- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06171139
Tumor Genomic Pre-test Counseling Tool for Black or African-American Men With Prostate Cancer
Developing and Testing a Patient-centered Tumor Genomic Pre-test Counseling Tool for Black or African-American Men With Metastatic Prostate Cancer
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
PRIMARY OBJECTIVES:
Stage 1: To evaluate education quality of the intervention in Black or African American men with prostate cancer.
Stage 2: To evaluate feasibility of the TGT intervention among Black or African American men with prostate cancer
SECONDARY OBJECTIVES:
Stage 1:
- To evaluate completeness of the intervention content.
- To identify barriers and facilitators for using the intervention.
Stage 2:
- To evaluate the acceptability of the intervention among Black or African American men with prostate cancer.
- To evaluate change in participant knowledge about tumor genetic testing among Black or African American men with prostate cancer.
- To evaluate change in patient attitudes toward tumor genetic testing among Black or African American men with prostate cancer.
- To evaluate change in participant expectations of tumor genetic testing among Black or African American men with prostate cancer.
- To evaluate patient perspectives on the intervention.
- To evaluate the rate of TGT among Black or African American men with prostate cancer who have received the tumor genetic pre-test counseling tool.
OUTLINE:
This is a two-stage study. In Stage 1, Adult Black or African American men with metastatic prostate cancer who have not made a decision about TGT, or who have decided to undergo TGT, or patients who have decline TGT about tumor genetic testing will participate in development by answering questionnaires and utilizing the pilot application for up to 60 days. The investigators will then refine the tool to be piloted in Stage 2.
Stage 2: A pilot study of participants who are planning to have a discussion about undergoing tumor genetic testing with their oncology provider will be invited to join and utilize the tool, and answer questionnaires about the tool.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Daniel Avins
- Phone Number: 877-827-3222
- Email: Daniel.Avins@ucsf.edu
Study Locations
-
-
California
-
San Francisco, California, United States, 94143
- Recruiting
- University of California
-
Contact:
- Phone Number: 877-827-3222
- Email: cancertrials@ucsf.edu
-
Principal Investigator:
- Daniel Kwon, MD
-
Contact:
- Daniel Avins
- Email: Daniel.Avins@ucsf.edu
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
Stage 1:
- Age 18-years-old or older
- Identifies as Black or African American, by either chart documentation or participant self-report. Mixed-race including Black or African American is included.
- Metastatic prostate cancer, by either chart documentation or participant self-report. Pathology report not needed.
- Able to understand study procedures and to comply with them for the entire length of the study.
- Able to understand a written information sheet and willing to verbally consent.
- Fluent in English (reading, writing, and speaking)
Stage 2:
- Age 18-years-old or older
- Identifies as Black or African-American, by either chart documentation or participant self-report. Mixed-race including Black or African-American is included.
- Metastatic prostate cancer, by either chart documentation or participant self-report. Pathology report not needed.
- Able to understand study procedures and to comply with them for the entire length of the study.
- Fluent in English (reading, writing, and speaking).
Anticipated discussion of TGT within 0-90 days of enrollment, per treating oncology provider's discretion. TGT involves use of any cancer genetic sequencing (whether standard-of-care or part of a research protocol) via any one of the following:
- Somatic DNA testing of already-collected tissue.
- Somatic DNA testing of tissue to be collected in the future via biopsy, surgery, or other procedure.
- Blood-based DNA testing to evaluate for circulating tumor DNA.
- Able to understand a written informed consent document and willing to sign it.
Exclusion Criteria:
Contraindication to any study-related procedure or assessment in either stage.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Stage 1: Tool Development
Participants will participate in a semi-structured qualitative interview either by phone, video conference or in-person.
A trained interviewer will interview eligible, consenting participants using a semi-structured interview guide to meet objectives.
The interview guide is based on The Patient Education Materials Assessment Tool (PEMAT) and the COM-B (capability (C), opportunity (O), and motivation (M))/Behaviour Change Wheel (BCW) framework and will be used to determine an implementation strategy.
