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

Pharmacogenomics. 2023 Jun;24(8):435-439. doi: 10.2217/pgs-2023-0096. Epub 2023 Jul 20.

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.

Keywords: PGx; UGT1A1; irinotecan; personalized medicine; pharmacogenetics; pharmacogenomics; precision dosing; pretreatment.

Publication types

  • Editorial

MeSH terms

  • Camptothecin* / adverse effects
  • Genotype
  • Glucuronosyltransferase / genetics
  • Humans
  • Irinotecan / adverse effects
  • Neoplasms* / drug therapy
  • Patient Safety

Substances

  • Irinotecan
  • Camptothecin
  • Glucuronosyltransferase