Prospective Study to Evaluate the Clinical Utility of Perioperative Pharmacogenomic Testing
NCT03531268 · Status: WITHDRAWN · Phase: NA · Type: INTERVENTIONAL
Last updated 2019-01-17
Summary
In the perioperative realm, studies have demonstrated an association of genotype with efficacy of medications applicable to the surgical setting. A clinical association exists between the genotype of various genes and with opioid efficacy and toxicity - specifically for drugs such as oxycodone, codeine, morphine, fentanyl, and tramadol. More studies are needed to assess the effects of personalized dosing of analgesics during the perioperative process for various surgical procedures. The application of Pharmacogenomic testing (PGx) to perioperative medicine is novel, has much potential for growth and may potentially improve outcomes. However, successful implementation of a system to evaluate PGx and integrate results into clinical decision-making is challenging and has not been adequately assessed. The investigators propose to conduct PGx testing for patients undergoing surgery, evaluate its clinical utility, and assess outcomes. The investigators hypothesize that PGx testing may ultimately lead to a decrease in adverse events and improved outcomes in the perioperative period.
Conditions
- Perioperative/Postoperative Complications
Interventions
- OTHER
-
PGx Testing
Pharmacogenomic (PGx) testing will be administered to all subjects. The results of PGx testing will be evaluated for clinical utility. Subjects will be evaluated based on whether PGx testing has clinical utility or has no clinical utility.
Sponsors & Collaborators
-
CQuentia NGS, LLC
collaborator UNKNOWN -
Brigham and Women's Hospital
lead OTHER
Principal Investigators
-
Srdjan S Nedeljkovic, MD · Brigham and Women's Hospital
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- SCREENING
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-10-20
- Primary Completion
- 2020-05-20
- Completion
- 2020-05-20
Countries
- United States
Study Locations
More Related Trials
-
Evaluation of Pharmacogenetic Factors Affecting Fentanyl Requirements for Postoperative Pain Control
NCT00824772 ·Status: COMPLETED
-
Post-Operative Pain Control in Opioid Tolerant Patients: Fentanyl Challenge Protocol Versus Standard of Care
NCT02324933 ·Status: WITHDRAWN ·Phase: PHASE4
-
Personalized Postoperative Pain Management Following Thoracic Surgery in Adults
NCT05525923 ·Status: RECRUITING
-
Association Between Clinical Effect of Continuous Morphine Administration After Surgery and Pharmacogenetics
NCT01233219 ·Status: WITHDRAWN
-
Multicenter Perioperative Opioid Pharmacogenetic Study
NCT01495611 ·Status: COMPLETED
-
Patient Controlled Analgesia Pharmacogenetic Study
NCT01731873 ·Status: COMPLETED
-
A Prospective Study of Post-operative Opioid Use in General Surgery Patients
NCT02782884 ·Status: COMPLETED
-
Association Between Clinical Effect of Morphine With PCA After Surgery and Pharmacogenetics
NCT01233752 ·Status: COMPLETED
-
Pharmacokinetic, Pharmacodynamic and Pharmacogenetic of Morphine After Surgery
NCT00822549 ·Status: COMPLETED
-
Preemptive Genotyping and Pain Management
NCT01813695 ·Status: COMPLETED
-
OXY-1: The Pharmacogenetics of Oxycodone Analgesia in Postoperative Pain
NCT00260260 ·Status: COMPLETED ·Phase: PHASE4
-
The Perioperative Pain Self-Management Program Trial
NCT04979429 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Genetic Variation - The Need for Opioids During Surgery
NCT00327938 ·Status: COMPLETED ·Phase: NA
-
Exploring the Impact of Genetic Variations on The Clinical Efficacy of Nalbuphine in Postoperative Pain Management
NCT06996561 ·Status: RECRUITING ·Phase: PHASE2/PHASE3
-
Effect of a Multimodal Pain Regimen on Pain Control, Patient Satisfaction and Narcotic Use in Orthopaedic Trauma Patients
NCT02160301 ·Status: WITHDRAWN ·Phase: PHASE4
-
Patient-Directed Postoperative Opioid Prescribing for Gynecologic Surgery
NCT03805386 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Postoperative and Opioid Free Anesthesia
NCT03316339 ·Status: TERMINATED ·Phase: PHASE3
-
Testing a Provider-Level Feedback Intervention to Optimize Postoperative Prescribing
NCT04776928 ·Status: COMPLETED ·Phase: NA
-
Genetic Variants and Postoperative Pain
NCT03489499 ·Status: RECRUITING
-
Sex Hormones, Postoperative Pain and Opioid Use
NCT06023225 ·Status: RECRUITING
-
Phenomics and Genomics of Clinically Relevant Chronic Postsurgical Pain
NCT04798573 ·Status: ACTIVE_NOT_RECRUITING
-
Polypharmacy and Outcomes After Elective Noncardiac Surgery
NCT03133182 ·Status: COMPLETED
-
Self-reported Usage Patterns of Opioid Analgesic Medications After Surgery
NCT03034278 ·Status: COMPLETED
-
Increasing Implementation of Post-Operative Opioid Prescribing Guidelines
NCT05358522 ·Status: COMPLETED ·Phase: NA
-
Pilot Trial: Postoperative Opioid-free Analgesia
NCT04254679 ·Status: COMPLETED ·Phase: PHASE2/PHASE3