A Web-Based Program (Kindred) to Improve the Understanding of Genetic Cancer Risk and Cancer Genetic Testing in African American Families
Kindred: Family Centered Approaches to Promoting Cascade Screening for Hereditary Cancer Syndromes Among African Americans
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Cacner AnswerLine
- Phone Number: 1-800-865-1125
- Email: CancerAnswerLine@med.umich.edu
Study Locations
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-
Michigan
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Ann Arbor, Michigan, United States, 48109
- University of Michigan Rogel Cancer Center
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Contact:
- Katrina Ellis
- Email: CancerAnswerLine@med.umich.edu
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Principal Investigator:
- Katrina Ellis, MD
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- PROBANDS: Evaluation in the past one-year at the Breast and Ovarian Cancer Risk Evaluation Clinic (BOCRE) or Cancer Genetics Clinic, both located at the University of Michigan (U-M) Rogel Cancer Center who are positive for hereditary breast and ovarian cancer syndrome (HBOC) (BRCA1, BRCA2) or Lynch Syndrome (MLH1, MSH2, MSH6, PMS2, EPCAM); indeterminate negative; or variants of uncertain clinical significance (VUS). If more than one biological relative is known to have received an evaluation for and or completed germline testing for cancer risk, the relative who was evaluated the longest time ago to align with the tradition definition of a proband as defined by the National Cancer Institute (NCI), i.e., the first person identified as possibility having a genetic disorder and who may receive counseling or testing
- PROBANDS: >= 18-years-old
- PROBANDS: Completed genetic testing for hereditary cancer syndromes, regardless of results
- PROBANDS: Able to speak and read English
- PROBANDS: Access to the internet
- PROBANDS: Identifies as African American or Black (may have additional race or ethnicity identities)
- RELATIVES: Biological relative of enrolled proband, regardless of testing completion or timing of testing
- RELATIVES: >= 18 years old
- RELATIVES: Able to speak and read English
- RELATIVES: Access to the internet
Exclusion Criteria:
- PROBANDS: No evaluation at U-M or other facility, or evaluation was more than one year ago, or received an evaluation more recently than the relative
- PROBANDS: Under 18-years-old
- PROBANDS: Did not receive cancer genetic testing
- PROBANDS: Does not speak or read English
- PROBANDS: Does not have internet access
- PROBANDS: Does not identify as African American or Black
- RELATIVES: Not a biological relative of proband
- RELATIVES: Under 18-years-old
- RELATIVES: Does not speak or read English
- RELATIVES: Does not have internet access
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Non-Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Probands (Kindred, invite relatives)
Probands receive access to the Kindred web-based portal on study consisting of the following sections: Share and Invite, Meaning of Results, Implications of Results, Communication with Family, Dissemination Plan, Looking Ahead, Glossary, FAQ, Resources List, and Public-Facing Website Information.
Probands may optionally share information about their test results and invite >= 4 relatives to join the study via the Share and Invite section in the Kindred portal.
Probands also receive two check-in calls at 2- and 4- weeks post-baseline.
|
Ancillary studies
Ancillary studies
Other Names:
Receive access to the Kindred web-based portal
Share information and invite relatives
Receive check-in calls
|
|
Experimental: Relatives (Kindred)
Invited relatives receive access to the Kindred web-based portal on study consisting of the following sections: Meaning of Results, Implications of Results, Communication with Family, Getting Testing, Looking Ahead, Glossary, FAQ, Resources List, and Public-Facing Website Information.
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Ancillary studies
Ancillary studies
Other Names:
Receive access to the Kindred web-based portal
Share information and invite relatives
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Recruitment rates (Feasibility)
Time Frame: Up to 2 years
|
Will carefully monitor recruitment (refusals and enrollees, 20% of invited).
As this is a single-arm pilot study, no formal hypothesis testing is planned.
Qualitative data from focus groups will be conducted using directed content analysis in order to identity key findings and themes to inform intervention content and structure for a future clinical trial.
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Up to 2 years
|
|
Retention rates (Feasibility)
Time Frame: Up to 2 years
|
Will carefully monitor retention (75% of enrolled).
As this is a single-arm pilot study, no formal hypothesis testing is planned.
