Mesh : Antimetabolites, Antineoplastic / administration & dosage adverse effects pharmacokinetics Capecitabine / administration & dosage adverse effects pharmacokinetics Clinical Decision-Making Dihydrouracil Dehydrogenase (NADP) / genetics metabolism Drug Dosage Calculations Fluorouracil / administration & dosage adverse effects pharmacokinetics Genotype Humans Patient Selection Pharmacogenetics / standards Pharmacogenomic Testing / standards Pharmacogenomic Variants Phenotype Precision Medicine / standards Predictive Value of Tests

来  源:   DOI:10.1002/cpt.911   PDF(Sci-hub)

Abstract:
The purpose of this guideline is to provide information for the interpretation of clinical dihydropyrimidine dehydrogenase (DPYD) genotype tests so that the results can be used to guide dosing of fluoropyrimidines (5-fluorouracil and capecitabine). Detailed guidelines for the use of fluoropyrimidines, their clinical pharmacology, as well as analyses of cost-effectiveness are beyond the scope of this document. The Clinical Pharmacogenetics Implementation Consortium (CPIC® ) guidelines consider the situation of patients for which genotype data are already available (updates available at https://cpicpgx.org/guidelines/guideline-for-fluoropyrimidines-and-dpyd/).
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