Article
CYP3A4*22 Impairs the Elimination of Ticagrelor, But Has No Significant Effect on the Bioactivation of Clopidogrel or Prasugrel.
Clinical pharmacology and therapeutics - 1 Feb 2019
Holmberg Mikko T, Tornio Aleksi, Paile-Hyvärinen Maria, Tarkiainen E Katriina, Neuvonen Mikko, Neuvonen Pertti J, Backman Janne T, Niemi Mikko
Abstract excerpt
CYP3A enzymes participate in the elimination of ticagrelor and the bioactivation of clopidogrel and prasugrel. We studied the effects of functional CYP3A genetic variants (CYP3A4*22; rs35599367 and CYP3A5*3; rs776746) on the pharmacokinetics and pharmacodynamics of ticagrelor, clopidogrel, and prasugrel. Six healthy volunteers with the CYP3A4*1/*22 and CYP3A5*3/*3 genotype (CYP3A4*22 carriers), eight with the...
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