Review Article

Pharmacogenetic Approach for the Prevention of Rivaroxaban’s ADRs: A Systematic Review and Meta-Analysis

Table 2

Qualitative analysis of included studies.

RowAuthor, yearExposureOutcome definitionMeasure of association and explanationResults
Gene nameMutationGrouping

1Campos-Staffico, 2022CYP3A4rs35599367AA vs. AG vs. GGBleedingHR (95% CI)0.891 (0.708 to 1.122)
CYP3A5rs776746CC vs. CT vs. TT0.943 (0.687 to 1.294)
CYP2J2rs890293CC vs. CA vs. AA1.131 (0.871 to 1.468)
ABCG2rs2231142GG vs. GA vs. AA1.055 (0.863 to 1.289)
ABCB1rs4148732GG vs. GA vs. AA1.096 (0.956 to 1.256)
C-G-C diplotypesHomozygous vs. hetero vs. other1.027 (0.895 to 1.179)

2Gouin-Thibault, 2016ABCB1rs2677-3435CCAUCMean (percentage coefficient of variation)1802, 42
rs2677-3435CT2238, 43
rs2677-3435TT2078, 50
rs2677-3435CCMaximum concentration161, 27
rs2677-3435CT190, 31
rs2677-3435TT178, 30

3Lähteenmäki, 2021ABCB1rs1045642CC vs. AA and ACBleedingHR (95% CI)0.84 (0.37 to 1.91)
rs2032582AA vs. AC and CC1.06 (0.33 to 3.43)
rs1128503AA vs. AG and GG1.03 (0.50 to 2.12)
rs1045642CC vs. AA and ACThromboembolic event0.42 (0.18 to 0.98)
rs2032582AA vs. AC and CC0.50 (0.23 to 1.08)
rs1128503AA vs. AG and GG0.82 (0.36 to 1.89)

4Lenoir, 2022ABCB1rs1128503AG vs. AAAUCMean (95% CI)−46.50 (−163.59 to 70.59)
GG vs. AA21.46 (−125.94 to 168.86)
rs1045642AC vs. CC−51.69 (−170.92 to 67.54)
AA vs. CC−71.90 (−161.27 to 17.46)
rs2032582GT vs. GG56.52 (−75.24 to 188.29)
TT vs. GG54.86 (−96.09 to 205.81)

5Nakagawa, 2017CYP3A5rs776746TTMaximum concentrationMean (95% CI)4.77 (3.83 to 7.36)
TC3.58 (2.21 to 5.13)
CC2.99 (1.94 to 5.34)
ABCB1rs1045642AA2.87 (2.45 to 5.14)
AC3.43 (1.89 to 5.72)
CC3.76 (2.12 to 5.14)
rs2032582GG4.17 (2.16 to 6.05)
GT3.17 (1.31 to 5.11)
TT3.35 (2.45 to 5.41)
rs1128503AA4.37 (2.49 to 4.91)
AG3.09 (2.11 to 5.72)
GG3.06 (2.18 to 5.30)
ABCG2rs2231142GG3.35 (2.25 to 5.14)
GA3.47 (1.88 to 5.39)
AA1.89 (0.99 to 3.49)
CYP2J2rs890293CC3.26 (2.11 to 5.14)
CA4.31 (2.39 to 8.60)
AANR

6Sychev, 2019ABCB1rs1045642AAAUCMean, to value150.4
AC121, 0.306
CC128, 0.857
rs4148738CC142.2
CA120.8, 0.391
AA131.3, 0.987
CYP3A4rs35599367GG123.5
GA118.2, 0.716
AANR
CYP3A5rs776746TT193.3
TC121.0, 0.217
CCNR

7Sychev, 2022ABCB1rs1045642AAMaximum concentrationMean (95% CI)57.7 (23.3 to 75.8)
AC50.6 (28.3 to 80.6)
CC65.8 (36.4 to 95.7)
AAGastrointestinal bleedingNumber of patients presented with outcome/genotype (%)0/22 (0)
AC3/65 (4.6)
CC1/41 (2.4)
AAHematuria0/22 (0)
AC6/65 (9.2)
CC9/41 (22)
AAProthrombin timeMean (95% CI)13.3 (12.4 to 14.5)
AC14.0 (12.6 to 14.8)
CC14.2 (13.0 to 16.1)
rs4148738CCMaximum concentrationMean (95% CI)57.7 (28.3 to 98.0)
CA52.1 (28.4 to 80.4)
AA56.35 (36.3 to 89.1)
CCGastrointestinal bleedingNumber of patients presented with outcome/each genotype (%)1/37 (2.7)
CA2/63 (3.2)
AA1/28 (3.6)
CCHematuria1/37 (2.7)
CA5/63 (7.9)
AA9/28 (32.1)
CCProthrombin timeMean (95% CI)13.4 (12.4 to 14.7)
CA14.0 (12.8 to 14.6)
AA14.2 (12.9 to 16.5)

8Wang, 2021ABCB1rs1045642AABleedingNumber of patients in each genotype, presented with bleeding22, 3
AC70, 10
CC63, 11
rs1128503AA65, 0
AG63, 10
GG27, 5
rs4148738CC31, 3
CA64, 10
AA60, 11

9Yoon, 2022ABCB1rs1045642AA vs. AC and CCBleedingOR (%)2.44 (1.07 to 5.58)
APOBrs693TT vs. CC and CT6.85 (0.90 to 52.63)
rs13306198GG vs. AA and GA3.00 (1.39 to 6.47)

10Zhang, 2023ABCB1rs4728709GG vs. AA and GAIncrease in maximum concentrationMean (SD)47.6% (9.1%)

HR, hazard ratio; OR, odds ratio; CI, confidence interval; AUC, area under the plasma concentration-time curve.