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Page 274                           Arroyo Seguí et al. J Transl Genet Genom 2020;4:263-77  I  http://dx.doi.org/10.20517/jtgg.2020.35








                 Not available  Not available  CYP3A4*1B: Level 3  CYP3A4*1B: Level 3  CYP3A5: not available








                 [55]           [60]  [65]   [67]



                 No significant association was found for the   OPRK1 variant For SLC6A3/DAT1, presence of the 11-repeat  allele was significantly associated with the  responder status. Presence of the 10-repeat  allele was higher in non-responders (64.9%),  but no significant association was observed No significant association found  As a CYP3A4*1B carrier, the patient was  classified as an ultrarapid metabolizer (UM).  Patient needed a dose of 32 mg to maintain  abstine




















                 rs1051660   3’ UTR VNTR 5  TaqI A   polymorphism   (A1)  *1/*1B  N/A  (phenotype) 1 Level of evidence based on Pharmacogenomics Knowledgebase (PharmGKB) criteria 69  and current as of May 31, 2020. Available at https:/ /www.pharmgkb.org/. 1A: Annotation for a variant- drug combination in a CPIC or medical society-endorsed PGx guideline, or implemented at a PGRN site or in another major health system. 1B: Annotation for a variant-drug combination where the







                    SLC6A3/DAT1

                 OPRK1          DRD2  CYP3A4  CYP3A4  CYP3A5




                 Responders vs. non-  responders 4  Treatment outcomes 6 ,   withdrawal incidence 7 ,   direct opioid effects 8  Urine drug screens   for unauthorized   substances  Dosing (SOC vs.   PGx) 9 , withdrawal   incidence, urine drug   screens











                 Western European  (n = 107, 81% males)  Australian  (n = 25, 68% females) (88% European ancestry)  African American  (n = 1 male)  African American  (n = 111, 76% males)  (PGx)
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