The interview will be audio-recorded, transcribed verbatim, and analyzed.
|
Non-therapeutic educational intervention
Participants will complete questionnaires online, via mail, by telephone, or in person per participant preference.
Other Names:
|
Experimental: Stage 1: Tool Implementation (Pilot Study)
Participants will receive the tumor genetic pre-test counseling tool informed by results and themes identified in Stage 1. Participants will receive the non-therapeutic intervention, a pre-TGT counseling tool, and complete pre- and post-intervention surveys and a attend a brief post-intervention interview.
|
Non-therapeutic educational intervention
Participants will complete questionnaires online, via mail, by telephone, or in person per participant preference.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Frequency of participant responses (Stage 1)
Time Frame: 1 day
|
Participant-reported perspectives of intervention in a semi-structured interview will be collected during Stage 1 and reviewed and will be explored using thematic analysis.
A codebook will be created using the PEMAT (for the primary objective) described in the interview guide.
This framework provides a systematic approach for identifying behavior change models evaluated according to three criteria: comprehensiveness, coherence, and a clear link to an overarching model of behavior.
This will produce evidence-based behavior change techniques most likely to be effective.
Emergent codes and themes will be added throughout thematic analysis.
Two coders will code each interview (one primary and one secondary coder).
Discrepancies will be negotiated to consensus.
|
1 day
|
Proportion of enrolled participants (Stage 2)
Time Frame: 1 day
|
The proportion of participants who enrolled in the study after being approached by their healthcare team will be reported.
|
1 day
|
Proportion of enrolled participants who review all educational materials (Stage 2)
Time Frame: Up to 60 days
|
The proportion of all enrolled participants who utilized and reviewed all of the educational materials in the tool will be reported.
|
Up to 60 days
|
Mean score of Feasibility of Intervention Measure (FIM) (Stage 2)
Time Frame: Up to 60 days
|
Scores on the FIM will be averaged across all participants.
Items will be scored on a 5-point scale: 1= Completely disagree, 2 = Disagree, 3 = Neither agree nor disagree, 4 = Agree, 5= Completely agree.
A higher mean score indicates greater feasibility.
The mean score and standard deviation will be reported.
|
Up to 60 days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Mean score of Acceptability of Intervention Measure (AIM) (Stage 2)
Time Frame: Up to 60 days
|
Scores on the AIM items will be averaged across all participants.
Items will be scored on a 5-point scale: 1= Completely disagree, 2 = Disagree, 3 = Neither agree nor disagree, 4 = Agree, 5= Completely agree.
A higher mean score indicates greater feasibility.
The mean score and standard deviation will be reported.
|
Up to 60 days
|
Mean score of investigator-developed, measure of acceptability items (Stage 2)
Time Frame: Up to 60 days
|
Scores on the 5-item investigator-developed, measure of acceptability will be scored on a 5-point scale: 1= Completely disagree, 2 = Disagree, 3 = Neither agree nor disagree, 4 = Agree, 5= Completely agree.
A higher mean score indicates greater feasibility.
The mean score and standard deviation will be reported.
However, responses will not be averaged to across items; each item will be analyzed independently.
|
Up to 60 days
|
Mean score of cancer genomic testing knowledge (Stage 2)
Time Frame: Up to 60 days
|
Knowledge of tumor genetic testing adapted from a validated survey from Blanchette, et al.+ select questions from a survey from Rogith, et al.will be utilized to measure the level of cancer genomic testing knowledge.
"Don't know" will be scored as incorrect.
The proportion of correct responses will be calculated to generate a total score between 0-100, with a higher score indicating greater knowledge.
No items will be weighted.
Since all items are required, we anticipate missing responses will be rare.
Any missing data will be managed case-by-case post-hoc.
|
Up to 60 days
|
Proportion of participants who select correct response in each genomic testing knowledge instrument item (Stage 2)
Time Frame: Up to 60 days
|
Knowledge of tumor genetic testing adapted from a validated survey from Blanchette, et al. including select questions from a survey from Rogith, et al. and is designed to measure the level of cancer genomic testing knowledge.
