Pharmacist-led Pharmacogenomic Clinical Service Within the Program of All-inclusive Care for the Elderly
NCT04971902 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 2500
Last updated 2022-09-02
Summary
Pharmacist-led pharmacogenomics (PGx) clinical services and medication safety reviews are currently being offered to PACE organizations under the direction of licensed healthcare prescribers by CareKinesis d/b/a Tabula Rasa HealthCare. This project aims to include patients enrolled in PACE organizations with chronic pain and who are prescribed CYP2D6 activated opioids. PGx testing will be performed by contractual PGx vendor with TRHC. PGx results will be integrated into TRHC's proprietary Clinical Decision Support System (Medication Risk Mitigation™ Matrix, CareKinesis, Moorestown, NJ) that guides pharmacists to identify drug-drug interactions (DDIs), drug-gene interactions (DGIs), and drug-drug-gene interactions (DDGIs).16 Clinical pharmacists will translate PGx results combined with a comprehensive DDI review into actionable clinical decisions. Clinical pharmacists will provide medication therapy management recommendation to address medication problems to the PACE prescriber (physician). PACE prescribers will review the pharmacist's recommendation, and based on their clinical assessment, the prescriber will decide whether or not to implement the opioid therapy recommendation.
Conditions
- Pharmacogenetic Testing
- Elderly
- Opioid Use
- Pain
- Pain, Acute
- Pain, Chronic
Interventions
- OTHER
-
Pharmacogenetic Test
Cheek swab sample with PGx results lab analysis
Sponsors & Collaborators
-
Tabula Rasa HealthCare
lead INDUSTRY
Principal Investigators
-
Veronique Michaud, PhD · Tabula Rasa HealthCare
Eligibility
- Min Age
- 55 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-07-01
- Primary Completion
- 2023-06-30
- Completion
- 2024-08-31
Countries
- United States
Study Locations
More Related Trials
-
A Pharmacokinetics and Safety Study of Naproxcinod in Subjects With Impaired Renal Function
NCT00674856 ·Status: COMPLETED ·Phase: PHASE1
-
Pharmacokinetics of Oxycodone and PF614 Co-Administered with Nafamostat (PF614-MPAR-101)
NCT05090280 ·Status: COMPLETED ·Phase: PHASE1
-
Endobiotics for Phenotyping of Human Cytochrome P450 Enzymes
NCT04188028 ·Status: COMPLETED ·Phase: NA
-
Effects of Pioglitazone, a PPARgamma Receptor Agonist, on the Abuse Liability of Oxycodone
NCT01395784 ·Status: COMPLETED ·Phase: PHASE2
-
Phase I Study PK Study With OXP005 and Naprosyn
NCT02351024 ·Status: COMPLETED ·Phase: PHASE1
-
Pharmacokinetics of SP-104
NCT05002946 ·Status: COMPLETED ·Phase: PHASE1
-
An Open-Label Study to Evaluate the Effect of Age Upon the Pharmacokinetics of Androxal
NCT02169804 ·Status: COMPLETED ·Phase: PHASE1
-
A Phase 1 Study to Compare the PK and Safety of Naproxcinod in Hepatic Impaired Patients and Matching Healthy Subjects
NCT00621881 ·Status: COMPLETED ·Phase: PHASE1
-
Genetic Basis For Variation In NSAID Analgesia In A Clinical Model Of Acute Pain
NCT00115752 ·Status: COMPLETED ·Phase: PHASE2
-
Single Dose Study, Pharmacokinetics of Oxycodone and PF614 Co-Administered With Nafamostat (PF614-MPAR-102)
NCT06500793 ·Status: RECRUITING ·Phase: PHASE1
-
Influence of Genotype of CYP2C9 on Clinical Efficacy and Pharmacokinetics of Piroxicam After Lower Third Molar Surgery
NCT02450487 ·Status: COMPLETED ·Phase: PHASE4
-
Pharmacokinetics Study of XG005 Capsule
NCT04499209 ·Status: COMPLETED ·Phase: PHASE1
-
Pharmacogenetic and Pharmacokinetics of Naproxen and Associated Naproxen-esomeprazole
NCT03092193 ·Status: COMPLETED ·Phase: PHASE4
-
Lipidomics Screening of Celecoxib in ex Vivo Human Whole Blood Assay - Part B
NCT02413203 ·Status: COMPLETED ·Phase: NA
-
Changes in mRNA Expression Following Exposure to Naproxen
NCT01090596 ·Status: COMPLETED ·Phase: NA
-
PF-06372865 In Subjects With Chronic Low Back Pain
NCT02262754 ·Status: COMPLETED ·Phase: PHASE2
-
The Effect of Naproxen on the Pharmacokinetic Profile of LC350189 in Healthy Adults
NCT04139824 ·Status: COMPLETED ·Phase: PHASE1
-
A Pharmacokinetic Trial of Naproxen Sodium and Diphenhydramine Hydrochloride Soft Capsules Versus Naproxen Sodium and Diphenhydramine Hydrochloride Tablets in Healthy Adult Subjects
NCT03396250 ·Status: COMPLETED ·Phase: PHASE1
-
Exposure to Potential Cytochrome P450 Pharmacokinetic Drug-Drug Interactions Among Osteoarthritis Patients: Incremental Risk of Multiple Prescriptions
NCT01177254 ·Status: COMPLETED
-
Ocsaar and CYP2C9 Ploymorphism, Is There a Connection Between Pharmacokinetics, Pharmacodynamics and Pharmacogenetics?
NCT00732966 ·Status: UNKNOWN ·Phase: NA
-
Effects of Dual Cyclooxygenase-2 and Carbonic Anhydrase Inhibition
NCT00780325 ·Status: TERMINATED ·Phase: PHASE1
-
Pharmacokinetics Study: Determination of Naproxcinod and Its Metabolites After Oral Administration in Male
NCT01404598 ·Status: COMPLETED ·Phase: PHASE1
-
Oral Bioequivalence Study of PL 3100 and Naproxen in Healthy Adults
NCT00966641 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Development of Cocktail for Measuring the Activity of Important Cytochrome P450 Enzymes
NCT00981929 ·Status: TERMINATED ·Phase: NA
-
Study to Evaluate the Effect of Food Upon the Pharmacokinetics of Androxal
NCT02146391 ·Status: COMPLETED ·Phase: PHASE1