Individualized dosing of fluoropyrimidine‐based chemotherapy to prevent severe fluoropyrimidine‐related toxicity: what are the options?

JE Knikman, H Gelderblom, JH Beijnen… - Clinical …, 2021 - Wiley Online Library
Fluoropyrimidines are widely used in the treatment of several types of solid tumors. Although
most often well tolerated, severe toxicity is encountered in~ 20–30% of the patients …

Improving safety of fluoropyrimidine chemotherapy by individualizing treatment based on dihydropyrimidine dehydrogenase activity–ready for clinical practice?

D Meulendijks, A Cats, JH Beijnen… - Cancer treatment …, 2016 - Elsevier
Fluoropyrimidines remain the cornerstone of treatment for different types of cancer, and are
used by an estimated two million patients annually. The toxicity associated with …

[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 …

[HTML][HTML] Current diagnostic and clinical issues of screening for dihydropyrimidine dehydrogenase deficiency

MC Etienne-Grimaldi, N Pallet, V Boige… - European Journal of …, 2023 - Elsevier
Fluoropyrimidine drugs (FP) are the backbone of many chemotherapy protocols for treating
solid tumours. The rate-limiting step of fluoropyrimidine catabolism is dihydropyrimidine …

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 …

[HTML][HTML] 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 …

[HTML][HTML] DPYD genotype-guided dose individualization to improve patient safety of fluoropyrimidine therapy: call for a drug label update

LM Henricks, FL Opdam, JH Beijnen, A Cats… - Annals of …, 2017 - Elsevier
The fluoropyrimidine anticancer drugs, especially 5-fluorouracil (5-FU) and capecitabine,
are frequently prescribed for several types of cancer, including breast, colorectal, head and …

Dihydropyrimidine Dehydrogenase Deficiency and Implementation of Upfront DPYD Genotyping

C White, RJ Scott, C Paul, A Ziolkowski… - Clinical …, 2022 - Wiley Online Library
Fluoropyrimidines (FP; 5‐fluorouracil, capecitabine, and tegafur) are a commonly prescribed
class of antimetabolite chemotherapies, used for various solid organ malignancies in over 2 …

Dihydropyrimidine déhydrogenase (DPD) deficiency screening and securing of fluoropyrimidine-based chemotherapies: Update and recommendations of the French …

MA Loriot, J Ciccolini, F Thomas… - Bulletin du …, 2018 - europepmc.org
Fluoropyrimidines (FU) are still the most prescribed anticancer drugs for the treatment of
solid cancers. However, fluoropyrimidines cause severe toxicities in 10 to 40% of patients …

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 …