Evidence map›Paper›PMID 28409488›Full record

ArticleClinical pharmacokinetics2017

A Joint Model for Vitamin K-Dependent Clotting Factors and Anticoagulation Proteins.

Qing Xi Ooi, Daniel F B Wright, R Campbell Tait, Geoffrey K Isbister, Stephen B Duffull

Abstract read
PubMed Publisher
In one paragraph

Article in Clinical pharmacokinetics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.2field-weighted citation impact, top 19% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Piperacillin/tazobactam-induced coagulopathy in a patient through a vitamin K-dependent mechanism.European journal of hospital pharmacy : science and practice · 2021
    Article
  3. Article
  4. Article
  5. Response to R-warfarin anticoagulant effect.British journal of clinical pharmacology · 2017
    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

5 authors at 3 institutions in 3 countries.

Qing Xi OoiSchool of Pharmacy, University of Otago, PO Box 56, Dunedin, 9054, New Zealand. qingxi.ooi@otago.ac.nz.ORCID http://orcid.org/0000-0003-4310-9842
Daniel F B WrightSchool of Pharmacy, University of Otago, PO Box 56, Dunedin, 9054, New Zealand.
R Campbell TaitGlasgow Royal Infirmary, Glasgow, Scotland, UK.
Geoffrey K IsbisterSchool of Medicine and Public Health, University of Newcastle, Newcastle, NSW, Australia.
Stephen B DuffullSchool of Pharmacy, University of Otago, PO Box 56, Dunedin, 9054, New Zealand.
University of Otago · NZGlasgow Royal Infirmary · GBUniversity of Newcastle Australia · AU

Funding

NHMRC Senior Research Fellowship 1061041University of Otago Doctoral Scholarship NA
6 · The paper itself

Abstract

backgroundWarfarin acts by inhibiting the reduction of vitamin K (VK) to its active form, thereby decreasing the production of VK-dependent coagulation proteins. The aim of this research is to develop a joint model for the VK-dependent clotting factors II, VII, IX and X, and the anticoagulation proteins, proteins C and S, during warfarin initiation.

methodsData from 18 patients with atrial fibrillation who had warfarin therapy initiated were available for analysis. Nine blood samples were collected from each subject at baseline, and at 1-5, 8, 15 and 29 days after warfarin initiation and assayed for factors II, VII, IX and X, and proteins C and S. Warfarin concentration-time data were not available. The coagulation proteins data were modelled in a stepwise manner using NONMEM

resultsOne patient was administered VK and was excluded from the analysis. Each kinetic-pharmacodynamic model consisted of two parts: (1) a common one-compartment pharmacokinetic model with first-order absorption and elimination for warfarin; and (2) an inhibitory E

conclusionThe joint model represents the first work to quantify the influence of warfarin on all six VK-dependent coagulation proteins simultaneously. Future work will expand the model to predict the influence of exogenously administered VK on the time course of clotting factor concentrations after warfarin overdose and during perioperative warfarin reversal procedures.

Indexed as

Models, BiologicalAgedAged, 80 and overAnticoagulantsAtrial FibrillationBlood CoagulationBlood Coagulation FactorsBlood ProteinsFemaleHalf-LifeHumansMaleMiddle AgedNonlinear DynamicsVitamin KWarfarinAnticoagulantsBlood Coagulation FactorsBlood ProteinsVitamin KWarfarin

Identifiers

PMID28409488
OpenAlexW2607195554

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.