CClinicalTrials.gg
RecruitingNCT06322238PREPARE-MayoUpdated Oct 14, 2025

Pharmacogenetic Panel to Prevent Adverse Drug Reactions in Daily Primary Care Practice:

A Phase 2 interventional study of PGx panel test in Pharmacogenomic Drug Interaction, Side Effect of Drug and Ineffective Drug Action, sponsored by Mayo Clinic. Recruiting at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-10-14.

Sponsored by Mayo Clinic · Phase 2, Interventional, and Prevention

From the registry’s dates

  • Started Dec 2024; still recruiting 1 year 10 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
66
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to determine whether the implementation of pre-emptive pharmacogenomic (PGx) testing of a panel of clinically relevant PGx markers, to guide the dose and drug selection for 39 commonly prescribed drugs, will result in an overall reduction in the number of clinically relevant drug-genotype associated ADRs which are causally related to the initial drug of inclusion (referred to as 'index drug').

02

Conditions studied

  • Pharmacogenomic Drug Interaction
  • Side Effect of Drug
  • Ineffective Drug Action
  • Drug Metabolism, Poor, CYP2D6-Related
  • Drug Metabolism, Poor, CYP2C19-Related

Keywords

  • pharmacogenomics
  • PGx
  • CPIC
  • primary care
  • drug metabolism
  • side effects
  • ineffectiveness
  • PREPARE-Mayo
03

In context

Lead sponsor

Mayo Clinic is the lead sponsor of 3,218 studies on the registry; 670 are open to participants now.

Of its 445 completed or terminated interventional studies of FDA-regulated products, 313 (70%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Inclusion Criteria:

  • Inclusion Criteria:

In order to be eligible to participate in this study, a subject must meet all of the following criteria:

  1. Subject must be ≥ 18 years old
  2. Subject must receive a 1st prescription (meaning no known prescription for this drug in the preceding 12 months) for a drug included in Table 1, which is prescribed to them in routine primary care.
  3. Subject is able and willing to take part and willing to be followed up on for 48 weeks
  4. Subject is able to donate saliva
  5. Subject has signed informed consent
  6. Subject meets requirement for computer access implying computer literacy as measured by active use of the patient portal or their email

Exclusion Criteria:

  1. For the investigational arm only: Previous (direct-to-consumer, or clinical) pharmacogenomic testing that includes any of the genes included in the Focused Pharmacogenomics Panel
  2. Pregnant or lactating (to be verbally confirmed with the patient)
  3. Life expectancy estimated to be less than three months as determined by patient receiving hospice care
  4. Duration of index drug total treatment length is planned to be less than seven consecutive days.
  5. Current inpatients
  6. Unable to consent to the study
  7. Unwilling to take part
  8. Subject has no permanent address
  9. Subject has no current primary care provider
  10. Subject is, in the opinion of the study coordinator after discussion with participating clinician/pharmacist/investigator, not suitable to participate in the study
  11. Patient has a diagnosis of stage 4 or 5 chronic kidney disease (CKD) or is receiving dialysis
  12. Patients with advanced liver failure (stage Child-Pugh C) or a diagnosis of liver cirrhosis
  13. History of a liver transplant or an allogeneic hematopoietic stem cell transplant
  14. DNA sample collected that requires retesting in the event that DNA collected was not sufficient for testing as determined by the laboratory
05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
66 participants (estimated)

Study arms

  • Experimental
    PGx testing arm

    Diagnostic Test: PGx panel test

  • Placebo comparator
    Delayed PGx testing arm

    Diagnostic Test: PGx panel test

Interventions

  • Diagnostic testPGx panel test

    In this prospective, non-randomized, step-wedge design controlled clinical study (PREPARE-MAYO Rochester, Mayo Clinic Health System), pre-emptive genotyping of a panel of clinically relevant PGx-markers, for which CPIC guidelines are available.

06

What researchers measure

Primary outcomes

  1. Adverse Drug Reaction (ADR)

    The count of participants who experience any of the following ADR's: muscle aches, falling, tripping, fainting, palpations, emotional changes, or physical changes

    Time frame: 48 weeks

Secondary outcomes

  1. PREPARE-MAYO Clinicians' and pharmacists' Questionnaire.

    The 29-item PREPARE-MAYO Clinicians' and pharmacists' Questionnaire measures the Experience and Attitude, Knowledge, Knowledge testing and Needs assessment of clinicians and pharmacists. Each item is scored from 1 (disagree) to 4 (agree). Total possible scores range from 29 to 116, with lower scores indicating less knowledge and higher scores indicating more knowledge.

    Time frame: 48 weeks

  2. Patient-Reported Outcomes Measurement Information System (PROMIS-10) Global Health Questionnaire

    The 10-item PROMIS Global Health measures general, physical, mental and social health. Each item is scored from 1 (poor health) to 5 (excellent health). Total possible scores range from 10 to 50, with lower scores indicating worse state of health and higher scores indicating greater state of health.

    Time frame: 48 weeks

07

Study locations

1 of 1 sites recruiting
  • Mayo Clinic
    Rochester, Minnesota 55902, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Deidentified individual data that supports the results will be shared beginniing 9 to 36 months following publication provided the investigator who proposes the use of the data has approval from an Institutional Review Board (IRB), Independent Ethics Committee (IEC), or Research Ethics Board (REB), as applicable, and executes a data sharing use /sharing agreement with Mayo Clinic and the PI.

Supporting information: Study protocol, Sap, Icf

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 14, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06322238
Lead sponsor
Mayo Clinic
Responsible party
Isa J. Houwink (Principal Investigator, Mayo Clinic) — Principal investigator
First posted
Mar 21, 2024
Start date
Dec 1, 2024
Primary completion
Dec 2026 (estimated)
Completion
Apr 2027 (estimated)
Last update
Oct 14, 2025

Study contacts

Isa Houwink, M.D., Ph.D.
principal investigator · Mayo Clinic

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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