Evidence map›Paper›PMID 34704696›Full record

ArticleDrug metabolism and personalized therapy2020

Genotype-driven pharmacokinetic simulations of warfarin levels in Puerto Ricans.

Stephanie Reyes-González, Camila de Las Barreras, Gledys Reynaldo, Leyanis Rodríguez-Vera, Cornelis Vlaar, Vilmali Lopez Mejias, Jean-Christophe M Monbaliu, Torsten Stelzer, Victor Mangas, Jorge Duconge

Abstract read
In one paragraph

Article in Drug metabolism and personalized therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 45% 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

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
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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

10 authors at 5 institutions in 4 countries.

Stephanie Reyes-GonzálezDepartment of Pharmaceutical Sciences, School of Pharmacy, University of Puerto Rico - Medical Sciences Campus, San Juan 00936, Puerto Rico, USA.
Camila de Las BarrerasInstitute of Pharmacy and Foods, University of Havana, Havana, Cuba.
Gledys ReynaldoInstitute of Pharmacy and Foods, University of Havana, Havana, Cuba.
Leyanis Rodríguez-VeraInstitute of Pharmacy and Foods, University of Havana, Havana, Cuba.
Cornelis VlaarDepartment of Pharmaceutical Sciences, School of Pharmacy, University of Puerto Rico - Medical Sciences Campus, San Juan 00936, Puerto Rico, USA.
Vilmali Lopez MejiasDepartment of Chemistry, University of Puerto Rico - Río Piedras Campus, San Juan, USA.
Jean-Christophe M MonbaliuCenter for Integrated Technology and Organic Synthesis, MolSys Research Unit, University of Liège, Liège (Sart Tilman), Liège, Belgium.
Torsten StelzerDepartment of Pharmaceutical Sciences, School of Pharmacy, University of Puerto Rico - Medical Sciences Campus, San Juan 00936, Puerto Rico, USA.
Victor MangasDepartment of Pharmacy and Pharmaceutical Technology and Parasitology, University of Valencia, Valencia, Spain.
Jorge DucongeDepartment of Pharmaceutical Sciences, School of Pharmacy, University of Puerto Rico - Medical Sciences Campus, San Juan 00936, Puerto Rico, USA.
University of Puerto Rico, Medical Sciences Campus · PRUniversity of Havana · CUUniversitat Politècnica de València · ESUniversity of Liège · BEUniversity of Puerto Rico System · PR

Funding

Upstream Regulation and Downstream effectors of c-MYC in Ovarian CancerU54MD007600 · NIMHD · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI Carmen M Velez Vega · 2017 to 2026
$35.8M
NIMHD NIH HHS U54 MD007600Shared Services Center NASA 80NSSC19M0148
6 · The paper itself

Abstract

objectivesThe inter-individual variability of warfarin dosing has been linked to genetic polymorphisms. This study was aimed at performing genotype-driven pharmacokinetic (PK) simulations to predict warfarin levels in Puerto Ricans.

methodsAnalysis of each individual dataset was performed by one-compartmental modeling using WinNonlin®v6.4. The

resultsIn the carrier group (n=64), 53 subjects were single-carriers and 11 double-carriers (i.e., *2/*2, *2/*3, *2/*5, *3/*5, and *3/*8). The mean peak concentration (Cmax) was higher for wild-type (0.36±0.12 vs. 0.32±0.14 mg/L). Likewise, the average clearance (CL) parameter was faster among non-carriers (0.22±0.03 vs. 0.17±0.05 L/h; p=0.0001), with also lower area under the curve (AUC) when compared to carriers (20.43±6.97 vs. 24.78±11.26 h mg/L; p=0.025). Statistical analysis revealed a significant difference between groups with regard to AUC and CL, but not for Cmax. This can be explained by the variation of

conclusionsThe results provided useful information for warfarin dosing predictions that take into consideration important individual PK and genotyping data.

Indexed as

Aryl Hydrocarbon HydroxylasesWarfarinAnticoagulantsCytochrome P-450 CYP2C9GenotypeHispanic or LatinoHumansVitamin K Epoxide ReductasesAnticoagulantsAryl Hydrocarbon HydroxylasesCytochrome P-450 CYP2C9Vitamin K Epoxide ReductasesWarfarinCYP2C9 polymorphismsgenotypepharmacokineticsPuerto Ricanssimulationswarfarin

Identifiers

PMID34704696
PMCPMC7892629
OpenAlexW3081128082

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.