دورية أكاديمية
Dutch Pharmacogenetics Working Group (DPWG) guideline for the gene-drug interaction between CYP2D6, CYP3A4 and CYP1A2 and antipsychotics.
العنوان: | Dutch Pharmacogenetics Working Group (DPWG) guideline for the gene-drug interaction between CYP2D6, CYP3A4 and CYP1A2 and antipsychotics. |
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المؤلفون: | Beunk L; Department of Clinical Chemistry, St Jansdal Hospital, Harderwijk, the Netherlands., Nijenhuis M; Royal Dutch Pharmacists Association (KNMP), The Hague, the Netherlands. M.Nijenhuis@knmp.nl., Soree B; Royal Dutch Pharmacists Association (KNMP), The Hague, the Netherlands., de Boer-Veger NJ; Pharmacy Boterdiep, Groningen, the Netherlands., Buunk AM; Pharmacy De Katwijkse Apotheek, Katwijk, the Netherlands., Guchelaar HJ; Department of Clinical Pharmacy and Toxicology, Leiden University Medical Center, Leiden, the Netherlands., Houwink EJF; Department of Public Health and Primary Care (PHEG), Leiden University Medical Center, Leiden, the Netherlands.; National eHealth Living Lab (NELL), Leiden, the Netherlands., Risselada A; Department of Clinical Pharmacy, Wilhelmina Hospital, Assen, the Netherlands., Rongen GAPJM; Department of Internal Medicine, Radboud University Medical Center, Nijmegen, the Netherlands.; Department of Pharmacology and Toxicology, Radboud University Medical Center, Nijmegen, the Netherlands., van Schaik RHN; Department of Clinical Chemistry, Erasmus University Medical Center, Rotterdam, the Netherlands., Swen JJ; Department of Clinical Pharmacy and Toxicology, Leiden University Medical Center, Leiden, the Netherlands., Touw D; Department of Pharmaceutical Analysis, Groningen Research Institute of Pharmacy, University of Groningen, Groningen, the Netherlands.; Department of Clinical Pharmacy & Pharmacology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands., van Westrhenen R; Department of Psychiatry, Parnassia Group, Amsterdam, the Netherlands.; Department of Psychiatry and Neuropsychology, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands.; Institute of Psychiatry, Psychology&Neuroscience (IoPPN), King's College London, London, UK., Deneer VHM; Department of Clinical Pharmacy, Division Laboratories, Pharmacy and Biomedical Genetics, University Medical Center Utrecht, Utrecht, the Netherlands.; Division of Pharmacoepidemiology and Clinical Pharmacology, Utrecht Institute for Pharmaceutical Sciences (UIPS), Department of Pharmaceutical Sciences, Utrecht University, Utrecht, the Netherlands., van der Weide J; Department of Clinical Chemistry, St Jansdal Hospital, Harderwijk, the Netherlands. |
المصدر: | European journal of human genetics : EJHG [Eur J Hum Genet] 2024 Mar; Vol. 32 (3), pp. 278-285. Date of Electronic Publication: 2023 Mar 31. |
نوع المنشور: | Systematic Review; Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Nature Publishing Group Country of Publication: England NLM ID: 9302235 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1476-5438 (Electronic) Linking ISSN: 10184813 NLM ISO Abbreviation: Eur J Hum Genet Subsets: MEDLINE |
أسماء مطبوعة: | Publication: <2003->: London : Nature Publishing Group Original Publication: Basel ; New York : Karger, [1992- |
مواضيع طبية MeSH: | Antipsychotic Agents*/pharmacokinetics , Antipsychotic Agents*/pharmacology , Clozapine* , Quinolones* , Thiophenes*, Humans ; Aripiprazole ; Clopenthixol ; Cytochrome P-450 CYP1A2 ; Cytochrome P-450 CYP2D6/genetics ; Cytochrome P-450 CYP3A/genetics ; Drug Interactions ; Haloperidol ; Olanzapine ; Pharmacogenetics ; Pimozide ; Quetiapine Fumarate/pharmacokinetics ; Quetiapine Fumarate/pharmacology ; Risperidone/pharmacokinetics ; Risperidone/pharmacology |
مستخلص: | The Dutch Pharmacogenetics Working Group (DPWG) aims to facilitate pharmacogenetics implementation in clinical practice by developing evidence-based guidelines to optimize pharmacotherapy. A guideline describing the gene-drug interaction between the genes CYP2D6, CYP3A4 and CYP1A2 and antipsychotics is presented here. The DPWG identified gene-drug interactions that require therapy adjustments when respective genotype is known for CYP2D6 with aripiprazole, brexpiprazole, haloperidol, pimozide, risperidone and zuclopenthixol, and for CYP3A4 with quetiapine. Evidence-based dose recommendations were obtained based on a systematic review of published literature. Reduction of the normal dose is recommended for aripiprazole, brexpiprazole, haloperidol, pimozide, risperidone and zuclopenthixol for CYP2D6-predicted PMs, and for pimozide and zuclopenthixol also for CYP2D6 IMs. For CYP2D6 UMs, a dose increase or an alternative drug is recommended for haloperidol and an alternative drug or titration of the dose for risperidone. In addition, in case of no or limited clinical effect, a dose increase is recommended for zuclopenthixol for CYP2D6 UMs. Even though evidence is limited, the DPWG recommends choosing an alternative drug to treat symptoms of depression or a dose reduction for other indications for quetiapine and CYP3A4 PMs. No therapy adjustments are recommended for the other CYP2D6 and CYP3A4 predicted phenotypes. In addition, no action is required for the gene-drug combinations CYP2D6 and clozapine, flupentixol, olanzapine or quetiapine and also not for CYP1A2 and clozapine or olanzapine. For identified gene-drug interactions requiring therapy adjustments, genotyping of CYP2D6 or CYP3A4 prior to treatment should not be considered for all patients, but on an individual patient basis only. (© 2023. The Author(s), under exclusive licence to European Society of Human Genetics.) |
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معلومات مُعتمدة: | 668353 EC | Horizon 2020 Framework Programme (EU Framework Programme for Research and Innovation H2020) |
المشرفين على المادة: | 0 (Antipsychotic Agents) 82VFR53I78 (Aripiprazole) 2J3YBM1K8C (brexpiprazole) 982-24-1 (Clopenthixol) J60AR2IKIC (Clozapine) EC 1.14.14.1 (CYP1A2 protein, human) EC 1.14.14.55 (CYP3A4 protein, human) EC 1.14.14.1 (Cytochrome P-450 CYP1A2) EC 1.14.14.1 (Cytochrome P-450 CYP2D6) EC 1.14.14.1 (Cytochrome P-450 CYP3A) J6292F8L3D (Haloperidol) N7U69T4SZR (Olanzapine) 1HIZ4DL86F (Pimozide) 2S3PL1B6UJ (Quetiapine Fumarate) 0 (Quinolones) L6UH7ZF8HC (Risperidone) 0 (Thiophenes) |
تواريخ الأحداث: | Date Created: 20230331 Date Completed: 20240311 Latest Revision: 20240313 |
رمز التحديث: | 20240313 |
مُعرف محوري في PubMed: | PMC10923774 |
DOI: | 10.1038/s41431-023-01347-3 |
PMID: | 37002327 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1476-5438 |
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DOI: | 10.1038/s41431-023-01347-3 |