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Jonathan B. Wagner, DO

TitlePhysician and Interim Division Director, Clinical Pharmacology, Toxicology & Therapeutic Innovation
InstitutionChildren's Mercy Kansas City
DepartmentPediatrics
Address2401 Gillham Rd
Kansas City MO 64108
ORCID ORCID Icon0000000176906798 Additional info
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    Other Positions
    TitleAssociate Professor of Pediatrics
    InstitutionUniversity of Missouri-Kansas City
    DepartmentPediatrics


    Collapse Biography 
    Collapse education and training
    Kansas City University of Medicine and Biosciences, Kansas City, MODO2007
    Children’s Mercy Hospital and Clinics, Kansas City, MOInternsip2008Pediatrics
    Children’s Mercy Hospital and Clinics, Kansas City, MOResidency2010Pediatrics
    Penn State Milton S. Hershey Medical Center, Hershey, PAFellowship2011Pediatric Cardiology
    Children’s Mercy Hospital and Clinics, Kansas City, MO Fellowship2013Pediatric Cardiology
    Children’s Mercy Hospital and Clinics, Kansas City, MOFellowship2014Pediatric Clinical Pharmacology
    Collapse awards and honors
    2020Golden Apple Mercy Mentor Award, Children's Mercy
    2018Department of Pediatrics Research Achievement Award, Children's Mercy
    2016Early Career Investigator Award Finalist, American Heart Association
    2015You’re the Cure Lobby Day on the Hill Scholarship Winner, American Heart Association
    2013Alpha Omega Alpha Honor Medical Society, University of Missouri-Kansas City School of Medicine
    2013Fellow Educator of the Year Finalist, Children's Mercy
    2007Magna Cum Laude Latin Honors, Kansas City University College of Osteopathic Medicine
    2003 - 2007Sigma Sigma Phi Academic/Service Honor Fraternity , Kansas City University College of Osteopathic Medicine
    2003 - 2007Psi Sigma Alpha Honor Fraternity , Kansas City University College of Osteopathic Medicine
    2005Mary Colleen Alderman Excellence in Pediatric Finalist , Kansas City University College of Osteopathic Medicine
    2003Cum Laude Latin Honors, University of Missouri-Columbia
    2003Honor Biochemistry Scholar, University of Missouri-Columbia
    1997Eagle Scout, Boy Scouts of America
    2023Matson Family Endowed Professorship in Cardiac Research, Children's Mercy
    2022Children’s Mercy Kansas City Rockstar Hall of Fame for Patient Experience , Children's Mercy
    2022Kansas City University Alumnus of the Year Award, Kansas City University