Responses of "Don't know" will be scored as incorrect.
Each of the item scores will be reported as a proportion of the participants who answered each item correctly.
Since all items are required, we anticipate missing responses will be rare.
Any missing data will be managed case-by-case post-hoc.
|
Up to 60 days
|
Proportion of participants who answer "Yes" to each attitude item in the Attitude and expectations for tumor genetic testing survey (Stage 2)
Time Frame: Up to 60 days
|
Attitude and expectations measure for tumor genetic testing is a 17-item measure adapted from a validated survey from Blanchette, et al. including one open-ended investigator-created item.
Items on the attitude scoring scale range from "Yes" = 1 and "No" or "Unsure" = 0.
|
Up to 60 days
|
Proportion of participants who answer "Strongly Agree" or "Agree" to the expectation item in the Attitude and expectations for tumor genetic testing survey (Stage 2)
Time Frame: Up to 60 days
|
The attitude and expectations for tumor genetic testing is a measure adapted from a validated survey from Blanchette, et al. and includes one open-ended investigator-created item.
The expectations scoring (item 3): "Strongly Agree" or "Agree" = 1 and all other responses = 0
|
Up to 60 days
|
Participant-reported perspectives of intervention in a semi-structured interview. (Stage 2)
Time Frame: Up to 60 days
|
Participant-reported perspectives of intervention in a semi-structured interview will be collected during Stage 1 and reviewed and will be explored using thematic analysis.
A codebook will be created using the COM-B ((capability (C), opportunity (O), and motivation (M) / BCW domains (for the secondary objectives) described in the interview guide.
This framework provides a systematic approach for identifying behavior change models evaluated according to three criteria: comprehensiveness, coherence, and a clear link to an overarching model of behavior.
This will produce evidence-based behavior change techniques most likely to be effective.
Emergent codes and themes will be added throughout thematic analysis.
Two coders will code each interview (one primary and one secondary coder).
Discrepancies will be negotiated to consensus.
|
Up to 60 days
|
Proportion of participants who have received the tumor genetic pre-test counseling tool who undergo TGT by chart review (Stage 2)
Time Frame: Up to 90 days
|
A medical record review of TGT completion date will be conducted.
If TGT was not completed, the study staff will review and record reasons for non-completion, and date of last follow-up.
|
Up to 90 days
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Daniel Kwon, MD, University of California, San Francisco
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 (Estimated)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 23553
- NCI-2023-10339 (Other Identifier: NCI Clinical Trials Reporting Program (CTRP))
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
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.
Clinical Trials on Prostate Cancer
-
Roswell Park Cancer InstituteRecruitingObesity | Overweight | Cancer Survivor | Prostate Adenocarcinoma | Stage I Prostate Cancer | Stage II Prostate Cancer | Stage III Prostate Cancer | Stage IV Prostate Cancer | Stage IIA Prostate Cancer | Stage IIB Prostate Cancer | Stage IVA Prostate Cancer | Stage IVB Prostate Cancer | Stage A Prostate Cancer | Stage... and other conditionsUnited States
-
Sidney Kimmel Cancer Center at Thomas Jefferson...Regeneron Pharmaceuticals; Prostate Cancer FoundationWithdrawnStage III Prostate Cancer | Stage IV Prostate Cancer | Stage IVA Prostate Cancer | Stage IVB Prostate Cancer | Stage IIIA Prostate Cancer | Stage IIIB Prostate Cancer | Stage IIIC Prostate Cancer
