Jonathan B. Wagner, DO
Title | Physician and Interim Division Director, Clinical Pharmacology, Toxicology & Therapeutic Innovation |
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Institution | Children's Mercy Kansas City |
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Department | Pediatrics |
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Address | 2401 Gillham Rd Kansas City MO 64108
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ORCID
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vCard | Download vCard |
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Title | Associate Professor of Pediatrics |
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Institution | University of Missouri-Kansas City |
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Department | Pediatrics |
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Biography Kansas City University of Medicine and Biosciences, Kansas City, MO | DO | 2007 | | Children’s Mercy Hospital and Clinics, Kansas City, MO | Internsip | 2008 | Pediatrics | Children’s Mercy Hospital and Clinics, Kansas City, MO | Residency | 2010 | Pediatrics | Penn State Milton S. Hershey Medical Center, Hershey, PA | Fellowship | 2011 | Pediatric Cardiology | Children’s Mercy Hospital and Clinics, Kansas City, MO | Fellowship | 2013 | Pediatric Cardiology | Children’s Mercy Hospital and Clinics, Kansas City, MO | Fellowship | 2014 | Pediatric Clinical Pharmacology |
2023 | Matson Family Endowed Professorship in Cardiac Research, Children's Mercy | 2022 | Kansas City University Alumnus of the Year Award, Kansas City University | 2022 | Children’s Mercy Kansas City Rockstar Hall of Fame for Patient Experience , Children's Mercy | 2020 | Golden Apple Mercy Mentor Award, Children's Mercy | 2018 | Department of Pediatrics Research Achievement Award, Children's Mercy | 2016 | Early Career Investigator Award Finalist, American Heart Association | 2015 | You’re the Cure Lobby Day on the Hill Scholarship Winner, American Heart Association | 2013 | Alpha Omega Alpha Honor Medical Society, University of Missouri-Kansas City School of Medicine | 2013 | Fellow Educator of the Year Finalist, Children's Mercy | 2007 | Magna Cum Laude Latin Honors, Kansas City University College of Osteopathic Medicine | 2003 - 2007 | Sigma Sigma Phi Academic/Service Honor Fraternity , Kansas City University College of Osteopathic Medicine | 2003 - 2007 | Psi Sigma Alpha Honor Fraternity , Kansas City University College of Osteopathic Medicine | 2005 | Mary Colleen Alderman Excellence in Pediatric Finalist , Kansas City University College of Osteopathic Medicine | 2003 | Cum Laude Latin Honors, University of Missouri-Columbia | 2003 | Honor Biochemistry Scholar, University of Missouri-Columbia | 1997 | Eagle Scout, Boy Scouts of America |
Overview Research 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 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 4.5 million dollars in external funding during his career from the American Heart Association, Thrasher Research Fund, and the National Institutes of Health (NIH), and philanthropic funding 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.
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 - Apr 30, 2026 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 |
| R01GM149665 (Hagenbuch)Jul 1, 2024 - Jun 30, 2028 NIGMS Post-translational regulation of hepatic transporters in health and disease Role Description: 1) Determine the effect of free cholesterol on the function and expression of OATP1B1 and OATP1B3; and 2) Elucidate the modulation of the function and expression of OATP1B1 and OATP1B3 by protein palmitoylation Role: Co-Investigator |
| P30HD106451 (Walton)Aug 1, 2024 - Jul 31, 2025 NICHD/MPRINT Maximizing Atenolol Response through Functional Assessment iNvestigations amongst connective tissue disorders (MARFAN) Role Description: Characterize the role of OCT1 and OCT2 on atenolol cellular uptake Role: Mentor |
| (Walton)Sep 1, 2024 - Aug 31, 2025 Children’s Mercy Kansas City Fellowship Research Award Maximizing Atenolol Response through Functional Assessment iNvestigations amongst connective tissue disorders (MARFAN) Role Description: Characterize the role of OCT1 and OCT2 on atenolol cellular uptake Role: Mentor |
Bibliography
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Morales Junior R, Amajor V, Paice K, Kyler KE, Hambrick HR, Pavia KE, Haynes AS, Gooden F, Pais GM, Downes KJ, Ramsey LB, Wagner J, Tang Girdwood S. From Dose to Exposure: Shifting the Paradigm of Pediatric Clinical Pharmacology Research and Education. Clin Pharmacol Ther. 2024 Sep; 116(3):515-517. PMID: 38686743.
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Walton M, Wagner JB. Pediatric Beta Blocker Therapy: A Comprehensive Review of Development and Genetic Variation to Guide Precision-Based Therapy in Children, Adolescents, and Young Adults. Genes (Basel). 2024 03 20; 15(3). PMID: 38540438.
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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 01 15; 15(1). PMID: 38254988.
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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 01 01; 210:183-187. PMID: 37918818.
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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.
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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.
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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.
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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.
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Ramsey L, Sprowl J, Leeder S, Wagner JB. In Tsongalis G eds. Advances in Molecular Pathology. SLCO1B1 Pharmacogenomics in Pediatrics. 2022.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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Wagner J. Pharmacogenetics in the Treatment and Outcome of Congenital and Acquired Cardiac Disease During Childhood. 2020.
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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.
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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.
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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.
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Wagner JB. Genomics and Precision Medicine to Direct Statin Use in the Young. Prog Pediatr Cardiol. 2009 Sep; 54. PMID: 32855589.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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Wagner J. Effects of Prenatal Seafood Intake on Child Development. AAP Grand Rounds. 2016; 6(35):63.
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Wagner J. . Pharmacokinetic-Modeled Treatment for Neonatal Abstinence Syndrome. AAP Grand Rounds,. 2016; 3(35):27.
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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.
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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.
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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.
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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.
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Wagner J, Abdel-Rahman SM. Pediatric pharmacokinetics. Pediatr Rev. 2013 Jun; 34(6):258-69. PMID: 23729775.
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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.
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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.
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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.
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Year | Publications |
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2012 | 2 | 2013 | 2 | 2014 | 1 | 2015 | 1 | 2016 | 6 | 2017 | 1 | 2018 | 1 | 2019 | 8 | 2020 | 4 | 2021 | 5 | 2022 | 2 | 2023 | 4 | 2024 | 3 |
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