    Collapse Overview 

    Collapse Research 
    Collapse research overview
    Jon Wagner, DO, FAAP, graduated with a Bachelor of Science degree in biochemistry with cum laude latin honors from the University of Missouri-Columbia and received his medical degree with magna cum laude honors from Kansas City University College of Osteopathic Medicine. He completed pediatrics residency at Children’s Mercy Kansas City (CMKC), followed by a dual fellowship training in pediatric cardiology and pediatric clinical pharmacology. Dr. Wagner joined Children’s Mercy Kansas City faculty in 2013. He currently holds an academic rank of Associate Professor of Pediatrics at University of Missouri-Kansas City School of Medicine. He is the division director of Clinical Pharmacology and Toxicology at CMKC. His early career research involved the impact of genetic variation and development on statin disposition during childhood. His series of pharmacogenomics driven pharmacokinetic studies involving statins has contributed to further understanding of inter-individual variability of statin response in the pediatric population. Dr. Wagner has served as a site-primary investigator for the Fontan Udenafil Exercise Longitudinal (FUEL) and Fontan Associated Liver Disease (FALD) trials sponsored by the Pediatric Heart Network (NHLBI). He is the primary investigator of the IMProving Drug dosing and Outcomes for single Ventricle patients with Fontan Associated Liver Disease (IMPROVE-FALD) research program at Children’s Mercy Kansas. He has been the director of the Cardiology Pharmacogenomics Repository (CPR) at CMKC since 2013. Dr. Wagner has previously been honored as the 2018 CMKC Department of Pediatrics Research Achievement Award and 2022 Kansas City University Alumnus of the Year Award. He holds the Matson Family Endowed Professorship in Cardiac Research at CMKC. He has received over 3 million dollars in external funding during his career from the American Heart Association, Thrasher Research Fund, and the National Institutes of Health (NIH) to support his research and fellowship programs involving pediatric cardiovascular disease and pediatric clinical pharmacology. Dr. Wagner serves on the Advisory Council on Rare Disease and Personalized Medicine for Missouri Health Net division of the Missouri Department of Social Services and was a past member of American Heart Association Kansas City Board of Directors. Dr. Wagner’s passion and research goals involve clinical integration of pharmacogenomics, pathophysiology, and precision medicine into routine cardiovascular care, but simultaneously is passionate about spending quality time with his wife (Margo) and 2 boys (Oliver and Teddy) when not busy at work.
    Collapse research activities and funding
    13CRP16940091     (Wagner, Jonathan)Jul 1, 2013
    American Heart Association Midwest Affiliate Clinical Research Program
    Pharmacokinetics of pravastatin and simvastatin in pediatric dyslipidemia patients: Clinical impact of genetic variation in statin disposition
    Role Description: Award declined due to acceptance of AHA National Affiliate Grant
    Role: Primary Investigator

    Thrasher Research Fund Early Career Award Program      (Wagner, Jonathan)Jul 1, 2013
    Thrasher Research Fund
    Pharmacokinetics of pravastatin and simvastatin in pediatric dyslipidemia patients: Clinical impact of genetic variation in statin disposition
    Role Description: Award declined due to acceptance of AHA Grant
    Role: Primary Investigator

    Children’s Mercy Hospital Clinical Fellowship Rese     (Wagner, Jonathan)Jul 1, 2013 - Jun 30, 2015
    Children's Mercy Hospital
    Cardiology Pharmacogenomics Repository
    Role: Primary Investigator

    13CRP17110023     (Wagner, Jonathan)Jul 1, 2013 - Jun 30, 2016
    American Heart Association National Affiliate Clinical Research Program
    Pharmacokinetics of pravastatin and simvastatin in pediatric dyslipidemia patients: Clinical impact of genetic variation in statin disposition
    Role: Primary Investigator

    Marion Merrell Dow Clinical Scholar Award     (Wagner, Jonathan)Jul 1, 2014 - Aug 1, 2017
    Children’s Mercy Kansas City
    Pharmacokinetics of rosuvastatin and atorvastatin in pediatric dyslipidemia patients: Clinical impact of genetic variation in statin disposition
    Role: Primary Investigator

    1 U10 HL068270     (Paridon, Stephen)Jul 1, 2015 - Dec 31, 2019
    NHLBI (PHN)
    Fontan Udenafil Exercise Longitudinal (FUEL) Assessment Trial
    Role: Site Primary Investigator

    1 U10 HL068270     (Paridon, Stephen)May 1, 2017
    NHLBI (PHN)
    A Phase III Safety Extension Study of Udenafil in Adolescents with Single Ventricle Physiology after Fontan Palliation (FUEL Extension)
    Role Description: 1) Determine the safety of udenafil (87.5 mg, twice daily) in an adolescent population with single ventricle congenital heart disease palliated with the Fontan procedure. 2) Evaluate the pharmacodynamic profile of udenafil over a one-year period.
    Role: Site Primary Investigator

    KL2TR002367     (Wagner, Jonathan)Sep 1, 2017 - Jun 30, 2020
    NCATS (Frontiers Clinical and Translational Science Institute)
    Statin Optimization in Pediatrics
    Role: Primary Investigator

