Translating pharmacogenomics into clinical decisions: do not let the perfect be the enemy of the good

K Krebs, L Milani - Human genomics, 2019 - Springer
The field of pharmacogenomics (PGx) is gradually shifting from the reactive testing of single
genes toward the proactive testing of multiple genes to improve treatment outcomes, reduce …

Pathogenic DPYD Variants and Treatment-Related Mortality in Patients Receiving Fluoropyrimidine Chemotherapy: A Systematic Review and Meta-Analysis

BB Sharma, K Rai, H Blunt, W Zhao… - The …, 2021 - academic.oup.com
Background Pathogenic variants of the DPYD gene are strongly associated with grade≥ 3
toxicity during fluoropyrimidine chemotherapy. We conducted a systematic review and meta …

Colon cancer, version 2.2021, NCCN clinical practice guidelines in oncology

AB Benson, AP Venook, MM Al-Hawary… - Journal of the National …, 2021 - jnccn.org
This selection from the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines)
for Colon Cancer focuses on systemic therapy options for the treatment of metastatic …

Host and gut bacteria share metabolic pathways for anti-cancer drug metabolism

P Spanogiannopoulos, TS Kyaw, BGH Guthrie… - Nature …, 2022 - nature.com
Pharmaceuticals have extensive reciprocal interactions with the microbiome, but whether
bacterial drug sensitivity and metabolism is driven by pathways conserved in host cells …

DPYD genotype-guided dose individualisation of fluoropyrimidine therapy in patients with cancer: a prospective safety analysis

LM Henricks, CATC Lunenburg, FM de Man… - The Lancet …, 2018 - thelancet.com
Background Fluoropyrimidine treatment can result in severe toxicity in up to 30% of patients
and is often the result of reduced activity of the key metabolic enzyme dihydropyrimidine …

Dutch Pharmacogenetics Working Group (DPWG) guideline for the gene–drug interaction of DPYD and fluoropyrimidines

CATC Lunenburg, CH van der Wouden… - European Journal of …, 2020 - nature.com
Despite advances in the field of pharmacogenetics (PGx), clinical acceptance has remained
limited. The Dutch Pharmacogenetics Working Group (DPWG) aims to facilitate PGx …

Dutch Pharmacogenetics Working Group (DPWG) guideline for the gene-drug interaction between CYP2C19 and CYP2D6 and SSRIs

JMJL Brouwer, M Nijenhuis, B Soree… - European Journal of …, 2022 - nature.com
Abstract The Dutch Pharmacogenetics Working Group (DPWG) guideline presented here,
presents the gene-drug interaction between the genes CYP2C19 and CYP2D6 and …

Dihydropyrimidine dehydrogenase testing prior to treatment with 5-fluorouracil, capecitabine, and tegafur: a consensus paper

B Wörmann, C Bokemeyer, T Burmeister… - Oncology research and …, 2020 - karger.com
Background: 5-Fluorouracil (FU) is one of the most commonly used cytostatic drugs in the
systemic treatment of cancer. Treatment with FU may cause severe or life-threatening side …

All You Need to Know About DPYD Genetic Testing for Patients Treated With Fluorouracil and Capecitabine: A Practitioner-Friendly Guide

F Innocenti, SC Mills, H Sanoff, J Ciccolini… - JCO Oncology …, 2020 - ascopubs.org
Fluoropyrimidines (fluorouracil, capecitabine, and other analogs) are highly used anticancer
drugs worldwide. However, patients with cancer treated with these drugs might experience …

Cost-effectiveness of DPYD genotyping prior to fluoropyrimidine-based adjuvant chemotherapy for colon cancer

GA Brooks, S Tapp, AT Daly, JA Busam… - Clinical colorectal …, 2022 - Elsevier
Background Adjuvant fluoropyrimidine-based chemotherapy substantially reduces
recurrence and mortality after resection of stage 3 colon cancer. While standard doses of 5 …