Asthma Clinical Trial in Research Triangle Park NC
NCT00341237
| Observational
This study is looking to recruit 20000 Participants
Despite the overwhelming focus on genetic and genomic causes of human disease over the past
two decades, it has been estimated that genetics is currently known to explain only 20% and
40% of the etiology of common disease. Thus, it is becoming increasingly apparent that human
disease is a consequence of both genetic susceptibility and environmental exposures.
Importantly, while individuals cannot change their genetic composition, we do have the
ability both personally and as a society, to influence our environment, promoting health and
decreasing the risk of disease. The Personalized Environment and Genes Study (PEGS) aims to
determine how the environment and gene-environment interactions can inform our understanding
of human health and disease. As science has evolved, so too has the science of this project.
This evolution was reflected in a change in the title of this project from the Environmental
Polymorphisms Registry (EPR) to the Personalized Environment and Genes Study (PEGS) to more
accurately reflect the science that can be conducted. PEGS is a unique resource because of
the depth of environmental phenotyping which includes extensive information from exposome
surveys, as well as whole genome sequencing on a significant number of participants in the
cohort. While it is small relative to genomic cohorts, none of these have the extensive
environmental data that is present in PEGS. In addition, other cohorts with deep
environmental data lack the depth of genomic data that is present in PEGS. Importantly, PEGS
has already provided important analytic advances that are of great interest to and can be
confirmed in larger cohorts such as All of Us.
The Personalized Environment and Genes Study (PEGS) aims to provide a resource for
environmental health translational research by examining gene-environment interactions in
health and disease. PEGS is an extension of two previous efforts where it began as a pilot
study, the Environmental Polymorphisms Study (EPS; IRB# 02E9004) and was approved
subsequently as a full protocol titled the Environmental Polymorphisms Registry (EPR) (IRB
#04-E-N0053 and transitioned to its current ID# 04-E-0053). The EPR was envisioned as a
phenotype-by-genotype registry of participants who had donated DNA samples, and who had
agreed to be contacted for follow-up clinical translational studies based on their DNA
genotypes. At the time, the only information available was a participant s age, sex, race,
and ethnicity. Further phenotyping of a participant and/or any biospecimens obtained were
investigated during a follow-up translational clinical study on participants recruited based
on their genotype (hence phenotype-by-genotype) and the PEGS was the first recruit-by-
genotype study at the NIH. Following a period focused on recruiting approximately 15,000
participants to enable genotyping of rare (approximately 1% minor allele frequency) single
nucleotide polymorphisms (SNPs), the PEGS Consortium Project was undertaken in 2010- 2011 to
examine, using the DNA of nearly 4,000 participants, approximately 700 SNPs in approximately
80 environmental response genes that work in concert with environmental exposures to elicit a
phenotype. Several clinical follow-up studies, genotype-phenotype association studies, and
publications have resulted from the PEGS Consortium Project.
To expand phenotype information available to researchers, the Health and Exposure
Questionnaire was administered between 2013-2014. In 2017, a more detailed Exposome
Questionnaire which includes questions relating to the external and internal exposome was
administered. This was an important resource through which to integrate exposures with
genotype-phenotype association studies.
Whole genome sequencing has now been performed on approximately 4700 participants who were
reconsented for this purpose, as indicated above. Questionnaire data was fully adjudicated
and combined in a robust and searchable database. With the increased power of the data
available, the project was renamed as the Personalized Environment and Genes Study (PEGS) and
rolled out in Sept. 2021.
...
Details for the study
Population
Convenience sample from the general population.
Brief Title
Personalized Environment and Genes Study
Official Title
Personalized Environment and Genes Study
Brief Summary
Despite the overwhelming focus on genetic and genomic causes of human disease over the past
<br /> two decades, it has been estimated that genetics is currently known to explain only 20% and
<br /> 40% of the etiology of common disease. Thus, it is becoming increasingly apparent that human
<br /> disease is a consequence of both genetic susceptibility and environmental exposures.
<br /> Importantly, while individuals cannot change their genetic composition, we do have the
<br /> ability both personally and as a society, to influence our environment, promoting health and
<br /> decreasing the risk of disease. The Personalized Environment and Genes Study (PEGS) aims to
<br /> determine how the environment and gene-environment interactions can inform our understanding
<br /> of human health and disease. As science has evolved, so too has the science of this project.
<br /> This evolution was reflected in a change in the title of this project from the Environmental
<br /> Polymorphisms Registry (EPR) to the Personalized Environment and Genes Study (PEGS) to more
<br /> accurately reflect the science that can be conducted. PEGS is a unique resource because of
<br /> the depth of environmental phenotyping which includes extensive information from exposome
<br /> surveys, as well as whole genome sequencing on a significant number of participants in the
<br /> cohort. While it is small relative to genomic cohorts, none of these have the extensive
<br /> environmental data that is present in PEGS. In addition, other cohorts with deep
<br /> environmental data lack the depth of genomic data that is present in PEGS. Importantly, PEGS
<br /> has already provided important analytic advances that are of great interest to and can be
<br /> confirmed in larger cohorts such as All of Us.
