Evidence map›Paper›PMID 35402528›Full record

ReviewFrontiers in cardiovascular medicine2022

Genotype-Guided Use of P2Y12 Inhibitors: A Review of Current State of the Art.

Abdullah Al-Abcha, Yasser Radwan, Danielle Blais, Ernest L Mazzaferri, Konstantinos Dean Boudoulas, Essa M Essa, Richard J Gumina

Registry-linked trialAbstract readReview
In one paragraph

Review in Frontiers in cardiovascular medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06665919 (Randomized Controlled Trial for Evaluating CYP2C19 Allele Genotype-guided Clopidogrel Treatment Outcomes in Real-world Practice After the ePCI), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT06665919 nacompletednot on this mapstarted 2023, after this paper: background citation

Randomized Controlled Trial for Evaluating CYP2C19 Allele Genotype-guided Clopidogrel Treatment Outcomes in Real-world Practice After the ePCI

TypeinterventionalSponsorVistamedi Ltd.Ran2023 to 2025Enrolled283ConditionsCoronary Artery Disease, Clopidogrel Resistance, Coronary Thrombosis, Adverse Cardiac EventsArmsCYP2C19 Genotype-Guided Clopidogrel Treatment, CYP2C19 Genotype Guided Antiplatelet Treatment Alternative to Clopidogrel, The Conventional Clopidogrel Treatment
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
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

7 authors.

Abdullah Al-AbchaDivision of Internal Medicine, Department of Medicine, Michigan State University, East Lansing, MI, United States.
Yasser RadwanDivision of Internal Medicine, Department of Medicine, Michigan State University, East Lansing, MI, United States.
Danielle BlaisDivision of Cardiology, Department of Medicine, Ohio State University, Columbus, OH, United States.
Ernest L MazzaferriDivision of Cardiology, Department of Medicine, Ohio State University, Columbus, OH, United States.
Konstantinos Dean BoudoulasDivision of Cardiology, Department of Medicine, Ohio State University, Columbus, OH, United States.
Essa M EssaDivision of Cardiology, Department of Medicine, Mount Carmel Healthcare, Columbus, OH, United States.
Richard J GuminaDivision of Cardiology, Department of Medicine, Ohio State University, Columbus, OH, United States.

Funding

Ectonucleotidases in ischemic heart diseaseR01HL127442 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI GUMINA, RICHARD J · 2017 to 2021
$2.1M
NHLBI NIH HHS R01 HL127442
6 · The paper itself

Abstract

The pharmacodynamics of the purinergic receptor type Y, subtype 12 (P2Y12) inhibitors has evolved. Our understanding of the metabolism of P2Y12 inhibitors has revealed polymorphisms that impact drug metabolism and antiplatelet efficacy, leading to genetic testing guided therapy. In addition, assays of platelet function and biochemistry have provided insight into our understanding of the efficacy of "antiplatelet" therapy, identifying patients with high or low platelet reactivity on P2Y12 therapy. Despite the data, the implementation of these testing modalities has not gained mainstream adoption across hospital systems. Given differences in potency between the three clinically available P2Y12 inhibitors, the balance between thrombotic and bleeding complications must be carefully considered, especially for the large proportion of patients at higher risk for bleeding. Here we review the current data for genetic and functional testing, risk assessment strategies, and guidelines for P2Y12 inhibitors guided therapy.

Indexed as

functiongenotypeguided therapyP2Y12platelet

Identifiers

PMID35402528
PMCPMC8983962

What OpenQuestion holds

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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.