Evidence mapPaperPMID 41908762Full record

ReviewFrontiers in public health2026

Pre-emptive pharmacogenetic testing in Italy: a review of evidence and multidisciplinary consensus on key priorities for implementation.

Angelica Valz Gris, Antonio Cristiano, Francesco Di Berardino, Erika Giacobini, Vittoria Tricomi, Angelo Maria Pezzullo, Erika Cecchin, Valeria Conti, Amelia Filippelli, Fiorella Gurrieri and 2 more

Abstract readReview
In one paragraph

Review in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Angelica Valz GrisSection of Hygiene, Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.
Antonio CristianoSection of Hygiene, Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.
Francesco Di BerardinoSection of Hygiene, Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.
Erika GiacobiniSection of Hygiene, Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.
Vittoria TricomiSection of Hygiene, Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.
Angelo Maria PezzulloSection of Hygiene, Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.
Erika CecchinExperimental and Clinical Pharmacology Unit, Centro di Riferimento Oncologico di Aviano, IRCCS, Aviano, Italy.
Valeria ContiDepartment of Medicine, Surgery, and Dentistry, University of Salerno, Baronissi, Italy.
Amelia FilippelliDepartment of Medicine, Surgery, and Dentistry, University of Salerno, Baronissi, Italy.
Fiorella GurrieriDepartment of Medicine and Surgery, Universitá Campus Bio-Medico Di Roma, Rome, Italy.
Giovanna LiuzzoDepartment of Cardiovascular Sciences, Fondazione Policlinico Universitario A. Gemelli-IRCCS, Rome, Italy.
Stefania BocciaSection of Hygiene, Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Pre-emptive pharmacogenetic (PGx) testing involves identifying genetic variants associated with drug response before prescribing medication, with the aim of guiding drug selection or dosing to reduce adverse reactions and improve outcomes. Despite decreasing costs and the growing feasibility of multi-gene panels, implementation of pre-emptive PGx testing remains limited in Italy. This study aimed to evaluate the potential impact of pre-emptive PGx testing in Italy and to identify barriers and strategies for its implementation. Methods: We conducted a review of current evidence and a multistage consultation process with Italian experts from pharmacology, laboratory medicine, genetics, clinical care, and public health. Results: Our analysis supports the clinical utility, economic sustainability, and feasibility of pre-emptive PGx testing. However, significant barriers persist, including limited real-world data, unclear reimbursement mechanisms, insufficient laboratory and IT infrastructure, inadequate clinician training, and patient concerns related to privacy and data protection. Conclusion: To enable broader implementation, strategic actions are needed across six areas: regulatory alignment, research investment, professional training and result interpretation, public awareness and consent, laboratory infrastructure, and IT systems and data governance.

Indexed as

PharmacogeneticsPharmacogenomic TestingConsensusHumansItalyadverse drug reactiongenetic testimplementation sciencepersonalized preventionpharmacogenetic

Identifiers

PMID41908762
PMCPMC13018106

What Socratic holds

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Registered trials

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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 Socratic graph.