A Depression and Opioid Pragmatic Trial in Pharmacogenetics (DCRI Coordinating Center)
NCT04445792 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 4284
Last updated 2026-03-25
Summary
This is a Master Protocol Screening record. This study is comprised of three separate pharmacogenetic trials grouped into a single protocol due to similarities in the intervention, the hypotheses, and the trial design. The three trials are the Acute Pain Trial, the Chronic Pain Trial, and the Depression Trial. Participants can enroll in only one of the three trials.
Each trial is listed individually on clinicaltrials.gov and includes "PRO00104948" within the Unique Protocol ID:
PRO00104948\_A - Acute Pain Trial - NCT05966129
PRO00104948\_B - Chronic Pain Trial - NCT05966142
PRO00104948\_C - Depression Trial - NCT05966155
Acute Pain Trial: A prospective, multicenter, two arm randomized pragmatic trial. Participants meeting eligibility criteria will be randomly assigned to either immediate pharmacogenetic testing and genotype-guided post-surgical opioid therapy (Intervention arm) or standard care and pharmacogenetic testing after 6 months (Control arm). The investigators will test the hypothesis that pharmacogenetic testing and genotype guided pain management therapy improves pain control after surgery in participants who's body processes some pain medicines slower than normal.
Chronic Pain Trial: A prospective, multicenter, two arm randomized pragmatic trial. Participants meeting eligibility criteria will be randomly assigned to either immediate pharmacogenetic testing and genotype-guided opioid therapy (Intervention arm) or standard care with 6-month delayed pharmacogenetic testing (Control arm). The investigators will test the hypothesis that pharmacogenetic testing and genotype guided pain therapy improves pain control after surgery in participants who's body processes some pain medicines slower than normal.
Depression: A prospective, multicenter, two arm randomized pragmatic trial. Participants meeting eligibility criteria will be randomly assigned to either immediate pharmacogenetic testing and genotype-guided anti-depressant therapy (Intervention arm) or standard care with 6-month delayed pharmacogenetic testing (Control arm). The investigators will test the hypothesis that pharmacogenetic testing and genotype-guided anti-depressant therapy will reduce depression symptoms in participants who's body processes some anti-depressants faster or slower than normal.
Conditions
- Depression
- Acute Pain
- Chronic Pain
Interventions
- OTHER
-
Pharmacogenetic testing
Genetic testing of CYP2D6 and CYP2C19
- OTHER
-
Clinical decisions support
Prescribing recommendations to the provider based on the pharmacogenetic testing results
Sponsors & Collaborators
- lead OTHER
Principal Investigators
-
Hrishikesh Chakraborty · Duke University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 8 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-02-24
- Primary Completion
- 2023-10-06
- Completion
- 2024-05-10
Countries
- United States
Study Locations
More Related Trials
-
Study to Evaluate the Effect of Naltrexone and Bupropion Combination on the Pharmacokinetics of Metformin in Healthy Participants
NCT02745912 ·Status: COMPLETED ·Phase: PHASE1
-
Evaluation of a Compliance Marker in Prescription Opioid Abusers With Chronic Pain
NCT02276989 ·Status: WITHDRAWN ·Phase: PHASE2
-
Screening in Trauma for Opioid Misuse Prevention
NCT02861976 ·Status: COMPLETED
-
Buprenorphine for Treatment Resistant Depression
NCT01407575 ·Status: COMPLETED ·Phase: PHASE3
-
Treatment of Restless Legs Symptoms With Pramipexole to Improve the Outcomes of Protracted Opioid Withdrawal in OUD
NCT04759703 ·Status: TERMINATED ·Phase: PHASE2/PHASE3
-
Opioid Physiology Project
NCT03462797 ·Status: COMPLETED
-
Opioid Treatment for Chronic Low Back Pain and the Impact of Mood Symptoms
NCT01502644 ·Status: COMPLETED ·Phase: PHASE4
-
Determining Genetic Biomarkers Predictive of the Development of Prescription Opioid Addiction
NCT01562353 ·Status: UNKNOWN
-
Effects of Doravirine (MK-1439) on Methadone Pharmacokinetics in Methadone-Maintained Participants (MK-1439-045)
NCT02715700 ·Status: COMPLETED ·Phase: PHASE1
-
Pharmacogenetics of Naltrexone for Stimulant Abuse
NCT03226223 ·Status: COMPLETED ·Phase: PHASE2
-
Drug Discrimination in Methadone-Maintained Humans Study 1
NCT00593463 ·Status: COMPLETED ·Phase: PHASE1
-
Comparison of Two Dosage Strengths of Transdermal Fentanyl Versus Transdermal Buprenorphine and Placebo in Acute Pain Models in Healthy Volunteers.
NCT00886002 ·Status: COMPLETED ·Phase: PHASE1
-
Study of D-Methadone in Patients With Chronic Pain
NCT00588640 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Combining Neuro-Imaging and Non-Invasive Brain Stimulation for Clinical Intervention in Opioid Use Disorder
NCT04495673 ·Status: TERMINATED ·Phase: NA
-
Study to Evaluate the Subjective Effects of PTI-801 in Non-Physically Dependent Subjects With a History of Drug Abuse
NCT00734461 ·Status: COMPLETED ·Phase: PHASE2
-
Opioid Agonist and Antagonist Effects on Opioid Dependence
NCT00142727 ·Status: TERMINATED ·Phase: PHASE2
-
Understanding Treatment Response With Naltrexone Among White Alcoholics
NCT00817089 ·Status: COMPLETED ·Phase: PHASE4
-
Low-dose Versus a High-dose Sublingual Buprenorphine Induction
NCT05944952 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE4
-
Biased Opioid Agonists for Treatment of Opioid Withdrawal in OUD
NCT04316559 ·Status: COMPLETED ·Phase: PHASE2
-
A Study to Evaluate the Adherence of 2 Strengths of Newly Manufactured Samples and Aged Samples of a New Formulation (JNJ-35685-AAA-G016 and JNJ-35685-AAA-G021) of Fentanyl Transdermal System Compared With Duragesic Fentanyl Transdermal Patch in Healthy Participants
NCT02608320 ·Status: COMPLETED ·Phase: PHASE1
-
A Study to Evaluate Withdrawal Effects Following Dosing of Oxycodone/Naltrexone in Methadone-Maintained Subjects
NCT02391571 ·Status: COMPLETED ·Phase: PHASE3
-
Buprenorphine Induction for Fentanyl Dependent Opioid Users
NCT04794790 ·Status: WITHDRAWN ·Phase: EARLY_PHASE1
-
Examining the Role of the Orexin System in Sleep and Stress in Persons With Opioid Use Disorder
NCT04287062 ·Status: COMPLETED ·Phase: PHASE2
-
Feasibility and Acceptability of Oxygen Saturation Monitoring Using Masimo SafetyNet Alert (MSNA) in a Supportive Housing Program
NCT06217380 ·Status: TERMINATED ·Phase: NA
-
Validation of a Community Pharmacy-Based Prescription Drug Monitoring Program Risk Screening Tool
NCT03936985 ·Status: COMPLETED