A Study of the Impact of Genetic Testing on Clinical Decision Making and Patient Care
REVOLUTION
Randomized, Blinded, Controlled Trial to EValuate the EcOnomic and ClinicaL Outcomes of Utilizing Genetic Testing to Improve Therapeutic Decision-Making COmpared to Empiric Prescribing as the StaNdard of Care
1 other identifier
interventional
100,000
1 country
31
Brief Summary
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable pain
Started Sep 2014
Typical duration for not_applicable pain
31 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2014
CompletedFirst Submitted
Initial submission to the registry
June 26, 2015
CompletedFirst Posted
Study publicly available on registry
July 2, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2016
CompletedMarch 30, 2016
March 1, 2016
2.1 years
June 26, 2015
March 28, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (17)
Pain Scores on the Pain Numeric Rating Scale (NRS)
60 days
Function/Disability assessment on the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)
60 days
Number of Participants that Experience of Adverse Events
Up to 2 years
Type of Adverse Events Experienced by Participants
Up to 2 years
Severity of Adverse Events Experienced by Participants
Up to 2 years
Type of medication or alternative therapy prescribed for participants, as listed on the Medication Efficacy Differentiation (MED) Scale or on the investigator's evaluation form
Up to 2 years
Medication dosage prescribed to the participants
Up to 2 years
Frequency of participant urine drug screens
Up to 2 years
Self-rated response levels to prescribed medications
Subjects are ask to rate the ability of their medication, on a scale of 0 to 5, to treat their condition and/or relieve their symptoms.
60 days
Presence and Severity of Generalized Anxiety Disorder on the GAD-2
60 days
Presence and Severity of Depression on the PHQ-2
60 days
Presence of atrial fibrillation symptoms and their impact on quality of life using the Severity of Atrial Fibrillation (SAF) scale
60 days
Risk of cardiovascular incidents using the AHA Heart Disease Risk Assessment
60 days
Risk of stroke using the CHA2DS2-VASc Score
60 days
Severity of Rheumatoid Arthritis using the Routine Assessment of Patient Index Data (RAPID-3) score
60 days
BMI for patients being treated for T2DM
60 days
Glucose levels for patients being treated for T2DM
60 days
Secondary Outcomes (3)
Co-occurring disorders collected by ICD-9/10 codes
60 days
Assessment of previous treatments
60 days
Urine drug screen results
60 days
Study Arms (5)
Pain
EXPERIMENTALPatients presenting to a clinic for pain, that will be either blinded to genetic testing results or unblinded to genetic testing results
Mental Health
EXPERIMENTALPatients presenting to a clinic for mental health disorders, that will be either blinded to genetic testing results or unblinded to genetic testing results
Cardiovascular
EXPERIMENTALPatients presenting to a clinic for cardiovascular complications, that will be either blinded to genetic testing results or unblinded to genetic testing results
Arthritis
EXPERIMENTALPatients presenting to a clinic for osteoarthritis or rheumatoid arthritis, that will be either blinded to genetic testing results or unblinded to genetic testing results
Type 2 Diabetes Mellitus
EXPERIMENTALPatients presenting to a clinic for T2DM, that will be either blinded to genetic testing results or unblinded to genetic testing results
Interventions
The physicians of this group of patients will be unblinded to the results of the genetic testing.
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.
Eligibility Criteria
You may qualify if:
- 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
You may not qualify if:
- 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.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (31)
Medical Clinic - Amy Weinberg M.D. Inc
Beverly Hills, California, 90211, United States
Medical Clinic - Dr. Neil Ghodadra
Beverly Hills, California, 90212, United States
Snibbe Orthopedics
Beverly Hills, California, 90212, United States
Robert Graham, MD
Fresno, California, 93710, United States
Bautista Medical Group
Fresno, California, 93726, United States
Torrey Pines Orthopaedic Medical Group
La Jolla, California, 92037, United States
Soha Dolatabadi Rheumatology
Los Angeles, California, 90017, United States
Summit Family Medicine
Murrieta, California, 92563, United States
Macer Medical
Rolling Hills, California, 90274, United States
Medical Clinic - Paul C. Murphy, MD Inc
San Diego, California, 92122, United States
Comprehensive Pain Relief Group
Torrance, California, 90501, United States
The Doctor's Office
Vista, California, 92083, United States
Medical Clinic - Dr. Kevin Monahan, MD
Boca Raton, Florida, 33428, United States
Associates MD
Davie, Florida, 33328, United States
Reeders Internal Medicine
Fort Lauderdale, Florida, 33316, United States
Troutt & Associates, PSC
Fort Lauderdale, Florida, 33316, United States
Medical Clinic - Kevin Ohayon MD Family Medicine
Fort Lauderdale, Florida, 33334, United States
Neurology of Central Georgia
Macon, Georgia, 31210, United States
Idaho Pain Clinic
Sandpoint, Idaho, 83864, United States
Comprehensive Pain Clinic
Fort Wayne, Indiana, 46825, United States
Medical Clinic - Dr. Rosenberg A. Reyes
Louisville, Kentucky, 40214, United States
Interventional Pain Institute
Baltimore, Maryland, 21224, United States
New England Center for Mental Health
Littleton, Massachusetts, 01460, United States
Orthopedic Associates of SW Ohio
Vandalia, Ohio, 45414, United States
Mallik Tella MD
Portland, Oregon, 97216, United States
Lighthouse Medical
Altoona, Pennsylvania, 16601, United States
Medical Clinic - Anthony Mathis, DPM
Greer, South Carolina, 29651, United States
Personal Medicine, LLC
Chattanooga, Tennessee, 37416-166, United States
Northgate Neurology
Hixson, Tennessee, 37343, United States
Morristown Pain Consultants
Morristown, Tennessee, 37813, United States
Pain Clinic of Spokane
Spokane, Washington, 99006, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Gregory A Smith, M.D.
G.S. Medical Center Inc./Comprehensive Pain Relief Group
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 26, 2015
First Posted
July 2, 2015
Study Start
September 1, 2014
Primary Completion
October 1, 2016
Study Completion
December 1, 2016
Last Updated
March 30, 2016
Record last verified: 2016-03