Safety, pharmacokinetics (PK), and cost-effectiveness of upfront genotyping of DPYD in fluoropyrimidine therapy.

MJ Deenen, A Cats, MK Sechterberger… - Journal of Clinical …, 2011 - ascopubs.org
3606 Background: Fluoropyrimidines, although generally well tolerated, can induce life-
threatening toxicity. The major known cause of intolerance is deficiency of the detoxifying …

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 …

Implementing DPYD*2A Genotyping in Clinical Practice: The Quebec, Canada, Experience

C Jolivet, R Nassabein, D Soulières, X Weng… - The …, 2021 - academic.oup.com
Background Fluoropyrimidines are used in chemotherapy combinations for multiple cancers.
Deficient dihydropyrimidine dehydrogenase activity can lead to severe life‐threatening …

Implementation of pharmacogenetic testing in oncology: DPYD-guided dosing to prevent fluoropyrimidine toxicity in British Columbia

A Wu, H Anderson, C Hughesman, S Young… - Frontiers in …, 2023 - frontiersin.org
Background: Fluoropyrimidine toxicity is often due to variations in the gene (DPYD)
encoding dihydropyrimidine dehydrogenase (DPD). DPYD genotyping can be used to …

[HTML][HTML] Prospective DPYD genotyping to reduce the risk of fluoropyrimidine-induced severe toxicity: Ready for prime time

CATC Lunenburg, LM Henricks, HJ Guchelaar… - European journal of …, 2016 - Elsevier
Fluorouracil (5-FU) and capecitabine (CAP) are among the most frequently prescribed
anticancer drugs. They are inactivated in the liver by the enzyme dihydropyrimidine …

Patients homozygous for DPYD c.1129-5923C>G/haplotype B3 have partial DPD deficiency and require a dose reduction when treated with fluoropyrimidines

D Meulendijks, LM Henricks… - Cancer chemotherapy …, 2016 - Springer
Purpose Dihydropyrimidine dehydrogenase (DPD) is a critical determinant of 5-fluorouracil
pharmacology, and reduced activity of DPD as a result of deleterious polymorphisms in the …

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 …

Effectiveness and safety of reduced‐dose fluoropyrimidine therapy in patients carrying the DPYD*2A variant: A matched pair analysis

LM Henricks, LN van Merendonk… - … Journal of Cancer, 2019 - Wiley Online Library
Carriers of the genetic DPYD* 2A variant, resulting in dihydropyrimidine dehydrogenase
deficiency, are at significantly increased risk of developing severe fluoropyrimidine …

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 …

Capecitabine‐based treatment of a patient with a novel DPYD genotype and complete dihydropyrimidine dehydrogenase deficiency

LM Henricks, EJM Siemerink, H Rosing… - … journal of cancer, 2018 - Wiley Online Library
Fluoropyrimidines are frequently used anti‐cancer drugs. It is known that patients with
reduced activity of dihydropyrimidine dehydrogenase (DPD), the key metabolic enzyme in …