- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02599870
Clinical Study to Evaluate Clinical Impact of PGx-Guided Treatment for Patients Undergoing Elective Spinal Surgical Procedures
Prospective Randomized Clinical Study to Evaluate the Clinical Impact of Pharmacogenetics-Guided Treatment for Patients Undergoing Elective Spinal Surgical Procedures
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The incidence of opioid related adverse drug events can reach as high as 50% in surgical patients and poor pain management is a significant risk factor for early readmission. In addition, the rate of non- response to certain analgesics is double in patients who are poor metabolizers as demonstrated by mutations in both CPY26d alleles. Finally, there is a growing body of literature that ineffective acute pain management contributes significantly to the risk of chronic pain syndromes. Genetics and drug interactions can alter both the pharmacokinetics and pharmacodynamics of a multitude of drug compounds and in turn influence both the safety and efficacy of selected therapeutic regimens.
Pharmacogenetic-guided therapy selection can enhance patient response by facilitating the selection of the most appropriate medication at the most effective dose in the shortest possible time.
In this prospective, randomized, single-blind study, the investigators will evaluate the clinical impact of pharmacogenetics-guided treatment on the duration of the post-surgical hospital stay and on patient well-being as determined by post-op pain assessments. Additionally, the impact of PGx-guided treatment on narcotic consumption, number of adverse events, re-admission rates and costs will be evaluated during the study duration.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Louisiana
-
New Orleans, Louisiana, United States, 70121
- Ochsner Health System
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Male or female subjects over the age of 18;
- Patients undergoing an elective spine surgical procedures
- Willing and able to comply with study procedures
- Able to provide written informed consent
- Surgery timing - scheduled to occur after PGx testing and IDgenetix test report review (at least 4 days after Pre-Op visit)
Exclusion Criteria:
- Unwilling or unable to provide written informed consent and to comply with study procedures
- Any subject for whom providing a buccal swab sample would be contraindicated or not possible
- Subject with a history of chronic renal dysfunction, Chronic Kidney Disease (Stage 4 or 5)
- abnormal hepatic function within the last 2 years (INR >1.2 not attributable to anticoagulant medications, AST/aspartate aminotransferase or ALT/alanine aminotransferase >1.5x normal, or suspected cirrhosis)
- a history of malabsorption (short gut syndrome)
- any gastric or small bowel surgery less than 3 months prior to study enrollment
- Patients with a significant unstable medical condition or life threatening disease
- History of prior pharmacogenetic testing
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: NeuroIDgenetix Test Panel Intervention
The medical provider for the NeuroIDgenetix-guided group will make post-operative pain management recommendations based on test results.
Patient outcomes, length of hospital stay and number of medical visits will be measured throughout the study.
|
The NeuroIDgenetix Test Panel is used to make recommendations on post-operative pain medication therapy that may be impacted by the genetic background of the patient.
Other Names:
|
No Intervention: Control
The medical provider for the control group will not receive the NeuroIDgenetix Test Panel results and will make post-operative pain management recommendations based as usual.
Patient outcomes, length of hospital stay and number of medical visits will be measured throughout the study.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Comparison of length of post-surgical hospital stay between the two treatment arms.
Time Frame: From date of surgery until hospital discharge, assessed up to 3 months
|
Duration of the post-surgical hospital stay
|
From date of surgery until hospital discharge, assessed up to 3 months
|
Comparison of patient well being between the two treatment arms as measured by pain scores
Time Frame: 3 months
|
Comparison of patient well being between the two treatment arms as measured by pain scores.
|
3 months
|
Comparison of patient well being between the two treatment arms as measured by disability scores
Time Frame: 3 months
|
Comparison of patient well being between the two treatment arms as measured by disability scores.
|
3 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Comparison of post-operative narcotic consumption between the two treatment arms
Time Frame: 3 months
|
Comparison of post-operative narcotic consumption between the two treatment arms
|
3 months
|
Comparison of opioid-related adverse effects between the two treatment arms
Time Frame: 3 months
|
Comparison of opioid-related adverse effects between the two treatment arms
|
3 months
|
Comparison of time to mobilization between the two treatment arms
Time Frame: 3 months
|
Comparison of time to mobilization between the two treatment arms
|
3 months
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Wale Sulaiman, MD, Ochsner Health System
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- CLP-0007
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Surgery
-
3MRecruitingAbdominal Surgery | Orthopedic Surgery | Vascular Surgery | Cardiovascular SurgeryUnited States
-
Vanderbilt UniversityCompletedHand Surgery | Wrist Surgery | Forearm Surgery | Elbow SurgeryUnited States
-
Nantes University HospitalCompletedGynecological Surgery | Plastic Surgery | ENT SurgeryFrance
-
Edwards LifesciencesCompletedAbdominal Surgery | Pelvic Surgery | Non-Cardiac/ Non-Thoracic Surgery | Major Peripheral Vascular SurgeryUnited States
-
Maquet Cardiopulmonary GmbHNAMSARecruitingCardiac Surgery | Cardiopulmonary Bypass | Thoracic Surgery | Vascular SurgerySpain
-
Baylor Research InstituteChiesi USA, Inc.RecruitingSurgery | Cardiac Surgery | Surgery--Complications | Percutaneous Coronary InterventionUnited States
-
Vanderbilt UniversityEdwards LifesciencesCompletedCardiac Surgery | Thoracic Surgery | Heart Surgery | Heart Transplant
-
Cairo UniversityBatterjee Medical College; Taif UniversityCompletedSurgery | Bariatric SurgeryEgypt, Saudi Arabia
-
Surgify Medical OyCompletedSurgery | Spine SurgeryFinland
-
Poudre Valley Health SystemTerminatedSurgery | Surgery--ComplicationsUnited States
Clinical Trials on NeuroIDgenetix Test Panel
-
AltheaDxUniversity Hospitals Cleveland Medical CenterCompleted
-
Mayo ClinicNot yet recruitingSide Effect of Drug | Pharmacogenomic Drug Interaction | Drug Metabolism, Poor, CYP2D6-Related | Ineffective Drug Action | Drug Metabolism, Poor, CYP2C19-RelatedUnited States
-
AltheaDxInnovis LLCCompletedDepression | AnxietyUnited States
-
AltheaDxCarolina Partners in Mental HealthcareCompletedDepression | AnxietyUnited States
-
Glendale Adventist Medical Center d/b/a Adventist...Caris Life SciencesRecruitingStage III Solid Tumors | Stage IV Solid TumorsUnited States
-
Gynuity Health ProjectsCompleted
-
Glendale Adventist Medical Center d/b/a Adventist...GUARDANT HEALTHRecruitingStage III Solid Tumors | Stage IV Solid TumorsUnited States
-
AllerdermCompletedContact DermatitisDenmark, United States
-
Gynuity Health ProjectsCompletedMenstrual RegulationPakistan