Evidence map›Paper›PMID 38386947›Full record

ReviewJournal of clinical oncology : official journal of the American Society of Clinical Oncology2024

Overcoming Barriers to Discovery and Implementation of Equitable Pharmacogenomic Testing in Oncology.

Sharon P Shriver, Devon Adams, Brittany Avin McKelvey, Jeannine S McCune, Dale Miles, Victoria M Pratt, Kristine Ashcraft, Howard L McLeod, Hannah Williams, Mark E Fleury

Open access · hybridAbstract readReview
In one paragraph

Review in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
13.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 28 citations in OpenAlex.

  1. Trial
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  4. Review
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  7. Toward an integrated resource for pharmacogenomics (PGx): Survey findings from the genomic medicine communities.Genetics in medicine : official journal of the American College of Medical Genetics · 2025
    Article
  8. Review
  9. Article
  10. Article
  11. Pharmacogenomics of chemotherapy induced peripheral neuropathy using an electronic health record-derived definition: a genome-wide association study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  12. Article
  13. Article
  14. Article
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  16. Article
  17. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 1 country.

Sharon P ShriverACS CAN, Washington, DC.ORCID 0000-0002-7817-9296
Devon AdamsACS CAN, Washington, DC.ORCID 0000-0002-8686-8518
Brittany Avin McKelveyFriends of Cancer Research, Washington, DC.ORCID 0000-0001-9239-7153
Jeannine S McCuneCity of Hope/Beckman Research Institute Department of Hematologic Malignancies Translational Sciences, Duarte, CA.
Dale MilesGenentech, San Francisco, CA.ORCID 0000-0002-6351-0441
Victoria M PrattAgena Bioscience, San Diego, CA.ORCID 0000-0003-2871-5051
Kristine AshcraftInvitae Corporation, San Francisco, CA.
Howard L McLeodUtah Tech University, St George, UT.ORCID 0000-0002-9004-9232
Hannah WilliamsColor, Burlingame, CA.ORCID 0000-0002-2082-7211
Mark E FleuryACS CAN, Washington, DC.ORCID 0000-0002-1338-6171
ACS Solutions (United States) · USAsana Biosciences (United States) · USCity of Hope · USColor (United States) · USFriends of Cancer Research · USInvitae (United States) · USUtah Tech University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pharmacogenomics (PGx), the study of inherited genomic variation and drug response or safety, is a vital tool in precision medicine. In oncology, testing to identify PGx variants offers patients the opportunity for customized treatments that can minimize adverse effects and maximize the therapeutic benefits of drugs used for cancer treatment and supportive care. Because individuals of shared ancestry share specific genetic variants, PGx factors may contribute to outcome disparities across racial and ethnic categories when genetic ancestry is not taken into account or mischaracterized in PGx research, discovery, and application. Here, we examine how the current scientific understanding of the role of PGx in differential oncology safety and outcomes may be biased toward a greater understanding and more complete clinical implementation of PGx for individuals of European descent compared with other genetic ancestry groups. We discuss the implications of this bias for PGx discovery, access to care, drug labeling, and patient and provider understanding and use of PGx approaches. Testing for somatic genetic variants is now the standard of care in treatment of many solid tumors, but the integration of PGx into oncology care is still lacking despite demonstrated actionable findings from PGx testing, reduction in avoidable toxicity and death, and return on investment from testing. As the field of oncology is poised to expand and integrate germline genetic variant testing, it is vital that PGx discovery and application are equitable for all populations. Recommendations are introduced to address barriers to facilitate effective and equitable PGx application in cancer care.

Indexed as

Pharmacogenomic TestingPrecision MedicineGenetic TestingHumansMedical OncologyPharmacogenetics

Identifiers

PMID38386947
PMCPMC11003514
OpenAlexW4392081192

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.