Evidence map›Paper›PMID 20462345›Full record

ReviewFuture cardiology2010

Implementing genotype-guided antithrombotic therapy.

Richard L Seip, Jorge Duconge, Gualberto Ruaño

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Future cardiology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01318057 (Pharmacogenetics of Warfarin in Puerto Rican Patients Using a Physiogenomics Approach.), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.5field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01318057 completednot on this mapstarted 2011, after this paper: background citation

Pharmacogenetics of Warfarin in Puerto Rican Patients Using a Physiogenomics Approach.

TypeobservationalSponsorUniversity of Puerto RicoRan2011 to 2014Enrolled350ConditionsAtrial Fibrillation, Deep Vein Thrombosis, Cardiac Valvular Insufficiency, Antiphospholipid Syndrome
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 28 citations in OpenAlex.

  1. Challenges and prospects ofFrontiers in pharmacology · 2026
    Review
  2. Anti-platelet Therapy Resistance - Concept, Mechanisms and Platelet Function Tests in Intensive Care Facilities.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2016
    Article
  3. Pharmacogenetics of drug-metabolizing enzymes in US Hispanics.Drug metabolism and personalized therapy · 2015
    Review
  4. Review
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Article
  10. Antiplatelet resistance in stroke.Expert review of neurotherapeutics · 2011
    Review
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 2 countries.

Richard L SeipGenomas, Inc., 67 Jefferson Street, Hartford, CT 06106, USA.
Jorge Duconge
Gualberto Ruaño
Genomas (United States) · USHartford Hospital · USUniversity of Puerto Rico System · PR

Funding

SUPPLEMENT FOR RENOVATION OF ANIMAL FACILITIES AT INSTITUTE OF NEUROBIOLOGYG12RR003051 · NCRR · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI FERNANDEZ-REPOLLET, EMMA · 1986 to 2011
$28.1M
System for DNA-Guided Optimization and Personalization of Statin TherapyR44GM085201 · NIGMS · GENOMAS, INC. · PI RUANO, GUALBERTO · 2008 to 2013
$2.8M
UPRMSC Extramural Associate Research Development ProgramG11HD046326 · NICHD · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI HERNANDEZ, LESBIA HERNANDEZ · 2004 to 2008
$403k
NCRR NIH HHS G12 RR003051NCRR NIH HHS G12RR-03051NICHD NIH HHS G11 HD046326NIGMS NIH HHS 5 R44 GM085201NIGMS NIH HHS R44 GM085201PHS HHS 5G11HDO46326
6 · The paper itself

Abstract

Genotyping has the potential to improve the efficacy and safety of major antithrombotic drugs. For warfarin, the stable maintenance dose varies from 1-10 mg/day. The VKORC1 -1639G>A allele and the CYP2C9*2 and *3 alleles (cumulative frequency: 90% in Asians, 65% in Europeans and 20% in Africans), explain 45% of response variability in European and 30% in African populations. The large clinical trials COAG and EU-PACT will define the extent to which pharmacogenetic dosing affects the safety and efficacy of warfarin and coumarin derivatives. The platelet inhibitor clopidogrel requires activation by the CYP2C19 enzyme. CYP2C19*2 and *3 alleles (cumulative frequency: 20-50%) produce null enzyme activity, and their presence attenuates platelet inhibition and increases cardiovascular events. The US FDA-mandated drug labeling recognizes the relevance of genotyping in the selection and dosing of both warfarin and clopidogrel.

Indexed as

PharmacogeneticsAnticoagulantsAryl Hydrocarbon HydroxylasesClopidogrelCost-Benefit AnalysisCytochrome P-450 CYP2C19Cytochrome P-450 CYP2C9Cytochrome P-450 Enzyme SystemCytochrome P450 Family 4Dose-Response Relationship, DrugGenetic PrivacyGenotypeHealth PolicyHumansMixed Function OxygenasesPiperazinesAnticoagulantsAryl Hydrocarbon HydroxylasesClopidogrelCYP2C19 protein, humanCYP2C9 protein, humanCYP4F2 protein, humanCytochrome P-450 CYP2C19Cytochrome P-450 CYP2C9Cytochrome P-450 Enzyme SystemCytochrome P450 Family 4Mixed Function OxygenasesPiperazinesPlatelet Aggregation InhibitorsPrasugrel HydrochloridePurinergic P2 Receptor AntagonistsThiophenesTiclopidineVitamin K Epoxide ReductasesVKORC1 protein, humanWarfarin

Identifiers

PMID20462345
PMCPMC2903229
OpenAlexW2146564885

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.