The Texas Interprofessional Pharmacogenomics (IPGx)

Description

The investigator's primary aim is to evaluate polypharmacy-associated adverse drug reactions (ADR) in a pilot study of at-risk patients using state-of-the-art pharmacogenomic technology and to use this information to make recommendations for optimization of pharmacotherapy regimens. The data from the pilot cohort will be used to optimize and integrate a customized electronic decision support (clinical semantic network; CSN) dashboard to identify drug regimens that should be modified, replaced, or discontinued. A secondary objective of the pilot study is to evaluate the capacity/saturation of CYP P450 enzymatic pathways in polypharmacy patients. A third objective is to determine the feasibility of the planned informatics workflows between the CLIA lab, the EMR, and the Family Medicine Practice.

Conditions

Adverse Drug Reaction

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Study Overview

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Study Details

Study overview

The investigator's primary aim is to evaluate polypharmacy-associated adverse drug reactions (ADR) in a pilot study of at-risk patients using state-of-the-art pharmacogenomic technology and to use this information to make recommendations for optimization of pharmacotherapy regimens. The data from the pilot cohort will be used to optimize and integrate a customized electronic decision support (clinical semantic network; CSN) dashboard to identify drug regimens that should be modified, replaced, or discontinued. A secondary objective of the pilot study is to evaluate the capacity/saturation of CYP P450 enzymatic pathways in polypharmacy patients. A third objective is to determine the feasibility of the planned informatics workflows between the CLIA lab, the EMR, and the Family Medicine Practice.

The Texas Interprofessional Pharmacogenomics (IPGx) PILOT Cohort

The Texas Interprofessional Pharmacogenomics (IPGx)

Condition
Adverse Drug Reaction
Intervention / Treatment

-

Contacts and Locations

Bryan

The Interprofessional Pharmacogenomics (IPGx) Clinic, Bryan, Texas, United States, 77802

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * People taking 5 or more medications, including over the counter drugs, supplements, natural products, cannabis produces, or other recreational drugs
  • * Ability to give and comprehend the consent process.
  • * Consent to donate urine samples, genetic data through buccal swabs, undergo a comprehensive history and physical examination.
  • * All genders.
  • * Age 45 and over
  • * Subject has been diagnosed or is being treated for any cancer other than basal cell cancer in the last 5 years. Patients with metastatic melanoma in the last 5 years will be excluded.
  • * Admitted to hospice.
  • * Patient has ever been diagnosed with Hepatitis B or C.
  • * Patient has ever been diagnosed with active liver disease, hepatomegaly, grossly abnormal liver function. Meld score \>10, ALT or AST \>100U/L or an AST/ALT ratio \>2
  • * Patients taking imidazole antifungal medication.
  • * Declines to participate or interact with staff/share their medical status.
  • * A diagnosis of Alzheimer's disease
  • * Pregnant patients will be excluded
  • * Unable/unwilling to consent.
  • * Unable to verbally communicate and comprehend English/Spanish language.

Ages Eligible for Study

45 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

Texas A&M University,

Kenneth S Ramos, MD, PRINCIPAL_INVESTIGATOR, Texas A&M IBT

Study Record Dates

2027-11