Fluoropyrimidine-associated toxicity and DPYD variants c. 85T> C, c. 496A> G, and c. 1236G> A: impact of haplotype

S Medwid, TJ Wigle, RB Kim - Cancer Chemotherapy and Pharmacology, 2023 - Springer
Dihydropyrimidine dehydrogenase (DPYD) is the rate-limiting step in fluoropyrimidines
metabolism. Currently, genotype-guided fluoropyrimidine dosing is recommended for four …

Implementation of upfront DPYD genotyping with a low-cost and high-throughput assay to guide fluoropyrimidine treatment in cancer patients

M Pinheiro, A Peixoto, P Rocha, C Santos… - Pharmacogenetics …, 2023 - journals.lww.com
Objectives Genetic variants in the dihydropyrimidine dehydrogenase (DPYD) gene are
associated with reduced dihydropyrimidine dehydrogenase enzyme activity and can cause …

Upfront Genotyping of DPYD*2A to Individualize Fluoropyrimidine Therapy: A Safety and Cost Analysis

MJ Deenen, D Meulendijks, A Cats… - Journal of Clinical …, 2016 - ascopubs.org
Purpose Fluoropyrimidines are frequently prescribed anticancer drugs. A polymorphism in
the fluoropyrimidine metabolizing enzyme dihydropyrimidine dehydrogenase (DPD; ie …

Clinical Pharmacogenetics Implementation Consortium guidelines for dihydropyrimidine dehydrogenase genotype and fluoropyrimidine dosing

KE Caudle, CF Thorn, TE Klein, JJ Swen… - Clinical …, 2013 - Wiley Online Library
The fluoropyrimidines are the mainstay chemotherapeutic agents for the treatment of many
types of cancers. Detoxifying metabolism of fluoropyrimidines requires dihydropyrimidine …

Clinical relevance of DPYD variants c. 1679T> G, c. 1236G> A/HapB3, and c. 1601G> A as predictors of severe fluoropyrimidine-associated toxicity: a systematic …

D Meulendijks, LM Henricks, GS Sonke… - The Lancet …, 2015 - thelancet.com
Background The best-known cause of intolerance to fluoropyrimidines is dihydropyrimidine
dehydrogenase (DPD) deficiency, which can result from deleterious polymorphisms in the …

Dihydropyrimidine dehydrogenase polymorphisms and fluoropyrimidine toxicity: ready for routine clinical application within personalized medicine?

M Del Re, A Di Paolo, RH van Schaik, G Bocci, P Simi… - EPMA Journal, 2010 - Springer
Abstract Fluoropyrimidines, including 5-fluorouracil (5-FU), are widely used in the treatment
of solid tumors and remain the backbone of many combination regimens. Despite their …

Patients carrying DPYD variant alleles have increased risk of severe toxicity and related treatment modifications during fluoropyrimidine chemotherapy

F Shakeel, F Fang, JW Kwon, K Koo… - …, 2021 - Taylor & Francis
Aim: To evaluate toxicity risk in carriers of four DPYD variants using an institutional genetic
repository. Materials & methods: Of over 65,000 patients in the repository, 582 were …

Impact of pretreatment dihydropyrimidine dehydrogenase genotype‐guided fluoropyrimidine dosing on chemotherapy associated adverse events

TJ Wigle, BL Povitz, S Medwid, WA Teft… - Clinical and …, 2021 - Wiley Online Library
Consensus guidelines exist for genotype‐guided fluoropyrimidine dosing based on variation
in the gene dihydropyrimidine dehydrogenase (DPYD). However, these guidelines have not …

A genotyping/phenotyping approach with careful clinical monitoring to manage the fluoropyrimidines-based therapy: clinical cases and systematic review of the …

V Conti, E De Bellis, V Manzo, F Sabbatino… - Journal of Personalized …, 2020 - mdpi.com
Fluoropyrimidines (FP) are mainly metabolised by dihydropyrimidine dehydrogenase (DPD),
encoded by the DPYD gene. FP pharmacogenetics, including four DPYD polymorphisms …

Developing DPYD Genotyping Method for Personalized Fluoropyrimidines Therapy

BYL Wong, Z Li, MJ Raphael… - The Journal of …, 2024 - academic.oup.com
Background Fluoropyrimidine drugs are widely used in chemotherapy to treat solid tumors.
However, severe toxicity has been reported in 10% to 40% of patients. The DPYD gene …