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Table 4 Characteristics of patients with variant DPYD genotypes with severe toxicity

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

Age (years)

Treatment

FP starting dose (%)

Toxicity

c.2846A > T het

60–69

FOLFIRINOX

50%

Grade 4 gastrointestinal toxicity after 1 cycle

c.1601G > A het

50–59

FOLFIRINOX

50%

Grade 3 other toxicity after 8 cycles

c.1601G > A het

60–69

CAPOX

75%

Grade 3 gastrointestinal toxicity after 2 cycles

c.1905 + 1G > A het

40–49

FOLFIRINOX

50%

Grade 4 haematological toxicity at 8 cycles

  1. Abbreviations—DPYD – dihydropyrimidine dehydrogenase, FP – fluoropyrimdines, het – heterozygous, FOLFIRINOX – 5FU, leucovorin, irinotecan, oxaliplatin, CAPOX – capecitabine, oxaliplatin