OBJECTIVE
To study the features of pharmacogenetic testing for personalized statin prescription in Moscow.
MATERIAL AND METHODS
We analyzed data on medical genetics or pharmacogenetics or availability of equipment necessary for pharmacogenetic testing and personalized statin prescription posted on the websites of 19 hospitals. We clarified the possibility of pharmacogenetic testing through interviewing of laboratory employees by phone and assessed this process according to 6 criteria: biomaterial, molecular genetic methods, analyzed genes and genetic variants, period for completion, availability of consultation after testing and cost. Compliance of studied genes and genetic variants with the Clinical Pharmacogenetics Implementation Consortium (CPIC) recommendations was analyzed. The interviews were conducted twice in June-August 2022 and February—March 2023.
RESULTS
Upon survey, 5 hospitals were conducting pharmacogenetic testing, and 2 hospitals stopped these procedures due to unavailable reagents. Interview results were the same in both periods. There were significant differences in pharmacogenetic testing for most criteria. Period for completion varied from 5 days to 16 weeks, cost — from 4.1 thousand to 139 thousand rubles. The studied genes and genetic variants fully comply with the CPIC recommendations in none hospital.
CONCLUSION
As of February-March 2023, pharmacogenetic testing for personalized statin prescription was performed in several Moscow hospitals, but there were significant differences in testing technologies, timing and cost. The studied genes and genetic variants did not fully comply with the CPIC recommendations that limits testing results for clinical decision-making.