全球对DPYD测试临床实施策略的调查,以指导烯胺治疗
Nihal El Rouby1,2, Christina L Aquilante3,4, Salma A Bargal5
1Division of Pharmacy Practice and Administrative Sciences, James L. Winkle College of Pharmacy, University of Cincinnati, Cincinnati, Ohio, USA.
Clinical and translational science
|December 28, 2025
概括
在施用胺酸化学疗法之前实施二胺酸脱酶 (DPYD) 基因型检测可以预防严重的毒性. 然而,全球采用仍然有限,尽管基础设施发展,但大多数网站都在努力实现高测试率.
科学领域:
- 药物基因组学 药物基因组学
- 临床化学 临床化学
- 在瘤学瘤学.
背景情况:
- DPYD变体会损害二皮里米丁脱酶活性,这对皮里米丁代谢至关重要.
- 这种损伤导致药物清除率降低,并增加严重,危及生命的毒性风险.
- 推DPYD基因型导向治疗,但在全球实施方面面临挑战.
研究的目的:
- 调查实施DPYD测试的全球战略.
- 确定DPYD测试实施中的常见做法,障碍和促进者.
主要方法:
- 为了评估DPYD实施策略,开发了一项91项调查.
- 该调查分发给了制药基因组学全球研究网络实施工作组的成员.
- 从9个国家的28个医疗保健机构收集了回复.
主要成果:
- 超过80%的地点计划或实施了使用EHR的先发性DPYD测试.
- 所有站点都开发了支持基础设施,但70%的人依赖临床医生召回订单.
- 只有2个地点实现了高测试率 (>75%),平均周转时间为10天.
结论:
- 尽管基础设施发展,但广泛的DPYD测试率仍然很低.
- 需要有效的策略来克服障碍,并改善DPYD测试的采用.
- 进一步的实施研究对于优化DPYD基因型导向胺治疗至关重要.
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