Standard of Care Versus Urine Testing With Selective PHarmacogenomics for Effective Drug and Dosing REgimens (SPHERE)
27 febbraio 2018 aggiornato da: InSource Diagnostics
Standard of Care Versus Urine Testing With Selective PHarmacogenomics for Effective Drug and Dosing REgimens: SPHERE
The purpose of this study is to determine whether the addition of selective pharmacogenomic (PGx) testing as determined by Urine Drug Testing (UDT) adds a clinical benefit as evidenced by a reduction in Target Drug-related Adverse Events (TDRAE) over the period following enrollment.
Panoramica dello studio
Stato
Sconosciuto
Condizioni
Tipo di studio
Interventistico
Iscrizione (Anticipato)
14000
Fase
- Fase 4
Contatti e Sedi
Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.
Luoghi di studio
-
-
Tennessee
-
Tazewell, Tennessee, Stati Uniti, 37879
- Reclutamento
- Donald H. Deaton, Jr., DO
-
Contatto:
- Donald H. Deaton, DO
- Numero di telefono: 423-259-8076
-
Investigatore principale:
- Donald H. Deaton, DO
-
-
Criteri di partecipazione
I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.
Criteri di ammissibilità
Età idonea allo studio
12 anni e precedenti (Bambino, Adulto, Adulto più anziano)
Accetta volontari sani
Sì
Sessi ammissibili allo studio
Tutto
Descrizione
Inclusion Criteria:
- Subject is 12 years of age or older;
- Subject or legal representative is able and willing to provide informed consent;
- Subject has had a TDRAE including ineffective therapeutic response within the last 60 days or is a new patient to the treating healthcare provider's practice;
- Subject is scheduled for or is planned to be scheduled for UDT, ordered as per the treating healthcare provider's local standard of care;
- Subject is currently receiving or the subject's treating healthcare provider is considering treatment with at least one target drug listed below and metabolized by one or more genes considered in this study: Amitriptyline, Imipramine, Diazepam, Alprazolam, Codeine, Hydrocodone, Oxycodone, Methadone, Meperidine, Fentanyl and Carisoprodol.
Exclusion Criteria:
- Prior history of PGx testing for genes specific to any of the target drugs in the past;
- PGx testing is deemed mandatory in the opinion of the treating healthcare provider;
- History of liver or renal transplantation;
- Receiving chronic hemodialysis or peritoneal dialysis;
- Currently hospitalized or in a long-term care facility;
- Participation in another clinical trial that would, in the Investigator's opinion, interfere with the conduct of this study;
- Subject or subject's guardian or advocate is unable to provide an accurate history of the subject's medical history, medications, and symptoms.
Piano di studio
Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Diagnostico
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Nessuno (etichetta aperta)
Armi e interventi
Gruppo di partecipanti / Arm |
Intervento / Trattamento |
|---|---|
|
Altro: Standard of Care (SOC Arm)
Standard of Care UDT
|
|
|
Altro: Selective PGx Testing (Test Arm)
Standard of Care UDT with selective PGx testing
|
Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Lasso di tempo |
|---|---|
|
The proportion of subjects who experience target drug-related adverse events (TDRAE) over the 90-day period following enrollment
Lasso di tempo: 90 days
|
90 days
|
Misure di risultato secondarie
Misura del risultato |
Lasso di tempo |
|---|---|
|
All TDRAE as quantified within each of the four classes of medications
Lasso di tempo: 90 days
|
90 days
|
|
TDRAE driving a change in the subject's drug regimen (dose change, discontinuation, substation, or addition of a new drug)
Lasso di tempo: 90 days
|
90 days
|
|
Severe TDRAE, defined as a TDRAE that meets the criteria for a Serious Adverse Event
Lasso di tempo: 90 days
|
90 days
|
|
Ineffective therapeutic response, determined by the Investigator
Lasso di tempo: 90 days
|
90 days
|
|
Supra-therapeutic response, as determined by the Investigator
Lasso di tempo: 90 days
|
90 days
|
|
Frequency of subjects with changes in drug regimen
Lasso di tempo: 90 days
|
90 days
|
|
Healthcare resource utilization, as measured by the number of outpatient clinic visits, emergency room/urgent care visits, and hospitalizations; tabulated over the 90-day period following enrollment
Lasso di tempo: 90 days
|
90 days
|
Collaboratori e investigatori
Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.
Sponsor
Collaboratori
Pubblicazioni e link utili
La persona responsabile dell'inserimento delle informazioni sullo studio fornisce volontariamente queste pubblicazioni. Questi possono riguardare qualsiasi cosa relativa allo studio.
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- Gandhi TK, Weingart SN, Borus J, Seger AC, Peterson J, Burdick E, Seger DL, Shu K, Federico F, Leape LL, Bates DW. Adverse drug events in ambulatory care. N Engl J Med. 2003 Apr 17;348(16):1556-64. doi: 10.1056/NEJMsa020703.
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- Linares OA, Fudin J, Daly AL, Boston RC. Individualized Hydrocodone Therapy Based on Phenotype, Pharmacogenetics, and Pharmacokinetic Dosing. Clin J Pain. 2015 Dec;31(12):1026-35. doi: 10.1097/AJP.0000000000000214.
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Studiare le date dei record
Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.
Studia le date principali
Inizio studio
1 dicembre 2015
Completamento primario (Anticipato)
1 dicembre 2018
Date di iscrizione allo studio
Primo inviato
25 novembre 2015
Primo inviato che soddisfa i criteri di controllo qualità
8 dicembre 2015
Primo Inserito (Stima)
9 dicembre 2015
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
28 febbraio 2018
Ultimo aggiornamento inviato che soddisfa i criteri QC
27 febbraio 2018
Ultimo verificato
1 marzo 2017
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Altri numeri di identificazione dello studio
- 2017-001
Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .