Table 1.
Author, year | Study arm | N Randomized | N Losses | Mean follow-up, days | Mean daily starting dose, mg | Gene(s) tested | PG Algorithm | C Algorithm |
---|---|---|---|---|---|---|---|---|
Hillman47 | PG | 18 | 0 | 28 | 4.6 | CYP2C9 | Hillman model70‡ | Marshfield algorithm71 |
2005 | C | 20 | 0 | 28 | 5 | |||
Caraco48 | PG | 142 | 47 | 22 | 8.6 | CYP2C9 | Algorithm constructed de novo48 | DAWN AC computer algorithm72 |
2007 | C | 141 | 45 | 40 | 6.7 | |||
Anderson57 | PG | 101* | N/R* | 46 | 5.1† | CYP2C9, VKORC1 | Carlquist regression equation73‡ | 10 mg × 2 days, then 5 mg74 |
2007 | C | 99 | N/R | 46 | 5 |
PG: Pharmacogenetic arm; C: control dosing arm; N: number; N/R: not reported
*Data were not presented by study group. Of the patients, 206 were randomized; 6 dropped out: 3 because surgery was canceled, and 3 stopped warfarin before the first INR was drawn
†Derived from weekly starting dose. Actual starting dose was double the algorithm PG: 10.2 mg, C: 10 mg × 2 days followed by regular dose per study by Kovacs et al.74
‡Multiple regression algorithms. In addition to genotype, Hillman et al.47 accounted for age, sex, body surface area, concomitant medications, co-morbidities and clinical indication; Anderson et al.57 accounted for age, sex, weight