Northstar Pharmacogenomics (PGx)™

Support safer chemotherapy dosing decisions.

100%

Northstar PGx Accuracy1

Focused pharmacogenomic testing available as an add-on to Northstar Select®.

What is Pharmacogenomics (PGx)?

Pharmacogenomics (PGx) evaluates genetic factors that affect how an individual metabolizes certain medications. These differences can influence how a drug is processed in the body. Recent developments in this field specific to oncology have brought renewed focus, powered by FDA safety label changes and oncology care guidelines recognizing the importance of broader testing.

Responsible for fluoropyrimidine metabolism
Responsible for clearance of the active metabolite of irinotecan

More informed discussions without delaying care.

Chemotherapy dosing decisions are often made quickly and alongside other treatment considerations. Without insight into how a patient metabolizes certain drugs, standard dosing can increase the risk of severe toxicity or unexpected adverse reactions.

The Northstar PGx reports, from the same blood sample, a patient's predicted metabolizer status and associated clinical implications to help inform treatment planning without extending turnaround time. Recent changes to guidelines emphasize the importance of broader testing to avoid potential chemotherapy toxicity (i.e. DPD deficiency testing prior to prescribing capecitabine or fluorouracil (5-FU)1). By integrating pharmacogenomic context directly into the liquid biopsy workflow, Northstar PGx supports more informed discussions around dosing, monitoring, and treatment planning—without delaying care.

How Northstar PGx™ works

Northstar PGx™ provides focused pharmacogenomic testing integrated directly into the Northstar Select® testing workflow.

Key Variant Coverage
Covers key variants of DPYD and UGT1A1, pharmacogenes referenced in clinical guidelines
Performed from the same blood draw as tumor profiling, with no added turnaround time
Results can be used to help guide therapy decisions for chemotherapy regimens containing fluoropyrimidines (5-FU), capecitabine, and irinotecan

What clinicians receive

Genotype and metabolizer status

for clinically actionable PGx variants

Curated clinical implications

through easy-to-interpret reporting

No external
send-outs

or additional coordination

Seamless delivery

of PGx results alongside Northstar Select Findings

  • BillionToOne internal data on file, Jan 2026

  • “FDA Highlights Importance of DPD Deficiency Discussions With Patients Prior to Capecitabine or 5FU Treatment.” The ASCO Post, 28 Jan. 2025

More answers start here.

Monitor treatment response using epigenomics