Munir Pirmohamed Profile picture
Feb 3 7 tweets 11 min read
A journey which started in 2016 has led to the publication of the #PREPARE study in @TheLancet today. In this #randomised study, we show that a 12-gene panel can reduce #adverse_effects by 30%. authors.elsevier.com/c/1gX95V-4XHGbk @CDSS_Liverpool @pandtuol
A 30% reduction in adverse reactions from a single #intervention is remarkable. news.liverpool.ac.uk/2023/02/03/mat… #pharmacogenetics #personalisedmedicine #adverse_effects. The study was funded by the Horizon 2020 program by the @eu_comission
Led by @HenkJGuchelaar and @JesseSwen as part of the #UPGx consortium: upgx.eu. All #ADRs were assessed for #causality by the Liverpool Causality Assessment Tool (LCAT): journals.plos.org/plosone/articl…
LCAT is a validated tool. Causality assessment was further confirmed by Lareb: lareb.nl/en. Interestingly, 30% of clinicians did not adopt the pharmacogenomic recommendations - the benefit we have demonstrated would have been even greater
The study provides randomised evidence further highlighting the need to #implement #pharmacogenomics for #patientsafety. This is in keeping with the call from the Personalised Prescribing report google.co.uk/url?sa=t&rct=j…. @BritPharmSoc @RCPhysicians Personalised prescribing report which provides the evidence
In the study, we looked at #ADRs from grade 2 to 5. So-called mild #ADRs are also important for patients as they affect quality of life, reduce #adherence to #medicines, and worsen #patient #outcomes. @livuninews @LivUniISMIB
Implementation is important but can be challenging. We are tackling this via the #PROGRESS study in #Manchester and #Liverpool @GeneticBill @John_H_McD @nwgmsa @JessicaKPharma1. The #NHS is a great healthcare system for whole population implementation.

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More from @MPUoL

Feb 2
A. Wider definition of #pharmacogenomics
B. Pharmacogenomic #variation is common, we are exposed to many #drugs which require pharmacogenomic #guidance
C. There is increasing #evidence of #clinical #utility of #PGx
D. We need more studies on #diversity in #PGx
E. The time is right for #implementation of #PGx #personalised #prescribing
bps.ac.uk/getmedia/b43a3…
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