Status:

COMPLETED

The Clinical and Economic Impact of Pharmacogenomic Testing of Warfarin Therapy in Typical Community Practice Settings

Lead Sponsor:

Medco Health Solutions, Inc.

Collaborating Sponsors:

Mayo Clinic

Washington University School of Medicine

Conditions:

Embolism and Thrombosis

Embolism

Eligibility:

All Genders

40-75 years

Brief Summary

The purpose of this quasi-experiment study, which could also be classified as a prospective observational intervention study, is to assess the impact of cytochrome P450 2C9 (CYP 2C9) and vitamin K epo...

Detailed Description

Anticoagulation therapy with warfarin is the most common mode of treatment and prophylaxis for venous and arterial thromboembolic conditions. Warfarin is metabolized in the liver by the cytochrome P45...

Eligibility Criteria

Inclusion

  • Female and male age range of 40-75
  • Patients who are in the induction phase of warfarin
  • Patients receiving warfarin to prevent or treat thromboembolic conditions (e.g., post orthopedic surgery prophylaxis, deep venous thrombosis, atrial fibrillation, pulmonary embolism, heart failure)
  • Patient willing to provide informed consent prior to the specimen collection procedure
  • Patient whose physician is willing to order the genetic test

Exclusion

  • Age \< 40 or \> 75
  • Previous use of warfarin within 180 days of initiating new warfarin therapy
  • Hospitalized for seven or more days before first claim for warfarin
  • Previous history of genetic testing for warfarin therapy
  • Known hypersensitivity to warfarin
  • Patient or physician refusal to participate in the study
  • Patients using warfarin residing in Olmsted County, MN

Key Trial Info

Start Date :

July 1 2007

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

January 1 2010

Estimated Enrollment :

1635 Patients enrolled

Trial Details

Trial ID

NCT00830570

Start Date

July 1 2007

End Date

January 1 2010

Last Update

November 16 2010

Active Locations (1)

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1

Medco Health Solutions, Inc.

Franklin Lakes, New Jersey, United States, 07003