Adverse Drug Reaction Clinical Trial
— PREPAREOfficial title:
PREemptive Pharmacogenomic Testing for Preventing Adverse Drug REactions
Verified date | April 2024 |
Source | Leiden University Medical Center |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
PREPARE is an international, prospective, multi-center, open, randomized, cross-over implementation study assessing the impact of pre-emptive pharmacogenomic testing, of a panel of actionable pharmacogenomic variants, on adverse event incidence. Additional outcomes include, healthcare expenditure, process indicators for implementation and provider adoption of pharmacogenomics.
Status | Completed |
Enrollment | 6950 |
Est. completion date | May 1, 2021 |
Est. primary completion date | September 30, 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Subject must be = 18 years old - Subject must receive a first prescription (meaning no known prescription for this drug in the preceding 12 months) for one or more of 42 drugs, for which a Dutch Pharmacogenomic Working Group guideline is available, which is prescribed to them in routine care - Subject is able and willing to take part and be followed-up for at least 12 weeks - Subject is able to donate blood or saliva - Subject has signed informed consent - The study limit of enrolment (200 per arm, per 18-month block) for that drug has not been reached Exclusion Criteria: - Subject has previous (direct-to-consumer, or clinical) genetic testing for a gene important to the drug of inclusion - Subject is pregnant or lactating - Subject has a life expectancy estimated to be less than three months by treating clinical team - Duration of the drug of inclusion total treatment length is planned to be less than seven consecutive days. A drug whose route of administration changes during the first seven days (e.g. intravenous to oral flucloxacillin) but whose total treatment duration is seven days or longer, is still eligible. - For inpatients: hospital admission is expected to be less than 72 hours - Subject is unable to consent to the study - Subject is unwilling to take part - Subject has no fixed address - Subject has no current general practitioner - Subject is, in the opinion of the Investigator, not suitable to participate in the study - Subject has existing impaired hepatic or renal function for which a lower dose or alternate drug selection are already part of current routine care. This would not apply to any drugs specifically given to manage liver/renal impairment/transplantation. - Subject has an estimated glomerular filtration rate (MDRD) of less than 15 ml/min per 1,73m2 in a subject with a functioning graft - Subject has advanced liver failure (stage Child-Pugh C) |
Country | Name | City | State |
---|---|---|---|
Austria | Medical University of Vienna | Vienna | |
Greece | University of Patras | Patras | |
Italy | Centro di Riferimento Oncologico | Aviano | |
Netherlands | Leiden University Medical Center | Leiden | |
Slovenia | University of Ljubljana | Ljubljana | |
Spain | Servicio Andaluz de Salud | Granada | |
United Kingdom | University of Liverpool | Liverpool |
Lead Sponsor | Collaborator |
---|---|
J.J.Swen | Andaluz Health Service, Bio.Logis Genetic Information Management, Centro di Riferimento Oncologico - Aviano, Federal Institute for Drugs and Medical Devices, Karolinska Institutet, Medical University of Vienna, Robert Bosch Gesellschaft für Medizinische Forschung mbH, Royal Dutch Pharmacists Association (KNMP), St. Antonius Hospital, The Golden Helix Foundation, University of Liverpool, University of Ljubljana, University of Patras, University Paul Sabatier of Toulouse, Uppsala University |
Austria, Greece, Italy, Netherlands, Slovenia, Spain, United Kingdom,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Occurrence of a clinically relevant adverse drug reaction which is caused by the drug of inclusion. For oncology patients only hematological toxicities (grade 4-5) and non-hematological toxicities (grade 3-5) will be considered clinically relevant. | Defined as an adverse drug reaction which is causally related to the drug of inclusion (definite, probable or possible), clinically relevant (CTCAE Grade 2,3,4 or 5) and associated with a drug-genotype interaction (as per the Dutch Pharmacogenomics Working Group guidelines) | 12 weeks | |
Secondary | Physician and pharmacist adherence to Dutch Pharmacogenomics Working Group guidelines | Defined as adhering to the guidelines or not adhering to the guidelines | 18 months | |
Secondary | Healthcare expenditure related to adverse events | Any costs made as a result of an adverse event | 18 months | |
Secondary | Incidence of drug discontinuation due to an adverse event | Related to the drug of inclusion | 18 months | |
Secondary | Incidence of discontinuation due to lack of efficacy | Related to the drug of inclusion | 18 months | |
Secondary | Quality of life | Time trade-off question | 18 months | |
Secondary | Incidence of dose adjustments | Related to the drug of inclusion | 18 months | |
Secondary | Attitudes towards and knowledge of pharmacogenomics | Composite outcome: a list of seven questions regarding pharmacogenomics | 18 months |
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