UGT1A1 Genotype-Guided Chemotherapy

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About This Topic

Genetic polymorphisms in UGT1A1, which encodes for the uridine diphosphate glucuronosyltransferase (UGT)1A1 enzyme, may influence drug-induced toxicities of numerous medications used in oncology, especially irinotecan chemotherapy. Hospitalization risk from chemotherapy-induced neutropenia and diarrhea is heightened in people carrying genotypes predicted to be UGT1A1 poor metabolizers (PMs).

Recommendation

Guide chemotherapy drug and dose selection by UGT1A1 genotyping (0051332) to reduce hospitalization risk from severe neutropenia and diarrhea.