Article
Pharmacokinetics of 5-Fluorouracil in Patients Treated With Capecitabine Carrying the c.1236G>A DPYD Variant Allele.
JCO precision oncology - 1 Jun 2026
Heersche Niels, Knikman Jonathan E, Deenen Maarten J, Rosing Hilde, van Schaik Ron H N, Beijnen Jos H, Schellens Jan H M, Gelderblom Hans, Guchelaar Henk-Jan, Swen Jesse J, Cats Annemieke, Mathijssen Ron H J, Jacobs Bart A W
Abstract excerpt
PURPOSE: DPYD-guided fluoropyrimidine dosing effectively limits the risk of severe toxicity while maintaining clinical efficacy. However, recent data suggest that c.1236G>A variant carriers, starting with a 25% reduced dose, have shorter progression-free survival than wild-type patients receiving a full dose. Although overall survival was unaffected, further investigation is warranted. To address this, we...
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