Pilot of Preemptive Pharmacogenetics in Medically Underserved Patients
Clinical Implementation Pilot of Preemptive Pharmacogenetic Testing in Medically Underserved Patient Populations
2 other identifiers
interventional
100
1 country
1
Brief Summary
This is a pragmatic clinical trial of 100 patients who self-identify as black or Latino. Patients with active prescriptions for at least 3 medications and a medication change within the past 6-months will be recruited from the University of Florida (UF) Health primary care clinics for panel-based pharmacogenetic testing. Participants will be followed for 6 months and will undergo assessments with the Treatment Satisfaction Questionnaire for Medication (TSQM) three times (baseline visit, 3-month visit, and 6-month visit post pharmacogenetic testing). In addition, data on effectiveness outcomes and socioeconomic measures will be collected via the electronic health record (EHR) and patient report. Participation is expected to last approximately 6 months and the study will be open for approximately 12-14 months.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started May 2021
1 active site
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
First Submitted
Initial submission to the registry
November 5, 2020
CompletedFirst Posted
Study publicly available on registry
November 16, 2020
CompletedStudy Start
First participant enrolled
May 13, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 22, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
June 22, 2022
CompletedResults Posted
Study results publicly available
October 4, 2023
CompletedOctober 4, 2023
September 1, 2023
1.1 years
November 5, 2020
August 23, 2023
September 14, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in Global Patient Treatment Satisfaction Measured by the Treatment Satisfaction Questionnaire for Medication (TSQM)
The primary feasibility outcome will be change in patient treatment satisfaction between baseline and 6 months after pharmacogenetic testing. This patient reported outcome will be measured via the TSQM. The TSQM is a validated tool that assesses three medication-related domains (effectiveness, side effects, and convenience) to synthesize a global satisfaction score. TSQM domain scores range from 0 to 100 with higher scores representing higher satisfaction for that each domain.
6 months
Secondary Outcomes (3)
Change in Patient Treatment Effectiveness Satisfaction Measured by the Treatment Satisfaction Questionnaire for Medication (TSQM)
6 months
Change in Patient Treatment Side Effect Satisfaction Measured by the Treatment Satisfaction Questionnaire for Medication (TSQM)
6 months
Change in Patient Treatment Convenience Satisfaction Measured by the Treatment Satisfaction Questionnaire for Medication (TSQM)
6 months
Study Arms (1)
Panel-based pharmacogenetic genotyping
EXPERIMENTALAll patients will receive clinical preemptive pharmacogenetic testing. Genotype results and consult notes will returned in the EHR pre-emptively. Data on implementation success metrics and PROs via patient report and TSQM measures will be collected. In addition, data on effectiveness outcomes and socioeconomic measures will be collected via the EHR and patient report, respectively.
Interventions
A DNA sample by saliva (via mouthwash swish and expectorate collection) or buccal cell (via buccal brush) will be obtained for pharmacogenetic testing and questionnaires will be administered at baseline and then again at 3 months and 6 months after receiving PGx results.
Eligibility Criteria
You may qualify if:
- Adults (18 years or older) with active prescriptions for at least 3 medications documented within the EHR.
- At least 1 drug/drug class that could be informed by the pharmacogenetics test panel available at the UF.
- A medication change within the past 6 months (associated with a healthcare provider encounter).
- Self-identify as black or Latino.
You may not qualify if:
- Patients with any history of pharmacogenetic testing within the EHR.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
UF Health at the University of Florida
Gainesville, Florida, 32610, United States
Results Point of Contact
- Title
- Dr. Julio Duarte
- Organization
- University of Florida
Study Officials
- PRINCIPAL INVESTIGATOR
Julio Duarte, PharmD, PhD
University of Florida
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 5, 2020
First Posted
November 16, 2020
Study Start
May 13, 2021
Primary Completion
June 22, 2022
Study Completion
June 22, 2022
Last Updated
October 4, 2023
Results First Posted
October 4, 2023
Record last verified: 2023-09
Data Sharing
- IPD Sharing
- Will not share