Implementing Pharmacogenetics to Improve Prescribing (IPTIP) V1.0

  • Research type

    Research Study

  • Full title

    Implementing Pharmacogenetics to Improve Prescribing

  • IRAS ID

    305751

  • Contact name

    William Newman

  • Contact email

    william.newman@manchester.ac.uk

  • Sponsor organisation

    University of Manchester

  • Duration of Study in the UK

    1 years, 0 months, 1 days

  • Research summary

    How a person responds to a given medicine can vary greatly, with some patients experiencing no effect while others develop severe side effects. This variation has a significant impact on patients and society. Strategies are therefore required to reduce this variability and one approach is to use knowledge of an individual’s genetic information to optimise their treatment, known as pharmacogenomics.

    Pharmacogenomic-based prescribing guidelines are available for many medicines. Despite this, implementation of these guidelines in the UK is limited to just a few. This is typically carried out reactively, where single genes are analysed when a specific medication is considered.

    An alternative approach would be to use a pre-emptive gene panel. This involves testing individuals for many common pharmacogenetic gene-changes at the same time. This information can then be integrated into a patient’s medical records and used to inform their future treatment.

    The Implementing Pharmacogenetics to Improve Prescribing (IPTIP) trial is an NIHR funded study linking a patient's genetic data with prescribing data, to measure how useful pre-emptive pharmacogenetic panel testing would be. Patients attending an outpatient appointment at the Manchester Centre for Genomic Medicine (MCGM), or their family members, will be invited to donate a blood sample for genotyping and consent for researchers to access their prescribing history. A second cohort of patients admitted as inpatients to the acute medical unit (AMU) at Manchester University NHS Trust (MFT) will also be recruited. This will determine the potential value of the approach, in two different care settings, and identify key groups where targeted testing might be more appropriate. Implemented effectively, pharmacogenetics has the potential to improve patient outcomes. The output from the IPTIP trial will inform the development of a local and national pharmacogenetic service.

  • REC name

    London - Fulham Research Ethics Committee

  • REC reference

    22/PR/0012

  • Date of REC Opinion

    25 Feb 2022

  • REC opinion

    Further Information Favourable Opinion