics
Dopamine Antagonists - therapeutic use
Dose-Response Relationship, Drug
Double-Blind Method
Female
Genotype
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Neurosciences
Original
original-article
Pharmacotherapy
Piperazines - therapeutic use
Polymorphism, Single Nucleotide - genetics
Psychiatric Status Rating Scales
Psychiatry
Pyrimidines - therapeutic use
Receptors, Dopamine D3 - genetics
Schizophrenia - drug therapy
Schizophrenia - genetics
Treatment Outcome
Young Adult
title Association of dopamine-related genetic loci to dopamine D3 receptor antagonist ABT-925 clinical response
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