NCT04797364

Brief Summary

Implementation of pharmacogenetic testing for children and adolescents aged 6-24 who are starting or changing psychiatric medication.

Trial Health

57
Monitor

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
6,000

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jan 2021

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

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

January 18, 2021

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

March 9, 2021

Completed
6 days until next milestone

First Posted

Study publicly available on registry

March 15, 2021

Completed
4.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2025

Completed
Last Updated

May 9, 2024

Status Verified

May 1, 2024

Enrollment Period

4.5 years

First QC Date

March 9, 2021

Last Update Submit

May 8, 2024

Conditions

Keywords

ChildAdolescentMental HealthPsychiatryPharmacogeneticsDepressionAnxietyOCDPsychosisBipolar Disorder

Outcome Measures

Primary Outcomes (2)

  • Adverse drug reactions

    Relative change in adverse drug reaction frequency

    6-months

  • Symptom severity

    Relative change in symptom severity

    6-months

Secondary Outcomes (1)

  • Healthcare utilization

    6-months

Study Arms (1)

Pharmacogenetic Testing

EXPERIMENTAL

Pharmacogenetic testing panel (CYP2B6, CYP2C9, CYP2C19, CYP2D6, CYP3A5, NUDT15, SLCO1B1, TPMT, VKORC1)

Diagnostic Test: Pharmacogenetic Testing

Interventions

Participants will donate a 2ml (teaspoon) sample of saliva. DNA extracted from the saliva sample will be used for genotyping. Genotyping results will be translated into an interpretative clinical report using evidence-based software (Sequence2Script) developed by our group and delivered to the treating physician for use in their clinical decision-making. The report will contain genotyping results, predicted phenotype, and evidence-based drug selection and dosing recommendations relevant to the child's current and future care

Pharmacogenetic Testing

Eligibility Criteria

Age6 Years - 24 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Medical records available
  • The initiation, change, dose adjustment, or augmentation of psychiatric medication(s) is indicated
  • Treating psychiatrist, family physician, or pediatrician licensed in Alberta, British Columbia, Saskatchewan, or Manitoba requests pharmacogenetic testing

You may not qualify if:

  • Medically unstable or lacking capacity to provided informed consent
  • Unwillingness of child to provide saliva sample for genetic analysis
  • History of liver or bone marrow (hematopoietic cell) transplant

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Calgary

Calgary, Alberta, T2N 4N1, Canada

RECRUITING

Related Publications (1)

  • Bharthi K, Zuberi R, Maruf AA, Shaheen SM, McCloud R, Heintz M, McAusland L, Arnold PD, Bousman CA. Impact of Cytochrome P450 Genetic Variation on Patient-Reported Symptom Improvement and Side Effects Among Children and Adolescents Treated with Fluoxetine. J Child Adolesc Psychopharmacol. 2024 Feb;34(1):21-27. doi: 10.1089/cap.2023.0039.

MeSH Terms

Conditions

Psychological Well-BeingDepressionAnxiety DisordersPsychotic DisordersBipolar Disorder

Interventions

Pharmacogenomic Testing

Condition Hierarchy (Ancestors)

Personal SatisfactionBehaviorBehavioral SymptomsMental DisordersSchizophrenia Spectrum and Other Psychotic DisordersBipolar and Related DisordersMood Disorders

Intervention Hierarchy (Ancestors)

Genetic TestingClinical Laboratory TechniquesDiagnostic Techniques and ProceduresDiagnosisInvestigative TechniquesGenetic TechniquesGenetic ServicesHealth ServicesHealth Care Facilities Workforce and ServicesDiagnostic ServicesPreventive Health Services

Study Officials

  • Chad Bousman, PhD

    University of Calgary

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Laina McAusland, MSc

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor

Study Record Dates

First Submitted

March 9, 2021

First Posted

March 15, 2021

Study Start

January 18, 2021

Primary Completion

July 1, 2025

Study Completion

July 1, 2025

Last Updated

May 9, 2024

Record last verified: 2024-05

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