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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ClinicalTrials.gov
Last refreshed on: 25 April 2022
Main ID:  NCT03093818
Date of registration: 06/03/2017
Prospective Registration: Yes
Primary sponsor: J.J.Swen
Public title: PREemptive Pharmacogenomic Testing for Preventing Adverse Drug REactions PREPARE
Scientific title: PREemptive Pharmacogenomic Testing for Preventing Adverse Drug REactions
Date of first enrolment: March 20, 2017
Target sample size: 6950
Recruitment status: Completed
URL:  https://clinicaltrials.gov/show/NCT03093818
Study type:  Interventional
Study design:  Allocation: Randomized. Intervention model: Crossover Assignment. Primary purpose: Prevention. Masking: Single (Outcomes Assessor).  
Phase:  N/A
Countries of recruitment
Austria Greece Italy Netherlands Slovenia Spain United Kingdom
Contacts
Name:     George P. Patrinos, PhD
Address: 
Telephone:
Email:
Affiliation:  University of Patras
Name:     Gere Sunder-Plassmann, MD
Address: 
Telephone:
Email:
Affiliation:  Medical University of Vienna
Name:     Munir Pirmohamed, MB ChB(Hons) PhD
Address: 
Telephone:
Email:
Affiliation:  University of Liverpool
Name:     Jesse J. Swen, PharmD PhD
Address: 
Telephone:
Email:
Affiliation:  Leiden University Medical Center
Name:     Vita Dolzan, MD PhD
Address: 
Telephone:
Email:
Affiliation:  University of Ljubljana
Name:     Cristina Lucía Dávila Fajardo, PharmD PhD
Address: 
Telephone:
Email:
Affiliation:  Andaluz Health Service
Name:     Giuseppe Toffoli, MD
Address: 
Telephone:
Email:
Affiliation:  Centro di Riferimento Oncologico
Key inclusion & exclusion criteria

Inclusion Criteria:

- Subject must be = 18 years old

- Subject must receive a first prescription (meaning no known prescription for this drug
in the preceding 12 months) for one or more of 42 drugs, for which a Dutch
Pharmacogenomic Working Group guideline is available, which is prescribed to them in
routine care

- Subject is able and willing to take part and be followed-up for at least 12 weeks

- Subject is able to donate blood or saliva

- Subject has signed informed consent

- The study limit of enrolment (200 per arm, per 18-month block) for that drug has not
been reached

Exclusion Criteria:

- Subject has previous (direct-to-consumer, or clinical) genetic testing for a gene
important to the drug of inclusion

- Subject is pregnant or lactating

- Subject has a life expectancy estimated to be less than three months by treating
clinical team

- Duration of the drug of inclusion total treatment length is planned to be less than
seven consecutive days. A drug whose route of administration changes during the first
seven days (e.g. intravenous to oral flucloxacillin) but whose total treatment
duration is seven days or longer, is still eligible.

- For inpatients: hospital admission is expected to be less than 72 hours

- Subject is unable to consent to the study

- Subject is unwilling to take part

- Subject has no fixed address

- Subject has no current general practitioner

- Subject is, in the opinion of the Investigator, not suitable to participate in the
study

- Subject has existing impaired hepatic or renal function for which a lower dose or
alternate drug selection are already part of current routine care. This would not
apply to any drugs specifically given to manage liver/renal
impairment/transplantation.

- Subject has an estimated glomerular filtration rate (MDRD) of less than 15 ml/min per
1,73m2 in a subject with a functioning graft

- Subject has advanced liver failure (stage Child-Pugh C)



Age minimum: 18 Years
Age maximum: N/A
Gender: All
Health Condition(s) or Problem(s) studied
Adverse Drug Reaction
Intervention(s)
Other: Pharmacogenomic testing
Primary Outcome(s)
Occurrence of a clinically relevant adverse drug reaction which is caused by the drug of inclusion. For oncology patients only hematological toxicities (grade 4-5) and non-hematological toxicities (grade 3-5) will be considered clinically relevant. [Time Frame: 12 weeks]
Secondary Outcome(s)
Healthcare expenditure related to adverse events [Time Frame: 18 months]
Physician and pharmacist adherence to Dutch Pharmacogenomics Working Group guidelines [Time Frame: 18 months]
Attitudes towards and knowledge of pharmacogenomics [Time Frame: 18 months]
Incidence of dose adjustments [Time Frame: 18 months]
Incidence of discontinuation due to lack of efficacy [Time Frame: 18 months]
Incidence of drug discontinuation due to an adverse event [Time Frame: 18 months]
Quality of life [Time Frame: 18 months]
Secondary ID(s)
668353 (U-PGx)
Source(s) of Monetary Support
Please refer to primary and secondary sponsors
Secondary Sponsor(s)
University of Patras
Federal Institute for Drugs and Medical Devices
University of Liverpool
Uppsala University
Bio.Logis Genetic Information Management
Robert Bosch Gesellschaft für Medizinische Forschung mbH
Medical University of Vienna
St. Antonius Hospital
The Golden Helix Foundation
University of Ljubljana
Karolinska Institutet
Centro di Riferimento Oncologico - Aviano
Andaluz Health Service
Royal Dutch Pharmacists Association (KNMP)
University Paul Sabatier of Toulouse
Ethics review
Results
Results available:
Date Posted:
Date Completed:
URL:
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