Qualitative data from focus groups will be conducted using directed content analysis in order to identity key findings and themes to inform intervention content and structure for a future clinical trial.
|
Up to 2 years
|
|
Reasons for enrollment (Feasibility)
Time Frame: Up to 2 years
|
Will carefully monitor reasons for enrollment.
As this is a single-arm pilot study, no formal hypothesis testing is planned.
Qualitative data from focus groups will be conducted using directed content analysis in order to identity key findings and themes to inform intervention content and structure for a future clinical trial.
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Up to 2 years
|
|
Reasons for ineligibility (Feasibility)
Time Frame: Up to 2 years
|
Will carefully monitor reasons for ineligibility.
As this is a single-arm pilot study, no formal hypothesis testing is planned.
Qualitative data from focus groups will be conducted using directed content analysis in order to identity key findings and themes to inform intervention content and structure for a future clinical trial.
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Up to 2 years
|
|
Reasons for dropout and withdrawal (Feasibility)
Time Frame: Up to 2 years
|
Will carefully monitor reasons for dropout and withdrawal.
As this is a single-arm pilot study, no formal hypothesis testing is planned.
Qualitative data from focus groups will be conducted using directed content analysis in order to identity key findings and themes to inform intervention content and structure for a future clinical trial.
|
Up to 2 years
|
|
Ease and process of implementing study procedures (Feasibility)
Time Frame: Up to 2 years
|
Will carefully monitor ease and process of implementing study procedures.
As this is a single-arm pilot study, no formal hypothesis testing is planned.
Qualitative data from focus groups will be conducted using directed content analysis in order to identity key findings and themes to inform intervention content and structure for a future clinical trial.
|
Up to 2 years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Dissemination of testing results
Time Frame: Baseline up to 9 months
|
Will calculate a measure of dissemination of testing results with the following formula: Dissemination = number of biological relatives informed about testing results by probands or relatives/total number of identified 1st, 2nd, 3rd degree relatives of proband.
Will collect data from all participants on the number of biological relatives informed of proband's testing results by either the probands or relatives at baseline and follow-up (numerator); will collect this information at baseline recognizing that some information sharing could have occurred before our formal baseline assessment.
The total number of identified relatives include 1st, 2nd, 3rd degree relatives of proband (denominator).
Will be tabulated and summarized with descriptive statistics.
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Baseline up to 9 months
|
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Completion of cascade testing
Time Frame: Up to 9 months
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Will be calculated as the percentage of at-risk relatives completing cascade testing as follows: percent of enrolled relatives completing testing = number of at-risk enrolled relatives completing testing/total number of enrolled relatives at risk.
Will collect data from enrolled relatives at follow-up, to determine the number of at-risk enrolled relatives who completed testing (numerator).
Will collect data from proband clinic records, and proband and relative surveys, to determine the number of enrolled relatives at risk, that is, those for whom further testing is recommended (denominator).
Will also examine this outcome by relative degree status (i.e., percent of first-degree enrolled relatives competing testing, etc.).
Will be tabulated and summarized with descriptive statistics.
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Up to 9 months
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Katrina Ellis, MD, University of Michigan Rogel Cancer Center
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
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 (Actual)
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
Additional Relevant MeSH Terms
- Neoplasms by Site
- Neoplasms
- Genetic Diseases, Inborn
- Metabolic Diseases
- Intestinal Diseases
- Gastrointestinal Neoplasms
- Digestive System Neoplasms
- Digestive System Diseases
- Gastrointestinal Diseases
- Colorectal Neoplasms
- Intestinal Neoplasms
- Colonic Diseases
- DNA Repair-Deficiency Disorders
- Congenital, Hereditary, and Neonatal Diseases and Abnormalities
- Nutritional and Metabolic Diseases
- Colorectal Neoplasms, Hereditary Nonpolyposis
- Neoplastic Syndromes, Hereditary
Other Study ID Numbers
Other Study ID Numbers
- UMCC 2024.127
- NCI-2026-02088 (Registry Identifier: CTRP (Clinical Trial Reporting Program))
- HUM00265216 (Other Identifier: University of Michigan Rogel Cancer Center)
- K01CA255137 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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