Diagnostic and Therapeutic Strategies for Fluoropyrimidine Treatment of Patients Carrying Multiple DPYD Variants

CATC Lunenburg, LM Henricks, ABP Van Kuilenburg… - Genes, 2018 - mdpi.com
DPYD genotyping prior to fluoropyrimidine treatment is increasingly implemented in clinical
care. Without phasing information (ie, allelic location of variants), current genotype-based …

In Vitro Assessment of Fluoropyrimidine-Metabolizing Enzymes: Dihydropyrimidine Dehydrogenase, Dihydropyrimidinase, and β-Ureidopropionase

E Hishinuma, E Gutiérrez Rico, M Hiratsuka - Journal of Clinical Medicine, 2020 - mdpi.com
Fluoropyrimidine drugs (FPs), including 5-fluorouracil, tegafur, capecitabine, and
doxifluridine, are among the most widely used anticancer agents in the treatment of solid …

Tolerance-based capecitabine dose escalation after DPYD genotype-guided dosing in heterozygote DPYD variant carriers: a single-center observational study

JP Kleinjan, I Brinkman, R Bakema… - Anti-Cancer …, 2019 - journals.lww.com
Objective Certain polymorphisms of the DPYD gene encoding for the dihydropyrimidine
dehydrogenase (DPD) enzyme are associated with fluoropyrimidine-induced toxicity. Dose …

Treating patients with dihydropyrimidine dehydrogenase (DPD) deficiency with fluoropyrimidine chemotherapy since the onset of routine prospective testing—The …

L Wang, S Howlett, S Essapen - Seminars in Oncology, 2022 - Elsevier
Background Fluoropyrimidine chemotherapy is used across many tumor types and settings.
The incidence of severe adverse events (SAEs) is around 20%. Mortality is 0.5%-1 …

Pharmacogenetics and metabolism from science to implementation in clinical practice: the example of dihydropyrimidine dehydrogenase

M Del Re, G Restante, A Di Paolo… - Current …, 2017 - ingentaconnect.com
Background: Fluoropyrimidines are widely used in the treatment of solid tumors and remain
the backbone of many combination chemotherapy regimens. Despite their clinical benefit …

Frequency of DPYD gene variants and phenotype inference in a Southern Brazilian population

MR Botton, M Hentschke‐Lopes… - Annals of Human …, 2022 - Wiley Online Library
Fluoropyrimidines are chemotherapy drugs that may cause severe adverse events, and their
metabolism occurs by dihydropyrimidine deydrogenase (DPD), coded by DPYD. Variants in …

[HTML][HTML] Dihydropyrimidine dehydrogenase deficiency in patients with severe toxicity after 5-fluorouracil: a retrospective single-center study

S Detailleur, E Segelov, M Del Re… - Annals of …, 2021 - ncbi.nlm.nih.gov
Background 5-Fluorouracil (5-FU) is an agent frequently used in the treatment of solid
cancers. A deficiency in the enzyme that catabolizes 5-FU leads to severe toxicity. The gene …

[HTML][HTML] Therapeutic drug monitoring in oncology: IATDMCT recommendations for 5-fluorouracil therapy

JH Beumer, E Chu, C Allegra… - Clinical …, 2019 - ncbi.nlm.nih.gov
2 Background In 2015, the newly formed Therapeutic Drug Monitoring (TDM) in Oncology
Scientific Committee of the IATDMCT convened a meeting in Rotterdam, The Netherlands, to …

[HTML][HTML] The use of pharmacogenetics to increase the safety of colorectal cancer patients treated with fluoropyrimidines

E De Mattia, R Roncato, C Dalle Fratte… - Cancer Drug …, 2019 - ncbi.nlm.nih.gov
Fluoropyrimidines (FP) are given in the combination treatment of the advanced disease or
as monotherapy in the neo-adjuvant and adjuvant treatment of colorectal cancerand other …

[HTML][HTML] Tailored therapy in patients treated with fluoropyrimidines: Focus on the role of dihydropyrimidine dehydrogenase

F Merloni, N Ranallo, L Scortichini… - Cancer Drug …, 2019 - ncbi.nlm.nih.gov
Fluoropyrimidines are widely used in the treatment of solid tumors, mainly gastrointestinal,
head and neck and breast cancer. Dihydropyrimidine dehydrogenase (DPD) is the rate …