Observational Study of the Impact of Genetic Testing on Healthcare Decisions and Care in Interventional Pain Management

NCT ID: NCT02485795

Last Updated: 2017-06-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

50000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-09-30

Study Completion Date

2017-08-31

Brief Summary

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The purpose of this study is to evaluate the impact of genetic testing on healthcare decisions and patient outcomes in interventional pain management clinical care. Results of genetic testing will also be compared with the clinical outcome measures collected to discover novel genetic factors that may influence patient care.

Detailed Description

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Specific genetic variations have been identified that result in alteration of expression or function of receptors, enzymes, and transporters that are relevant to the safety and efficacy of a medical treatment. By providing information regarding the genetic risks and the most effective therapy for an individual patient, clinicians may improve the efficacy of treatment and decrease the risk of adverse events.

The purpose of this study is to evaluate how currently available genetic tests are being implemented in various interventional pain management clinics around the United States, and whether this information results in benefits to patient care. Considering patient genotype correlates with pain sensitivity and perception, as well as autonomic nervous system dysfunction due to variations in sodium and potassium channels, genotypic associations can significantly improve outcomes in interventional pain management modalities including:

* Injections (also called nerve blocks using medications), such as steroids and opioids, including epidural steroid injections, facet joint injections, single nerve root blocks, and sacroiliac joint injections;
* Radiofrequency Rhizotomy (radiofrequency ablation and neuroablation), using x-ray guidance and a needle with an electrode at the tip that gets heated, to temporarily turn off a nerve's ability to send pain messages to the brain; and,
* Intrathecal pump implants which provide potent medications straight to the source of pain.

Patient that are receiving Proove Bioscience's genetic testing will complete validated questionnaires to measure specific outcomes related to their treatment at each clinical visit, including medication efficacy, reduction in adverse drug events, and healthcare utilization. Physicians will document any changes made to treatment regimens, including adjustments to medications or non-pharmacological treatments, and any improvements in the outcome measures. Statistical analysis will be performed to calculate relationships between genotypic and phenotypic data points collected in this study.

The results of this study will provide a measurable understanding of the medical and economic value of implementing genetic testing into interventional pain management. Furthermore, data points collected will be used to examine novel correlations and associations between single nucleotide polymorphisms and longitudinal clinical outcome measures.

Conditions

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Pain Chronic Pain Back Pain Nociceptive Pain Neuropathic Pain Musculoskeletal Pain Neck Pain Pain, Intractable

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Pain patients

Observational; Patients presenting to interventional pain management centers for therapy.

Observational

Intervention Type OTHER

This study will evaluate the impact of genetic testing information on medical regimen plans and whether this information results in benefits to patient care.

Interventions

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Observational

This study will evaluate the impact of genetic testing information on medical regimen plans and whether this information results in benefits to patient care.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Provide signed and dated informed consent form
* Willing to comply with all study procedures and be available for the duration of the study
* Male or Female, at least 18 years of age
* Currently taking or a candidate for opioid pain medication
* Documented or recent complaint of pain within 90 days (location to be documented in the case report form) with initial date of onset

Exclusion Criteria

* Severe hepatic or renal disease (where current pharmaceutical dosing is affected and/or requires adjustment of standard dosing prior to PGx testing)
* Significant diminished mental capacity that is unable to understand the protocol, surveys and questionnaires; unable to read/write English or Spanish.
* Recent febrile illness that precludes or delays participation by more than 1 month
* Pregnancy or lactation
* Participation in a clinical study that may interfere with participation in this study
* Anything that would place the individual at increased risk or preclude the individual's full compliance with or completion of the study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Proove Bioscience, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Maneesh Sharma, M.D.

Role: PRINCIPAL_INVESTIGATOR

Interventional Pain Institute

Locations

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Central Arizona Pain Institute

Prescott, Arizona, United States

Site Status

Spine Specialty Clinic of Arkansas

Heber Springs, Arkansas, United States

Site Status

Steven J. Waltrip M.D. Inc.

Beverly Hills, California, United States

Site Status

Nuvo Spine

Encino, California, United States

Site Status

Memorial Orthopaedic Surgical Group

Long Beach, California, United States

Site Status

Cedars Sinai Medical Center

Los Angeles, California, United States

Site Status

Snibbe Orthopedics

Los Angeles, California, United States

Site Status

San Diego Pain Institute

San Diego, California, United States

Site Status

Dr. Anuj Gupta

Vista, California, United States

Site Status

Integrated Pain Solutions of South FL

Fort Lauderdale, Florida, United States

Site Status

Spinal Interventional Research

Gulf Breeze, Florida, United States

Site Status

Stuart B Krost MD

Lake Worth, Florida, United States

Site Status

Panama Interventional Pain Management

Panama City Beach, Florida, United States

Site Status

Interventional Pain Physicians of South Florida

Pembroke Pines, Florida, United States

Site Status

Neurological Spine & Pain

Savannah, Georgia, United States

Site Status

Wellspring Pain Solutions

Columbus, Indiana, United States

Site Status

Compass Pain Care

Charleston, South Carolina, United States

Site Status

Palmetto Pain Management

Columbia, South Carolina, United States

Site Status

Dr. Todd Joye

Mt. Pleasant, South Carolina, United States

Site Status

Coastal Interventional Pain Associates

Myrtle Beach, South Carolina, United States

Site Status

Pain, Spine and Sports Medicine

Myrtle Beach, South Carolina, United States

Site Status

Palmetto Spine and Pain Care Consultants

Myrtle Beach, South Carolina, United States

Site Status

El Paso Orthopaedic Surgery Group

El Paso, Texas, United States

Site Status

Medical Centre Pain Mgmt

Fort Worth, Texas, United States

Site Status

TX Spine and Joint

Houston, Texas, United States

Site Status

KSF Orthopaedic Center

Houston, Texas, United States

Site Status

North Hills Pain

Hurst, Texas, United States

Site Status

The Woodlands Pain Institute

Shenandoah, Texas, United States

Site Status

Victoria Pain and Rehabilitation Center

Victoria, Texas, United States

Site Status

National Spine And Pain Centers

McLean, Virginia, United States

Site Status

Northwest Spine and Pain Medicine

Spokane, Washington, United States

Site Status

Countries

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United States

Other Identifiers

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PB007

Identifier Type: -

Identifier Source: org_study_id

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