    1 U54 HD090258-02     (Leeder, J. Stephen)Apr 1, 2018 - Apr 1, 2020
    NICHD
    GOLDILOKs: Genomic- and Ontogeny-Linked Dose Individualization and cLinical Optimization for Kids
    Role Description: Endogenous biomarkers of SLCO1B1 activity, if established, can make these type of decision support tools more robust, enhance individualization, and reduce uncertainty nested in the resulting dosage recommendations.
    Role: Pilot Project Primary Investigator

    1 U10 HL068270     (Wagner, Jonathan)Jul 2, 2018
    NHLBI (PHN)
    Imaging and Biomarker Evaluation of Hepatic Stiffness in Children Enrolled in the Fontan Udenafil Exercise Longitudinal Study (FALD Ancillary Study)
    Role Description: To determine scope of hepatic stiffness in Fontan patients by ultrasound and magnetic resonance imaging elastography and evaluate the efficacy of udenafil in reducing liver stiffness.
    Role: Site Primary Investigator

    Pilot Grant     (McCoin, Colin)Jul 1, 2019 - Jul 1, 2021
    University of Kansas Medical/Children’s Mercy Hospital
    Statin Therapy in Children: Mitochondrial and Physical Function
    Role Description: To determine the impact of statin initiation on mitochondrial function and metabolic health in the developing child
    Role: Co-Investigator

         (Wagner, Jonathan)Nov 1, 2020 - Oct 31, 2024
    Thrasher Research Fund
    Effects of Pediatric Liver Adiposity on Statin Disposition and Response
    Role Description: Major Goals: 1) To determine the contribution of liver adiposity on hepatocellular drug transport, 2) To determine the contribution of liver adiposity on pediatric statin response
    Role: Primary Investigator

         (Wagner, Jonathan)Jul 1, 2021 - Jun 30, 2022
    Frontiers Clinical and Translational Science Institute: Lauren S. Aaronson Frontiers Clinical and Translational Research Pilot Study Program
    Effects of Liver Adiposity on the Pharmacometabolomics of Statin Disposition and Response in Children
    Role: Primary Investigator

    1T32HD069038-11     (WAGNER, JONATHAN)Mar 1, 2022
    NICHD
    Children’s Mercy Hospital Collaborative Fellowship Program in Pediatric Pharmacology
    Role Description: This funding provided research support for fellowship training in Pediatric Clinical Pharmacology.
    Role: Co-primary Investigator and Co-program director

    P30HD106451     Aug 1, 2023 - Jun 30, 2025
    NICHD (Indiana University-Ohio State University MPRINT Data, Model, Knowledge, and Research Coordination Center: IU:OSU MPRINT DCKRCC)
    IMProving DRug dosing and Outcomes for single VEntricle patients with Fontan Associated Liver Disease (IMPROVE-FALD)
    Role Description: To determine the effect of FALD, specifically liver congestion and fibrosis, on drug metabolism and transport in those with single ventricle congenital heart disease
    Role: Primary Investigator

