Clinical Utility of Pharmacogene Panel-Based Testing in Patients Undergoing Percutaneous Coronary Intervention

Clin Transl Sci. 2020 May;13(3):473-481. doi: 10.1111/cts.12729. Epub 2020 Jan 16.

Abstract

We aimed to estimate the utility of panel-based pharmacogenetic testing of patients undergoing percutaneous coronary intervention (PCI). Utilization of Clinical Pharmacogenetic Implementation Consortium (CPIC) level A/B drugs after PCI was estimated in a national sample of IBM MarketScan beneficiaries. Genotype data from University of Florida (UF) patients (n = 211) who underwent PCI were used to project genotype-guided opportunities among MarketScan beneficiaries with at least one (N = 105,547) and five (N = 12,462) years of follow-up data. The actual incidence of genotype-guided prescribing opportunities was determined among UF patients. In MarketScan, 50.0% (52,799/105,547) over 1 year and 68.0% (8,473/12,462) over 5 years had ≥ 1 CPIC A/B drug besides antiplatelet therapy prescribed, with a projected incidence of genotype-guided prescribing opportunities of 39% at 1 year and 52% at 5 years. Genotype-guided prescribing opportunities occurred in 32% of UF patients. Projected and actual incidence of genotype-guided opportunities among two cohorts supports the utility of panel-based testing among patients who underwent PCI.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Cytochrome P-450 CYP2C19 / genetics*
  • Cytochrome P-450 CYP2C19 / metabolism
  • Drug Prescriptions / statistics & numerical data*
  • Follow-Up Studies
  • Humans
  • Incidence
  • Middle Aged
  • Percutaneous Coronary Intervention / adverse effects*
  • Pharmacogenomic Testing*
  • Pharmacogenomic Variants
  • Postoperative Complications / drug therapy*
  • Postoperative Complications / epidemiology
  • Postoperative Complications / etiology
  • Precision Medicine / methods
  • Precision Medicine / statistics & numerical data
  • Young Adult

Substances

  • CYP2C19 protein, human
  • Cytochrome P-450 CYP2C19