Medication Therapy Management, Pharmacogenetics
Conditions
Brief summary
This study aims to investigate the benefit and feasibility of providing pharmacogenetic (PGx) testing as part of a standard medication therapy management (MTM) session for patients taking multiple medications, a high-risk population for adverse drug reactions and non-response. Research participants will attend two MTM sessions and undergo PGx testing to inform the MTM plan. Participants will also complete 2 surveys pre and post-MTM/PGx testing. Data analysis will assess the impact of MTM/PGx testing on recommendations for drug dosing, clinical outcomes, patient satisfaction, and feasibility of service delivery. Safety issues are minimal with the primary risks being associated with loss of confidentiality, typical discomfort associated with acquiring blood samples, and genetic discrimination.
Interventions
Patients will attend MTM sessions and receive PGx testing
Sponsors
Study design
Eligibility
Inclusion criteria
* currently prescribed 3 medications, one of which must be simvastatin or clopidogrel * 18 years of age or older * English speaking * patients of Mahesh Patel or William Kraus at Duke Southpoint Clinic
Exclusion criteria
* if patient has ever had MTM or PGx
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient satisfaction with MTM and PGx | 3 months after completion of MTM2 | This will be assessed by a quantitative survey |
| Change in clinical biomarkers associated with drug therapy | baseline and 2 months | Changes in biomarkers before and after MTM/PGx will be measured. Biomarkers of study group will be compared to chart-review control |
| Number of recommended drug selection/dosing adjustments | approximately 9 months | Drug selection/doing changes will be compared between study population and chart-review controls |
Secondary
| Measure | Time frame |
|---|---|
| Physician time to perform MTM and PGx | end of study, approx. 9 months |
Countries
United States