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St. John Health System
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Index:

UGT1A1 Assay

Order Name UGT1A1
Test Number: 9103375
Revision Date 09/17/2009
Test Name Methodology LOINC Code
UGT1A1 Assay
Signal Amplification, Invader chemistry detection  
SPECIMEN REQUIREMENTS
Specimen Specimen Volume (min) Specimen Type Specimen Container Transport Environment
Preferred 5 (3 mL) Whole Blood EDTA (Lavender Top) Room Temperature
Instructions Keep specimen as whole blood at room temperature. Do not centrifuge, do not refrigerate. Specimen cannot be shared with other testing for risk of DNA contamination.
GENERAL INFORMATION
Testing Schedule Assay Dependant 
Expected TAT 3-10 Day 
Clinical Use This is a pharmacogenomic assay for identifying subsets of patients at increased risk for toxicity to Irinotecan (CAMPTOSAR®). Irinotecan (CAMPTOSAR®) is used as part of a first line regimen in treating patients with metastatic colon or rectal carcinoma. 
CPT Code(s) 83891; 83896x20; 83892x8; 83903x4; 83912; 8391226
Internal Comments Deactivated in Sept 2009 due to low utilization - per Sonja Mathews
Service Provided By Labcorp Oklahoma, Inc.
Lab Section Immunology - Serology