The Routine Clinical use of Pharmacogenetic Tests: What it Will Require?

Pharm Res. 2017 Aug;34(8):1544-1550. doi: 10.1007/s11095-017-2128-0. Epub 2017 Feb 24.

Abstract

Pharmacogenetic testing aims to personalize drug therapy with a view to optimising drug efficacy and minimise toxicity. However, despite the potential benefits, pharmacogenetic testing is mostly confined to specialised medical areas, laboratories and centres. Widespread integration into routine clinical practice has been limited by a complex set of issues including regulatory and reimbursement frameworks, evidence of clinical utility and clinician perspectives, practices and education. Here we assess the current barriers to widespread clinical uptake and identify the key issue necessary to address to accelerate routine testing.

Keywords: biomarkers; clinical uptake; diagnostic tests; personalized medicine.

Publication types

  • Review

MeSH terms

  • Biomarkers, Pharmacological
  • Dose-Response Relationship, Drug
  • Humans
  • Pharmacogenetics / methods
  • Pharmacogenomic Testing / methods*
  • Precision Medicine / methods

Substances

  • Biomarkers, Pharmacological