Carbamazepine, HLA-B*1502 and risk of Stevens-Johnson syndrome and toxic epidermal necrolysis: US FDA recommendations.

Abstract:

:Recently, the USA FDA has made a labeling change to the drug information contained in carbamazepine. Owing to recent data implicating the HLA allele B*1502 as a marker for carbamazepine-induced Stevens-Johnson syndrome and toxic epidermal necrolysis in Han Chinese, the FDA recommends genotyping all Asians for the allele. This allele is seen in high frequency in many Asian populations other than Han Chinese, but there are few data on whether the allele is a marker for this severe outcome in anyone other than Han Chinese. In fact, the association has not been found in Caucasian patients. We review the data that prompted this recommendation, list data for other ethnic groups, both Asian and non-Asian, and briefly discuss the implication of this recommendation for clinical practice.

journal_name

Pharmacogenomics

journal_title

Pharmacogenomics

authors

Ferrell PB Jr,McLeod HL

doi

10.2217/14622416.9.10.1543

subject

Has Abstract

pub_date

2008-10-01 00:00:00

pages

1543-6

issue

10

eissn

1462-2416

issn

1744-8042

journal_volume

9

pub_type

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