Table 1. Examples of health systems that have launched pharmacogenomics initiatives.
Institution | Drug(s) | Gene(s)* | Testing Approach |
---|---|---|---|
Vanderbilt University Medical Center [4] | clopidogrel, simvastatin, warfarin, thiopurines, tacrolimus | CYP2C19, SLCO1B1, CYP2C9, VKORC1, TPMT, CYP3A5 | Genotyping panel (Illumina Veracode ADME) |
St. Jude Children’s Research Hospital [5,6] | thiopurines, codeine, oxycodone, tramadol, amitriptyline, ondansetron, fluoxetine, paroxetine, simavastatin, clopidogrel, tacrolimus, capecitabine, fluorouracil, atazanavir, irinotecan, belinostat | TPMT, CYP2D6, SLCO1B1, CYP2C19, CYP3A5, DPYD, UGT1A1 | Genotyping panel (Affymetrix DMET Plus) and a CYP2D6 copy number assay |
University of Florida and Shands Hospital [7] | clopidogrel, thiopurines, codeine, tramadol, peg-interferon alpha | CYP2C19, TPMT, CYP2D6, IFNL3 | Genotyping panel (Life Technologies Quant Studio OpenArray) and GenMark Dx (Carlsbad, CA) |
University of Illinois at Chicago [8] | Warfarin, clopidogrel | CYP2C9, VKORC1, CYP4F2, CYP2C19 | Genotyping panel (Genmark Dx eSensor) |
Mayo Clinic [2] | abacavir, carbamazepine, thiopurines, interferon, citalopram, clopidogrel, escitalopram, warfarin, codeine, fluoxetine, fluvoxamine, paroxetine, tamoxifen, tramadol, venlafaxine, allopurinol, simvastatin | HLA-B, TPMT, IFNL3, CYP2C19, CYP2C9, VKORC1, CYP2D6, SLCO1B1 | PGRNseq |
University of Maryland [9] | clopidogrel | CYP2C19 | Gene-specific test (Nanosphere Verigene) |
Mount Sinai Medical Center [2] | Clopidogrel, warfarin, simvastatin, tricyclic antidepressants, selective serotonin reuptake inhibitors | CYP2C19, CYP2C9, VKORC1, SLCO1B1, CYP2D6 | PGRNSeq |
*CYP2C9: cytochrome P450 2C9, CYP2C19: cytochrome P450 2C19, CYP2D6: cytochrome P450 2D6, CYP4F2: cytochrome P450 4F2, SLCO1B1: solute carrier organic anion transporter 1B1, VKORC1: vitamin K epoxide reductase complex subunit 1, TPMT: thiopurine methyltransferase, HLA-B: major histocompatibility complex, class I, B, IFNL3: interferon, lambda 3.