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Testning af en forbedret digital leveringsmodel til nedarvet kræftgenetisk testning hos unge voksne med kræft

2. november 2026 opdateret af: Alliance for Clinical Trials in Oncology

AYA Access Study: En forbedret e-sundhed og chat-bot aktiveret leveringsmodel til kliniske genetiske tjenester i samfund AYA-kræftpatienter

This phase III trial compares the use of a digital chatbot enabled intervention to standard remote genetic services for increasing uptake of genetic counseling and testing among adolescents and young adult (AYA) cancer patients. Genetic testing for cancer predisposition syndromes has become standard evidence-based practice and can inform enhanced screening and risk reducing measures to reduce cancer morbidity and mortality. Despite this, many AYAs are not receiving recommended genetic counseling and testing. Offering remote telehealth services can address access barriers and chatbots and texting interventions could enhance patient outcomes and reduce provider and staff time. The use of a digital chatbot enabled intervention may be equally as effective as standard remote genetic services in AYA cancer patients undergoing genetic testing.

Studieoversigt

Status

Rekruttering

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

The primary and secondary objectives of the study:

PRIMARY OBJECTIVES:

I. To evaluate the efficacy of an enhanced eHealth and chatbot enabled delivery model to increase uptake of genetic counseling.

II. To evaluate the efficacy of an enhanced eHealth and chatbot enabled delivery model to increase uptake of genetic testing.

SECONDARY OBJECTIVE:

I. To evaluate the efficacy of an enhanced eHealth and chatbot enabled delivery model to provide non-inferior short-term and longitudinal cognitive (e.g. knowledge), affective (e.g. distress), and behavioral outcomes (e.g. cancer screening and communication to relatives) and costs.

EXPLORATORY OBJECTIVES:

I. To test for moderators of uptake of counseling and testing (primary objectives).

II. To test for moderators of short-term and longitudinal patient outcomes (secondary objectives).

III. To identify facilitators and barriers to implementation of the enhanced eHealth and chatbot enabled delivery model and standard remote services.

OUTLINE: Patients are randomized to 1 of 2 arms. Non-patient participants are assigned to arm 3.

ARM I: Patients attend a standard of care telehealth visit with a genetic counselor for pretest genetic education. Patients then undergo standard of care genetic testing and attend a telehealth visit with a genetic counselor for disclosure of results.

ARM II: Patients receive access to the Genetic Journey Chatbot and choose to complete digital pre-test genetic education via the digital tool or via telehealth visit with a genetic counselor. Via the chatbot, patients may request a telehealth visit with a genetic counselor at any time to answer unresolved questions. Patients then undergo standard of care genetic testing and attend a telehealth visit with a genetic counselor for disclosure of results. The chatbot remains available to answer questions, assess barriers, and provide reminders for next steps during the testing period.

ARM III: Non-patient participants complete an interview on study.

After completion of study intervention, patients are followed up at 6 and 12 months.