    Collapse Bibliography 
    Collapse selected publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions.
    List All   |   Timeline
    1. Wagner JB, Abdel-Rahman S, Raghuveer G, Gaedigk A, Boone EC, Gaedigk R, Staggs VS, Reed GA, Zhang N, Leeder JS. SLCO1B1 Genetic Variation Influence on Atorvastatin Systemic Exposure in Pediatric Hypercholesterolemia. Genes (Basel). 2024 Jan 15; 15(1). PMID: 38254988.
      View in: PubMed
    2. Edelson JB, Zak V, Goldberg D, Fleming G, Mackie AS, Patel JK, Files M, Downing T, Richmond M, Acheampong B, Cartoski M, Detterich J, McCrindle B, McHugh K, Hansen JE, Wagner J, Maria MD, Weingarten A, Nowlen T, Yoon JK, Kim GB, Williams R, Whitehill R, Kirkpatrick E, Yin S, Ermis P, Lubert AM, Stylianou M, Freemon D, Hu C, Garuba OD, Frommelt P, Goldstein BH, Paridon S, Garg R. The Effect of Udenafil on Heart Rate and Blood Pressure in Adolescents With the Fontan Circulation. Am J Cardiol. 2024 Jan 01; 210:183-187. PMID: 37918818.
      View in: PubMed
    3. Krzywda K, Teson KM, Watson JS, Goudar S, Forsha D, Wagner JB, White DA. Peak Oxygen Consumption (V?O 2peak ) Recovery Delay in a Pediatric Fontan Population. Med Sci Sports Exerc. 2023 11 01; 55(11):1961-1967. PMID: 37418236.
      View in: PubMed
    4. Goldberg DJ, Hu C, Lubert AM, Rathod RH, Penny DJ, Petit CJ, Schumacher KR, Ginde S, Williams RV, Yoon JK, Kim GB, Nowlen TT, DiMaria MV, Frischhertz BP, Wagner JB, McHugh KE, McCrindle BW, Cartoski MJ, Detterich JA, Yetman AT, John AS, Richmond ME, Yung D, Payne RM, Mackie AS, Davis CK, Shahanavaz S, Hill KD, Almaguer M, Zak V, McBride MG, Goldstein BH, Pearson GD, Paridon SM. The Fontan Udenafil Exercise Longitudinal Trial: Subgroup Analysis. Pediatr Cardiol. 2023 Dec; 44(8):1691-1701. PMID: 37382636.
      View in: PubMed
    5. Palmen R, Sandritter T, Malloy-Walton L, Follansbee C, Wagner JB. Case report: Use of therapeutic drug monitoring and pharmacogenetic testing as opportunities to individualize care in a case of flecainide toxicity after fetal supraventricular tachycardia. Front Pediatr. 2023; 11:1168619. PMID: 37449265.
      View in: PubMed
    6. Ramsey LB, Gong L, Lee SB, Wagner JB, Zhou X, Sangkuhl K, Adams SM, Straka RJ, Empey PE, Boone EC, Klein TE, Niemi M, Gaedigk A. PharmVar GeneFocus: SLCO1B1. Clin Pharmacol Ther. 2023 04; 113(4):782-793. PMID: 35797228.
      View in: PubMed
    7. Ramsey L, Sprowl J, Leeder S, Wagner JB. In Tsongalis G eds. Advances in Molecular Pathology. SLCO1B1 Pharmacogenomics in Pediatrics. 2022.
    8. Stancil SL, Abdel-Rahman S, Wagner J. Developmental Considerations for the Use of Naltrexone in Children and Adolescents. J Pediatr Pharmacol Ther. 2021; 26(7):675-695. PMID: 34588931.
      View in: PubMed
    9. Friesen CS, Hosey-Cojocari C, Chan SS, Csanaky IL, Wagner JB, Sweeney BR, Friesen A, Fraser JD, Shakhnovich V. Efficacy of Weight Reduction on Pediatric Nonalcoholic Fatty Liver Disease: Opportunities to Improve Treatment Outcomes Through Pharmacotherapy. Front Endocrinol (Lausanne). 2021; 12:663351. PMID: 33927697.
      View in: PubMed
    10. Friesen CS, Chan SS, Wagner JB, Hosey-Cojocari C, Csanaky IL, Shakhnovich V. Critical need for pharmacologic treatment options in NAFLD: A pediatric perspective. Clin Transl Sci. 2021 05; 14(3):781-783. PMID: 33476465.
      View in: PubMed
