Implementing Pharmacogenetic Testing in Gastrointestinal Cancers
NCT04736472 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 552
Last updated 2025-06-06
Summary
Pharmacogenomics (PGx) is the study of how genes affect a person's response to drugs. PGx testing for certain genes can help predict the risk of side effects from chemotherapy agents. Testing is not regularly performed in clinical practice due to long wait times for results and challenges with integrating test results in the electronic health record. Investigators leading this study hope to find out if providing cancer care providers with the ability to order a PGx test and electronically receive results with dosing recommendations will increase the use of these tests to guide treatment decisions and improve patient outcomes.
This is a non-randomized implementation study, which means that all participants in this study will undergo genotyping for a pharmacogenetic test. The investigators will primarily measure the feasibility of using this test to guide cancer care.
Conditions
Interventions
- DEVICE
-
Pharmacogenetic test
Patients with reduced function alleles (DPYD intermediate or poor metabolizer and/or UGT1A1 poor metabolizer) will be recommended to receive dose reductions per clinical pharmacogenetic guidelines. Patients that do not carry actionable alleles (DPYD normal metabolizer and/or UGT1A1 normal or intermediate metabolizer) will receive standard dosing.
Sponsors & Collaborators
-
Abramson Cancer Center at Penn Medicine
lead OTHER
Principal Investigators
-
Sony Tuteja, PharmD, MS · University of Pennsylvania
Study Design
- Allocation
- NA
- Purpose
- OTHER
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-03-26
- Primary Completion
- 2023-12-19
- Completion
- 2024-10-09
- FDA Device
- Yes
Countries
- United States
Study Locations
More Related Trials
-
A Dose Ranging Study of Delayed Release Beclomethasone for Prevention of Acute Enteritis in Patients With Rectal Cancer
NCT01073384 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
PAVES: Pegfilgrastim Anti-vascular Endothelial Growth Factor (VEGF) Evaluation Study
NCT00911170 ·Status: COMPLETED ·Phase: PHASE3
-
Safety and Efficacy Study Using Bevacizumab, Capecitabine and Oxaliplatin for Colorectal Cancer
NCT00177307 ·Status: COMPLETED ·Phase: PHASE2
-
A Single Arm Phase II Study to Evaluate Treatment With Gevokizumab in Patients With Stage II/III Colon Cancer Who Are ctDNA-positive After Curative Surgery and Adjuvant Chemotherapy
NCT05178576 ·Status: WITHDRAWN ·Phase: PHASE2
-
Study of Crenolanib for the Treatment of Patients With Advanced GIST With the D842-related Mutations and Deletions in the PDGFRA Gene
NCT01243346 ·Status: COMPLETED ·Phase: PHASE2
-
Genotyping of Metastatic Colorectal Cancer Patients for Precision Medicine Clinical Trials
NCT03350412 ·Status: UNKNOWN
-
A Phase II Study of Adjuvant Immunotherapy Targeting KRAS G12D, KRAS G12V, or TP53 R175H for Participants With Advanced Gastrointestinal Malignancies
NCT06690281 ·Status: WITHDRAWN ·Phase: PHASE2
-
A Phase 1 Study of AMG 211 in Participants With Advanced Gastrointestinal Cancer
NCT02291614 ·Status: TERMINATED ·Phase: PHASE1
-
Evaluating ABX-EGF in Patients With Metastatic ColorectalCarcinoma
NCT00111774 ·Status: COMPLETED ·Phase: PHASE2
-
A Phase I/II Study of Pexa-Vec Oncolytic Virus in Combination With Immune Checkpoint Inhibition in Refractory Colorectal Cancer
NCT03206073 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Evaluating ABX-EGF Extended Therapy in Subjects With MetastaticColorectal Cancer
NCT00113776 ·Status: COMPLETED ·Phase: PHASE2
-
Rifaximin for the Treatment of Gastrointestinal Toxicities Related to Pertuzumab-Based Therapy in Patients With Stage I-III HER2 Positive Breast Cancer
NCT04249622 ·Status: TERMINATED ·Phase: PHASE2
-
Study to Investigate Outcome of Individualized Treatment in Patients With Metastatic Colorectal Cancer
NCT05725200 ·Status: RECRUITING ·Phase: PHASE2
-
Study of Safety and Efficacy of RGT-61159 in Adults With Relapsed/Refractory Adenoid Cystic Carcinoma (ACC) or Colorectal Carcinoma (CRC)
NCT06462183 ·Status: RECRUITING ·Phase: PHASE1
-
A Phase II Study Evaluating an Organ Preservation Strategy Using Immune Checkpoint Blockade for Participants With Primary Colorectal or Gastroesophageal Cancer
NCT06410534 ·Status: WITHDRAWN ·Phase: PHASE2
-
Ph 2 Study of TAS-102 / Bevacizumab Maintenance Therapy Post Induction Chemotherapy in Metastatic Colorectal Cancer
NCT02654639 ·Status: TERMINATED ·Phase: PHASE2
-
A Phase I/II Study of Regorafenib Plus Avelumab in Solid Tumors
NCT03475953 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Avastin and Tarceva for Upper Gastrointestinal Cancers
NCT00350753 ·Status: COMPLETED ·Phase: PHASE2
-
Evaluating Panitumumab (ABX-EGF) Plus Best Supportive Care Versus Best Supportive Care in Patients With Metastatic Colorectal Cancer
NCT00113763 ·Status: COMPLETED ·Phase: PHASE3
-
Pemigatinib for the Treatment of Metastatic or Unresectable Colorectal Cancer Harboring FGFR Alterations
NCT04096417 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Ropidoxuridine in Treating Patients With Advanced Gastrointestinal Cancer Undergoing Radiation Therapy
NCT02381561 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1
-
Regorafenib and Pembrolizumab in Treating Participants With Advanced or Metastatic Colorectal Cancer
NCT03657641 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1/PHASE2
-
Oxaliplatin in Treating Patients With Recurrent Metastatic Colorectal Cancer
NCT00017082 ·Status: COMPLETED ·Phase: PHASE2
-
Study of Pembrolizumab in Combination With Chemotherapy for Patients With Advanced Colorectal Cancer
NCT02375672 ·Status: COMPLETED ·Phase: PHASE2
-
Study of Combination Therapy With the MEK Inhibitor, Cobimetinib, Immune Checkpoint Blockade, Atezolizumab, and the AUTOphagy Inhibitor, Hydroxychloroquine in KRAS-mutated Advanced Malignancies
NCT04214418 ·Status: TERMINATED ·Phase: PHASE1/PHASE2