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Table 2 Characteristics of patients with DPYD variant results

From: Impact of pharmacogenomic DPYD variant guided dosing on toxicity in patients receiving fluoropyrimidines for gastrointestinal cancers in a high-volume tertiary centre

 

DPYD variant N (%)

DPYD wildtype N (%)

Total N (%)

Total

33 (8.9)

337 (91.1)

370 (100)

Treatment intent

 Curative

19 (57.6)

188 (5.6)

207 (55.9)

 Palliative

14 (42.4)

149 (44.1)

153 (41.4)

Line of treatment

 First line

33 (100)

326 (96.4)

359 (97.0)

 Second line

0 (0)

11 (3.3)

11 (3.0)

Median BSA m2 (25–75% IQR)

1.9 (1.8–2.1)

1.9 (1.7–2.0)

1.9 (1.7–2.0)

Mean relative initial dose intensity (range)

54.2% (37.5–75)

93.2% (42.9–100)

89.6% (38–100)

c.1905+1G > A (n = 3)

50% (50–50)

  

c.2846A> T (n = 4)

50% (50–50)

  

c.1679T > G (n = 1)

50%

  

c.1236G> A (n = 9)

58.3% (50–75)

  

c.1601G> A (n = 13) a

53.1% (37.5–75%)

  

Chemotherapy

 Single agent

9 (27.3)

83 (24.6)

92 (24.9)

 Doublet

21 (63.6)

198 (58.6)

219 (59.2)

 Triplet

3 (9.1)

56 (16.6)

59 (15.9)

 Anti-VEGF

0 (0)

6 (1.8)

6 (1.6)

 Anti-EGFR

1 (3)

19 (5.6)

20 (5.4)

 Trastuzumab

1 (3)

5 (1.5)

6 (1.6)

 Anti-PD1/PDL1

0 (0)

6 (1.8)

6 (1.6)

 Chemoradiotherapy

6 (18.2)

58 (17.2)

64 (17.3)

Fluoropyrimidine

 5FU

8 (24.2)

126 (37.4)

134 (36.2)

 Capecitabine

25 (75.8)

211 (62.6)

236 (63.8)

  1. Abbreviations: DPYD – dihydropyrimidine dehydrogenase, ECOG – Eastern Co-operative Oncology Group, BSA – body surface area, 5FU – 5-Fluorouracil. a Not inclusive of compound heterozygotes. Compound heterozygotes: 2 patients with c.1236G>A/c.1601G>A commenced fluoropyrimidines at 50%. One patient with c.1905+ 1G>A/c.1601G>A commenced with an initial dose of 41%