Lack of Association of Generic Brittle Status with Genetics and Physiologic Measures in Patients with Epilepsy.

Abstract:

PURPOSE:A patient was denoted to be generic brittle (GB) if they had a negative opinion about generics (e.g. prior history of a switch problem) or took the innovator brand of their most problematic anti-epileptic drug (AED) when generic was available. The aim of this hypothesis-generating study was to assess possible genetic and physiologic differences between GB and not GB patients with epilepsy. METHODS:Patients (n = 148) with epilepsy were previously characterized as being either GB or not GB. Blood was collected from each subject for genotyping and physiologic testing. Genotyping for 24 single nucleotide polymorphisms (SNPs) and two copy number variants (CNVs) was performed across 12 genes in each patient. Forty-four physiologic tests were conducted in each patient. Chi square analysis was performed to assess for associations between genotyping results and GB status, as well as between physiologic test results and GB status. RESULTS:No SNP or CNV discriminated GB status in genetic analysis (genotype or allele frequency). Physiologic test results in this study were not associated with GB status. CONCLUSIONS:Questions from neurologists and patients about generics is frequently based on applicability of generic drug standards to individual subjects. However, findings here in patients with epilepsy did not uncover genetic or physiologic reasons that explained which patients were GB and which were not GB.

journal_name

Pharm Res

journal_title

Pharmaceutical research

authors

Das S,Guo D,Jiang X,Jiang W,Shu Y,Ting TY,Polli JE

doi

10.1007/s11095-020-2781-6

subject

Has Abstract

pub_date

2020-02-26 00:00:00

pages

60

issue

3

eissn

0724-8741

issn

1573-904X

pii

10.1007/s11095-020-2781-6

journal_volume

37

pub_type

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