Pharmacogenetics of anti-cancer drugs: State of the art and implementation - recommendations of the French National Network of Pharmacogenetics.

作者: Sylvie Quaranta , Fabienne Thomas

DOI: 10.1016/J.THERAP.2017.01.005

关键词: IrinotecanPharmacologyThiopurine methyltransferasePharmacogeneticsCapecitabineMedicineCancerDihydropyrimidine dehydrogenaseDPYDEvidence-based medicineIntensive care medicine

摘要: Individualized treatment is of special importance in oncology because the drugs used for chemotherapy have a very narrow therapeutic index. Pharmacogenetics may contribute substantially to clinical routine optimizing cancer limit toxic effects while maintaining efficacy. This review presents usefulness pharmacogenetic tests some key applications: dihydropyrimidine dehydrogenase (DPYD) genotyping fluoropyrimidine (5-fluorouracil, capecitabine), UDP glucuronosylstransferase (UGT1A1) irinotecan and thiopurine S-methyltransferase (TPMT) drugs. Depending on level evidence, French National Network (RNPGx) has issued three levels recommendations these tests: essential, advisable, potentially useful. Other applications, which evidence still discussed, will be evoked final section this review.

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