    11. Villafane J, Miller JR, Glickstein J, Johnson JN, Wagner J, Snyder CS, Filina T, Pomeroy SL, Sexson-Tejtel SK, Haxel C, Gottlieb J, Eghtesady P, Chowdhury D. Loss of Consciousness in the Young Child. Pediatr Cardiol. 2021 Feb; 42(2):234-254. PMID: 33388850.
      View in: PubMed
    12. Wagner J, Artman M. . Pharmacology. In Allen HD, Driscoll DJ, Shaddy RE, Feltes TF, eds. Moss and Adams’ Heart Disease in Infants, Children, and Adolescents. 2021.
    13. Wagner JB, Ruggiero M, Leeder JS, Hagenbuch B. Functional Consequences of Pravastatin Isomerization on OATP1B1-Mediated Transport. Drug Metab Dispos. 2020 11; 48(11):1192-1198. PMID: 32892153.
      View in: PubMed
    14. Wagner JB, Abdel-Rahman S, Gaedigk A, Gaedigk R, Raghuveer G, Staggs VS, Van Haandel L, Leeder JS. Impact of SLCO1B1 Genetic Variation on Rosuvastatin Systemic Exposure in Pediatric Hypercholesterolemia. Clin Transl Sci. 2020 05; 13(3):628-637. PMID: 31981411.
      View in: PubMed
    15. Wagner J. Pharmacogenetics in the Treatment and Outcome of Congenital and Acquired Cardiac Disease During Childhood. 2020.
    16. Wagner J. Pharmacogenetics in the Treatment and Outcome of Congenital and Acquired Cardiac Disease During Childhood. In: Anderson RH, Baker EJ, Redington A, Rigby ML, Penny D, Wernovsky G, eds. Paediatric Cardiology. 2020.
    17. Goldberg DJ, Zak V, Goldstein BH, Schumacher KR, Rhodes J, Penny DJ, Petit CJ, Ginde S, Menon SC, Kim SH, Kim GB, Nowlen TT, DiMaria MV, Frischhertz BP, Wagner JB, McHugh KE, McCrindle BW, Shillingford AJ, Sabati AA, Yetman AT, John AS, Richmond ME, Files MD, Payne RM, Mackie AS, Davis CK, Shahanavaz S, Hill KD, Garg R, Jacobs JP, Hamstra MS, Woyciechowski S, Rathge KA, McBride MG, Frommelt PC, Russell MW, Urbina EM, Yeager JL, Pemberton VL, Stylianou MP, Pearson GD, Paridon SM. Results of the FUEL Trial. Circulation. 2020 02 25; 141(8):641-651. PMID: 31736357.
      View in: PubMed
    18. Kyler KE, Wagner J, Hosey-Cojocari C, Watt K, Shakhnovich V. Drug Dose Selection in Pediatric Obesity: Available Information for the Most Commonly Prescribed Drugs to Children. Paediatr Drugs. 2019 Oct; 21(5):357-369. PMID: 31432433.
      View in: PubMed
    19. Wagner JB. Genomics and Precision Medicine to Direct Statin Use in the Young. Prog Pediatr Cardiol. 2009 Sep; 54. PMID: 32855589.
      View in: PubMed
    20. Ogungbenro K, Wagner JB, Abdel-Rahman S, Leeder JS, Galetin A. A population pharmacokinetic model for simvastatin and its metabolites in children and adolescents. Eur J Clin Pharmacol. 2019 Sep; 75(9):1227-1235. PMID: 31172248.
      View in: PubMed
    21. Wagner JB. Children Are Not Small Adults: Specific Findings in Statin Exposure and Response in a Growing Population. Clin Pharmacol Ther. 2019 08; 106(2):278-280. PMID: 30970165.
      View in: PubMed
    22. Wagner JB, Abdel-Rahman S, Gaedigk R, Gaedigk A, Raghuveer G, Staggs VS, Kauffman R, Van Haandel L, Leeder JS. Impact of Genetic Variation on Pravastatin Systemic Exposure in Pediatric Hypercholesterolemia. Clin Pharmacol Ther. 2019 06; 105(6):1501-1512. PMID: 30549267.
      View in: PubMed
    23. McLaughlin MJ, Wagner J, Shakhnovich V, Carleton B, Leeder JS. Considerations for Implementing Precision Therapeutics for Children. Clin Transl Sci. 2019 03; 12(2):140-150. PMID: 30516322.
      View in: PubMed
