Genetic Testing for Breast, Ovarian, Pancreatic, and Prostate Cancers (GeneBOPP)
Genetic Testing for Breast, Ovarian, Pancreatic, and Prostate Cancers - GeneBOPP
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
This prospective, randomized controlled trial will evaluate the effect of two pre-test education methods on the level of participation in genetic testing for hereditary cancer risk. A prospective study examines outcomes before the development of a disease.
- The research study procedures include screening for eligibility, randomization and a series of questionnaires.
- Participants will be randomized, or assigned by chance, to one of two methods of pre-genetic test education and after completing either pre-test education participants will be offered the opportunity to have genetic testing performed
Two methods of pre-genetic test education:
- video education
- in-person counseling
- Genetic testing will be performed by blood draw.
- It is expected that 500 people will participate in this study
- Participants will be in the research study for up to 5 yrs after enrollment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Huma Rana, MD
- Phone Number: 617-632-6292
- Email: humaQ_rana@dfci.harvard.edu
Study Contact Backup
- Name: Alex Husband, BA
- Phone Number: 617-582-9320
- Email: ahusband@partners.org
Study Locations
-
-
Massachusetts
-
Boston, Massachusetts, United States, 02215
- Dana-Farber Cancer Institute
-
Brighton, Massachusetts, United States, 02135
- Dana-Farber Cancer Institute at St. Elizabeth's Medical Center
-
Milford, Massachusetts, United States, 01757
- Dana-Farber/Brigham and Women's Cancer Center at Milford Regional Medical Center
-
Weymouth, Massachusetts, United States, 02190
- Dana-Farber/Brigham and Women's Cancer Center in clinical affiliation with South Shore Hospital
-
-
New Hampshire
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Londonderry, New Hampshire, United States, 03053
- Dana-Farber/New Hampshire Oncology-Hematology
-
-
Rhode Island
-
Providence, Rhode Island, United States, 02903
- Lifespan Cancer Institute at Rhode Island Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Potentially eligible participants will be identified via medical record screening and/or in accordance with their clinical visit. A HIPAA waiver of authorization will be obtained by the enrolling Institution as needed to have access to the subject's medical record information for screening of eligibility.
- A member of the study team will approach the potentially eligible participant in clinic and discuss the trial. Potentially eligible participants may choose to discuss participation further with their physician at their appointment
- Age ≥ 18 years
- Breast, ovarian, pancreatic, or metastatic prostate cancer
- No prior cancer genetic testing
- Ability to understand and the willingness to sign an informed consent document
Exclusion Criteria:
- Pregnant
- Prisoners
- Inability to understand English as a spoken language in a healthcare context
- Known hematologic malignancy (e.g. CLL)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: Group A: Standard genetic counseling
Will receive standard genetic counseling prior to genetic testing.
|
Standard of care genetic counseling
|
|
Experimental: Group B: Educational video
Will watch a brief educational video that is approximately 8 minutes in length about the genetic testing process and what to expect prior to genetic testing.
|
Video tutorial about genetic testing
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Rate of patients who have germline genetic tests
Time Frame: Up to 3 years
|
Measurement of genetic testing uptake in breast, ovarian, pancreatic, and prostate cancer patients randomized to pre-genetic test (pre-test) in-person counseling with a genetic counselor per standard of care or video education.This comparison will use a two-sided Fisher exact test
|
Up to 3 years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Patient Satisfaction Survey following intervention
Time Frame: Immediately following intervention
|
Measurement and comparison by randomized arm and communication of results of patient satisfaction using survey instruments.
Administered immediately following the intervention.
The survey evaluates the subject's satisfaction with the genetic testing process for both arms.
|
Immediately following intervention
|
|
Result Disclosure Preference following intervention
Time Frame: Immediately following intervention
|
Measurement and comparison by randomized arm and communication of results of patient disclosure preferences using survey instruments.
Administered immediately following the intervention.
|
Immediately following intervention
|
|
Patient Satisfaction 2 months following intervention
Time Frame: after results have been received, two months post-intervention
|
Measurement and comparison by randomized arm and communication of results of patient satisfaction using survey instruments.
Administered two months after the intervention.
The survey evaluates the subject's satisfaction with the genetic testing process for both arms.
|
after results have been received, two months post-intervention
|
|
Psychological distress following intervention
Time Frame: after results have been received, two months post-intervention
|
MICRA is a widely used validated 25-item measure that assesses psychosocial consequences associated with genetic testing for cancer.
Section 1 contains 3 sub-scales: the Positive sub-scale (4 items), the Distress sub-scale (6 items), and the Uncertainty sub-scale (9 items) and two other items that do not fit into either sub-scale.
Section 2 contains two items for participants who have children.
Section 3 contains 2 items for participants who have/have had cancer.
Responses are indicated on a 4 point scale for experiences in the past week.
A higher score in the sub-scales or total scale indicated greater distress.
The positive sub-scale is reverse scored to reflect this.
|
after results have been received, two months post-intervention
|
|
Knowledge about genetics testing
Time Frame: Immediately following intervention
|
Measurement and comparison by randomized arm and communication of results of Patient knowledge about genetics testing using survey instruments.
Knowledge about genetic testing is evaluated through a Knowledge of Multigene Panel Testing survey immediately following the intervention.
|
Immediately following intervention
|
|
Decisional Regret
Time Frame: after results have been received, two months post-intervention
|
Measurement and comparison by randomized arm and communication of results of Patient decisional regret to have genetic testing.
Decisional regret is evaluated through a decisional regret survey that is administered two months after intervention.
|
after results have been received, two months post-intervention
|
|
Family communication of genetic test results
Time Frame: after results have been received, two months post-intervention
|
Measurement of family communication.
Family communication survey is administered two months following the intervention.
|
after results have been received, two months post-intervention
|
|
Positive Results impact
Time Frame: after results have been received, four months post-intervention
|
Measurement of impact of positive results for patients who tested positive for a genetic mutation.
This survey is administered four months post-intervention.
|
after results have been received, four months post-intervention
|
|
Cascade testing in positives
Time Frame: after results have been received, four months post-intervention
|
Measurement of cascade testing for patients who tested positive for a genetic mutation.
This survey is administered four months post-intervention.
|
after results have been received, four months post-intervention
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Huma Rana, MD, Dana-Farber Cancer Institute
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Digestive System Diseases
- Neoplasms
- Urogenital Neoplasms
- Neoplasms by Site
- Genital Neoplasms, Female
- Endocrine System Diseases
- Ovarian Diseases
- Adnexal Diseases
- Gonadal Disorders
- Digestive System Neoplasms
- Endocrine Gland Neoplasms
- Genital Neoplasms, Male
- Prostatic Diseases
- Pancreatic Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Urogenital Diseases
- Male Urogenital Diseases
- Genital Diseases, Male
- Genital Diseases
- Genital Diseases, Female
- Prostatic Neoplasms
- Ovarian Neoplasms
- Pancreatic Neoplasms
Other Study ID Numbers
Other Study ID Numbers
- 19-652
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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