Table.
Selected pharmacogenetic tests available for clinical application.
Testa | Pharmacogenetic marker | Drug example | Disease example | Test example |
---|---|---|---|---|
Requireda | EGFR expressionb | Cetuximab | Colorectal cancer | EGFR pharmDx™ |
HER2/NEU overexpressionb | Trastuzumab | Breast cancer | Herceptest™ | |
CCR-5-tropic HIV-1b | Maraviroc | HIV infection | Trofile™ | |
Presence of Philadelphia chromosomeb | Dasatinib | Acute lymphoblastic leukemia | BCR/ABL test | |
| ||||
Recommendeda | HLA-B*1502 | Carbamazepine | Epilepsy | HLA typing |
HLA-B*5701 | Abacavir | HIV infection | HLA typing | |
CYP2C9 variants | Warfarin | Thromoboembolism | Verigene® Warfarin | |
VKORC1 variants | Metabolism Nucleic Acid Test | |||
TPMT variants | Azathioprine, 6-MP, Thioguanine | Acute lymphocytic leukemia | Prometheus Therapeutics & Diagnostics and othersc | |
TPMT variants | Azathioprine, 6-MP, Thioguanine | Acute lymphocytic leukemia | Prometheus Therapeutics & Diagnostics and othersc | |
UGT1A1 variants | Irinotecan | Colorectal cancer | Invader® UGT1A1 Molecular Assay | |
G6PD deficiencyb | Rasburicase | Hyperuricemia | Glucose-6-phosphate dehydrogenase screening | |
| ||||
Information onlya | c-KIT expressionb | Imatinib | Gastrointestinal stromal tumor | Dako Cytomation c-Kit pharmDx™ |
CYP2C19 variants | Voriconazole | Fungal infection | Roche AmpliChip™ CYP450 | |
CYP2D6 variants | Atomoxetine, Tamoxifen, Voriconazole | Attention-deficit hyperactivity disease | Roche AmpliChip™ CYP450 | |
DPD deficiencyb | Capecitabine, 5-FU | Colorectal cancer | Genelex and others | |
EGFR expressionb | Erlotinib | Non-small cell lung cancer | EGFR pharmDx™ | |
G6PD deficiencyb | Primaquine | Malaria | Glucose-6-phosphate dehydrogenase screening | |
NAT variants | Isoniazid, Rifampin | Tuberculosis | Genelex and othersc | |
Absence of Philadelphia | Busulfan | Chronic myelogenous leukemia | BCR/ABL test | |
UGT1A1 variants | Nilotinib | Chronic myelogenous leukemia | Invader® UGT1A1 Molecular Assay |
Classified by the Food and Drug Administration
These tests determine whether a particular gene is expressed. The other tests determine the sequence variability of a particular gene.
A home-brew test offered by a commercial clinical laboratory
For patients with an Asian ancestry
Abbreviations: EGFR = Epidermal growth factor receptor; HER2/NEU = v-erb-b2 erythroblastic leukemia viral oncogene homolog 2; CCR-5 = Chemokine C-C motif receptor; HIV=human immunodeficiency virus; BCR = breakpoint cluster region; ABL = Abelson; HLA = Human leukocyte antigen; CYP2C9 = Cytochrome P450 2C9; VKORC1 = Vitamin K epoxide reductase complex subunit 1; CYP2D6 = Cytochrome P450 2D6, TPMT = Thiopurine S-methyltransferase; UGT1A1 = Uridine diphosphate glucuronosyltransferase 1A1; c-KIT = v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog; CYP2C19 = Cytochrome P450 2C19; DPD deficiency = dihydropyrimidine dehydrogenase; G6PD = glucose-6-phosphate dehydrogenase; NAT = N-acetyltransferase; PML/PAR = Retinoic acid receptor; PCR = polymerase chain reaction; 6-MP = 6-mercaptopurine; 5-FU: 5-fluorouracil.