Analytical validation of a psychiatric pharmacogenomic test

Per Med. 2018 May 1;15(3):189-197. doi: 10.2217/pme-2017-0094. Epub 2018 Feb 7.

Abstract

Aim: The aim of this study was to validate the analytical performance of a combinatorial pharmacogenomics test designed to aid in the appropriate medication selection for neuropsychiatric conditions.

Materials & methods: Genomic DNA was isolated from buccal swabs. Twelve genes (65 variants/alleles) associated with psychotropic medication metabolism, side effects, and mechanisms of actions were evaluated by bead array, MALDI-TOF mass spectrometry, and/or capillary electrophoresis methods (GeneSight Psychotropic, Assurex Health, Inc.).

Results: The combinatorial pharmacogenomics test has a dynamic range of 2.5-20 ng/μl of input genomic DNA, with comparable performance for all assays included in the test. Both the precision and accuracy of the test were >99.9%, with individual gene components between 99.4 and 100%.

Conclusion: This study demonstrates that the combinatorial pharmacogenomics test is robust and reproducible, making it suitable for clinical use.

Keywords: analytical validation; combinatorial pharmacogenomics; genetic testing; neuropsychiatric conditions; pharmacogenomics.

MeSH terms

  • Algorithms
  • DNA / analysis
  • Gene Frequency
  • Humans
  • Mental Disorders / drug therapy
  • Mental Disorders / genetics*
  • Pharmacogenomic Testing / methods*
  • Pharmacogenomic Variants
  • Psychotropic Drugs / pharmacokinetics*

Substances

  • Psychotropic Drugs
  • DNA