UGT1A1 genotype-guided dosing of irinotecan: time to prioritize patient safety

Author:

Peeters Sofía LJ12ORCID,Deenen Maarten J12,Thijs Anna MJ3,Hulshof Emma C12ORCID,Mathijssen Ron HJ4ORCID,Gelderblom Hans5ORCID,Guchelaar Henk-Jan2ORCID,Swen Jesse J2ORCID

Affiliation:

1. Department of Clinical Pharmacy, Catharina Hospital, Michelangelolaan 2, 5623 EJ Eindhoven, The Netherlands

2. Department of Clinical Pharmacy and Toxicology, Leiden University Medical Centre, Albinusdreef 2, 2333 ZA Leiden, The Netherlands

3. Department of Medical Oncology, Catharina Hospital, Michelangelolaan 2, 5623 EJ Eindhoven, The Netherlands

4. Department of Medical Oncology, Erasmus University Medical Centre, Dr. Molewaterplein 40, 3015 GD Rotterdam, The Netherlands

5. Department of Medical Oncology, Leiden University Medical Centre, Albinusdreef 2, 2333 ZA Leiden, The Netherlands

Abstract

Tweetable abstract Pretreatment UGT1A1 genotyping and a 70% irinotecan dose intensity in poor metabolizers is safe, feasible, cost-effective and essential for safe irinotecan treatment in cancer patients. It is time to update guidelines to swiftly enable the implementation of UGT1A1 genotype-guided irinotecan dosing in routine oncology care.

Publisher

Future Medicine Ltd

Subject

Pharmacology,Genetics,Molecular Medicine

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