ABSTRACT

A key element of drug development programs is planning the most

efficient and cost-effective path toward successful registration and

favorable reimbursement. One discipline that has gained consid-

erable attention from regulators, payers, and developers in recent

years [1-7] as a means to achieving this goal is pharmacogenetics

(PGt)—the study of variation in germ-line deoxyribonucleic acid

(DNA) sequence as related to drug response [8]. While PGt has

great potential to positively impact the success of developing a new

medicine, the integration of PGt into the drug development pipeline

has not been implemented effectively in most pharmaceutical

companies. The goal of this chapter is not to review the extensive

literature published on the scientific concept and commercial

opportunity that PGt offers; rather, it is to describe the requirements

and principles of successful PGt application, enabled by integration

of know-how andmethodology into the mainstay drug development

pipeline.