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CompletedNCT00190255Updated May 10, 2011

Pharmacogenetics of Gastrointestinal Bleeding

An observational study in Gastrointestinal Hemorrhage, Stomach Ulcer and Non-steroidal Anti-inflammatory Drug Sensitivity, sponsored by Assistance Publique - Hôpitaux de Paris. Completed at 4 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2011-05-10.

Sponsored by Assistance Publique - Hôpitaux de Paris · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
200
Ages
18 Years and older
Sex
All
01

Study summary

Gastrointestinal bleeding is a severe adverse effect occurring in subjects secondary to the use of nonsteroidal anti-inflammatory drugs (NSAIDs). The enzyme CYP2C9 is responsible for the elimination of several NSAIDs. This protein is inactive in 12% of the subjects because of genetic mutations. We hypothesized that individuals carrying such mutations should be at higher risk of gastrointestinal bleeding since they display decreased NSAIDs elimination.

Read the detailed description

Gastrointestinal bleeding is a severe adverse effect occurring in subjects secondary to the use of nonsteroidal anti-inflammatory drugs (NSAIDs). The enzyme CYP2C9 is responsible for the elimination of most NSAIDs. Several polymorphisms have been observed in CYP2C9. Of these, the CYP2C9*3 allele, found in 12% of caucasian subjects, leads to reduced function of the enzyme.

We hypothesized that individuals carrying this mutation should be at higher risk of gastrointestinal bleeding since they display decreased elimination of some NSAIDs.

The purpose of this study is to determine whether the frequency for CYP2C9*3 variant allele is increased in subjects using NSAIDs metabolized by CYP2C9 in comparison with subjects under NSAIDs not metabolized by this enzyme.

The study groups consist of 200 patients suffering from gastrointestinal bleeding after NSAIDs use, divided in 100 patients using NSAIDs metabolized by CYP2C9 and 100 patients using other NSAIDs.

02

Conditions studied

  • Gastrointestinal Hemorrhage
  • Stomach Ulcer
  • Non-steroidal Anti-inflammatory Drug Sensitivity

Keywords

  • gastrointestinal haemorrhage
  • stomach ulcer
  • anti-inflammatory agents, non-steroidal
  • CYP2C9 protein, human
  • genotype
  • pharmacogenetics
03

In context

Gastrointestinal Hemorrhage

339 studies on the registry are indexed under Gastrointestinal Hemorrhage; 79 are open to participants now.

This study's enrollment of 200 is close to the median of 200 across 116 observational studies indexed under Gastrointestinal Hemorrhage.

Browse Gastrointestinal Hemorrhage studies →

Lead sponsor

Assistance Publique - Hôpitaux de Paris is the lead sponsor of 3,505 studies on the registry; 1,006 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Inclusion Criteria:

  • Upper gastrointestinal bleeding revealed by hematemesis, melena or lowering of at least 2g/dl of haemoglobin
  • Endoscopic report of gastrointestinal ulcer or haemorrhagic lesion
  • Immediate antecedents of NSAID therapy

Exclusion Criteria:

  • Cirrhosis (Child B or C)
  • Coma
  • Concomitant therapy with substrates or inhibitors of CYP2C9 : ketoconazole, itraconazole, ritonavir, phenobarbital, rifampicin, depakine, phenytoin, St John's worts
  • Patients treated by a NSAID metabolized by CYP2C9 and a NSAID not metabolized by CYP2C9

Inclusion criteria

  • Upper gastrointestinal bleeding revealed by hematemesis, melena or lowering of at least 2g/dl of haemoglobin
  • Endoscopic report of gastrointestinal ulcer or haemorrhagic lesion
  • Immediate antecedents of NSAID therapy

Exclusion criteria

Exclusion Criteria:

  • Cirrhosis (Child B or C)
  • Coma
  • Concomitant therapy with substrates or inhibitors of CYP2C9 : ketoconazole, itraconazole, ritonavir, phenobarbital, rifampicin, depakine, phenytoin, St John's worts
  • Patients treated by a NSAID metabolized by CYP2C9 and a NSAID not metabolized by CYP2C9
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
200 participants (actual)
Biospecimen retention
Samples with dna

Interventions

  • ProcedureCY2PC9 genotyping

    CY2PC9 genotyping

06

Study locations

4 sites
  • Service d'hépato-gastroentérologie, Hôpital Saint Antoine
    Paris, 75012, France
  • Service d'hépato-gastroentérologie, Hôpital Pitié Salpétrière
    Paris, 75013, France
  • : Service d'hépato-gastroentérologie, Hôpital Henri Mondor
    Paris, 94010, France
  • Service d'hépato-gastroentérologie, Hôpital Paul BROUSSE
    Villejuif, 94804, France
07

References and documents

Publications

  • Martin JH, Begg EJ, Kennedy MA, Roberts R, Barclay ML. Is cytochrome P450 2C9 genotype associated with NSAID gastric ulceration? Br J Clin Pharmacol. 2001 Jun;51(6):627-30. doi: 10.1046/j.0306-5251.2001.01398.x. PubMed 11422024 ↗
  • Martinez C, Blanco G, Ladero JM, Garcia-Martin E, Taxonera C, Gamito FG, Diaz-Rubio M, Agundez JA. Genetic predisposition to acute gastrointestinal bleeding after NSAIDs use. Br J Pharmacol. 2004 Jan;141(2):205-8. doi: 10.1038/sj.bjp.0705623. Epub 2004 Jan 5. PubMed 14707031 ↗
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 10, 2011, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00190255
Lead sponsor
Assistance Publique - Hôpitaux de Paris
First posted
Sep 19, 2005
Start date
Apr 2004
Primary completion
Jul 2007
Completion
Jul 2007
Last update
May 10, 2011

Study contacts

Nicolas CARBONNELL, MD
principal investigator · Assistance Publique - Hôpitaux de Paris
Laurent BECQUEMONT, MD
study director · Assistance Publique - Hôpitaux de Paris

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Mar 2007. You cannot join it, but the record below documents what was studied.

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