Table 4.
Performance of predictive dosing algorithms.
Algorithm | Mean absolute error (mg/week) |
||
---|---|---|---|
EA and AA | EA | AA | |
Fixed 35 mg/week dose | 13.7 | 13.5 | 15.2 |
US FDA table mid-value of range | 12.7 | 12.4 | 15.0 |
IWPC (three variants) | 10.0 | 9.5 | 13.8 |
New models | |||
Clinical† | 12.1 (11.3–12.6) | 11.8 (11.1–12.4) | 13.4 (11.3–14.9) |
Limited genetic‡ | 9.8 (9.1–10.1) | 9.3 (8.7–9.8) | 12.9 (10.8–14.5) |
Expanded genetic§ | 9.6 (8.9–9.8) | 9.1 (8.4–9.6) | 12.4 (10.0–13.2) |
Dispensable regimen¶ | 9.6 (8.8–9.9) | 9.1 (8.6–9.6) | 12.4 (9.8–13.4) |
For the novel models, the mean absolute error represents the validated bootstrap estimate and 95% CI in parentheses.
Includes age, gender, body surface area, race/ethnicity, smoking, amiodarone usage and indication (venous thromboembolism vs atrial fibrillation).
Includes clinical and IWPC genetic variants (e.g., CYP2C9*2, CYP2C9*3 and VKORC1 rs9923231) as modeled in IWPC [37].
Includes clinical and VKORC1 rs9923231, CYP2C9 variants (*2, *3, *6, *8), CYP4F2 rs2108622, and CALU rs339097.
Includes expanded genetic model variables rounded to nearest dispensable regimen using any single pill strength in 0.5, 1, 1.5 or 2 pill increments.
AA: African–American; EA: European–American; IWPC: International Warfarin Pharmacogenetics Consortium.