Atrial Fibrillation, Heart Valve Disease, Pulmonary Artery Embolism
Conditions
Keywords
gene guided, warfarin dose, Chinese
Brief summary
1. Title: Clinical study of the relationship between Pharmacogenomics and warfarin dose in Chinese patients 2. Drug: Warfarin 3. Design: To value the accuracy of warfarin Pharmacogenomics algorithm by the algorithm calculated dose and actual dose in the Chinese patients. 4. Hypothesis:Pharmacogenomic algorithm guided dose can help to predict warfarin dose in Chinese patients.
Detailed description
* For the patients who need to use warfarin, detect the Vitamin K epoxide reductase complex subunit 1 (VKORC1),cytochrome p450 2C9 (CYP2C9), and cytochrome p450 4F2 (CYP4F2) genotype. * Record the demographic information: gender, age, height, and weight. * Record drug combination, complications, and international normalized ratio (INR), liver function and kidney function or other biochemical test results. * Put genotypes, demographic information and other clinical information into the algorithm to calculate warfarin dose for the patients, and compared with the actual dose.
Interventions
Prescribe warfarin to the patients who are needed.
Sponsors
Study design
Eligibility
Inclusion criteria
* Chinese patients * Age \>18y * target INR 1.5\ 3.0 * Patients signed informed consent
Exclusion criteria
* Has hemorrhage disease, or tendency to significant bleeding * Severe liver and kidney disfunction, serious infections, severe heart failure (NYHA heart function classification Ⅲ magnitude), severe pulmonary hypertension, abnormal thyroid function, respiratory failure, anemia, malignant tumor, blood disease * patients with pregnancy or lactation; * with cognitive impairment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The accuracy of the pharmacogenomics algorithm for warfarin maintenance dose | one month after the initial dose of warfarin | The proportion of the patients whose predicted dose were within 20% of the actual maintenance dose. |
Countries
China