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Trial Title: Evaluating Microarray Pharmacogenetic Testing in Cancer Patients

NCT ID: NCT06489041

Condition: Cancer
Gastrointestinal Cancer

Conditions: Official terms:
Gastrointestinal Neoplasms

Study type: Interventional

Study phase: N/A

Overall status: Not yet recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Intervention model description: Single Group Assignment

Primary purpose: Supportive Care

Masking: None (Open Label)

Intervention:

Intervention type: Genetic
Intervention name: Pharmacogenomic Testing with the "Global Diversity Array with Enhanced PGx"
Description: Pharmacogenomic (PGx) microarray testing will test for certain pharmcogenes that can guide prescribing of certain cancer treatments and/or supportive care medications.
Arm group label: Pharmacogenomic Testing

Summary: The purpose of this research is to evaluate the impact of a microarray PGx test on prescribing/dosing of drugs and cancer treatments in patients with cancer who are currently eligible for single-gene DPYD testing.

Detailed description: This is a prospective, non-randomized, Phase 2 study. The target population is adults ≥18 years of age who have received or will be receiving standard of care single-gene DPYD (dihydropyrimidine dehydrogenase) PGx testing to help guide dosing for their cancer treatment. Pharmacogenes that will be reported back to participants and providers from the microarray test are expected to take approximately one week and will be evaluated by the PGx team and uploaded to the participant's electronic medical record (EMR). Only clinically actionable results per CPIC and FDA guidelines will be included in the participant report. Participants will be followed on study for approximately 6 months to collect data on the number of drug prescriptions with known drug-gene interactions and potentially actionable results, BPAs fired, and actions taken due to BPAs.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Written informed consent and HIPAA authorization for release of personal health information. - Age ≥ 18 years at the time of consent. - Eligible for standard of care single-gene DPYD testing (i.e., receiving or expected to receive a fluoropyrimidine-based chemotherapy regimen). The potential participant meets inclusion criteria if the standard of care single-gene DPYD test is planned or previously ordered. If previously ordered, consent must occur no later than 60 days from the date the DPYD results were available. - Willing to provide additional buccal swabs if residual DNA from previous DPYD testing is inadequate for microarray testing. Exclusion Criteria: • History of prior allogeneic hematopoietic cell transplantation or liver transplantation

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Atrium Health Levine Cancer

Address:
City: Charlotte
Zip: 28204
Country: United States

Contact:
Last name: Alicia Patrick

Phone: 980-292-1746
Email: Alicia.Patrick@atriumhealth.org

Investigator:
Last name: Jai Patel, PharmD
Email: Principal Investigator

Start date: November 2024

Completion date: May 2025

Lead sponsor:
Agency: Wake Forest University Health Sciences
Agency class: Other

Collaborator:
Agency: Atrium Health Levine Cancer Institute
Agency class: Other

Source: Wake Forest University Health Sciences

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06489041

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