在临床实践中对药物基因组组进行预防性测试的实施:我们站在哪里?
Elena Peruzzi1, Rossana Roncato1,2, Elena De Mattia1
1Experimental and Clinical Pharmacology, Centro di Riferimento Oncologico di Aviano, Istituti di Ricovero e Cura a Carattere Scientifico, Aviano, Italy.
British journal of clinical pharmacology
|November 5, 2023
概括
药物基因组学测试显著减少了患者的药物副作用. 一项大型欧洲研究表明,预防性遗传小组是可行的,并将毒性降低30%.
科学领域:
- 药物基因组学 药物基因组学
- 临床药理学 临床药理学
- 遗传学 是一个遗传学.
背景情况:
- 药物不良反应 (ADRs) 导致大量住院和恶化结果,特别是在多病患者中.
- 药物基因组学提供了一种优化药物治疗和减少ADRs的策略.
- 目前的临床实践包括单基因反应性测试,如DPYD用于胺,证明药物基因组学对患者安全的潜力.
研究的目的:
- 评估在常规临床实践中全面的预防性药物基因组基因型化面板的可行性和影响.
- 评估预防性药物基因组学在完善药物处方和提高患者安全方面的潜力.
主要方法:
- 一项涉及七个欧洲医疗保健系统的大型前性随机试验 (PREPARE研究).
- 在各种临床环境中实施先发制药基因组测试小组.
- 对临床结果的分析,重点关注临床相关毒性的发生率.
主要成果:
- 预先制药基因组测试小组的未来应用在多个欧洲医疗保健系统中被证明是可行的.
- 观察到,临床相关药物毒性发生的风险显著减少了30%.
结论:
- 预防性药物基因组基因型测定面板是可行的临床实施,并可以大幅减少与药物相关的毒性.
- 需要进一步的研究来解决成本效益,多药性,指南可转移到非欧洲人群和罕见变种检测.
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