Pharmacogenetics of coumarin anticoagulant therapy

Rianne M. F. van Schie, Talitha I. Verhoef, Anthonius de Boer, Felix J. M. van der Meer, William K. Redekop, Tom Schalekamp, Anke-Hilse Maitland-Van der Zee

Research output: Chapter in Book/Report/Conference proceedingChapterAcademicpeer-review

Abstract

Coumarins are effective drugs for treatment and prevention of thromboembolic events. However, their use requires a balancing act between the chance of underdosing which increases the risk of thromboembolic events and the chance of overdosing which increases the risk of haemorrhages. It has been shown that polymorphisms in VKORC1 and CYP2C9 explain 35-50% of the dose variability, although patient characteristics and environmental factors also play a role. In this book chapter we discuss the pharmacogenetics of coumarin derivatives, clinical trials investigating the effectiveness of pre-treatment genotyping and the cost-effectiveness of pharmacogenetic-guided dosing.
Original languageEnglish
Title of host publicationPreventive and Predictive Genetics
Subtitle of host publicationTowards Personalised Medicine
EditorsGodfrey Grech
PublisherKluwer Academic Publishers, UK
Pages307-328
Number of pages22
ISBN (Electronic)978-3-319-15344-5
ISBN (Print)978-3-319-15343-8
DOIs
Publication statusPublished - 3 May 2015

Publication series

NameAdvances in Predictive, Preventive and Personalised Medicine
Volume9
ISSN (Print)2211-3495

Keywords

  • Adverse drug reaction
  • Pharmacogenetics
  • Predictive genotyping
  • Translation
  • abacavir
  • coumarin
  • phenprocoumon
  • warfarin
  • anticoagulant therapy
  • bleeding
  • clinical practice
  • clinical trial (topic)
  • cost effectiveness analysis
  • drug stability
  • environmental factor
  • genetic polymorphism
  • genetic variability
  • genotype
  • human
  • pharmacogenetics
  • predictive value
  • quality adjusted life year
  • thrombocytopenia
  • venous thromboembolism

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