Determinants of Warfarin Metabolism

The anticoagulant effect of warfarin varies greatly among individuals. Some of this variability is attributed to differences in the activity of CYP2C9, the predominant enzyme involved in the metabolism of S-warfarin. The present study is designed to define the differences in warfarin metabolism among healthy individuals carrying different CYP2C9 genotypes. In addition, the study will define the...

Date First Received: September 11, 2005

Last Updated: March 17, 2008

Verified by: Hadassah Medical Organization, March 2008

Clinical Trial Phase: N/A | Start Date: September 2003

Overall Status: Recruiting

Estimated Enrollment: 200

Brief Summary

Official Title: “Correlation Between Phenotypic Activity of CYP2C9 and Genetic Polymorphism in CYP2C9 and Warfarin Metabolism.”

Condition Keyword(s):

Intervention(s):

The anticoagulant effect of warfarin varies greatly among individuals. Some of this variability is attributed to differences in the activity of CYP2C9, the predominant enzyme involved in the metabolism of S-warfarin.

The present study is designed to define the differences in warfarin metabolism among healthy individuals carrying different CYP2C9 genotypes. In addition, the study will define the correlation between the phenytoin metabolic ratio, a marker of CYP2C9 activity in vivo, and warfarin metabolism.

Study Type: Interventional

Study Design: Other, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Pharmacokinetics Study

Intervention(s) in this Clinical Trial

  • Drug: Warfarin
  • Drug: Phenytoin

Outcome Measures for this Clinical Trial

Primary Measures

  • Warfarin oral clearance
  • Formation clearance of CYP2C9 mediated warfarin metabolites

Criteria for Participation in this Clinical Trial

Inclusion Criteria:

  • Age range of 20-50 years old
  • The absence of significant disease states

Exclusion Criteria:

  • Known hypersensitivity to warfarin or phenytoin
  • The presence of significant disease states
  • Regular use of drugs (including birth control pills)

Gender Eligibility for this Clinical Trial: Both

Minimum Age for this Clinical Trial: 20 Years

Maximum Age for this Clinical Trial: 50 Years

Are Healthy Volunteers Accepted for this Clinical Trial?: Accepts Healthy Volunteers

Clinical Trial Sponsor Information

Lead Sponsor: Hadassah Medical Organization

Overall Clinical Trial Officials and Contacts

Yoseph Caraco, MD Principal Investigator Hadassah Medical Organization, Jerusalem, Israel  

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

Additional Information

Information obtained from ClinicalTrials.gov on October 10, 2008

Link to the current ClinicalTrials.gov record. http://clinicaltrials.gov/show/NCT00162474

Study ID Number: yc195510-HMO-CTIL

ClinicalTrials.gov Identifier: NCT00162474

Health Authority: Israel: Israeli Health Ministry Pharmaceutical Administration

Clinical Trials Authorship and Review

Clinical Trials content is provided directly by the U.S. National Institutes of Health via ClinicalTrials.gov and is not reviewed separately by ClinicalTrialsFeeds.org. Every page of specific clinical trials information contains a unique identifier which can be used to find further details directly from the National Institutes of Health.