» Articles » PMID: 39681357

Clinical Pharmacogenetic Testing and Application: 2024 Updated Guidelines by the Korean Society for Laboratory Medicine

Overview
Journal Ann Lab Med
Specialty Pathology
Date 2024 Dec 16
PMID 39681357
Authors
Affiliations
Soon will be listed here.
Abstract

In the era of precision medicine, pharmacogenetics has substantial potential for addressing inter-individual variability in drug responses. Although pharmacogenetics has been a research focus for many years, resulting in the establishment of several formal guidelines, its clinical implementation remains limited to several gene-drug combinations in most countries, including Korea. The main causes of delayed implementation are technical challenges in genotyping and knowledge gaps among healthcare providers; therefore, clinical laboratories play a critical role in the timely implementation of pharmacogenetics. This paper presents an update of the Clinical Pharmacogenetic Testing and Application guidelines issued by the Korean Society for Laboratory Medicine and aims to provide the necessary information for clinical laboratories planning to implement or expand their pharmacogenetic testing. Current knowledge regarding nomenclature, gene-drug relationships, genotyping technologies, testing strategies, methods for clinically relevant information delivery, QC, and reimbursements has been curated and described in this guideline.

References
1.
Cooper-DeHoff R, Niemi M, Ramsey L, Luzum J, Tarkiainen E, Straka R . The Clinical Pharmacogenetics Implementation Consortium Guideline for SLCO1B1, ABCG2, and CYP2C9 genotypes and Statin-Associated Musculoskeletal Symptoms. Clin Pharmacol Ther. 2022; 111(5):1007-1021. PMC: 9035072. DOI: 10.1002/cpt.2557. View

2.
Twesigomwe D, Drogemoller B, Wright G, Adebamowo C, Agongo G, Boua P . Characterization of CYP2D6 Pharmacogenetic Variation in Sub-Saharan African Populations. Clin Pharmacol Ther. 2022; 113(3):643-659. PMC: 9957841. DOI: 10.1002/cpt.2749. View

3.
Hinderer M, Boeker M, Wagner S, Lablans M, Newe S, Hulsemann J . Integrating clinical decision support systems for pharmacogenomic testing into clinical routine - a scoping review of designs of user-system interactions in recent system development. BMC Med Inform Decis Mak. 2017; 17(1):81. PMC: 5461630. DOI: 10.1186/s12911-017-0480-y. View

4.
Morris S, Alsaidi A, Verbyla A, Cruz A, Macfarlane C, Bauer J . Cost Effectiveness of Pharmacogenetic Testing for Drugs with Clinical Pharmacogenetics Implementation Consortium (CPIC) Guidelines: A Systematic Review. Clin Pharmacol Ther. 2022; 112(6):1318-1328. PMC: 9828439. DOI: 10.1002/cpt.2754. View

5.
Birdwell K, Decker B, Barbarino J, Peterson J, Stein C, Sadee W . Clinical Pharmacogenetics Implementation Consortium (CPIC) Guidelines for CYP3A5 Genotype and Tacrolimus Dosing. Clin Pharmacol Ther. 2015; 98(1):19-24. PMC: 4481158. DOI: 10.1002/cpt.113. View