Abstract

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 multihealthcare system approach.

Original languageEnglish
Pages (from-to)341-358
Number of pages18
JournalClinical Pharmacology and Therapeutics
Volume101
Issue number3
DOIs
Publication statusPublished - 1 Mar 2017

Funding

The research leading to these results has received funding from the European Community's Horizon 2020 Programme under grant agreement No. 668353 (U-PGx). M.S. and E.S. are supported in part by the Robert Bosch Stiftung, Stuttgart, Germany.

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