Relationship Between Folic Acid and Warfarin Metabolism and Effect

Folic acid supplementation has been shown previously to be associated with enhanced formation of p-HPPH from phenytoin, a metabolic pathway which is predominantly mediated through the activity of CYP2C9. The metabolism of S warfarin, the more active enantiomer of warfarin, is also mediated predominantly through the activity of CYP2C9. The purpose of the present study was to examine the...

Date First Received: September 11, 2005

Last Updated: October 28, 2008

Verified by: Hadassah Medical Organization, October 2008

Clinical Trial Phase: N/A | Start Date: August 2001

Overall Status: Recruiting

Estimated Enrollment: 400

Brief Summary

Official Title: “The Effect of Folic Acid Concentration and Folic Acid Supplementation on Warfarin Pharmacokinetic and Warfarin Dose Requirement at Steady State.”

Condition Keyword(s):

Intervention(s):

Folic acid supplementation has been shown previously to be associated with enhanced formation of p-HPPH from phenytoin, a metabolic pathway which is predominantly mediated through the activity of CYP2C9.

The metabolism of S warfarin, the more active enantiomer of warfarin, is also mediated predominantly through the activity of CYP2C9.

The purpose of the present study was to examine the relationship between folic acid concentration and warfarin pharmacokinetic as well as warfarin dose requirement among patients treated by warfarin. In addition the effect of folic acid supplementation (5 mg/d) for 3 weeks on warfarin pharmacokinetic and warfarin dose requirement will be evaluated in the second part of the study.

Study Type: Interventional

Study Design: Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Pharmacokinetics/Dynamics Study

Intervention(s) in this Clinical Trial

  • Drug: Folic acid

Outcome Measures for this Clinical Trial

Primary Measures

  • Warfarin pharmacokinetic prior to and following administration of folic acid
  • Warfarin dose requirement prior to and following the administration of folic acid.

Criteria for Participation in this Clinical Trial

Inclusion Criteria:

  • Patients on chronic warfarin therapy

Exclusion Criteria:

  • Refusal to participate in the study

Gender Eligibility for this Clinical Trial: Both

Minimum Age for this Clinical Trial: 18 Years

Maximum Age for this Clinical Trial: N/A

Are Healthy Volunteers Accepted for this Clinical Trial?: No

Clinical Trial Sponsor Information

Lead Sponsor: Hadassah Medical Organization

Overall Clinical Trial Officials and Contacts

Yoseph Caraco, MD Principal Investigator Hadassah Medical Organization  

Overall Contact: Yoseph Caraco, MD 00 972 2 6778584 caraco@hadassah.org.il

Additional Information

Information obtained from ClinicalTrials.gov on July 02, 2009

Link to the current ClinicalTrials.gov record. http://clinicaltrials.gov/show/NCT00162409

Study ID Number: yc19552-HMO-CTIL

ClinicalTrials.gov Identifier: NCT00162409

Health Authority: Israel: Israeli Health Ministry Pharmaceutical Administration

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