UGT1A1 genotype-guided dosing of irinotecan: time to prioritize patient safety

被引:4
|
作者
Peeters, Sofia L. J. [1 ,2 ]
Deenen, Maarten J. [1 ,2 ]
Thijs, Anna M. J. [3 ]
Hulshof, Emma C. [1 ,2 ]
Mathijssen, Ron H. J. [4 ]
Gelderblom, Hans [5 ]
Guchelaar, Henk-Jan [2 ]
Swen, Jesse J. [2 ]
机构
[1] Catharina Hosp, Dept Clin Pharm, Michelangelolaan 2, NL-5623 EJ Eindhoven, Netherlands
[2] Leiden Univ, Dept Clin Pharm & Toxicol, Med Ctr, Albinusdreef 2, NL-2333 ZA Leiden, Netherlands
[3] Catharina Hosp, Dept Med Oncol, Michelangelolaan 2, NL-5623 EJ Eindhoven, Netherlands
[4] Erasmus MC, Dept Med Oncol, Dr Molewaterplein 40, NL-3015 GD Rotterdam, Netherlands
[5] Leiden Univ, Dept Med Oncol, Med Ctr, Albinusdreef 2, NL-2333 ZA Leiden, Netherlands
关键词
irinotecan; personalized medicine; PGx; pharmacogenetics; pharmacogenomics; precision dosing; pretreatment; UGT1A1; PHARMACOGENETICS; IMPLEMENTATION; NEUTROPENIA; TOXICITY; THERAPY; RISK;
D O I
10.2217/pgs-2023-0096
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Tweetable abstract Pretreatment UGT1A1 genotyping and a 70% irinotecan dose intensity in poor metabolizers is safe, feasible, cost-effective and essential for safe irinotecan treatment in cancer patients. It is time to update guidelines to swiftly enable the implementation of UGT1A1 genotype-guided irinotecan dosing in routine oncology care. © 2023 Future Medicine Ltd.
引用
收藏
页码:435 / 439
页数:5
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