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Evidence

Proven by Science
Backed by Data

Peer-reviewed studies validate the safety impact, cost savings, and real-world results of Proove Drug Metabolism.

View Studies

30%

Reduction in Adverse Drug Reactions

39%

of Inpatient AEs Are Drug-Related

$7,000+

Savings Per Patient (32 Months)

Outpatient Impact of PGx + CDS + PharmD in Four Months

Brixner D, et al. J Med Econ. 2016;19(3):213-228.5

71%

p=0.0002

Fewer ED Visits

39%

p=0.027

Fewer Hospitalizations

$1,132

prior to test cost

Lower Costs

Post-Hospitalization Impact of PGx + CDS + PharmD in 60 Days

Elliott LS, et al. PLoS One. 2017;12(2):e01709056

52%

p=0.007

Fewer Readmissions

42%

p=0.045

Fewer ED Visits

85%

p=0.054

Lower Mortality

$4,382

prior to test cost

Lower Costs

Reduction in Care Utilization & Mortality

Brixner et al. (outpatient)5 & Elliott et al. (post-hospitalization)6, combined

Relative Reduction by Outcome

71%
ED Visits (Outpatient)
39%
Hospitalizations
52%
Readmissions (Post-Hosp.)
42%
ED Visits (Post-Hosp.)
85%
Mortality (Post-Hosp.)

Share of Patients PGx Tested7

4,716 of
36,000
  • PGx tested (~13%)
  • Not PGx tested (~87%)

Cumulative Savings Over 32 Months

PGx produced cumulative savings of more than $7,000 per patient over a 32-month period, saving $218.34 per patient per month.7

72

Average Patient Age

13

Average Meds Per Patient

4,716 of 36,000

Patients PGx Tested

$7,000+

Savings Per Patient (32 Mo.)

$218.34

PMPM Savings

References

  1. [1] Li B, et al. Frequencies of pharmacogenomic alleles across biogeographic groups in a large-scale biobank. Am J Hum Genet. 2023 Oct 5;110(10):1628-1647.
  2. [2] Watanabe JH, McInnis T, Hirsch JD. Cost of Prescription Drug-Related Morbidity and Mortality. Ann Pharmacother. 2018;52(9):829-837.
  3. [3] Bates DW, Levine DM, Salmasian H, Syrowatka A, Shahian DM, Lipsitz S, Zebrowski JP, Myers LC, Logan MS, Roy CG, Iannaccone C, Frits ML, Volk LA, Dulgarian S, Amato MG, Edrees HH, Sato L, Folcarelli P, Einbinder JS, Reynolds ME, Mort E. The Safety of Inpatient Health Care. N Engl J Med. 2023 Jan 12;388(2):142-153. doi: 10.1056/NEJMsa2206117. PMID: 36630622.
  4. [4] Swen JJ, van der Wouden CH, Manson LE, et al. A 12-gene pharmacogenetic panel to prevent adverse drug reactions: an open-label, multicentre, controlled, cluster-randomised crossover implementation study. Lancet. 2023;401(10374):347-356.
  5. [5] Brixner D, Biltaji E, Bress A, Unni S, Ye X, Mamiya T, Ashcraft K, Biskupiak J. The effect of pharmacogenetic profiling with a clinical decision support tool on healthcare resource utilization and estimated costs in the elderly exposed to polypharmacy. J Med Econ. 2016;19(3):213-228. doi: 10.3111/13696998.2015.1110160.
  6. [6] Elliott LS, Henderson JC, Neradilek MB, Moyer NA, Ashcraft KC, Thirumaran RK. Clinical impact of pharmacogenetic profiling with a clinical decision support tool in polypharmacy home health patients: A prospective pilot randomized controlled trial. PLoS One. 2017 Feb 2;12(2):e0170905. doi: 10.1371/journal.pone.0170905. PMID: 28151991.
  7. [7] Jarvis JP, Peter AP, Keogh M, Baldasare V, Beanland GM, Wilkerson ZT, Kradel S, Shaman JA. Real-World Impact of a Pharmacogenomics-Enriched Comprehensive Medication Management Program. J Pers Med. 2022;12(3):421. doi: 10.3390/jpm12030421. PMID: 35330421.

Peer-Reviewed Studies & Publications

Clinical Utility & Validation Studies

Clinical Utility

A Prospective, Longitudinal Study to Evaluate the Clinical Utility of a Predictive Algorithm That Detects Risk of Opioid Use Disorder

Brenton A, et al. J Pain Res. 2018;11:119-131.

In 5,397 patients across 100 clinics, physicians used the algorithm to guide treatment for over half of patients, and patients whose treatment was guided by results saw an average pain reduction of 3.4 points on a 1-10 scale.

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Validation

Observational Study to Calculate Addictive Risk to Opioids: A Validation Study of a Predictive Algorithm to Evaluate Opioid Use Disorder

Brenton A, et al. Pharmacogenomics Pers Med. 2017;10:187-195.

Validated the algorithm in 258 patients with diagnosed opioid use disorder and 650 controls, achieving 95.7% sensitivity in identifying high- and moderate-risk patients — sensitivity stayed above 95% even as OUD prevalence varied.

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Clinical Guidelines

Adding Genetic Testing to Evidence-Based Guidelines to Determine the Safest and Most Effective Chronic Pain Treatment for Injured Workers

Meshkin B, et al. Int J Biomed Sci. 2015;11(4):157-165.

Makes the case for incorporating genetic testing into evidence-based chronic pain treatment guidelines for injured workers, given the documented genetic contribution to both pain experience and addiction susceptibility.

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Case Study

A Precision Medicine Approach to a Patient With Unresolved Pain Following Orthopedic Surgery: A Case Report

Gazzaniga D, Brenton A, Meshkin B. J Med Case Rep. 2017;11:50.

A patient previously labeled a “drug seeker” had a Proove Opioid Risk profile showing low addiction risk, correcting the mislabeling and leading clinicians to resolve her treatment complications by narrowing to a single opioid.

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Predictive Accuracy

Evaluation of a Predictive Algorithm that Detects Aberrant Use of Opioids in an Addiction Treatment Centre

Farah J, et al. J Addict Res Ther. 2017;8:2.

The average POR score of patients with diagnosed OUD was significantly greater than controls. The algorithm's ROC curve had an AUC of 0.967 — correctly categorizing patients with OUD nearly 97% of the time, with 98% sensitivity and 100% specificity.

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Clinical Management

An Observational Study of the Impact of Genetic Testing for Pain Perception in the Clinical Management of Chronic Non-Cancer Pain

Sharma M, Kantorovich S, Lee C, et al. J Psychiatr Res. 2017;89:65-72.

Based on genetic testing results, physicians adjusted treatment plans for 40% of patients. When medication changes were made, 72% of patients showed clinical improvement, and physicians believed the genetic test results were consistent with patient pain levels in 85% of cases.

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Primary Care

A Predictive Algorithm to Detect Opioid Use Disorder: What Is the Utility in a Primary Care Setting?

Lee C, Sharma M, Kantorovich S, Brenton A. Health Serv Res Manag Epidemiol. 2018;5.

The profile gave primary care physicians a useful tool to stratify risk of opioid use disorder, rated as beneficial for decision-making and patient improvement by most physicians surveyed — including greater clinical improvement reported for minority patients.

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Validation

Validation Study of a Predictive Algorithm to Evaluate Opioid Use Disorder in a Primary Care Setting

Sharma M, Lee C, Kantorovich S, et al. Health Serv Res Manag Epidemiol. 2017;4.

In a validation study of 452 patients diagnosed with OUD and 1,237 controls, the algorithm categorized high- and moderate-risk patients with 91.8% sensitivity — staying above 90% regardless of changes in OUD prevalence.

Read Full Study

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