Influence of ABCB1 gene polymorphism on rivaroxaban pharmacokinetics

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Abstract

This article presents the comparison of the pharmacogenetic and pharmacokinetic testing results in patients with atrial fibrillation taking rivaroxaban. The role of ABCB1 gene polymorphism in the variability of the pharmacological response was assessed, and the possibility of personalized treatment using therapeutic drug monitoring was discussed.

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About the authors

Ruslan E. Kazakov

Scientific Centre for Expert Evaluation of Medicinal Products

Author for correspondence.
Email: rustic100@rambler.ru
ORCID iD: 0000-0003-0802-4229

PhD (Biol.)

Russian Federation, 127051, Moscow

Tatyana A. Rodina

Scientific Centre for Expert Evaluation of Medicinal Products

Email: semina_tatiana@mail.ru
ORCID iD: 0000-0002-0528-3068

PhD (Chem.)

Russian Federation, 127051, Moscow

Evgeny S. Melnikov

Scientific Centre for Expert Evaluation of Medicinal Products

Email: evgueniy.melnikov@gmail.com
ORCID iD: 0000-0002-8993-4808

PhD (Pharm.)

Russian Federation, 127051, Moscow

Andrey A. Danko

Scientific Centre for Expert Evaluation of Medicinal Products

Email: andreida@mail.ru
ORCID iD: 0000-0002-2963-5312

MD, PhD

Russian Federation, 127051, Moscow

Olga V. Muslimova

Scientific Centre for Expert Evaluation of Medicinal Products

Email: muslimova@expmed.ru
ORCID iD: 0000-0003-1009-9609

MD, PhD

Russian Federation, 127051, Moscow

Elena Yu. Demchenkova

Scientific Centre for Expert Evaluation of Medicinal Products

Email: demchenkova@expmed.ru
ORCID iD: 0000-0003-1972-4386

PhD (Pharm.)

Russian Federation, 127051, Moscow

Olga A. Checha

Scientific Centre for Expert Evaluation of Medicinal Products

Email: checha@expmed.ru
ORCID iD: 0000-0002-7900-1078

PhD (Biol.)

Russian Federation, 127051, Moscow

Irina A. Mazerkina

Scientific Centre for Expert Evaluation of Medicinal Products

Email: mazerkina@expmed.ru
ORCID iD: 0000-0002-3733-6822

MD, PhD

Russian Federation, 127051, Moscow

Sergey A. Belkov

Scientific Centre for Expert Evaluation of Medicinal Products

Email: evgenol-cinc@mail.ru
ORCID iD: 0000-0002-5587-5918

MD, PhD, DSc, Professor

Russian Federation, 127051, Moscow

Alexey B. Prokofev

Scientific Centre for Expert Evaluation of Medicinal Products

Email: prokofiev@expmed.ru
ORCID iD: 0000-0001-7024-5546

MD, PhD, DSc, Professor

Russian Federation, 127051, Moscow

References

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  2. Wadelius M, Chen LY, Downes K, Ghori J, Hunt S, Eriksson N, et al. Common VKORC1 and GGCX polymorphisms associated with warfarin dose. Pharmacogenomics J. 2005;5(4):262–270. doi: 10.1038/sj.tpj.6500313.
  3. Zimetbaum P. In the clinic atrial fibrillation. Ann Intern Med. 2010;153(11):ITC6. doi: 10.7326/0003-4819-153-11-201012070-01006.
  4. Lip GY, Nieuwlaat R, Pisters R, Lane DA, Crijns HJ. Refining clinical risk stratification for predicting stroke and thromboembolism in atrialfibrillation using a novelrisk factor-based approach: the EuroHeart Survey on atrial fibrillation. Chest. 2010;137(2):263–272. doi: 10.1378/chest.09-1584.
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  7. Camm AJ, Lip GY, De Caterina R, Savelieva I, Atar D, Hohnloser SH, et al. 2012 focused update of the ESC Guidelines for the management of atrial fibrillation: an update of the 2010 ESC Guidelines for the management of atrial fibrillation. Developed with the special contribution of the European Heart Rhythm Association. Europace. 2012;14(10):1385–1413. doi: 10.1093/europace/eus305.
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  12. Douxfils J, Gosselin RC. Laboratory assessment of direct oral anticoagulants. Semin Thromb Hemost. 2017;43(3):277–290. doi: 10.1055/s-0036-1597296.
  13. Levey AS, Stevens LA, Schmid CH, Zhang YL, Castro AF 3rd, Feldman HI, et al. A new equation to estimate glomerular filtration rate. Ann Intern Med. 200;150(9):604–612. doi: 10.7326/0003-4819-150-9-200905050-00006.
  14. Rodina TA, Mel’nikov ES, Aksenov AA, Belkov SA, Sokolov AV, Prokof’ev AB, Ramenskaya GV. Development of an HPLC-MS/MS method for quantitative determination of rivaroxaban in human blood serum. Pharmaceutical Chemistry Journal. 2018;52(4):372–377.

Supplementary files

Supplementary Files
Action
1. JATS XML
2. Рис. 1. Частота генотипов полиморфизмов гена ABCB1 у пациентов с различной минимальной равновесной концентрацией ривароксабана, возрастающей от группы 1 до группы 3 (применяли критерий χ2).

Download (87KB)
3. Рис. 2. Алгоритм персонализированного подхода к назначению пероральных антикоагулянтов пациентам с фибрилляцией предсердий.

Download (404KB)

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