Skip to content

Pediatric Steroid and Antineoplastic Drug Metabolism Phenotype Test

Published: August 9, 2026Updated: August 16, 2026

A genetic test that estimates how a child's body processes steroid and certain anticancer medicines, helping clinicians assess potential treatment benefit and side-effect risk.

Quick summary

["This test estimates how genes affecting drug metabolism may influence the effectiveness and safety of steroid and certain anticancer medicines."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
66388-0
Short code
Child steroids anti-CA drugs PhenX
Synonyms
Child steroids anti-CA drugs PhenX
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
phenx
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What is this test?

This pharmacogenetic test estimates how the body processes steroid medicines and some anticancer drugs. It provides a metabolism phenotype, a general description of whether relevant enzymes may process these medicines slowly, normally, or rapidly.

Why might I need this test?

The test may be considered when a child is receiving a steroid or an anticancer medicine and there is concern about an inadequate response, treatment toxicity, or an unusual reaction. Results can help the treating team consider how a medicine is selected and monitored.

How is the test performed?

A DNA sample is collected, usually with a cheek swab or from blood, and analyzed for genetic variations that influence drug metabolism. The laboratory combines the genetic findings with the relevant medicines to report a predicted metabolism phenotype.

How do I prepare for the test?

Fasting is usually not required for either a cheek swab or blood collection. Bring an up-to-date list of medicines, including steroids and anticancer drugs, because the results are interpreted according to the drugs the child is receiving.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

A reduced-metabolism result may indicate that a medicine could be processed slowly, increasing the likelihood that its effects or side effects may persist longer. A rapid-metabolism result may indicate that the medicine is processed quickly, potentially reducing its effect. The phenotype is one factor to consider and does not by itself determine the correct dose, which should be selected using the child's condition, age, other medicines, and treatment response.

Short name

Pediatric Drug Metabolism Phenotype

Frequently asked questions

Does this test diagnose cancer or a hormone disorder?
No. It estimates how genetic differences may affect the metabolism of certain medicines; it does not diagnose cancer, adrenal disease, or another condition.
Will the result determine the exact dose of my child's medicine?
No. The result is one consideration for the treating clinician, along with the child's symptoms, laboratory findings, other medicines, and response to treatment.
Can this test be performed while my child is receiving treatment?
Genetic testing can generally be performed during treatment because the DNA result does not change. The laboratory should be told about any recent blood or bone marrow transplant because the source of the DNA sample can affect the interpretation.
  1. 1
  2. 2
  3. 3

Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy