Urine Toxicology
Conditions
Brief summary
The objective of this study is to evaluate the impact of pharmacogenomic aspects of drug metabolism on the measurement of drug and drug metabolites on urine drug testing (UDT).
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Able to provide written informed consent * Pharmacogenomic testing within the last 60 days * Planned UDT
Exclusion criteria
* Subject has chronic renal dysfunction, Chronic Kidney Disease Stage 4 or 5 * Subject has a history of abnormal hepatic function within the last 2 years (INR \>1.2 not attributable to anticoagulant medications, AST or ALT \>1.5x normal, or suspected cirrhosis) * Subject has a history of malabsorption (short gut syndrome); * Subject has a history of any gastric or small bowel surgery; * Subject is currently hospitalized; * Subject is currently receiving intravenous medication.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Influence of CYP450 drug metabolism on quantitative UDT | 24 months | Occurrence of genetically-determined abnormal metabolism of drugs tested with UDT, classified as genetic effects on metabolism (GEM) + for rapid metabolizers, GEM 0 for normal metabolizers, and GEM - for slow metabolizers. |
Secondary
| Measure | Time frame |
|---|---|
| Non-prescribed drugs detected on UDT and the GEM classification associated with these medications | 24 months |
| False positive immunoassay results, defined as positive immunoassay concurrent with negative quantitative testing | 24 months |
| Occurrence of illicit drugs detected on UDT and the GEM classification associated with these medications | 24 months |
| Frequency of illicit drug changes by the subject due to UDT results, as observed at the time of repeat UDT | 24 months |
| Frequency of non-prescribed drug changes by the subject due to UDT results, as detected at the time of repeat UDT | 24 months |
| Frequency of target drug regimen changes by the treating physician due to pharmacogenomic test results | 24 months |