Experience with comprehensive pharmacogenomic multi-gene panel in clinical practice: a retrospective single-center study

Croat Med J. 2022 Jun 22;63(3):257-264. doi: 10.3325/cmj.2022.63.257.

Abstract

Aim: To assess the prevalence of actionable pharmacogenetic interventions in patients who underwent pharmacogenetic testing with a multi-gene panel.

Methods: We retrospectively reviewed single-center electronic health records. A total of 319 patients were enrolled who underwent pharmacogenomic testing with the RightMed test panel using TaqMan quantitative real-time PCR method and copy number variation analysis to determine the SNPs in the 27 target genes.

Results: Actionable drug-gene pairs were found in 235 (73.7%) patients. Relevant guidelines on genotype-based prescribing were available for 133 (56.7%) patients at the time of testing. Based on the patients' genotype, 139 (43.6%) patients were using at least one drug with significant pharmacogenetic interactions.

Conclusion: Two out of three patients had at least one drug-gene pair in their therapy. Further studies should assess the clinical effectiveness of integrating pharmacogenomic data into patients' electronic health records.

MeSH terms

  • DNA Copy Number Variations*
  • Genotype
  • Humans
  • Pharmacogenetics* / methods
  • Pharmacogenomic Testing / methods
  • Retrospective Studies