Table 2 Parameters in patients treated with dose personalization based on quantification of Escitalopram plasma levels.

From: Effectiveness and safety of escitalopram treatment personalized based on therapeutic drug monitoring of drug plasma concentration: a prospective cohort study

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Timepoint

Inadequate drug level

Unadjusted dose

Adjusted dose

P-value

HAM-D

Baseline

22.5 ± 3.2 (100%)

21.8 ± 2.2 (100%)

21.0 ± 1.2 (100%)

< 0.0001

4 weeks

16.4 ± 3.1 (73 ± 14%)

11.9 ± 3.7 (54 ± 17%)

13.4 ± 1.7 (62 ± 8%)

8 weeks

11.4 ± 3.6 (50 ± 16%)

7.1 ± 3.3 (32 ± 15%)

10.6 ± 1.9 (52 ± 9%)

HAM-A

Baseline

24.1 ± 4.7 (100%)

24.2 ± 3.1 (100%)

24.1 ± 2.1 (100%)

< 0.0001

4 weeks

17.3 ± 5.2 (71 ± 22%)

14.4 ± 4.9 (58 ± 20%)

16.1 ± 2.4 (67 ± 10%)

8 weeks

12.4 ± 4.7 (50 ± 20%)

8.8 ± 4.0 (37 ± 17%)

13.4 ± 2.4 (54 ± 10%)

CGI-S

Baseline

4.7 ± 0.4

4.3 ± 0.3

4.4 ± 0.2

< 0.0001

4 weeks

3.8 ± 0.8

2.6 ± 0.7

3.0 ± 0.3

8 weeks

2.8 ± 0.9

1.8 ± 0.5

2.4 ± 0.3

CGI-I

4 weeks

2.5 ± 0.7

1.8 ± 0.6

2.1 ± 0.3

< 0.0001

8 weeks

1.8 ± 0.6

1.4 ± 0.4

1.9 ± 0.3

QTc interval (ms)

Baseline

392.6 ± 10.1

402.9 ± 8.3

399.5 ± 4.9

0.0041

4 weeks

395.1 ± 9.9 (2.5 ± 7.1)

406.2 ± 8.2 (3.2 ± 7.5)

399.5 ± 4.7 (0.0 ± 3.6)

8 weeks

395.3 ± 8.9 (2.7 ± 10)

410.2 ± 7.4 (7.2 ± 6.6)

406.2 ± 4.4 (6.7 ± 3.9)

Heart rate (bpm)

Baseline

75.5 ± 9.6

69.8 ± 4.8

76.2 ± 3.5

0.013

4 weeks

69.7 ± 7.0 (−5.8 ± 6.4)

69.2 ± 5.2 (−0.7 ± 5.3)

73.4 ± 3.5 (−2.8 ± 3.2)

8 weeks

70.5 ± 6.0 (−4.9 ± 7.8)

68.1 ± 5.0 (−1.8 ± 4.9)

72.3 ± 2.8 (−3.9 ± 2.8)

Mean arterial pressure (mmHg)

Baseline

90.2 ± 4.8

91.9 ± 5.0

89.3 ± 2.4

0.069

4 weeks

88.4 ± 4.4 (−1.8 ± 3.3)

88.9 ± 5.5 (−3.0 ± 5.1)

89.8 ± 2.2 (0.5 ± 2.3)

8 weeks

88.0 ± 5.3 (−2.2 ± 4.6)

87.9 ± 4.4 (−3.9 ± 4.3)

88.9 ± 2.8 (−0.4 ± 2.6)

  1. HAM-D = Hamilton Rating Scale for Depression. HAM-A = Hamilton Rating Scale for Anxiety. CGI-S = Clinical Global Impression of Severity Scale. CGI-I = Clinical Global Impression of Improvement Scale. Data are presented as means ± 95%CI for HAM-D, HAM-A, CGI-S, CGI-I, QTc interval, heart rate, and mean arterial pressure.