Evidence map›Paper›PMID 25521356›Full record

ArticlePharmacogenomics2014

Genotype and risk of major bleeding during warfarin treatment.

Vivian K Kawai, Andrew Cunningham, Susan I Vear, Sara L Van Driest, Abimbola Oginni, Hua Xu, Min Jiang, Chun Li, Joshua C Denny, Christian Shaffer and 5 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Pharmacogenomics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01006733 (Genetics Informatics Trial), which is not on this map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
9.4field-weighted citation impact, top 2% 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.

NCT01006733 phase3completednot on this map

Genetics Informatics Trial (GIFT) of Warfarin to Prevent Deep Venous Thrombosis (DVT)

TypeinterventionalSponsorWashington University School of MedicineRan2011 to 2016Enrolled1,598ConditionsThromboembolismArmsPharmacogenetic, Target INR 1.8
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Does One Size Fits All?Cardiovascular drugs and therapy · 2024
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  4. Machine learning analysis of bleeding status in venous thromboembolism patients.Research and practice in thrombosis and haemostasis · 2024
    Article
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  7. Drug metabolism and disposition: the biological fate of chemicals · 2022
    Article
  8. Article
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  11. Oral Anticoagulant Therapy-When Art Meets Science.Journal of clinical medicine · 2019
    Review
  12. Pharmacogenomics.Lancet (London, England) · 2019
    Review
  13. Article
  14. Article
  15. Pharmacogenomics and personalized medicine · 2019
    Article
  16. Aspects of Modern Biobank Activity - Comprehensive Review.Pathology oncology research : POR · 2018
    Review
  17. Article
  18. Review
  19. Review
  20. 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 4 institutions in 1 country.

Vivian K KawaiDivision of Clinical Pharmacology, Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN, USA.
Andrew Cunningham
Susan I Vear
Sara L Van Driest
Abimbola Oginni
Hua Xu
Min Jiang
Chun Li
Joshua C Denny
Christian Shaffer
Erica Bowton
Brian F Gage
Wayne A Ray
Dan M Roden
C Michael Stein
Vanderbilt University · USThe University of Texas Health Science Center at Houston · USCase Western Reserve University · USNationwide Children's Hospital · US

Funding

VANDERBILT UNIVERSITY CTSA FOR PEDIATRIC RESEARCHUL1RR024975 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$45.7M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Structural genomics of norepinephrine transportersP01HL056693 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DIEDRICH, ANDRE · 1997 to 2016
$30.8M
Pharmacogenomics of Arrhythmia TherapyU19HL065962 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI RODEN, DAN M · 2010 to 2014
$17.4M
CLINICAL PHARMACOLOGY TRAINING PROGRAMT32GM007569 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Bjorn C Knollmann · 1985 to 2026
$12.4M
Vanderbilt Genome-Electronic Records ProjectU01HG004603 · NHGRI · VANDERBILT UNIVERSITY · PI RODEN, DAN M · 2007 to 2011
$7.3M
VESPA: Vanderbilt Electronic Systems for Pharmacogenomic AssessmentRC2GM092618 · NIGMS · VANDERBILT UNIVERSITY · PI DENNY, JOSHUA C., RODEN, DAN M · 2009 to 2010
$6.4M
GENETICS-InFORMATICS TRIAL (GIFT) OF WARFARIN TO PREVENT DVTR01HL097036 · NHLBI · WASHINGTON UNIVERSITY · PI GAGE, BRIAN F · 2009 to 2015
$5.0M
Drug Metabolism Genotypes in Clinical PracticeR01GM109145 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI STEIN, CHARLES M. · 2014 to 2018
$1.1M
NCATS NIH HHS 2UL1 TR000445-06NCATS NIH HHS UL1 TR000445NCRR NIH HHS UL1 RR024975NCRR NIH HHS UL1 RR024975-01NHGRI NIH HHS U01 HG004603NHLBI NIH HHS HL097036NHLBI NIH HHS P01 HL056693NHLBI NIH HHS P01HL056693NHLBI NIH HHS R01 HL097036NHLBI NIH HHS U19 HL065962NHLBI NIH HHS U19-HL065962NIGMS NIH HHS 5T32GM007569NIGMS NIH HHS GM109145NIGMS NIH HHS R01 GM109145NIGMS NIH HHS RC2 GM092618NIGMS NIH HHS RC2GM092618NIGMS NIH HHS T32 GM007569
6 · The paper itself

Abstract

aimTo determine whether genetic variants associated with warfarin dose variability were associated with increased risk of major bleeding during warfarin therapy. MATERIALS &

methodsUsing Vanderbilt's DNA biobank we compared the prevalence of CYP2C9, VKORC1 and CYP4F2 variants in 250 cases with major bleeding and 259 controls during warfarin therapy.

resultsCYP2C9*3 was the only allele that differed significantly among cases (14.2%) and controls (7.8%; p = 0.022). In the 214 (85.6%) cases with a major bleed 30 or more days after warfarin initiation, CYP2C9*3 was the only variant associated with bleeding (adjusted odds ratio: 2.05; 95% CI: 1.04, 4.04).

conclusionThe CYP2C9*3 allele may double the risk of major bleeding among patients taking warfarin for 30 or more days.

Indexed as

AdultAgedBiological Specimen BanksCytochrome P-450 CYP2C9Cytochrome P-450 Enzyme SystemCytochrome P450 Family 4Dose-Response Relationship, DrugEthnicityFemaleGene FrequencyGenetic Association StudiesGenetic VariationGenotypeHemorrhageHumansMaleCYP4F2 protein, humanCytochrome P-450 CYP2C9Cytochrome P-450 Enzyme SystemCytochrome P450 Family 4Vitamin K Epoxide ReductasesVKORC1 protein, humanWarfarinCYP2C9CYP4F2pharmacogeneticsrisk of major bleedingVKORC1warfarin

Identifiers

PMID25521356
PMCPMC4304738
OpenAlexW2016316285

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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.