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解析主要监管机构中肿瘤临床药物基因组学指南实践的异质性。

Unraveling heterogeneity of the clinical pharmacogenomic guidelines in oncology practice among major regulatory bodies.

机构信息

Personalized Medication Management Unit, Children's Cancer Hospital Egypt (57357), Cairo, Egypt.

Department of Pharmaceutical Services, Children's Cancer Hospital Egypt (57357), Cairo, Egypt.

出版信息

Pharmacogenomics. 2020 Nov;21(17):1247-1264. doi: 10.2217/pgs-2020-0056. Epub 2020 Oct 30.

Abstract

Pharmacogenomics (PGx) implementation in clinical practice is steadily increasing. PGx uses genetic information to personalize medication use, which increases medication efficacy and decreases side effects. The availability of clinical PGx guidelines is essential for its implementation in clinical settings. Currently, there are few organizations/associations responsible for releasing those guidelines, including the Clinical Pharmacogenetics Implementation Consortium, Dutch Pharmacogenetics Working Group, the Canadian Pharmacogenomics Network for Drug Safety and the French National Network of Pharmacogenetics. According to the US FDA, oncology medications are highly correlated to PGx biomarkers. Therefore, summarizing the PGx guidelines for oncology drugs will positively impact the clinical decisions for cancer patients. This review aims to scrutinize side-by-side available clinical PGx guidelines in oncology.

摘要

临床实践中药物基因组学(PGx)的实施正在稳步增加。PGx 使用遗传信息使药物使用个体化,从而提高药物疗效并降低副作用。临床 PGx 指南的可用性对于在临床环境中实施该技术至关重要。目前,只有少数组织/协会负责发布这些指南,包括临床药物基因组学实施联盟、荷兰药物基因组学工作组、加拿大药物基因组学网络药物安全和法国国家药物基因组学网络。根据美国 FDA 的说法,肿瘤药物与 PGx 生物标志物高度相关。因此,总结肿瘤药物的 PGx 指南将对癌症患者的临床决策产生积极影响。本综述旨在仔细审查肿瘤学中现有的临床 PGx 指南。

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