Status:

COMPLETED

Genotype-Guided Warfarin Therapy Trial

Lead Sponsor:

University of North Carolina, Chapel Hill

Collaborating Sponsors:

UNC Institute for Pharmacogenomics and Individualized Therapy

Conditions:

Atrial Fibrillation

Deep Vein Thrombosis

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The purpose of the investigators' study is to determine the clinical utility of a warfarin-dosing algorithm that incorporates genetic information (VKORC1 and CYP2C9 alleles) for adult patients initiat...

Detailed Description

Almost 20 million prescriptions are written for warfarin each year in the US and yet it is one of the most problematic drugs in the modern medical formulary. Warfarin has a narrow therapeutic window a...

Eligibility Criteria

Inclusion

  • Adults ≥18 years old
  • Patients who are beginning warfarin for a variety of diseases or conditions that require long-term oral anticoagulation with target INR \> 2.0 for at least 3 months
  • Subjects that will be following up in UNC anticoagulation clinics at the Ambulatory Care Center or the Family Medicine Center

Exclusion

  • Patients who are unable to complete the study materials (questionnaires) with or without assistance (for example, those with dementia)
  • Non-English speaking patients
  • Patients who are being started on anticoagulation intended to last \< 3 months or whose target INR is \< 2.0
  • Patients who have a history of treatment with warfarin and a known dose requirement will be excluded (as they should be restarted on the previous dose)
  • Pregnant women will be excluded because warfarin is a teratogen and pregnant women should not take the medication
  • Patients will also be excluded if their treating physician does not agree to use the recommended INR dose or feels that the patient should not be enrolled in the study

Key Trial Info

Start Date :

August 1 2008

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

January 1 2012

Estimated Enrollment :

109 Patients enrolled

Trial Details

Trial ID

NCT00904293

Start Date

August 1 2008

End Date

January 1 2012

Last Update

May 6 2016

Active Locations (1)

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UNC Hospitals, UNC Anticoagulation Clinic at the Ambulatory Care Center (ACC), UNC Family Medicine Center Anti-coagulation Clinic

Chapel Hill, North Carolina, United States, 27599