Johnson J A, Caudle K E, Gong L, Whirl-Carrillo M, Stein C M, Scott S A, Lee M T, Gage B F, Kimmel S E, Perera M A, Anderson J L, Pirmohamed M, Klein T E, Limdi N A, Cavallari L H, Wadelius M
Department of Pharmacotherapy and Translational Research, College of Pharmacy, and Center for Pharmacogenomics, University of Florida, Gainesville, Florida, USA.
Department of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Clin Pharmacol Ther. 2017 Sep;102(3):397-404. doi: 10.1002/cpt.668. Epub 2017 Apr 4.
This document is an update to the 2011 Clinical Pharmacogenetics Implementation Consortium (CPIC) guideline for CYP2C9 and VKORC1 genotypes and warfarin dosing. Evidence from the published literature is presented for CYP2C9, VKORC1, CYP4F2, and rs12777823 genotype-guided warfarin dosing to achieve a target international normalized ratio of 2-3 when clinical genotype results are available. In addition, this updated guideline incorporates recommendations for adult and pediatric patients that are specific to continental ancestry.
本文档是2011年临床药物基因组学实施联盟(CPIC)关于CYP2C9和VKORC1基因分型与华法林剂量指南的更新版。当有临床基因检测结果时,本文呈现了来自已发表文献的证据,用于基于CYP2C9、VKORC1、CYP4F2和rs12777823基因分型指导华法林剂量调整,以达到国际标准化比值2-3的目标。此外,这份更新后的指南纳入了针对不同大陆血统的成人和儿童患者的建议。