Article
Fluoropyrimidine toxicity in patients with dihydropyrimidine dehydrogenase splice site variant: the need for further revision of dose and schedule.
Internal and emergency medicine - 1 Aug 2013
Magnani Elena, Farnetti Enrico, Nicoli Davide, Casali Bruno, Savoldi Luisa, Focaccetti Chiara, Boni Corrado, Albini Adriana, Banzi Maria
Abstract excerpt
Dihydropyrimidine dehydrogenase (DPD) is a key enzyme in the metabolic catabolism of 5-fluorouracil (5-FU) and its derivatives (capecitabine and tegafur). Complete or partial deficiency of DPD activity has been demonstrated to induce severe toxicities in cancer patients treated with fluoropyrimidine therapy. We analyzed 180 individuals that were candidates for a treatment with 5-FU class drugs for the most common...
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