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当前位置:药药网 / 数据中心 / 临床注释-2,变异和临床注释数据
氟卡尼
临床注释ID
1183621726
药物名称(英)
flecainide
变异单倍型
CYP2D6*1, CYP2D6*4, CYP2D6*5, CYP2D6*10, CYP2D6*21, CYP2D6*36
基因
CYP2D6
证据级别
1A
水平覆盖
水平修饰符
Tier 1 VIP
表现型类别(英)
Metabolism/PK
表现型类别
代谢/PK
分数
104.125
PMID计数
4
计数的证据
5
表现型
心律失常,心脏
表现型(英)
Arrhythmias, Cardiac
最新日期
2021/4/29 0:00:00
URL
https://www.pharmgkb.org/clinicalAnnotation/1183621726
专业人口(英)
专业人口
临床等位基因
id
等位基因
注释文本
934
*36
The CYP2D6*36 allele is assigned as a no function allele by CPIC. Patients carrying the *36 allele in combination with another no function allele, a normal function allele or a decreased function allele with an activity value of 0.25 may have lower clearance of flecainide as compared to patients carrying alleles that result in a normal metabolizer phenotype. Other genetic and clinical factors may also influence flecainide metabolism. This annotation only covers the pharmacokinetic relationship between CYP2D6 and flecainide and does not include evidence about clinical outcomes.
933
*21
The CYP2D6*21 allele is assigned as a no function allele by CPIC. Patients carrying the *21 allele in combination with another no function or a normal function allele may have lower clearance of flecainide as compared to patients carrying alleles that result in a normal metabolizer phenotype. Other genetic and clinical factors may also influence flecainide metabolism. This annotation only covers the pharmacokinetic relationship between CYP2D6 and flecainide and does not include evidence about clinical outcomes.
932
*10
The CYP2D6*10 allele is assigned as a decreased function allele with an activity value of 0.25 by CPIC. Patients carrying the *10 allele in combination with a no function allele or another decreased function allele with an activity value of 0.25 may have lower clearance of flecainide as compared to patients carrying alleles that result in a normal metabolizer phenotype. However, conflicting evidence has been reported. Other genetic and clinical factors may also influence flecainide metabolism. This annotation only covers the pharmacokinetic relationship between CYP2D6 and flecainide and does not include evidence about clinical outcomes.
931
*5
The CYP2D6*5 allele is assigned as a no function allele by CPIC. Patients carrying the *5 allele in combination with another no function or a normal function allele may have lower clearance of flecainide as compared to patients carrying alleles that result in a normal metabolizer phenotype. Other genetic and clinical factors may also influence flecainide metabolism. This annotation only covers the pharmacokinetic relationship between CYP2D6 and flecainide and does not include evidence about clinical outcomes.
930
*4
The CYP2D6*4 allele is assigned as a no function allele by CPIC. Patients carrying the *4 allele in combination with another no function or a normal function allele may have lower clearance of flecainide as compared to patients carrying alleles that result in a normal metabolizer phenotype. Other genetic and clinical factors may also influence flecainide metabolism. This annotation only covers the pharmacokinetic relationship between CYP2D6 and flecainide and does not include evidence about clinical outcomes.
929
*1
The CYP2D6*1 allele is assigned as a normal function allele by CPIC. Patients carrying the *1 allele in combination with alleles that result in a normal metabolizer phenotype may have higher clearance of flecainide as compared to patients carrying two no function alleles; two decreased function alleles with an activity value of 0.25; or a no function allele in combination with a normal function allele or a decreased function allele with an activity value of 0.25. However, conflicting evidence has been reported. Other genetic and clinical factors may also influence flecainide metabolism. This annotation only covers the pharmacokinetic relationship between CYP2D6 and flecainide and does not include evidence about clinical outcomes.
临床证据
id
证据的ID
总结
2792
1183621673
CYP2D6 *5/*36 + *10/*10 + *10/*36 + *21/*36 are associated with decreased oral clearance (CL/F) of flecainide in patients with supraventricular tachyarrhythmia when treated with flecainide as compared to CYP2D6 *1/*1 + *1/*2.
2791
1183621590
CYP2D6 *4 + *5 + *10 + *21 + *36 are associated with increased age-related decline in flecainide clearance patients treated with oral flecainide for supraventricular tachyarrhythmias when treated with flecainide as compared to CYP2D6 *1.
2790
1183621641
CYP2D6 *10 is not associated with pharmacokinetics of flecainide in healthy Chinese subjects when exposed to flecainide in healthy individuals as compared to CYP2D6 *1.
2789
1448099915
CYP2D6 normal metabolizer genotype is associated with concentrations of flecainide in people with Tachycardia, Supraventricular as compared to CYP2D6 poor metabolizer and intermediate metabolizer genotypes.
2788
PA166104969
Annotation of DPWG Guideline for flecainide and CYP2D6
临床病史
id
类型
评论
644
Update
Edited phenotype descriptions to fit LOE 1A template
643
Update
Added DPWG guideline as evidence. LOE changed to 1A.
642
Update
CA score added as part of scoring system release. LOE assigned following curator review.
641
Update
fixed typo in text
640
Update
Updated OMB race to appropriate biogeographical group
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