Pharmacogenetic impact of docetaxel on neoadjuvant treatment of breast cancer patients.

Abstract:

AIM:This study aimed to investigate the effect of CYP3A4 and CYP3A5 genotypes on clinical outcomes of docetaxel treatment. PATIENTS & METHODS:In the PROMIX trial, 150 breast cancer patients received docetaxel preoperatively. CYP3A4 and CYP3A5 genotype combinations were transformed into total CYP 3A phenotypes. RESULTS:Seven patients were characterized as poor metabolizer (PM), 22 patients as extensive metabolizer and 121 patients as intermediate metabolizer. The frequency of grade 3/grade 4 adverse events was higher in the PM group (p = 0.002). One PM subject who basically lacked enzyme activity died from typhlitis. Total 45 recurrences were reported after a median of 5-year follow-up; none of these was PM. CONCLUSION:The allelic variants CYP3A4*22 and CYP3A5*3 contribute to the interpatient variations of docetaxel.

journal_name

Pharmacogenomics

journal_title

Pharmacogenomics

authors

Sim S,Bergh J,Hellström M,Hatschek T,Xie H

doi

10.2217/pgs-2018-0080

subject

Has Abstract

pub_date

2018-11-01 00:00:00

pages

1259-1268

issue

16

eissn

1462-2416

issn

1744-8042

journal_volume

19

pub_type

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