Evidence map›Paper›PMID 40280918›Full record

ArticleThe pharmacogenomics journal2025

Implementing CYP2C19-guided clopidogrel therapy: a scoping review of pharmacogenomic testing services.

Tark J Patel, Eman Wehbe, Stephen Hughes, Asad E Patanwala, Leonard Kritharides, Sean Lal, Sanjay Patel, Sophie L Stocker

Abstract readScoping Review
In one paragraph

Article in The pharmacogenomics journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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.

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

6 citing papers in PubMed.

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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

8 authors.

Tark J PatelSchool of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.ORCID 0009-0003-9232-8010
Eman WehbeSchool of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.ORCID 0009-0003-4317-2486
Stephen HughesSchool of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.ORCID 0000-0002-3633-5203
Asad E PatanwalaSchool of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.ORCID 0000-0003-3999-4703
Leonard KritharidesANZAC Research Institute, Concord Repatriation General Hospital, University of Sydney, Sydney, NSW, Australia.ORCID 0000-0001-5818-8024
Sean LalDepartment of Cardiology, Royal Prince Alfred Hospital, Sydney, NSW, Australia.
Sanjay PatelDepartment of Cardiology, Royal Prince Alfred Hospital, Sydney, NSW, Australia.
Sophie L StockerSchool of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia. sophie.stocker@sydney.edu.au.ORCID 0000-0002-2114-587X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pharmacogenomic testing for CYP2C19 helps personalise clopidogrel therapy and reduces the risk of experiencing a secondary myocardial infarction in individuals with impaired CYP2C19 function. Routine testing, however, is uncommon and it is proposed that the key requirements and processes of testing services are poorly understood. This scoping review aimed to explore the literature for CYP2C19 testing services for clopidogrel and identify their commonalities to inform the design and delivery of future services. In total, 37 eligible studies describing services across hospital and community settings were retrieved. Key elements of delivery included a multi-disciplinary approach involving physicians and pharmacists, provision of pre-implementation training and education, and electronic communication of test results. Result integration into clinical decision support systems improved the practical application of pharmacogenomic testing. The identification of the key requirements and processes may be used by institutions looking to design and deliver CYP2C19 testing services to guide clopidogrel therapy.

Indexed as

ClopidogrelCytochrome P-450 CYP2C19Pharmacogenomic TestingPlatelet Aggregation InhibitorsHumansPrecision MedicineClopidogrelCYP2C19 protein, humanCytochrome P-450 CYP2C19Platelet Aggregation Inhibitors

Identifiers

PMID40280918
PMCPMC12031670

What OpenQuestion holds

Textmetadata
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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.