Letter to the FDA Proposing Major Changes in the US Clozapine Package Insert Supported by Clozapine Experts Worldwide. Part I a Review of the Pharmacokinetic Literature and Proposed Changes

Authors

Jose de Leon, University of Kentucky College of Medicine
Ross J. Baldessarini, McLean Hospital
Richard Balon, Wayne State University
John Bilbily, Washington University School of Medicine in St. Louis
Stanley N. Caroff, VA Medical Center
Leslie Citrome, New York Medical College
Christoph U. Correll, Zucker Hillside Hospital
Robert O. Cotes, Emory University School of Medicine
John M. Davis, University of Illinois at Chicago
Lynn E. DeLisi, Harvard Medical School
Justin Faden, Lewis Katz School of Medicine
Oliver Freudenreich, Harvard Medical School
David R. Goldsmith, Emory University School of Medicine
Ronald Gurrera, Harvard Medical School
Richard C. Josiassen, Translational Neuroscience, LLC
John M. Kane, Zucker Hillside Hospital
Deanna L. Kelly, Maryland Psychiatric Research Center
Matcheri S. Keshavan, Harvard Medical School
Robert S. Laitman, Bronx Westchester Medical Group
Y. W.Francis Lam, Joe R. & Teresa Lozano Long School of Medicine
Jonathan G. Leung, Mayo Clinic
Raymond C. Love, University of Maryland School of Pharmacy
Betsy McCollum, Eastern State Hospital
Ian R. McGrane, University of Montana
Jonathan Meyer, Department of Psychiatry
Henry A. Nasrallah, University of Cincinnati
Frederick C. Nucifora, Johns Hopkins University School of Medicine
Anthony J. Rothschild, University of Massachusetts Chan Medical School
Jose M. Rubio, Zucker Hillside Hospital
Martha Sajatovic, CASE School of Medicine
Deepak K. Sarpal, University of Pittsburgh School of Medicine
Georgios Schoretsanitis, Zucker Hillside Hospital

Author Type(s)

Student

Document Type

Article

Publication Date

5-1-2025

DOI

10.1097/JCP.0000000000001987

Journal Title

Journal of Clinical Psychopharmacology

Keywords

clozapine/blood, clozapine/metabolism, clozapine/pharmacokinetics, drug interactions, drug labeling

Disciplines

Medicine and Health Sciences

Abstract

Purpose/Background: Clozapine was approved in the United States (US) using 1989 regulations and knowledge. After 30 years, many sections of the US package insert (PI) are outdated. Methods: We comprehensively reviewed the literature to propose PI updates. We present the information in 2 articles. In Part I, we focus on basic pharmacology based on 407 relevant articles. Part II focuses on clinical aspects and pharmacovigilance. Findings/Results: Based on more recent expectations of Food and Drug Administration regulations, we reviewed clozapine basic pharmacology including the following: 1) clearance, 2) pharmacokinetics and pharmacodynamics, and 3) monitoring tools. We identified 9 major problems in the basic pharmacological sections of the PI including the following: 1) in vivo studies indicate that clozapine is dependent on CYP1A2 for its metabolism, 2) the minor role of CYP2D6 in clozapine metabolism requires removing the PI recommendation to lower clozapine doses in CYP2D6 poor metabolizers, 3) in nontoxic concentrations CYP3A4 has a minor role in clozapine metabolism and potent CYP3A4 inhibitors lack clinically relevant effects, 4) several drug-drug interactions need to be updated based on recent literature, 5) systemic inflammation may decrease clozapine metabolism and increase the risk of clozapine intoxication, 6) obesity may decrease clozapine metabolism, 7) patients of Asian and Indigenous American ancestry need lower clozapine doses, 8) personalized titration and c-reactive protein monitoring should be considered until prospective studies are available, and 9) the half-life section needs to be modified to acknowledge that single dosing at night is frequent in the US. Implications/Conclusions: An improvement in the US clozapine PI may lead to improvement in PIs worldwide.

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