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~90% of adult patients with Gaucher disease type 1 tested for CYP2D6 status are eligible for Cerdelga1
A blood test can determine eligibility for Cerdelga treatment
CYP2D6 is an enzyme that plays an important role in metabolizing certain drugs, including Cerdelga. To determine patient eligibility for Cerdelga, first conduct a blood test to identify the patient’s CYP2D6 metabolizer status.2,3
Cerdelga is indicated for 3 out of the 4 main types of metabolizers:
Poor metabolizers (PMs)
Intermediate metabolizers (IMs)
Extensive metabolizers (EMs)
Ultra rapid metabolizers (URMs)
Patients with Gaucher disease type 1 should be selected for Cerdelga use based on their CYP2D6 metabolizer status. It is recommended that patient genotypes be established using an FDA-cleared test for determining CYP2D6 genotype.2
Use of Cerdelga may be contraindicated or require dosage adjustment in certain patients based on their CYP2D6 metabolizer status, concomitant use of CYP2D6 or CYP3A inhibitors, and degree of renal or hepatic impairment.2 Please see full Prescribing Information for additional details.
Determining eligibility for Cerdelga treatment
Patient blood draw is performed
Lab results are processed
Results will likely include the patient’s CYP2D6 genotype, which can be used to determine their metabolizer status
Results usually sent directly to the referring healthcare provider
Indication
References: 1. Cox TM et al. Lancet. 2015;385(9985):2355-2362. 2. Cerdelga (eliglustat). Prescribing Information. Sanofi. 3. Ogu CC et al. Proc (Bayl Univ Med Cent). 2000;13(4):421-423. 4. Pastores GM et al. Semin Hematol. 2004;41(4 Suppl 5):4-14. 5. Mistry PK et al. Clin Adv Hematol Onc. 2012;10(6 Suppl 8):1-16. 6. Mistry PK et al. Am J Hematol. 2011;86(1):110-115.