Table 1.
Gene | Key Affected Drugs on Institution’s Formulary |
Effect of variant allele | FDA-approved genetic information in product labeling? |
---|---|---|---|
Thiopurine methyltransferase (TPMT) 30–32 | 6-mercaptopurine Thioguanine Azathioprine |
Severe, sometimes fatal, hematological toxicity24,33–35 |
Yes |
Cytochrome P450 2D6 (CYP2D6)36,37 | Codeine | CYP2D6 poor metabolizers and receive no analgesic effect from codeine;38 ultrarapid metabolizers of CYP2D6 are at very high risk of toxicity to codeine39 |
Yes |
Uridine glucuronosyltransferase 1A1 (UGT1A1) |
Irinotecan | Increased potential for hematological or gastrointestinal toxicity40 |
Yes |