Title |
Clinical Pharmacogenetics Implementation Consortium (CPIC) Guideline for UGT1A1 and Atazanavir Prescribing
|
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Published in |
Clinical Pharmacology & Therapeutics, November 2015
|
DOI | 10.1002/cpt.269 |
Pubmed ID | |
Authors |
R S Gammal, M H Court, C E Haidar, O F Iwuchukwu, A H Gaur, M Alvarellos, C Guillemette, J L Lennox, M Whirl-Carrillo, S S Brummel, M J Ratain, T E Klein, B R Schackman, K E Caudle, D W Haas |
Abstract |
The antiretroviral protease inhibitor atazanavir inhibits hepatic uridine diphosphate glucuronosyltransferase (UGT) 1A1, thereby preventing the glucuronidation and elimination of bilirubin. Resultant indirect hyperbilirubinemia with jaundice can cause premature discontinuation of atazanavir. Risk for bilirubin-related discontinuation is highest among individuals who carry two UGT1A1 decreased function alleles (UGT1A1*28 or *37). We summarize published literature that supports this association and provide recommendations for atazanavir prescribing when UGT1A1 genotype is known (updates at www.pharmgkb.org). This article is protected by copyright. All rights reserved. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Science communicators (journalists, bloggers, editors) | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 145 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 22 | 15% |
Student > Master | 18 | 12% |
Student > Ph. D. Student | 15 | 10% |
Student > Bachelor | 13 | 9% |
Other | 12 | 8% |
Other | 29 | 20% |
Unknown | 36 | 25% |
Readers by discipline | Count | As % |
---|---|---|
Pharmacology, Toxicology and Pharmaceutical Science | 25 | 17% |
Medicine and Dentistry | 24 | 17% |
Biochemistry, Genetics and Molecular Biology | 23 | 16% |
Agricultural and Biological Sciences | 13 | 9% |
Chemistry | 3 | 2% |
Other | 14 | 10% |
Unknown | 43 | 30% |