Clinical Pharmacogenomics at St. Jude
PG4KDS Publications
- Haidar CE, et al. Advancing Pharmacogenomics from Single-Gene to Preemptive Testing. Annu Rev Genomics Hum Genet. 2022 Aug 31;23:449-473. PMID:35537468.
- Haidar CE, et al. Preemptively Precise: Returning and Updating Pharmacogenetic Test Results to Realize the Benefits of Preemptive Testing. Clin Pharmacol Ther. 2019;106(5):942-944. PMID: 31520409
- Hoshitsuki K, et al. Challenges in clinical implementation of CYP2D6 genotyping: choice of variants to test affects phenotype determination.Genet Med. 2020;22(1):232-233. PMID: 31341243
- Hicks JK, et al. Integrating pharmacogenomics into electronic health records with clinical decision support. Am J Health Syst Pharm. 2016;73(23):1967-1976. PMID: 27864204
- Yang W, et al. Comparison of genomic sequencing and clinical genotyping for pharmacogenes. Clin Pharmacol Ther. 2016;100(4):380-388. PMID: 27311679
- Gammal RS, et al. Pharmacogenetics for safe codeine use in sickle cell disease. Pediatrics. 2016;138(1):e20153479 [Epub ahead of print]. PMID: 27335380
- Dunnenberger HM, et al. Preemptive Clinical Pharmacogenetics Implementation: Current Programs in Five United States Medical Centers. Ann Rev Pharmacol Toxicol 2015;55:89-106. PMID: 25292429
- Hoffman JM, et al. PG4KDS: A model for the clinical implementation of pre-emptive pharmacogenetics. Am J Med Genet C Semin Med Genet. 2014;166C(1):45-55. PMID: 24619595
- Bell GC, et al. Development and use of active clinical decision support for preemptive pharmacogenomics. J Am Med Inform Assoc. 2014;21(e1):e93-99 PMID: 23978487
- Hicks JK, et al. A Clinician-Driven Automated System for Integration of Pharmacogenetic Interpretations Into an Electronic Medical Record. Clin Pharmacol Ther. 2012;92(5):563-6. PMID: 22990750
- Crews KR, et al. Pharmacogenomics and individualized medicine: Translating science into practice. Clin Pharmacol Ther. 2012;92(4):467-75. PMID: 22948889
- Fernandez CA, et al. Concordance of DMET Plus genotypes with orthogonal genotyping methods. Clin Pharmacol Ther. 2012 Sep;92(3):360-5. PMID: 22871999
- Crews KR, et al. Development and implementation of a pharmacist-managed clinical pharmacogenetics service. Am J Health-Syst Pharm. 2011;68:143-50. PMID: 21200062
PG4KDS Presentations
Implementation of pre-emptive genotyping in the USA: Paediatric experience by Mary Relling at the UK Pharmacogenetics & Stratified Medicine Network Joint Workshop with NHS England & Genomics England, February 2018
Issues for Clinical Implementation of Pharmacogenomic Testing. Panel discussion moderated by Mary Relling at the 2015 PGRN-ASHG Symposium.
The Clinical Pharmacogenetics Implementation Consortium (CPIC): enabling the adoption of pharmacogenetics into the EHR slide deck of the webinar by James M. Hoffman for the Clinical Decision Support KnowledgeBase (CDSKB), a joint project between the eMERGE and IGNITE networks.
Clinical Pharmacogenetics Implementation Consortium (CPIC™) by Mary V. Relling at the Pharmacogenomics Research Network (PGRN) 2016.
Clinical Implementation of Pharmacogenetics by Mary V. Relling at the University of Maryland
Integration of Pharmacogenetics into Clinical Practice by Mary V. Relling at the Cleveland Clinic
Institutional Leadership Perspective on Implementing Genomic Medicine Programs by William E. Evans at the National Human Genome Research Institute (link on NHGRI has audio too)
Beyond the Hype-Developing, Implementing and Sharing Pharmacogenomic Clinical Decision Support by James M. Hoffman at the American Medical Informatics Association Annual Symposium
Select Pharmacogenomics Posters
Patient and Family Perceptions of Pharmacogenomic Testing at St. Jude Children’s Research Hospital. By: Rachael Stone, et al. Presented at the 2022 ASHP Midyear Clinical Meeting.
