In another study of patients with unresectable liver metastases from colorectal cancer treated with irinotecan (a substrate of OATP1B3) and other OATP1B3 non-transported drugs (oxaliplatin and 5-FU), the presence of these variants has been linked to altered pharmacokinetics of irinotecan, resulting in reduced hepatic detoxification and consequently increasing its adverse effects, such as neutropenia and diarrhea[51]. The gene discussed is SLCO1B3; the disease is Decreased total neutrophil count.