    24. Wagner J. McLaughlin MJ, Leeder JS. Pediatric Pharmacogenetics and Pharmacogenomics, and Pharmacoproteomics. In Nelson’s Textbook of Pediatrics, 21st edition, Kliegman RM, Stanton BF, St. Geme III JW, Schor NF, Behrman RE, (Eds. 2019.
    25. Wagner JB, Abdel-Rahman S, Van Haandel L, Gaedigk A, Gaedigk R, Raghuveer G, Kauffman R, Leeder JS. Impact of SLCO1B1 Genotype on Pediatric Simvastatin Acid Pharmacokinetics. J Clin Pharmacol. 2018 06; 58(6):823-833. PMID: 29469964.
      View in: PubMed
    26. Wagner JB, Knowlton JQ, Pastuszko P, Shah SS. A Rare Case of Vascular Ring and Coarctation of the Aorta in Association with CHARGE Syndrome. Tex Heart Inst J. 2017 Apr; 44(2):138-140. PMID: 28461801.
      View in: PubMed
    27. Wagner J, Abdel-Rahman SM. Pediatric Statin Administration: Navigating a Frontier with Limited Data. J Pediatr Pharmacol Ther. 2016 Sep-Oct; 21(5):380-403. PMID: 27877092.
      View in: PubMed
    28. Chlebowski M, O'Brien J, Hertzenberg C, Wagner J. Asymptomatic Left Ventricular Myxoma in a 12-Year-Old Male. Tex Heart Inst J. 2016 Jun; 43(3):267-9. PMID: 27303249.
      View in: PubMed
    29. Wagner J. Effects of Prenatal Seafood Intake on Child Development. AAP Grand Rounds. 2016; 6(35):63.
    30. Wagner J. . Pharmacokinetic-Modeled Treatment for Neonatal Abstinence Syndrome. AAP Grand Rounds,. 2016; 3(35):27.
    31. van Haandel L, Gibson KT, Leeder JS, Wagner JB. Quantification of pravastatin acid, lactone and isomers in human plasma by UHPLC-MS/MS and its application to a pediatric pharmacokinetic study. J Chromatogr B Analyt Technol Biomed Life Sci. 2016 Feb 15; 1012-1013:169-77. PMID: 26849185.
      View in: PubMed
    32. Wagner J, Kearns GL, Artman M. Pharmacology. In: Allen HD, Driscoll DJ, Shaddy RE, Feltes TF, eds. Moss and Adams’ Heart Disease in Infants, Children, and Adolescents, 9th edition. 2016.
    33. Wagner J, Abdel-Rahman SM. Oseltamivir-warfarin interaction in hypoplastic left heart syndrome: case report and review. Pediatrics. 2015 May; 135(5):e1333-6. PMID: 25917992.
      View in: PubMed
    34. Naik RJ, Wagner JB, Chowdhury D, Barnes Ml, Wagner DS, Burson KC, Eslinger PJ, Clark JB. The impact of cerebral embolization during infant cardiac surgery on neurodevelopmental outcomes at intermediate follow-up. Perfusion. 2014 Sep; 29(5):443-9. PMID: 24534886.
      View in: PubMed
    35. Wagner J, Abdel-Rahman SM. Pediatric pharmacokinetics. Pediatr Rev. 2013 Jun; 34(6):258-69. PMID: 23729775.
      View in: PubMed
    36. Tisma-Dupanovic S, Wagner JB, Shah S, Huang DT, Moss AJ. An adolescent with possible arrhythmogenic right ventricular dysplasia and long QT syndrome: evaluation and management. Ann Noninvasive Electrocardiol. 2013 Jan; 18(1):75-8. PMID: 23347029.
      View in: PubMed
    37. Wagner J, Leeder JS. Pediatric pharmacogenomics: a systematic assessment of ontogeny and genetic variation to guide the design of statin studies in children. Pediatr Clin North Am. 2012 Oct; 59(5):1017-37. PMID: 23036242.
      View in: PubMed
    38. Wagner J, Cohen MH, O'Donnell M, Pauliks LB. Angina pectoris with troponin increase in arrhythmogenic right ventricle dysplasia: case article and review of the literature. Pediatr Cardiol. 2012 Apr; 33(4):659-62. PMID: 22290592.
      View in: PubMed
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