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Clinical Pharmacogenetics Implementation Consortium (CPIC) Guideline for Dihydropyrimidine Dehydrogenase Genotype and Fluoropyrimidine Dosing: 2017 Update

Clinical Pharmacology & Therapeutics · 2017 · Vol. 103(2) · pp. 210–216
Ursula AmstutzLinda M. HenricksSteven M. OfferJulia M. BarbarinoJan H.M. SchellensJesse J. SwenTeri E. KleinHoward L. McLeodKelly E. CaudleRobert B. DiasioMatthias Schwab

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<sup>®</sup> ) 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/).

Colorectal Cancer Treatments and StudiesPancreatic and Hepatic Oncology ResearchGenetic factors in colorectal cancerDosingPharmacogeneticsDihydropyrimidine dehydrogenaseMedicineGuidelineGenotypePharmacologyOncologyInternal medicineFluorouracil

MeSH terms

Clinical Decision-MakingCapecitabinePharmacogenomic VariantsPharmacogenomic TestingAntimetabolites, AntineoplasticFluorouracilGenotypeHumansPharmacogeneticsPhenotypePredictive Value of TestsPatient SelectionDihydrouracil Dehydrogenase (NADP)Drug Dosage CalculationsPrecision Medicine

Funding

  • Robert Bosch Stiftung
  • National Institutes of Health
Citations
634
FWCI
18.37
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41
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References
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CA A Cancer Journal for Clinicians · 2011 · 55,006 citations
Pharmacogenetics: From Bench to Byte— An Update of Guidelines
Clinical Pharmacology & Therapeutics · 2011 · 999 citations
Global cancer statistics, 2012
CA A Cancer Journal for Clinicians · 2015 · 27,309 citations
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