Final Flashcards
NSCLC testing
EGFR Required
Gefitinib and Erlotinib
Breast Cancer Testing
Her2 Required
Transtuzumab
Abacavir Hypersensitivity
HLA-B*57:01 recommended
Caucasians at highest risk
Carbamazepine Hypersensitivity
HLA-B*15:02 recomneded
asians at X10 risk (5%)
Roche Amplichip Testing Instructions
for CYP2D6 and CYP2C19
blood sample > sample prep > amplification > Fragmentation/Labeling > Hybridization > analysis
Invader
for UGT1A1 (ironotecan) Sample prep > reagent prep > sample and regent to plate > incubation > analyze
Immunosuppressive Drugs
Calcineurin inhibitors Corticosteriods antimetabolites mTOR inhibitors Antibody products
Calcineurin inhibitors
cyclosporine
tacrolimus
CYP3A4 polymorphism
*22 C>T
decrease dose
CYP3A5 polymorphisms
- 3 A>G
* 6 G>A
P-gp polymorphisms
C1236T G2677T C3435T - C/T is IM -WT is diff to ween off of steriods
UGT Polymorphisms
Mycophenolate
1A8, 1A9, 2B7
UGT2b7 metabolized Mycophenolate to AcylMPAG
TMPT polymorphisms
Azapthioprine > 6-MP > 6-MP (inactive)
*2 and *3
AE in Transplantation
Nephrotoxicity Neurotoxicity HTN Gi disturbances NODAT
NODAT info
9X higher than general pop
5-20% of people get NODAT
67.1% vs 81.9%
NODAT Risk Factors
Clinical: Multiple CNI use, Obesity, Age, Rapamycin Use
Genetic Risk: SUR1, HNF1a, HNF4a, IRS, TCF7L2
Colon Cancer Drugs
Cetuximab
Pantimumab
Colon Cancer Mutations
KRAS and BRAF