- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05677048
Feasibility Study: IGNITE-TX (Identifying Individuals for Genetic Testing & Treatment) Intervention
This is a community-based study requiring participant-self-enrollment, that can help to increase the rates of genetic testing among the family members of people who have been diagnosed with a hereditary cancer syndrome. The two main factors in this study are the IGNITE-TX intervention (website and navigator) and the free genetic counseling and testing.
The IGNITE-TX Intervention is an innovative multi-modal intervention, with two components: a) interactive web "IGNITE-TX Hub" and b) genetic family navigators.
Study Overview
Status
Conditions
Detailed Description
Primary Objectives:
The primary objectives of this study are to assess the study feasibility by estimating:
- The enrollment of probands and (ARRs) at-risk relatives over a 6-month period
- The response rate to baseline and follow-up surveys by probands
- The response rate to baseline and follow-up surveys by (ARRs) at-risk relatives
Secondary Objectives:
The secondary objectives of this study are to:
- Measure (ARR) at-risk relatives completion of (CGT) cascade genetic testing among different study arms.
- Measure the proportion of enrolled (ARRs) at-risk relatives who make an informed decision about (CGT) cascade genetic testing.
- Measure the (ARR) at-risk relatives readiness for (CGT) cascade genetic testing
- Measure proband and (ARR) at-risk relatives change in genetics knowledge
- Measure proband readiness to communicate results of genetic testing with (ARR) at-risk relatives Secondary objectives in this feasibility study will be primary objectives in a larger study. This feasibility study is not powered to assess these objectives. Including them in this feasibility study will allow for assessment of our measurement tools (surveys from primary objectives) and offer insight into how the intervention may impact cascade genetic testing when implemented on a larger scale
Exploratory Objectives:
The exploratory objectives in this study are to estimate:
- The average website traffic of the IGNITE-TX "Hub" and module completion
- The average utilization of family genetic navigators by participants
- Estimate the intra-familial correlation (IFC) for (ARR) at-risk relatives completion of (CGT) cascade genetic testing
- Assess satisfaction with IGNITE-TX website modules and genetic navigator The exploratory objectives will allow for further evaluation of the IGNITE-TX website modules and navigator and understand how families with multiple (ARR)at-risk relatives respond to the intervention.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Jose Rauh-Hain, MD,MPH
- Phone Number: (713) 794-1759
- Email: jarauh@mdanderson.org
Study Contact Backup
- Name: Ignite Study
- Phone Number: 713-794-1759
- Email: ignitestudy@mdanderson.org
Study Locations
-
-
Texas
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Houston, Texas, United States, 77030
- Recruiting
- MD Anderson Cancer Center
-
Contact:
- Jose Rauh-Hain, MD, MPH
-
Principal Investigator:
- Jose Rauh-Hain, MD, MPH
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Probands
Inclusion Criteria:
- 18 years of age or older
- Speaks and/or reads English or Spanish
- Has known deleterious/pathogenic mutation or suspected deleterious/pathogenic variant in BRCA1 or BRCA2 (HBOC) or MLH1, MSH2, MSH6, PMS2, or EPCAM (LS)
- Has access to the internet or phone and can send and receive email and/or text messages at a US telephone number
- Has at least one at-risk relative who meets inclusion criteria for first-degree relative
Exclusion Criteria:
- Has no at-risk relatives meeting inclusion criteria
- Has negative germline genetic testing or only variant of uncertain significance
- Unwilling or unable to provide consent 4.2. AT-RISK RELATIVES (ARR)
Inclusion Criteria:
- 18 years of age or older
- Speaks and reads English or Spanish
- Resides in the United States
- Can provide proof of deleterious/suspected deleterious HBOC or LS variant present in a first degree relative (biological mother or father, biological child, or full sibling)
- Has access to internet or phone and can send and receive email and/or text messages at a US telephone number
Exclusion Criteria:
- Unwilling or unable to provide consent
- Reports no known HBOC or LS variant within the family
- Has already been tested for the variant identified in the proband
- Already listed as an ARR for another proband
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Factorial Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
No Intervention: Group 1 (Standard of Care Group)
Participants (probands, those with a hereditary cancer syndrome) are sent a family letter to share with relatives. The letter contains information about hereditary cancer syndromes and encourages relatives to participate in the study and to get genetic testing. Relatives of probands randomized to the usual care arm will have access to the family letter if probands decide to share it with them, and will receive study surveys. The letter contains information about hereditary cancer syndromes and encourages relatives to participate in the study and to get genetic testing |
|
Experimental: Group 2 (Free genetic testing and counseling group)
Enrolled relatives will receive a letter and baseline survey with information to contact the tele-genetics company to arrange free genetic counseling and testing.
