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Precision Medicine in Oncology Pharmacy Practice
Claire Saadeh1, David Bright2, Danielle Rustem3
1Ferris State University College of Pharmacy, Department of Pharmacy Practice; Sparrow Health System Department of Pharmacy; and Herbert-Herman Cancer Center. clairesaadeh@ferris.edu.
Precision medicine in oncology optimizes cancer drug therapy by integrating genetic, environmental, and lifestyle factors. Pharmacogenomics (PGx) guides targeted treatments and dosing, minimizing toxicity through interprofessional collaboration.
Area of Science:
- Oncology
- Pharmacogenomics
- Precision Medicine
Background:
- Precision medicine in oncology integrates individual variability in genes, environment, and lifestyle for cancer drug therapy.
- Genomic assays are standard in oncology, with interprofessional teams guiding targeted therapies.
- Pharmacogenomics (PGx) utilizes genetic polymorphisms to refine medication selection and dosing.
Purpose of the Study:
- To review components, processes, and resources for applying precision medicine in cancer drug therapy.
- To emphasize the role of oncology pharmacy practice within precision medicine initiatives.
- To highlight the integration of pharmacogenomics into cancer treatment and supportive care.
Main Methods:
- Review of precision medicine strategies in oncology.
- Examination of pharmacogenomics (PGx) applications in cancer drug therapy.
- Discussion of resources like OncoKB and Clinical Pharmacogenetics Implementation Consortium guidelines.
Main Results:
- Pharmacogenomic-based dosing recommendations exist for several oncolytic and supportive care agents to reduce toxicity.
- Resources such as OncoKB and CPIC provide evidence-based guidance for somatic mutations and PGx.
- Pharmacists play a key role in molecular tumor boards, PGx dosing, and patient education.
Conclusions:
- Precision medicine is a rapidly advancing field in oncology.
- An interprofessional approach involving drug therapy experts is essential for effective precision medicine.
- Pharmacists are integral to implementing precision medicine strategies in oncology pharmacy practice.
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