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Zoom link:¡¡https://snu-ac-kr.zoom.us/s/97794356958


Clinical Implementation for Personalized Precision Pharmacotherapy based on

Pharmacogenomics: Status and Perspectives


Jae-Gook Shin, MD, PhD

Dept. of Pharmacology and Pharmacogenomics Research Center, Dept. of Clinical

Pharmacology, Inje University College of Medicine, Center for Personalized Precision

Medicine of Tuberculosis (cPMTb) supported by National Research Foundation of

Korea/ Ministry of Science and ICT, Busan, Korea


It is well known dogma of pharmacology that therapeutic drug response varies among the individual¡¡patients from the same therapeutic dose regimen. The drug response variation caused by many factors¡¡of individual subjects such as pharmacogenotype, drug interaction, age, body weight renal/hepatic¡¡dysfunction, ethnicity etc. Pharmacogenotypes are considered to be a good predictor of individual¡¡drug responses for the personalized pharmacotherapy in a given individual patient. Although it is still¡¡limited, the pharmacogenetic tests became a routine practice for the personalized pharmacotherapy,¡¡and several pharmacogenomics biomarkers listed in the drug label are already allowed for genotype¡¡based pharmacotherapy in clinical practice with insurance coverage for reimbursement. Therefore,¡¡personalized precision medicine based on an individual pharmacogenotypes has been established in¡¡the clinical practice, at least in some therapeutic areas including the treatment of cancer,¡¡cardiovascular diseases, psychiatric drugs and prevention of serious adverse drug reactions.

The genotype guided personalized dose regimen is available to be predicted from the clinical

documents collected from clinical trials/ studies done in an individual with specific

pharmacogenotypes. However, this approach may not be available for such edge population patients¡¡who are exposed to many other clinical conditions such as combined effect of genetic and non-genetic¡¡effects, i.e. genetic + drug interactions + renal dysfunction + old age. Therefore, it is asked to have¡¡additional solutions to predict the personalized precision dosing of an individual patients exposed to¡¡diverse clinical situation in real world clinical practice.

The presentation will introduce the personalized pharmacotherapy based on pharmacogenomics

and also model informed precision dosing as a potential tool for precision medicine of real world edge¡¡patient population.