Journal
CLINICAL PHARMACOLOGY & THERAPEUTICS
Volume 101, Issue 3, Pages 341-358Publisher
WILEY
DOI: 10.1002/cpt.602
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Funding
- European Community [668353]
- Robert Bosch Stiftung, Stuttgart, Germany
- MRC [G1000417] Funding Source: UKRI
- Medical Research Council [G1000417] Funding Source: researchfish
- National Institute for Health Research [ACF-2012-07-001, NF-SI-0512-10064] Funding Source: researchfish
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Despite scientific and clinical advances in the field of pharmacogenomics (PGx), application into routine care remains limited. Opportunely, several implementation studies and programs have been initiated over recent years. This article presents an overview of these studies and identifies current research gaps. Importantly, one such gap is the undetermined collective clinical utility of implementing a panel of PGx-markers into routine care, because the evidence base is currently limited to specific, individual drug-gene pairs. The Ubiquitous Pharmacogenomics (U-PGx) Consortium, which has been funded by the European Commission's Horizon-2020 program, aims to address this unmet need. In a prospective, block-randomized, controlled clinical study (PREemptive Pharmacogenomic testing for prevention of Adverse drug REactions [PREPARE]), pre-emptive genotyping of a panel of clinically relevant PGx-markers, for which guidelines are available, will be implemented across healthcare institutions in seven European countries. The impact on patient outcomes and cost-effectiveness will be investigated. The program is unique in its multicenter, multigene, multidrug, multi-ethnic, and multi-healthcare system approach.
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