Pharmacogenomics Videos
Implementing pharmacogenomics in paediatrics by Mary V. Relling at the UK Pharmacogenetics & Stratified Medicine Network 2019 Open Meeting
Collecting and Curating the Evidence for Pharmacogenetic Implementation: CPIC by Mary V. Relling at the 2018 PGRN-ASHG Symposium
Implementation of Preemptive Clinical Pharmacogenetics by Mary V. Relling at the Mayo Clinic Center for Individualized Medicine (Look for 2013, Day 2: Tuesday, October 1 presentations and click on Mary V. Relling)
Institutional Leadership Perspective on Implementing Genomic Medicine Programs by William E. Evans at the National Human Genome Research Institute
Putting Pharmacogenomics into Practice: Successful Implementation in Pediatrics by Kristine Crews at Cincinnati Children’s Hospital
Pharmacogenetics and Individualized Therapy by Kristine Crews at St. Jude Children’s Research Hospital (free sign in access required)
Pharmacogenomic Competencies
Introduction to pharmacogenetics competency
Cytochrome P450 2C19 (CYP2C19) competency
Cytochrome P450 2D6 (CYP2D6) competency
Glucose-6-phosphate dehydrogenase deficiency
Mitochondrial RNR1 (mt-RNR1) competency
SLCO1B1 Pharmacogenetic competency
Thiopurine S-Methyltransferase (TPMT) competency
Dihydropyrimidine Dehydrogenase (DPYD) Competency
Uridine Diphosphate Glucuronyltransferase 1A1 (UGT1A1) competency
Residency Training in Pharmacogenomics
St. Jude offers an ASHP accredited PGY-2 residency in pharmacogenomics. Read more about the residency program and the AJHP article describing the residency program.
Other Resources
The Clinical Pharmacogenetics Implementation Consortium (CPIC) and CPIC Guidelines
- CPIC guidelines are designed to help clinicians understand HOW available genetic test results should be used to optimize drug therapy, rather than WHETHER tests should be ordered.
- A key assumption underlying the CPIC guidelines is that clinical high-throughput and pre-emptive (pre-prescription) genotyping will become more widespread, and that clinicians will be faced with having patients' genotypes available even if they have not explicitly ordered a test with a specific drug in mind.
- Each guideline is published in Clinical Pharmacology and Therapeutics and on https://CPICpgx.org/
- Click here for all accepted and published CPIC guidelines
- Listen to a podcast on the Clinical Pharmacogenetics Implementation Consortium (dated 03/25/14)
PharmGKB and the PGRN
- The Pharmacogenomics Knowledge Base (PharmGKB): http://www.pharmgkb.org/
- The Pharmacogenomics Research Network (PGRN): http://www.pgrn.org/
If you have specific questions about implementation of clinical pharmacogenomics, you can contact the pharmacogenomics team at: pharmacogenomics@stjude.org
Legal Disclaimer: This page is intended to provide implementers with guidance on establishing a clinical pharmacogenetic program at their institution. Information contained on this page is for information and educational purposes only. Although reasonable efforts have been made to ensure that the information provided on this page is current, complete and, where appropriate, based on scientific evidence, St. Jude Children's Research Hospital makes no assurances as to whether the provided information will at all times be current or complete. St. Jude Children's Research Hospital, in offering this document, is not providing medical advice or offering a consultative opinion, and is not establishing a treatment relationship with any given individual. You, therefore, should not substitute information contained herein for your own professional judgment, nor should you rely on information provided herein in rendering a diagnosis or choosing a course of treatment for a particular individual.