A Study of the Impact of Genetic Testing on Clinical Decision Making and Patient Care

NCT ID: NCT02487888

Last Updated: 2016-03-30

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

Clinical Phase

NA

Total Enrollment

100000 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-09-30

Study Completion Date

2016-12-31

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 for patients suffering from pain, cardiovascular problems, Arthritis, Type II Diabetes, and/or Mental Health disorders. 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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The molecular basis of many pharmacogenetic polymorphisms has now been elucidated, with genetic variations resulting in alteration of expression or function of receptors, enzymes, and transporters relevant to the safety and efficacy of a medical treatment. Genetics has been shown to be a significant factor in the variability of responses of medication choices and doses. With the rapid development of cost-effective high throughput molecular genotyping methods, pharmacogenetics has become increasingly important because of its potential to identify patients with increased risk of adverse drug reactions or decreased likelihood of response at standard dosage of drug. By identifying 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 drug events. The addition of pharmacogenetic testing to routine clinical practice may also be extremely helpful because of the cost reduction associated with the identification of patients that will not respond to expensive drugs or with the identification of patients likely to suffer from severe adverse events. There are also tremendous efforts in the pharmaceutical industry to lower the cost for drug development; pharmacogenetics may fulfill the need to provide the right drug to the right patient and to increase the likelihood of success of large phase II and phase III clinical trials.

The purpose of this study is to evaluate how currently available genetic tests are being implemented in various clinics around the United States, and whether this information results in benefits to patient care. Patients presenting to clinics with pain, cardiovascular conditions, Arthritis, Type II Diabetes, and/or Mental Health disorders 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 clinical care. 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 Mental Disorders Cardiovascular Diseases Diabetes Mellitus, Type 2 Arthritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Pain

Patients presenting to a clinic for pain, that will be either blinded to genetic testing results or unblinded to genetic testing results

Group Type EXPERIMENTAL

Unblinded to Genetic Testing Results

Intervention Type OTHER

The physicians of this group of patients will be unblinded to the results of the genetic testing.

Blinded to Genetic Testing Results

Intervention Type OTHER

The physicians of this group of patients will be blinded to the results of the genetic testing. They will be un-blinded to the results of each patient once that patient has completed the study.

Mental Health

Patients presenting to a clinic for mental health disorders, that will be either blinded to genetic testing results or unblinded to genetic testing results

Group Type EXPERIMENTAL

Unblinded to Genetic Testing Results

Intervention Type OTHER

The physicians of this group of patients will be unblinded to the results of the genetic testing.

Blinded to Genetic Testing Results

Intervention Type OTHER

The physicians of this group of patients will be blinded to the results of the genetic testing. They will be un-blinded to the results of each patient once that patient has completed the study.

Cardiovascular

Patients presenting to a clinic for cardiovascular complications, that will be either blinded to genetic testing results or unblinded to genetic testing results

Group Type EXPERIMENTAL

Unblinded to Genetic Testing Results

Intervention Type OTHER

The physicians of this group of patients will be unblinded to the results of the genetic testing.

Blinded to Genetic Testing Results

Intervention Type OTHER

The physicians of this group of patients will be blinded to the results of the genetic testing. They will be un-blinded to the results of each patient once that patient has completed the study.

Arthritis

Patients presenting to a clinic for osteoarthritis or rheumatoid arthritis, that will be either blinded to genetic testing results or unblinded to genetic testing results

Group Type EXPERIMENTAL

Unblinded to Genetic Testing Results

Intervention Type OTHER

The physicians of this group of patients will be unblinded to the results of the genetic testing.

Blinded to Genetic Testing Results

Intervention Type OTHER

The physicians of this group of patients will be blinded to the results of the genetic testing. They will be un-blinded to the results of each patient once that patient has completed the study.

Type 2 Diabetes Mellitus

Patients presenting to a clinic for T2DM, that will be either blinded to genetic testing results or unblinded to genetic testing results

Group Type EXPERIMENTAL

Unblinded to Genetic Testing Results

Intervention Type OTHER

The physicians of this group of patients will be unblinded to the results of the genetic testing.

Blinded to Genetic Testing Results

Intervention Type OTHER

The physicians of this group of patients will be blinded to the results of the genetic testing. They will be un-blinded to the results of each patient once that patient has completed the study.

Interventions

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Unblinded to Genetic Testing Results

The physicians of this group of patients will be unblinded to the results of the genetic testing.

Intervention Type OTHER

Blinded to Genetic Testing Results

The physicians of this group of patients will be blinded to the results of the genetic testing. They will be un-blinded to the results of each patient once that patient has completed the study.

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 medication
* Documented or recent complaint within 90 days 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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Gregory A Smith, M.D.

Role: PRINCIPAL_INVESTIGATOR

G.S. Medical Center Inc./Comprehensive Pain Relief Group

Locations

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Medical Clinic - Amy Weinberg M.D. Inc

Beverly Hills, California, United States

Site Status

Medical Clinic - Dr. Neil Ghodadra

Beverly Hills, California, United States

Site Status

Snibbe Orthopedics

Beverly Hills, California, United States

Site Status

Robert Graham, MD

Fresno, California, United States

Site Status

Bautista Medical Group

Fresno, California, United States

Site Status

Torrey Pines Orthopaedic Medical Group

La Jolla, California, United States

Site Status

Soha Dolatabadi Rheumatology

Los Angeles, California, United States

Site Status

Summit Family Medicine

Murrieta, California, United States

Site Status

Macer Medical

Rolling Hills, California, United States

Site Status

Medical Clinic - Paul C. Murphy, MD Inc

San Diego, California, United States

Site Status

Comprehensive Pain Relief Group

Torrance, California, United States

Site Status

The Doctor's Office

Vista, California, United States

Site Status

Medical Clinic - Dr. Kevin Monahan, MD

Boca Raton, Florida, United States

Site Status

Associates MD

Davie, Florida, United States

Site Status

Reeders Internal Medicine

Fort Lauderdale, Florida, United States

Site Status

Troutt & Associates, PSC

Fort Lauderdale, Florida, United States

Site Status

Medical Clinic - Kevin Ohayon MD Family Medicine

Fort Lauderdale, Florida, United States

Site Status

Neurology of Central Georgia

Macon, Georgia, United States

Site Status

Idaho Pain Clinic

Sandpoint, Idaho, United States

Site Status

Comprehensive Pain Clinic

Fort Wayne, Indiana, United States

Site Status

Medical Clinic - Dr. Rosenberg A. Reyes

Louisville, Kentucky, United States

Site Status

Interventional Pain Institute

Baltimore, Maryland, United States

Site Status

New England Center for Mental Health

Littleton, Massachusetts, United States

Site Status

Orthopedic Associates of SW Ohio

Vandalia, Ohio, United States

Site Status

Mallik Tella MD

Portland, Oregon, United States

Site Status

Lighthouse Medical

Altoona, Pennsylvania, United States

Site Status

Medical Clinic - Anthony Mathis, DPM

Greer, South Carolina, United States

Site Status

Personal Medicine, LLC

Chattanooga, Tennessee, United States

Site Status

Northgate Neurology

Hixson, Tennessee, United States

Site Status

Morristown Pain Consultants

Morristown, Tennessee, United States

Site Status

Pain Clinic of Spokane

Spokane, Washington, United States

Site Status

Countries

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United States

Other Identifiers

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PB008

Identifier Type: -

Identifier Source: org_study_id

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