Article
Real-World Impact of UGT1A1 Genotype-Guided Irinotecan Dosing on Severe Toxicity and Hospitalization: A Multicenter Study.
Journal of the National Comprehensive Cancer Network : JNCCN - 11 Jun 2026
Heersche Niels, Peeters Sofía L J, Böhm Doortje, Böhringer Stefan, Guiljam Roselien, Hulshof Emma C, de Man Femke M, de With Mirjam, Joosse Marije, Oomens Gysella, Wu Qiong-Yi, Bins Sander, van Hellemond Irene E G, Haberkorn Brigitte C M, Verschoor Arjan J, Wumkes Miriam L, Thijs Anna M, van Schaik Ron H N, Gelderblom Hans, Guchelaar Henk-Jan, Mathijssen Ron H J, Deenen Maarten J
Abstract excerpt
BACKGROUND: Risk of irinotecan-related severe toxicity is significantly higher in patients carrying 2 dysfunctional UGT1A1 gene variants, characterized as poor metabolizers (PMs), following standard irinotecan dosing. Since 2020, we implemented UGT1A1 genotype-guided dosing of irinotecan in routine clinical practice to reduce toxicity in PMs. This study evaluates its impact on severe toxicity in a real-world...
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