Toward Individualized Pharmaceutical Care of East Asians

Research into the relationship between genetics and drug response has focused on polymorphisms, or variations, in genes that encode drug-metabolizing enzymes, particularly the genes that affect the clearance of the anticoagulant warfarin, proton pump inhibitors, tricyclic antidepressants, and many other clinically relevant drugs. Much of this work has targeted East Asians, a genetically distinguishable and populous group. Researchers have identified polymorphisms that inactivate gene function, compared polymorphism frequencies in East-Asian and Caucasian populations, and determined the effects on the pharmacokinetic parameters of drugs. Detection in an individual of polymorphisms known to inactivate a drug-metabolizing enzyme is predictive of poor metabolism of drugs processed by that pathway, which itself may be predictive of an atypical drug response. Genetic tests can be used to screen for individuals who are poor metabolizers, with the ultimate goal of better predicting the clinical effects of drugs.
Using Distributed Data Networks to Understand Heterogeneity in Real-World Data
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On behalf of the National Pharmaceutical Council (NPC), thank you for the opportunity to comment on the draft comparative effectiveness research (CER...Using Distributed Data Networks to Understand Heterogeneity in Real-World Data
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Genetic Variations in Response to Medications: Looking at the Implications for Minority Elders
This report examines how genetic, environmental and
Pharmaceutical Diversity Serves Human Diversity: Medications for Older Adults
The author discusses how genetic differences in resp
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Commentary & Testimony
Questions Abound on the Adoption of Evidence
Health Affairs CER Briefing Highlights Key Issues
NPC Submits Testimony on Draft CER Definition, Criteria and Framework