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Trial · NCT04445792

A Depression and Opioid Pragmatic Trial in Pharmacogenetics (DCRI Coordinating Center)

NCT04445792, Not applicable, Completed, Duke University; results first posted 2025-01-06

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Depression and Opioid Pragmatic Trial in Pharmacogenetics (DCRI Coordinating Center). Trials, record NCT04445792. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04445792

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Depression and Opioid Pragmatic Trial in Pharmacogenetics (DCRI Coordinating Center)
NCT number
NCT04445792
Status
Completed
Phases
Not applicable
Enrollment
4,284 participants, actual
Lead sponsor
Duke University
Conditions
Depression, Acute Pain, Chronic Pain
Interventions
Pharmacogenetic testing, Clinical decisions support
First posted
2020-06-24
Last updated
2026-03-25
Results first posted
2025-01-06

Source ClinicalTrials.gov

Registered outcomes12

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Individuals Identified as Potential Participants Through EHR (Electronic Health Record)Up to 3 yearsPotential participants identified for the Acute Pain, Chronic Pain, and Depression Trials through EHR.
PrimaryNumber of Individuals Who Were Screened to the Acute Pain, Chronic Pain, and Depression TrialsUp to 3 yearsIndividuals who were screened to be in the Acute Pain, Chronic Pain and Depression Trials.
PrimaryNumber of Participants Who Were Randomized to the Acute Pain, Chronic Pain, and Depression TrialsUp to 3 yearsIndividuals who were randomized to be in the Acute Pain, Chronic Pain and Depression Trials.
SecondaryPain Interference as Measured by PROMIS (Patient-Reported Outcomes Measurement Information System)6 months
The 6-item PROMIS 43 subscale for pain interference assesses the extent to which participants experience interference with daily activities over the past 7 days using a 5-point Likert scale. The pain interference subscale provides a raw score ranging from 6 to 30. Raw scores are converted to T-scores using the PROMIS conversion tables, T-scores range from 41.1 to 76.3. Higher scores reflect greater pain interference.
SecondaryPhysical Function as Measured by PROMIS (Patient-Reported Outcomes Measurement Information System)6 months
The 6-item PROMIS 43 subscale for physical functioning assesses a participants physical functioning over the past 7 days using a 5-point Likert scale. The physical functioning sub scale provides a raw score ranging from 6 to 30. Raw scores are converted to T-scores using the PROMIS conversion tables. T-scores range from 21.0 to 59.0. Higher T-scores reflect higher levels of physical functioning.
SecondarySleep Disturbance as Measured by PROMIS (Patient-Reported Outcomes Measurement Information System)6 months
The 6-item PROMIS 43 subscale for sleep disturbance assesses the extent to which participants experience sleep disturbance related symptoms sleep over the past 7 days using a 5-point Likert scale. The sleep disturbance subscale provides a raw score ranging from 6 to 30. Raw scores are converted to T-scores using the PROMNIS conversion tables, ranging from 31.7 to 76.1. Higher scores reflect higher levels of sleep disturbance.
SecondaryAbility to Participant in Social Roles and Activities as Measured by PROMIS (Patient-Reported Outcomes Measurement Information System)6 months
The 6-item PROMIS 43 subscale for ability to participate in social roles and activities assesses the extent to which participants are able to participant in different social roles and activities over the past 7 days using a 5-point Likert scale. The ability to participant in social roles and activities subscale provides a raw score ranging from 6 to 30. Raw scores are converted to T-scores using the PROMIS conversion tables, T-scores range from 26.7 to 65.0 with higher values corresponding to a higher ability to participant in social roles and activities.
SecondaryFatigue as Measured by PROMIS (Patient-Reported Outcomes Measurement Information System)6 months
The 6-item PROMIS 43 subscale for fatigue assesses the extent to which participants experience fatigue-related symptoms over the past 7 days using a 5-point Likert scale. The fatigue subscale provides a raw score ranging from 6 to 30. Raw scores are converted to T-scores using the PROMIS conversion tables, T-scores range from 33.4 to 76.8. Higher T-scores reflect greater fatigue symptoms.
SecondaryAnxiety as Measured by PROMIS (Patient-Reported Outcomes Measurement Information System)6 months
The 6-item PROMIS subscale for anxiety assesses the extent to which participants experience anxiety symptoms over the past 7 days using a 5-point Likert scale. The anxiety subscale provides a raw score, ranging from 6 to 30. Raw scores are converted to T-scores using the PROMIS conversion tables, T-scores range from 33.4 to 76.8. Higher T-scores reflect greater anxiety.
SecondaryDepression as Measured by PROMIS (Patient-Reported Outcomes Measurement Information System)6 months
The 6-item PROMIS 43 subscale for depression assesses the extent to which participants experience depressive symptoms over the past 7 days using a 5-point Likert scale. The depression subscale provides a raw sore ranging from 6 to 30. Raw scores are converted to T-scores using the PROMIS conversion tables, T-scores range from 38.4 to 80.3. Higher T-scores reflect greater depression.

