Major Depressive Disorder 1
Conditions
Keywords
depression, Major Depressive Disorder, MDD, mental health, pharmacogenomics, personalized medicine, precision medicine, anti-depressants
Brief summary
This is a non-randomized, single-case design of pharmacogenetic implementation in a mental health patient population of subjects taking antipsychotics and/or antidepressants.
Detailed description
This is a non-randomized, single-case design of pharmacogenetic implementation in a mental health patient population of subjects taking antipsychotics and/or antidepressants. Retrospective and prospective data will be collected on all subjects before and after pharmacogenetic recommendations have been made. Retrospective data will be collected for the previous 12 months before pharmacogenetic recommendations are made and prospective data will be collected for 12 months after pharmacogenomic recommendations have been made.
Interventions
Psychotropic genotyping panel
Sponsors
Study design
Eligibility
Inclusion criteria
* Must be taking either an anti-depressant or an anti-psychotic medication * Must provide informed consent * Must have Avera Health Plans insurance coverage * Must have three months of participation in the Avera Care Coordination Program
Exclusion criteria
* Must not be pregnant or breastfeeding * Must not have an active and/or unstable diagnosis of substance abuse * Must not have a primary diagnosis of dementia, bulimia, or anorexia nervosa disorder * Must not have had a previous pharmacogenetic evaluation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Depression scores | 12 months | Compare depression scores at baseline and following pharmacogenetic-guided medication recommendation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Economic impact of pharmacogenetic testing | 12 months | Data from patients' insurance provider will be compared pre- and post-pharmacogenetic testing. Such data may include hospitalizations, clinic visits, ER visits, medication expenses, etc. |
Countries
United States