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Platinum Agents (class)

Raw research findings for this medication. Mostly single studies, not curated or confirmed robust.

About Platinum Agents

What it is

Platinum agents are a class of chemotherapy medicines built around a platinum atom: they bind DNA and cross-link its strands, so cancer cells cannot copy it and die. The class includes cisplatin, carboplatin and oxaliplatin, used for testicular, ovarian, lung, bladder, bowel, head and neck and many other cancers. This page collects studies on platinum agents as a group.

How genes come into it

Studies of the class as a whole have looked mostly at DNA repair genes, which help cells mend platinum damage: XRCC1 (its rs25487 variant has the strongest rating here), ERCC1, ERCC2, ERCC4 and ERCC5, and at the copper transporters SLC31A1 and ATP7B that move platinum in and out of cells, for response and side effects. The findings often disagree between studies, and there is no CPIC or DPWG guideline.

What research found

Every published finding on gene variants and Platinum Agents. Upload your DNA file to see which of these rows apply to you.

Rated evidence (80 rated variants)

PharmGKB weighs all studies of a variant and rates how strong the evidence is, from 1A (strongest) to 4.

XRCC1 rs25487: Level 2B · replicated. Efficacy: Neoplasms. 16.

ERCC2;KLC3 rs13181: Level 3. Efficacy: Colorectal Neoplasms, Neoplasm of esophagus, Osteosarcoma, Ovarian Neoplasms, Pancreatic Neoplasms. 9.

ERCC1 rs11615: Level 3. Toxicity: Neoplasms. 6.

GSTP1 rs1695: Level 3. Toxicity: Colorectal Neoplasms, Gastrointestinal Neoplasms, Non-Small Cell Lung Carcinoma, Ovarian Neoplasms. 6.

Response (122 findings)

Studies of how well it worked in people carrying a variant.

rs6983267: Genotypes GG + GT are associated with increased response to Platinum compounds in people with Lung Neoplasms as compared to genotype TT.

ATP7B rs9535826: Allele G is associated with increased response to Platinum compounds in people with Lung Neoplasms as compared to allele T.

ATP7B rs9535828: Allele A is associated with increased response to Platinum compounds in people with Lung Neoplasms as compared to allele G.

CASP7 rs1127687: Genotypes AA + AG are associated with decreased response to paclitaxel and Platinum compounds in people with Carcinoma, Non-Small-Cell Lung as compared to genotype GG.

Study findings and evidence levels: PharmGKB (CC BY-SA 4.0). Guidelines: CPIC and DPWG, as bundled in PharmCAT. Most studies were done mainly in people of European ancestry.

Related Drugs

More drugs from the same category

Cisplatin (Platinum Agents)

Eloxatin (Platinum Agents)

Paraplatin (Platinum Agents)

Not a prescribing recommendation. This page is educational information about pharmacogenomic research and clinical guidelines - it is not medical or dosing advice, and not a prediction of how any medication will work for you. Never start, stop, or change a medication or dose based on it; talk to your doctor or pharmacist, who can order clinical-grade testing if appropriate.

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Content updated September 2026.

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