Outcomes12

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Individuals Identified as Potential Participants Through EHR (Electronic Health Record)Up to 3 yearsIndividuals who were prescreened.ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Individuals Who Were Screened to the Acute Pain, Chronic Pain, and Depression TrialsUp to 3 yearsIndividuals who were screened for the Acute Pain, Chronic Pain, and Depression Trials.ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Participants Who Were Randomized to the Acute Pain, Chronic Pain, and Depression TrialsUp to 3 yearsParticipants who were consented to the Acute Pain, Chronic Pain, and Depression Trials.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPain Interference as Measured by PROMIS (Patient-Reported Outcomes Measurement Information System)6 monthsRandomized population with completed 6 month survey.T-scoreMEAN
SECONDARYPhysical Function as Measured by PROMIS (Patient-Reported Outcomes Measurement Information System)6 monthsRandomized population with completed 6 month survey.T-scoreMEAN
SECONDARYSleep Disturbance as Measured by PROMIS (Patient-Reported Outcomes Measurement Information System)6 monthsRandomized population with completed 6 month survey.T-scoreMEAN
SECONDARYAbility to Participant in Social Roles and Activities as Measured by PROMIS (Patient-Reported Outcomes Measurement Information System)6 monthsRandomized population with completed 6 month survey.T-scoreMEAN
SECONDARYFatigue as Measured by PROMIS (Patient-Reported Outcomes Measurement Information System)6 monthsRandomized population with completed 6 month survey.T-scoreMEAN
SECONDARYAnxiety as Measured by PROMIS (Patient-Reported Outcomes Measurement Information System)6 monthsRandomized population with completed 6 month survey.T-scoreMEAN
SECONDARYDepression as Measured by PROMIS (Patient-Reported Outcomes Measurement Information System)6 monthsRandomized population with completed 6 month survey.T-scoreMEAN

Results by group57

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Individuals Identified as Potential Participants Through EHR (Electronic Health Record)Individuals Identified as Potential Participants Through EHR17,496Participants
Number of Individuals Who Were Screened to the Acute Pain, Chronic Pain, and Depression TrialsAcute Pain, Chronic Pain, and Depression Trial Participants4,285Participants
Number of Participants Who Were Randomized to the Acute Pain, Chronic Pain, and Depression TrialsAcute Pain, Chronic Pain, and Depression Trial Participants4110Participants
Pain Interference as Measured by PROMIS (Patient-Reported Outcomes Measurement Information System)Acute Pain - Immediate PGx Testing51.0Standard Deviation 9.4T-score
Pain Interference as Measured by PROMIS (Patient-Reported Outcomes Measurement Information System)Acute Pain - Delayed PGx Testing50.9Standard Deviation 9.6T-score
Pain Interference as Measured by PROMIS (Patient-Reported Outcomes Measurement Information System)Chronic Pain - Immediate PGx Testing62.4Standard Deviation 8.4T-score
Pain Interference as Measured by PROMIS (Patient-Reported Outcomes Measurement Information System)Chronic Pain - Delayed PGx Testing62.2Standard Deviation 8.6T-score
Pain Interference as Measured by PROMIS (Patient-Reported Outcomes Measurement Information System)Depression - Immediate PGx Testing51.7Standard Deviation 10.9T-score
Pain Interference as Measured by PROMIS (Patient-Reported Outcomes Measurement Information System)Depression - Delayed PGx Testing51.6Standard Deviation 11.2T-score
Physical Function as Measured by PROMIS (Patient-Reported Outcomes Measurement Information System)Acute Pain - Immediate PGx Testing44.9Standard Deviation 9.7T-score

Participant flow3

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDAcute Pain, Chronic Pain, and Depression Trial Participants4,110
Overall StudyCOMPLETEDAcute Pain, Chronic Pain, and Depression Trial Participants3,502
Overall StudyNOT COMPLETEDAcute Pain, Chronic Pain, and Depression Trial Participants608

Adverse events2

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherPanic Attack due to sample blood drawInjury, poisoning and procedural complicationsImmediate Pharmacogenetics (PGx) Guided Therapy12,550
otherPanic Attack due to sample blood drawInjury, poisoning and procedural complicationsDelayed Pharmacogenetics (PGx) Testing02,550

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityImmediate Pharmacogenetics (PGx) Guided Therapy52,055
Total, all-cause mortalityDelayed Pharmacogenetics (PGx) Testing72,055
Total, other adverse eventsImmediate Pharmacogenetics (PGx) Guided Therapy12,550
Total, other adverse eventsDelayed Pharmacogenetics (PGx) Testing02,550
Total, serious adverse eventsImmediate Pharmacogenetics (PGx) Guided Therapy02,550
Total, serious adverse eventsDelayed Pharmacogenetics (PGx) Testing02,550

Papers5

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
35899435BACKGROUNDPubMed
38860639BACKGROUNDPubMed
39177194BACKGROUNDPubMed
41719044RESULTPubMed
42090156DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Immediate Pharmacogenetics (PGx) Guided Therapy vs Delayed Pharmacogenetics (PGx) Testing: deaths from any causeTrial comparisons
Immediate Pharmacogenetics (PGx) Guided Therapy vs Delayed Pharmacogenetics (PGx) Testing: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04445792

GET https://conductscience.org/api/trials/v1/NCT04445792/results?page=2