-
Jonsson Comprehensive Cancer CenterProgenics Pharmaceuticals, Inc.TerminatedRandomized Trial of PSMA PET Scan Before Definitive Radiation Therapy for Prostate Cancer (PSMA-dRT)Stage II Prostate Cancer AJCC v8 | Stage IIIA Prostate Cancer AJCC v8 | Stage IIIB Prostate Cancer AJCC v8 | Stage IIC Prostate Cancer AJCC v8 | Stage III Prostate Cancer AJCC v8 | Stage IIIC Prostate Cancer AJCC v8 | Stage IIA Prostate Cancer AJCC v8 | Stage IIB Prostate Cancer AJCC v8 | Stage I Prostate...United States
-
Jonsson Comprehensive Cancer CenterNational Cancer Institute (NCI)CompletedRecurrent Prostate Cancer | Stage I Prostate Cancer | Stage III Prostate Cancer | Adenocarcinoma of the Prostate | Stage IV Prostate Cancer | Stage IIA Prostate Cancer | Stage IIB Prostate CancerUnited States
-
Ryan Kohlbrenner, MDRadiological Society of North AmericaCompletedProstate Adenocarcinoma | Stage IV Prostate Cancer AJCC v8 | Prostate Carcinoma | Stage IIIA Prostate Cancer AJCC v8 | Stage IIIB Prostate Cancer AJCC v8 | Stage IIC Prostate Cancer AJCC v8 | Stage III Prostate Cancer AJCC v8 | Stage IIIC Prostate Cancer AJCC v8 | Stage IVA Prostate Cancer AJCC v8 | Stage...United States
-
University of Southern CaliforniaNational Cancer Institute (NCI); SanofiTerminatedDiarrhea | Recurrent Prostate Cancer | Hormone-resistant Prostate Cancer | Stage I Prostate Cancer | Stage III Prostate Cancer | Stage IV Prostate Cancer | Stage IIA Prostate Cancer | Stage IIB Prostate CancerUnited States
-
Mayo ClinicNational Cancer Institute (NCI)WithdrawnStage I Prostate Cancer AJCC v8 | Stage II Prostate Cancer AJCC v8 | Stage IIIA Prostate Cancer AJCC v8 | Stage IIIB Prostate Cancer AJCC v8 | Stage IIC Prostate Cancer AJCC v8 | Stage III Prostate Cancer AJCC v8 | Stage IIIC Prostate Cancer AJCC v8 | Stage IIA Prostate Cancer AJCC v8 | Stage IIB Prostate...United States
-
Barbara Ann Karmanos Cancer InstituteGenentech, Inc.CompletedRecurrent Prostate Cancer | Stage I Prostate Cancer | Stage III Prostate Cancer | Adenocarcinoma of the Prostate | Stage IIA Prostate Cancer | Stage IIB Prostate CancerUnited States
-
Ohio State University Comprehensive Cancer CenterRiverside Methodist HospitalCompletedStage I Prostate Cancer | Stage III Prostate Cancer | Stage IV Prostate Cancer | Stage IIA Prostate Cancer | Stage IIB Prostate CancerUnited States
-
University of California, IrvineCompletedRecurrent Prostate Cancer | Stage I Prostate Cancer | Stage III Prostate Cancer | Adenocarcinoma of the Prostate | Stage IIA Prostate Cancer | Stage IIB Prostate CancerUnited States
Clinical Trials on Counseling Tool
-
University of CalgaryCompleted
-
Northwestern UniversityAgency for Healthcare Research and Quality (AHRQ)CompletedOverweightUnited States
-
University of California, San FranciscoNational Institute on Minority Health and Health Disparities (NIMHD); Florida...CompletedSexually Transmitted Diseases | Human Immunodeficiency Virus TransmissionUnited States
-
National Cheng-Kung University HospitalCompletedOverweight | Metabolic AbnormalityTaiwan
-
University of RochesterNational Institute on Drug Abuse (NIDA)CompletedTobacco Dependence | Elevated Risk of Cardiovascular DiseaseUnited States
-
Icahn School of Medicine at Mount SinaiAlbert Einstein College of Medicine; National Institute on Minority Health... and other collaboratorsCompletedGenetic Diseases, Inborn | Genetic Predisposition to DiseaseUnited States
-
University of North Carolina, Chapel HillCompletedPelvic Organ ProlapseUnited States
-
Emory UniversityCompletedHereditary Breast and Ovarian CancerUnited States
-
VA Office of Research and DevelopmentRecruitingTotal Knee ArthroplastyUnited States
-
University of California, San FranciscoCompleted