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Pharmacogenetics · De Novo DEN180028

23andMe: Pharmacogenetic reports, eight genes

FDA record DEN180028: De Novo request granted on October 31, 2018 for 23andMe. It is one of the four tests on FDA's own Direct-to-Consumer Tests table.

FDA recordDEN180028
FDA device name
23andMe Personal Genome Service (PGS) Pharmacogenetic Reports
Applicant (as FDA lists it)
23AndMe, Inc.
FDA decision
De Novo request granted
Decision date
October 31, 2018 (received Jun 5, 2018)
Product code
QDJ
Regulation
21 CFR 862.3364

FDA database entry · FDA decision summary (PDF) · openFDA record

What the authorization says it may report

This report describes if a person has variants associated with metabolism of some therapeutics, but does not describe if a person will or will not respond to a particular therapeutic, and does not describe the association between detected variants and any specific therapeutic.

The information provided by this report should not be used to start, stop, or change any course of treatment.

Genes or markers named: CYP2C19, CYP2C9, CYP3A5, UGT1A1, DPYD, TPMT, SLCO1B1, CYP2D6

Stated limitations

Results should be confirmed in a clinical setting with independent genetic testing before taking any medical action.

This test does not diagnose any health conditions, predict drug response, provide medical advice, or determine whether a medication is indicated for the user.

FDA classifies this test type under 21 CFR 862.3364, which says: “A pharmacogenetic assessment system is a qualitative in vitro molecular diagnostic system intended to detect nucleic acid variants isolated from human specimens for the purpose of assessing the presence of genetic variants that impact the metabolism, exposure, response, risk of adverse events, dosing, or mechanisms of prescription or over-the-counter medications.” (21 CFR 862.3364)

What this record doesn't tell you

An FDA record says what a test was authorized to report on the decision date. It doesn't say whether the product is still sold, what it costs, or which version a kit in a store uses. Check the company's own label and report for the current claims.

FDA's general advice on direct-to-consumer tests: “Do not make any dietary or health-related decisions without first discussing your test results with your health care provider.” (U.S. Food and Drug Administration)

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