A 12-gene pharmacogenetic panel to prevent adverse drug reactions: an open-label, multicentre, controlled, cluster-randomised crossover implementation study

Jesse J SwenCathelijne H van der WoudenLisanne En MansonHeshu Abdullah-Koolmees, Kathrin Blagec, Tanja Blagus, Stefan Böhringer, Anne Cambon-ThomsenErika CecchinKa-Chun Cheung, Vera Hm DeneerMathilde Dupui, Magnus Ingelman-SundbergSiv JonssonCandace Joefield-RokaKatja S JustMats O KarlssonLidija KontaRudolf Koopmann, Marjolein KriekThorsten Lehr, Christina MitropoulouEmmanuelle Rial-SebbagVictoria RollinsonRossana Roncato, Matthias SamwaldElke Schaeffeler, Maria SkokouMatthias SchwabDaniela Steinberger, Julia C StinglRoman TremmelRichard M TurnerMandy H van RhenenCristina L Dávila FajardoVita DolžanGeorge P PatrinosMunir PirmohamedGere Sunder-PlassmannGiuseppe ToffoliHenk-Jan GuchelaarUbiquitous Pharmacogenomics Consortium

The Promise and Challenges of Implementing Pharmacogenomics to Improve Population Health

Thursday, September 14 | 12-1 p.m. ET | Online

CDC Webinar: The Promise and Challenges of Implementing Pharmacogenomics to Improve Population Health: Where Are we Heading with Preemptive Pharmacogenomic Screening?

Individual variability in drug response efficacy or safety is becoming an increasing problem globally, given the growing population of older adults. Reasons for this variability include genomic factors, an area of study called pharmacogenomics. With genotyping technologies now widely available and decreasing in cost, implementing pharmacogenomics into clinical practice is widely viewed as an initial step in mainstreaming genomic medicine.

This seminar will review recent developments in the field of pharmacogenomics and the ongoing challenges in equitable translation of discoveries into clinical practice and public health programs.

Speaker:

Professor Sir Munir Pirmohamed, MB ChB (Hons), PhD, FRCP, FRCP(E), FFPM, FRSB, FBPhS, FMedSci
David Weatherall Chair of Medicine and National Health Service Chair of Pharmacogenetics
Director, Centre for Drug Safety Science and Wolfson Centre for Personalised Medicine
Institute of Systems, Molecular and Integrative Biology (ISMIB)
University of Liverpool

Please note: registration is required. Visit the CDC Genomics & Precision Health event page to learn more and sign up.

Assessment of the Clinical Utility of Pretreatment DPYD Testing for Patients Receiving Fluoropyrimidine Chemotherapy

Daniel L. Hertz

Abstract

Purpose: Patients who carry pathogenic variants in DPYD have higher systemic fluoropyrimidine (FP) concentrations and greater risk of severe and fatal FP toxicity. Pretreatment DPYD testing and DPYD-guided FP dosing to reduce toxicity and health care costs is recommended by European clinical oncology guidelines and has been adopted across Europe, but has not been recommended or adopted in the United States. The cochairs of the National Comprehensive Cancer Network Guidelines for colon cancer treatment explained their concerns with recommending pretreatment DPYD testing, particularly the risk that reduced FP doses in DPYD carriers may reduce treatment efficacy.