<br />
<br /> The Personalized Environment and Genes Study (PEGS) aims to provide a resource for
<br /> environmental health translational research by examining gene-environment interactions in
<br /> health and disease. PEGS is an extension of two previous efforts where it began as a pilot
<br /> study, the Environmental Polymorphisms Study (EPS; IRB# 02E9004) and was approved
<br /> subsequently as a full protocol titled the Environmental Polymorphisms Registry (EPR) (IRB
<br /> #04-E-N0053 and transitioned to its current ID# 04-E-0053). The EPR was envisioned as a
<br /> phenotype-by-genotype registry of participants who had donated DNA samples, and who had
<br /> agreed to be contacted for follow-up clinical translational studies based on their DNA
<br /> genotypes. At the time, the only information available was a participant s age, sex, race,
<br /> and ethnicity. Further phenotyping of a participant and/or any biospecimens obtained were
<br /> investigated during a follow-up translational clinical study on participants recruited based
<br /> on their genotype (hence phenotype-by-genotype) and the PEGS was the first recruit-by-
<br /> genotype study at the NIH. Following a period focused on recruiting approximately 15,000
<br /> participants to enable genotyping of rare (approximately 1% minor allele frequency) single
<br /> nucleotide polymorphisms (SNPs), the PEGS Consortium Project was undertaken in 2010- 2011 to
<br /> examine, using the DNA of nearly 4,000 participants, approximately 700 SNPs in approximately
<br /> 80 environmental response genes that work in concert with environmental exposures to elicit a
<br /> phenotype. Several clinical follow-up studies, genotype-phenotype association studies, and
<br /> publications have resulted from the PEGS Consortium Project.
<br />
<br /> To expand phenotype information available to researchers, the Health and Exposure
<br /> Questionnaire was administered between 2013-2014. In 2017, a more detailed Exposome
<br /> Questionnaire which includes questions relating to the external and internal exposome was
<br /> administered. This was an important resource through which to integrate exposures with
<br /> genotype-phenotype association studies.
<br />
<br /> Whole genome sequencing has now been performed on approximately 4700 participants who were
<br /> reconsented for this purpose, as indicated above. Questionnaire data was fully adjudicated
<br /> and combined in a robust and searchable database. With the increased power of the data
<br /> available, the project was renamed as the Personalized Environment and Genes Study (PEGS) and
<br /> rolled out in Sept. 2021.
<br />
<br /> ...
Detailed Description
The Personalized Environment and Genes Study (PEGS) Health and Exposure Survey is designed to
collect health, family history of disease, environmental exposures and lifestyle data on PEGS
participants. PEGS was established to collect and store DNA specimens from 20,000
participants and to serve as a resource for scientists investigating genotype-driven
translational research of chronic health conditions. Under this protocol, question Health and
Exposure Survey to PEGS participants. The information used to better characterize the PEGS
population, thus making it more useful in answering research questions related to
gene-environment interactions. Data from the survey will help researchers to advance clinical
research by developing new ways of preventing, diagnosing, and treating common diseases such
as cardiovascular disease, asthma, and diabetes.
During Phases I and II, the survey was administered to PEGS participants using a modified
version of the Dillman Total Design Method (TDM) (1) for surveys. This method requires
following specific steps for survey administration that incorporate web-based, paper and
phone administration. The rationale for using the TDM was to maximize participant response
rates. As of August 2016, 9,000 PEGS participants had responded during Phase I and II
administration of the survey under protocol 12-E-0194. Efforts are ongoing to collect these
data from additional PEGS participants. During Phase III, under protocol 04-E-0053, the
survey will be distributed to new PEGS participants (i.e., those who were not enrolled in
PEGS at the time of the Phase I and II survey administrations under protocol 12-E-0194) for
self-administration at the time of enrollment and to existing PEGS participants who have not
yet completed the survey.
Investigators may select and contact participants for follow-up studies based upon health,
exposure, or disease status information; this includes responses to the PEGS Health and
Exposure Survey. Participation in follow-up studies is completely voluntary. Participants can
decide at the time they are contacted if they would like to enroll in the follow-up study.
Their decision whether or not to participate in a follow-up study will not affect their
participation in PEGS.
Outcome Measures
Outcome measures are the tests that investigators perform to prove whether or not a treatment being tested in a clinical trial is having any effect.
Primary
Disease
Genetic changes and disease.
Study Criteria
INCLUSION AND EXCLUSION CRITERIA:
- Non-Pregnant adults (greater than or equal to 18 years of age) or minors (ages 8-17
years old) are eligible to enroll in the Personalized Environment and Genes Study.
- Participants must be able to understand and provide written informed consent (adult
participants or parent/ guardian of minors) and assent (minors) to participate.
- Women who self-report that they are currently pregnant will be excluded from
eligibility. A pregnancy test will only be done if the PI feels it is indicated. As of
1/27/2022, minors (under the age of 18) will not be enrolled in PEGS.
There are no other inclusion or exclusion criteria.