NCT02487888

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

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
100,000

participants targeted

Target at P75+ for not_applicable pain

Timeline
Completed

Started Sep 2014

Typical duration for not_applicable pain

Geographic Reach
1 country

31 active sites

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

September 1, 2014

Completed
10 months until next milestone

First Submitted

Initial submission to the registry

June 26, 2015

Completed
6 days until next milestone

First Posted

Study publicly available on registry

July 2, 2015

Completed
1.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2016

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2016

Completed
Last Updated

March 30, 2016

Status Verified

March 1, 2016

Enrollment Period

2.1 years

First QC Date

June 26, 2015

Last Update Submit

March 28, 2016

Conditions

Keywords

Genetic VariationGenetic PolymorphismPolymorphism, Single NucleotideGenetic Association StudiesHealthcare Utilization

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

EXPERIMENTAL

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

Other: Unblinded to Genetic Testing ResultsOther: Blinded to Genetic Testing Results

Mental Health

EXPERIMENTAL

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

Other: Unblinded to Genetic Testing ResultsOther: Blinded to Genetic Testing Results

Cardiovascular

EXPERIMENTAL

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

Other: Unblinded to Genetic Testing ResultsOther: Blinded to Genetic Testing Results

Arthritis

EXPERIMENTAL

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

Other: Unblinded to Genetic Testing ResultsOther: Blinded to Genetic Testing Results

Type 2 Diabetes Mellitus

EXPERIMENTAL

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

Other: Unblinded to Genetic Testing ResultsOther: Blinded to Genetic Testing Results

Interventions

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

ArthritisCardiovascularMental HealthPainType 2 Diabetes Mellitus

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.

ArthritisCardiovascularMental HealthPainType 2 Diabetes Mellitus

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

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

Location

Medical Clinic - Dr. Neil Ghodadra

Beverly Hills, California, 90212, United States

Location

Snibbe Orthopedics

Beverly Hills, California, 90212, United States

Location

Robert Graham, MD

Fresno, California, 93710, United States

Location

Bautista Medical Group

Fresno, California, 93726, United States

Location

Torrey Pines Orthopaedic Medical Group

La Jolla, California, 92037, United States

Location

Soha Dolatabadi Rheumatology

Los Angeles, California, 90017, United States

Location

Summit Family Medicine

Murrieta, California, 92563, United States

Location

Macer Medical

Rolling Hills, California, 90274, United States

Location

Medical Clinic - Paul C. Murphy, MD Inc

San Diego, California, 92122, United States

Location

Comprehensive Pain Relief Group

Torrance, California, 90501, United States

Location

The Doctor's Office

Vista, California, 92083, United States

Location

Medical Clinic - Dr. Kevin Monahan, MD

Boca Raton, Florida, 33428, United States

Location

Associates MD

Davie, Florida, 33328, United States

Location

Reeders Internal Medicine

Fort Lauderdale, Florida, 33316, United States

Location

Troutt & Associates, PSC

Fort Lauderdale, Florida, 33316, United States

Location

Medical Clinic - Kevin Ohayon MD Family Medicine

Fort Lauderdale, Florida, 33334, United States

Location

Neurology of Central Georgia

Macon, Georgia, 31210, United States

Location

Idaho Pain Clinic

Sandpoint, Idaho, 83864, United States

Location

Comprehensive Pain Clinic

Fort Wayne, Indiana, 46825, United States

Location

Medical Clinic - Dr. Rosenberg A. Reyes

Louisville, Kentucky, 40214, United States

Location

Interventional Pain Institute

Baltimore, Maryland, 21224, United States

Location

New England Center for Mental Health

Littleton, Massachusetts, 01460, United States

Location

Orthopedic Associates of SW Ohio

Vandalia, Ohio, 45414, United States

Location

Mallik Tella MD

Portland, Oregon, 97216, United States

Location

Lighthouse Medical

Altoona, Pennsylvania, 16601, United States

Location

Medical Clinic - Anthony Mathis, DPM

Greer, South Carolina, 29651, United States

Location

Personal Medicine, LLC

Chattanooga, Tennessee, 37416-166, United States

Location

Northgate Neurology

Hixson, Tennessee, 37343, United States

Location

Morristown Pain Consultants

Morristown, Tennessee, 37813, United States

Location

Pain Clinic of Spokane

Spokane, Washington, 99006, United States

Location

MeSH Terms

Conditions

PainChronic PainMental DisordersCardiovascular DiseasesDiabetes Mellitus, Type 2Arthritis

Condition Hierarchy (Ancestors)

Neurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and SymptomsDiabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System DiseasesJoint DiseasesMusculoskeletal Diseases

Study Officials

  • Gregory A Smith, M.D.

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

    PRINCIPAL INVESTIGATOR

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

Locations