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As drug response is a complex trait in the majority of cases using an optimal starting dose for an individual may reduce the time taken to reach a stable INR, and reduce the risk of having either a high INR (with a risk of bleeding) or a low INR (with a risk of thrombosis)
The results of this project will benefit in (1) Identification of novel features or mutation types in warfarin resistance genomes. (2) To determine whether other polymorphisms in noncoding regions or their unique haplotype combinations contribute to the variability in the maintenance dose of warfarin, and (3)personalization of the drug and deciding the correct dose from the start.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Warfarin resistant patients | Experimental | Genetic Mutations |
|
| Control | Placebo Comparator | Genetic Mutations |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Genetic Mutations | Diagnostic Test | By next generation sequencing |
|
| Measure | Description | Time Frame |
|---|---|---|
| number of patients with genetic polymorphism | patients with abnormal polymorphisms | 6 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Amr Gawaly, Ass Prof | Contact | 01221793033 | amrgawaly1@yahoo.com |
| Name | Affiliation | Role |
|---|---|---|
| Amr Gawaly, Consultant | Hematology Dept. - Tanta University | Principal Investigator |
| Said Hammad Abdou, Prof | Clinical Pathology dept.- Tanta University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sherief Abd-Elsalam | Recruiting | Cairo | Tanta | Egypt |
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| ID | Term |
|---|---|
| D013927 | Thrombosis |
| ID | Term |
|---|---|
| D016769 | Embolism and Thrombosis |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D009154 | Mutation |
| ID | Term |
|---|---|
| D014644 | Genetic Variation |
| D055614 | Genetic Phenomena |
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| Enas Abdul-Raouf, Lecturer |
| Biology and Genetics- Tanta University |
| Study Director |
| Abdelaziz Zidane, Lecturer | Genetics-Damanhour University | Study Chair |