Comparison of Warfarin Dosing Using Decision Model Versus Pharmacogenetic Algorithm

This is a prospective comparison of pharmacist dosing and a pharmacogenetic algorithm in newly diagnosed patients requiring warfarin therapy. Newly diagnosed patients will be consented and a tube of blood for DNA analysis will be drawn. The pharmacist dosing group will not be eligible to see the pharmacogenetic results and the algorithm group will have their warfarin pharmacogenetic SNPs...

Date First Received: August 1, 2007

Last Updated: August 11, 2008

Verified by: Creighton University, August 2008

Clinical Trial Phase: Phase 4 | Start Date: August 2006

Overall Status: Recruiting

Estimated Enrollment: 250

Brief Summary

Official Title: “Warfarin Dosing: Pharmacogenetic Algorithm Compared to Pharmacist's Dosing”

This is a prospective comparison of pharmacist dosing and a pharmacogenetic algorithm in newly diagnosed patients requiring warfarin therapy. Newly diagnosed patients will be consented and a tube of blood for DNA analysis will be drawn. The pharmacist dosing group will not be eligible to see the pharmacogenetic results and the algorithm group will have their warfarin pharmacogenetic SNPs performed and integrated into the algorithm and the warfarin dose will be calculated. Outcomes of patients receiving both methods will be gathered and statistically analyzed.

Study Type: Interventional

Study Design: Diagnostic, Randomized, Open Label, Active Control, Parallel Assignment, Safety/Efficacy Study

Study Primary Completion Date: June 2009

Intervention(s) in this Clinical Trial

  • Genetic: Warfarin Dose adjustment
    • Warfarin dose adjustment will be based on the standard pharmacist dosing compared to the use of the pharmacogenetic base algarithm

Arms, Groups and Cohorts in this Clinical Trial

  • Experimental: 2
    • Warfarin dose based on algorithm by Sconce, et al.
  • Active Comparator: 1
    • Warfarin dose based on pharmacist dosing

Outcome Measures for this Clinical Trial

Primary Measures

  • To determine if the use of a pharmacogenetic algorithm improves the outcomes of patients using warfarin compared to conventional measures.
    • Time Frame: six months
      Safety Issue?: No

Criteria for Participation in this Clinical Trial

Inclusion Criteria:

  • Newly diagnosed patients requiring warfarin therapy

Gender Eligibility for this Clinical Trial: Both

Minimum Age for this Clinical Trial: 19 Years

Maximum Age for this Clinical Trial: N/A

Are Healthy Volunteers Accepted for this Clinical Trial?: No

Clinical Trial Sponsor Information

Lead Sponsor: Creighton University

Overall Clinical Trial Officials and Contacts

Christopher J. Destache, Pharm. D. Principal Investigator Creighton University  

Overall Contact: Christopher J. Destache, Pharm. D. 402 280 4744 destache@creighton.edu

Additional Information

Information obtained from ClinicalTrials.gov on January 08, 2009

Link to the current ClinicalTrials.gov record. http://clinicaltrials.gov/show/NCT00511173

Study ID Number: 06-14171

ClinicalTrials.gov Identifier: NCT00511173

Health Authority: United States: Institutional Review Board

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