This letter will be given to the relatives directly by the study
|
Option to access no-cost telegenetic counseling and genetic testing
Access online educational materials through the IGNITE-TX platform and receive assistance from a family genetic navigator
Option to access no-cost telegenetic counseling and genetic testing, access to online educational materials through the IGNITE-TX platform, and assistance from a family genetic navigator
|
Experimental: Group 3 (IGNITE-TX Group)
Relatives of probands randomized to the IGNITE-TX intervention will receive a family letter after enrollment and baseline survey with their personal access codes (not to be shared) to the IGNITE-TX "Hub" (access online educational material through a platform).
Relatives will have also access services of a family genetic navigator.
Study investigators and navigators will not directly provide genetic counseling and/or testing in this arm
|
Option to access no-cost telegenetic counseling and genetic testing
Access online educational materials through the IGNITE-TX platform and receive assistance from a family genetic navigator
Option to access no-cost telegenetic counseling and genetic testing, access to online educational materials through the IGNITE-TX platform, and assistance from a family genetic navigator
|
Experimental: Group 4 (IGNITE-TX and free genetic testing and counseling group)
Relatives randomized to this arm will receive a family letter after enrollment and baseline survey with their personal access codes (not to be shared) to the IGNITE-TX "Hub" (access online educational material through a platform) and information to contact the tele genetics company.
This arm will receive both the IGNITE-TX Intervention and access to free genetic testing and counseling services, as well as access to assistance from family genetic navigator
|
Option to access no-cost telegenetic counseling and genetic testing
Access online educational materials through the IGNITE-TX platform and receive assistance from a family genetic navigator
Option to access no-cost telegenetic counseling and genetic testing, access to online educational materials through the IGNITE-TX platform, and assistance from a family genetic navigator
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Measure enrollment of probands and at-risk relatives over a 6-month period
Time Frame: Up to 6 months
|
Up to 6 months
|
Measure response rate to baseline and follow-up surveys by probands and at-risk relatives
Time Frame: Up to 6 months
|
Up to 6 months
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Jose Rauh-Hain, MD,MPH, M.D. Anderson Cancer Center
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Digestive System Diseases
- Pathologic Processes
- Metabolic Diseases
- Skin Diseases
- Neoplasms
- Urogenital Neoplasms
- Neoplasms by Site
- Genital Neoplasms, Female
- Uterine Diseases
- Endocrine System Diseases
- Disease
- Ovarian Diseases
- Adnexal Diseases
- Gonadal Disorders
- Gastrointestinal Neoplasms
- Digestive System Neoplasms
- Gastrointestinal Diseases
- Endocrine Gland Neoplasms
- Breast Diseases
- Genetic Diseases, Inborn
- Colonic Diseases
- Intestinal Diseases
- Intestinal Neoplasms
- Colorectal Neoplasms
- Neoplastic Syndromes, Hereditary
- DNA Repair-Deficiency Disorders
- Breast Neoplasms
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Urogenital Diseases
- Genital Diseases
- Genital Diseases, Female
- Syndrome
- Ovarian Neoplasms
- Colorectal Neoplasms, Hereditary Nonpolyposis
- Endometrial Neoplasms
- Uterine Neoplasms
- Hereditary Breast and Ovarian Cancer Syndrome
Other Study ID Numbers
- 2022-0712
- FP00015533 (Other Grant/Funding Number: Foundation for Women's Cancer)
- NCI-2022-10573 (Other Identifier: NCI-CTRP Clinical Trials Registry)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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