CYP2C19 Polymorphisms and Therapeutic Drug Monitoring of Voriconazole: Are We Ready for Clinical Implementation of Pharmacogenomics?

A Owusu Obeng, EF Egelund, A Alsultan… - … : The Journal of …, 2014 - Wiley Online Library
Since its approval by the US Food and Drug Administration in 2002, voriconazole has
become a key component in the successful treatment of many invasive fungal infections …

Emerging roles for pharmacists in clinical implementation of pharmacogenomics

A Owusu‐Obeng, KW Weitzel… - … : The Journal of …, 2014 - Wiley Online Library
Pharmacists are uniquely qualified to play essential roles in the clinical implementation of
pharmacogenomics. However, specific responsibilities and resources needed for these …

Clinical Pharmacogenetics Implementation Consortium (CPIC) Guidelines for CYP2C19 and Voriconazole Therapy

B Moriyama, AO Obeng, J Barbarino… - Clinical …, 2017 - Wiley Online Library
Voriconazole, a triazole antifungal agent, demonstrates wide interpatient variability in serum
concentrations, due in part to variant CYP2C19 alleles. Individuals who are CYP2C19 …

The effect of therapeutic drug monitoring on safety and efficacy of voriconazole in invasive fungal infections: a randomized controlled trial

WB Park, NH Kim, KH Kim, SH Lee… - Clinical Infectious …, 2012 - academic.oup.com
Background. Blood levels of voriconazole, a first line therapy for invasive aspergillosis, may
correlate with adverse events and treatment response. However, no randomized controlled …

Voriconazole metabolism is influenced by severe inflammation: a prospective study

A Veringa, M Ter Avest, LFR Span… - Journal of …, 2016 - academic.oup.com
Background During an infection or inflammation, several drug-metabolizing enzymes in the
liver are down-regulated, including cytochrome P450 iso-enzymes. Since voriconazole is …

Efficacy and safety of voriconazole and CYP2C19 polymorphism for optimised dosage regimens in patients with invasive fungal infections

T Wang, H Zhu, J Sun, X Cheng, J Xie, H Dong… - International journal of …, 2014 - Elsevier
The aim of this study was to determine an optimum voriconazole target concentration, to
study the influence of CYP2C19 gene status on metabolism of voriconazole and to identify a …

A physiologically based pharmacokinetic model of voriconazole integrating time-dependent inhibition of CYP3A4, genetic polymorphisms of CYP2C19 and …

X Li, S Frechen, D Moj, T Lehr, M Taubert, C Hsin… - Clinical …, 2020 - Springer
Background Voriconazole, a first-line antifungal drug, exhibits nonlinear pharmacokinetics
(PK), together with large interindividual variability but a narrow therapeutic range, and …

[HTML][HTML] Determinants of the magnitude of interaction between tacrolimus and voriconazole/posaconazole in solid organ recipients

T Vanhove, H Bouwsma, L Hilbrands, JJ Swen… - American Journal of …, 2017 - Elsevier
Administration of azole antifungals to tacrolimus-treated solid organ recipients results in a
major drug–drug interaction characterized by increased exposure to tacrolimus. The …

Understanding variability with voriconazole using a population pharmacokinetic approach: implications for optimal dosing

MJ Dolton, G Mikus, J Weiss, JE Ray… - Journal of …, 2014 - academic.oup.com
Objectives Voriconazole exhibits highly variable, non-linear pharmacokinetics and is
associated with a narrow therapeutic range. This study aimed to investigate the population …

Identification of factors influencing the pharmacokinetics of voriconazole and the optimization of dosage regimens based on Monte Carlo simulation in patients with …

T Wang, S Chen, J Sun, J Cai, X Cheng… - Journal of …, 2014 - academic.oup.com
Objectives The objective of this study was to estimate the population pharmacokinetics of
voriconazole, to identify the factors influencing voriconazole pharmacokinetics and to …