Evidence map›Paper›PMID 23215886›Full record

ArticlePharmacogenomics2012

Development of a pharmacogenetic-guided warfarin dosing algorithm for Puerto Rican patients.

Alga S Ramos, Richard L Seip, Giselle Rivera-Miranda, Marcos E Felici-Giovanini, Rafael Garcia-Berdecia, Yirelia Alejandro-Cowan, Mohan Kocherla, Iadelisse Cruz, Juan F Feliu, Carmen L Cadilla and 5 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Pharmacogenomics, 2012. 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 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 11% 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 map

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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Warfarin Dosing in Patients With CYP2C9*5 Variant Alleles.Clinical pharmacology and therapeutics · 2022
    Article
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  10. Review
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  14. Article
  15. Pharmacogenetics of drug-metabolizing enzymes in US Hispanics.Drug metabolism and personalized therapy · 2015
    Review
  16. Review
  17. Article
  18. Functionally Significant Coumarin-Related Variant Alleles and Time to Therapeutic Range in Chilean Cardiovascular Patients.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    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

15 authors at 6 institutions in 2 countries.

Alga S RamosDepartment of Pharmaceutical Sciences, School of Pharmacy, University of Puerto Rico, Room 420, PO Box 365067, San Juan, PR 00936-5067, USA.
Richard L Seip
Giselle Rivera-Miranda
Marcos E Felici-Giovanini
Rafael Garcia-Berdecia
Yirelia Alejandro-Cowan
Mohan Kocherla
Iadelisse Cruz
Juan F Feliu
Carmen L Cadilla
Jessica Y Renta
Krystyna Gorowski
Cunegundo Vergara
Gualberto Ruaño
Jorge Duconge
University of Puerto Rico System · PRHartford Financial Services (United States)Hartford Hospital · USVA Caribbean Healthcare System · PRGenomas (United States) · USPuerto Rico Department of Health · PR

Funding

SUPPLEMENT FOR RENOVATION OF ANIMAL FACILITIES AT INSTITUTE OF NEUROBIOLOGYG12RR003051 · NCRR · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI ESPINO, ANA M · 1986 to 2011
$28.1M
TECHNOLOGIES AND RESOURCES FOR CORE LABORATORIESU54MD007587 · NIMHD · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI LUCIANO, CARLOS A., NOBOA, CARIAMARIE · 2012 to 2018
$23.2M
TRANSLATIONAL PROTEOMICS CENTERG12MD007600 · NIMHD · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI FERNANDEZ-REPOLLET, EMMA · 2012 to 2016
$11.0M
Pharmacogenetics of Warfarin in Puerto Rican Patients using a Physiogenomics ApprSC2HL110393 · NHLBI · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI DUCONGE, JORGE · 2011 to 2013
$332k
NCRR NIH HHS 2G12-RR003051NCRR NIH HHS G12 RR003051NHLBI NIH HHS SC2 HL110393NHLBI NIH HHS #SC2HL110393NIMHD NIH HHS #8U54MD007587NIMHD NIH HHS G12 MD007600NIMHD NIH HHS G12-MD007600NIMHD NIH HHS U54 MD007587
6 · The paper itself

Abstract

aimThis study was aimed at developing a pharmacogenetic-driven warfarin-dosing algorithm in 163 admixed Puerto Rican patients on stable warfarin therapy. PATIENTS &

methodsA multiple linear-regression analysis was performed using log-transformed effective warfarin dose as the dependent variable, and combining CYP2C9 and VKORC1 genotyping with other relevant nongenetic clinical and demographic factors as independent predictors.

resultsThe model explained more than two-thirds of the observed variance in the warfarin dose among Puerto Ricans, and also produced significantly better 'ideal dose' estimates than two pharmacogenetic models and clinical algorithms published previously, with the greatest benefit seen in patients ultimately requiring <7 mg/day. We also assessed the clinical validity of the model using an independent validation cohort of 55 Puerto Rican patients from Hartford, CT, USA (R(2) = 51%).

conclusionOur findings provide the basis for planning prospective pharmacogenetic studies to demonstrate the clinical utility of genotyping warfarin-treated Puerto Rican patients.

Indexed as

Dose-Response Relationship, DrugAdultAgedAged, 80 and overAlgorithmsAnticoagulantsAryl Hydrocarbon HydroxylasesCytochrome P-450 CYP2C9FemaleHispanic or LatinoHumansMaleMiddle AgedMixed Function OxygenasesProspective StudiesRegression AnalysisAnticoagulantsAryl Hydrocarbon HydroxylasesCYP2C9 protein, humanCytochrome P-450 CYP2C9Mixed Function OxygenasesVitamin K Epoxide ReductasesVKORC1 protein, humanWarfarin

Identifiers

PMID23215886
PMCPMC3538136
OpenAlexW2136412407

What OpenQuestion holds

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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.