Pharmacogenomic tests in Oncology - finding the right dose

A pharmacogenetics/genomics (PGx) anticancer drug testing program is being developed by Kurtz and his group at the Brazilian National Cancer Institute (INCA). Drug -gene pairs were selected for PGx testing based on the presence of clinically validated PGx associations and the availability of interna...

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Main Authors: Jeziel Basso, Gilberto Schwartsmann
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2021-10-01
Series:Brazilian Journal of Oncology
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Online Access:http://www.brazilianjournalofoncology.com.br/details/153/en-US/pharmacogenomic-tests-in-oncology---finding-the-right-dose
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author Jeziel Basso
Gilberto Schwartsmann
author_facet Jeziel Basso
Gilberto Schwartsmann
author_sort Jeziel Basso
collection DOAJ
description A pharmacogenetics/genomics (PGx) anticancer drug testing program is being developed by Kurtz and his group at the Brazilian National Cancer Institute (INCA). Drug -gene pairs were selected for PGx testing based on the presence of clinically validated PGx associations and the availability of international guidelines with PGx-informed dosing recommendations. Fluoropyrimidines-DPYD, irinotecan-UGT1A1 and thiopurines-TPMT/NUDT15 were initially included. The current estimation of anticancer therapy doses usually does not reflect the complexities of metabolism. Therefore, efforts should be made in order to refine the ways we prescribe these drugs, being conventional cytotoxic or newer ones. This program is extremely welcome and may lead to more multi-institutional partnerships and should bring a broader discussion on the use of PGx and pharmacokinetics in routine oncology practice.
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series Brazilian Journal of Oncology
spelling doaj-art-b2c24ba1942041d5ac2c8d7b8a071d642025-08-20T03:39:19ZengThieme Revinter Publicações Ltda.Brazilian Journal of Oncology2526-87322021-10-01170010.5935/2526-8732.20210003Pharmacogenomic tests in Oncology - finding the right doseJeziel Basso0Gilberto Schwartsmann1Programa de Pós-Graduação em Medicina: Ciências Médicas, Faculdade de Medicina da Universidade Federal do Rio Grande do Sul, Porto Alegre, BrasilPrograma de Pós-Graduação em Medicina: Ciências Médicas, Faculdade de Medicina da Universidade Federal do Rio Grande do Sul, Porto Alegre, BrasilA pharmacogenetics/genomics (PGx) anticancer drug testing program is being developed by Kurtz and his group at the Brazilian National Cancer Institute (INCA). Drug -gene pairs were selected for PGx testing based on the presence of clinically validated PGx associations and the availability of international guidelines with PGx-informed dosing recommendations. Fluoropyrimidines-DPYD, irinotecan-UGT1A1 and thiopurines-TPMT/NUDT15 were initially included. The current estimation of anticancer therapy doses usually does not reflect the complexities of metabolism. Therefore, efforts should be made in order to refine the ways we prescribe these drugs, being conventional cytotoxic or newer ones. This program is extremely welcome and may lead to more multi-institutional partnerships and should bring a broader discussion on the use of PGx and pharmacokinetics in routine oncology practice.http://www.brazilianjournalofoncology.com.br/details/153/en-US/pharmacogenomic-tests-in-oncology---finding-the-right-dosedpydfluoropyrimidinesirinotecannudt15pharmacogenomicsthiopurinestpmtugt1a1
spellingShingle Jeziel Basso
Gilberto Schwartsmann
Pharmacogenomic tests in Oncology - finding the right dose
Brazilian Journal of Oncology
dpyd
fluoropyrimidines
irinotecan
nudt15
pharmacogenomics
thiopurines
tpmt
ugt1a1
title Pharmacogenomic tests in Oncology - finding the right dose
title_full Pharmacogenomic tests in Oncology - finding the right dose
title_fullStr Pharmacogenomic tests in Oncology - finding the right dose
title_full_unstemmed Pharmacogenomic tests in Oncology - finding the right dose
title_short Pharmacogenomic tests in Oncology - finding the right dose
title_sort pharmacogenomic tests in oncology finding the right dose
topic dpyd
fluoropyrimidines
irinotecan
nudt15
pharmacogenomics
thiopurines
tpmt
ugt1a1
url http://www.brazilianjournalofoncology.com.br/details/153/en-US/pharmacogenomic-tests-in-oncology---finding-the-right-dose
work_keys_str_mv AT jezielbasso pharmacogenomictestsinoncologyfindingtherightdose
AT gilbertoschwartsmann pharmacogenomictestsinoncologyfindingtherightdose