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

535

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Studiesteder

    • Alaska
      • Anchorage, Alaska, Forenede Stater, 99508
      • Anchorage, Alaska, Forenede Stater, 99508
      • Anchorage, Alaska, Forenede Stater, 99508
      • Anchorage, Alaska, Forenede Stater, 98508
      • Anchorage, Alaska, Forenede Stater, 99508
      • Anchorage, Alaska, Forenede Stater, 99508
      • Fairbanks, Alaska, Forenede Stater, 99701
    • Arizona
      • Phoenix, Arizona, Forenede Stater, 85004
    • Arkansas
      • Fort Smith, Arkansas, Forenede Stater, 72903
        • Rekruttering
        • Mercy Hospital Fort Smith
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 800-378-9373
        • Ledende efterforsker:
          • Jay W. Carlson
      • Little Rock, Arkansas, Forenede Stater, 72205
        • Rekruttering
        • CARTI Cancer Center
        • Ledende efterforsker:
          • Jay W. Carlson
        • Kontakt:
    • California
      • Arroyo Grande, California, Forenede Stater, 93420
      • Burbank, California, Forenede Stater, 91505
        • Rekruttering
        • Providence Saint Joseph Medical Center/Disney Family Cancer Center
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
      • Carmichael, California, Forenede Stater, 95608
      • Carmichael, California, Forenede Stater, 95608
      • Elk Grove, California, Forenede Stater, 95758
      • Merced, California, Forenede Stater, 95340
      • Napa, California, Forenede Stater, 94558
        • Rekruttering
        • Providence Queen of The Valley
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 707-521-3830
      • Rocklin, California, Forenede Stater, 95765
      • Sacramento, California, Forenede Stater, 95816
      • San Luis Obispo, California, Forenede Stater, 93401
        • Rekruttering
        • Pacific Central Coast Health Center-San Luis Obispo
        • Ledende efterforsker:
          • Loretta J. Nastoupil
        • Kontakt:
      • Santa Cruz, California, Forenede Stater, 95065
        • Rekruttering
        • Dominican Santa Cruz Hospital
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 831-462-7770
        • Ledende efterforsker:
          • Loretta J. Nastoupil
      • Santa Maria, California, Forenede Stater, 93444
      • Santa Rosa, California, Forenede Stater, 95403
        • Rekruttering
        • Providence Medical Foundation - Santa Rosa
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 707-521-3830
      • Santa Rosa, California, Forenede Stater, 95405
        • Rekruttering
        • Providence Santa Rosa Memorial Hospital
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 707-521-3830
      • Stockton, California, Forenede Stater, 95204
        • Rekruttering
        • Saint Joseph's Medical Center
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 209-461-5257
        • Ledende efterforsker:
          • Loretta J. Nastoupil
      • Stockton, California, Forenede Stater, 95204
        • Rekruttering
        • Stockton Hematology Oncology Medical Group
        • Ledende efterforsker:
          • Loretta J. Nastoupil
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 209-466-2626
      • Woodland, California, Forenede Stater, 95695
    • Colorado
      • Colorado Springs, Colorado, Forenede Stater, 80907
      • Colorado Springs, Colorado, Forenede Stater, 80907
      • Colorado Springs, Colorado, Forenede Stater, 80923
      • Durango, Colorado, Forenede Stater, 81301
      • Durango, Colorado, Forenede Stater, 81301
      • Lakewood, Colorado, Forenede Stater, 80228
        • Rekruttering
        • CommonSpirit Saint Anthony Hospital Cancer Center
        • Ledende efterforsker:
          • Loretta J. Nastoupil
        • Kontakt:
      • Longmont, Colorado, Forenede Stater, 80501
      • Pueblo, Colorado, Forenede Stater, 81004
      • Westminster, Colorado, Forenede Stater, 80023
    • Delaware
      • Wilmington, Delaware, Forenede Stater, 19803
        • Rekruttering
        • Alfred I duPont Hospital for Children
        • Kontakt:
        • Ledende efterforsker:
          • Emi H. Caywood
    • Florida
      • Fort Lauderdale, Florida, Forenede Stater, 33308
      • Orlando, Florida, Forenede Stater, 32806
        • Rekruttering
        • Arnold Palmer Hospital for Children
        • Kontakt:
        • Ledende efterforsker:
          • Michelle Amit
      • Orlando, Florida, Forenede Stater, 32827
        • Rekruttering
        • Nemours Children's Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Emi H. Caywood
      • Pensacola, Florida, Forenede Stater, 32504
        • Rekruttering
        • Nemours Children's Clinic - Pensacola
        • Kontakt:
        • Ledende efterforsker:
          • Jeffrey H. Schwartz
    • Georgia
      • Augusta, Georgia, Forenede Stater, 30912
        • Rekruttering
        • Augusta University Medical Center
        • Kontakt:
        • Ledende efterforsker:
          • Anand P. Jillella
    • Hawaii
      • Honolulu, Hawaii, Forenede Stater, 96826
        • Rekruttering
        • Kapiolani Medical Center for Women and Children
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 808-983-6090
        • Ledende efterforsker:
          • Wade T. Kyono
    • Idaho
      • Boise, Idaho, Forenede Stater, 83712
        • Rekruttering
        • Saint Luke's Cancer Institute - Boise
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
      • Boise, Idaho, Forenede Stater, 83706
        • Rekruttering
        • Saint Alphonsus Cancer Care Center-Boise
        • Kontakt:
        • Ledende efterforsker:
          • Rose A. Juhasz
      • Caldwell, Idaho, Forenede Stater, 83605
        • Rekruttering
        • Saint Alphonsus Cancer Care Center-Caldwell
        • Kontakt:
        • Ledende efterforsker:
          • Rose A. Juhasz
      • Coeur d'Alene, Idaho, Forenede Stater, 83814
        • Rekruttering
        • Kootenai Health - Coeur d'Alene
        • Ledende efterforsker:
          • John M. Schallenkamp
        • Kontakt:
      • Fruitland, Idaho, Forenede Stater, 83619
        • Rekruttering
        • Saint Luke's Cancer Institute - Fruitland
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
      • Meridian, Idaho, Forenede Stater, 83642
        • Rekruttering
        • Idaho Urologic Institute-Meridian
        • Kontakt:
        • Ledende efterforsker:
          • Rose A. Juhasz
      • Meridian, Idaho, Forenede Stater, 83642
        • Rekruttering
        • Saint Luke's Cancer Institute - Meridian
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
      • Nampa, Idaho, Forenede Stater, 83687
        • Rekruttering
        • Saint Luke's Cancer Institute - Nampa
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
      • Nampa, Idaho, Forenede Stater, 83687
        • Rekruttering
        • Saint Alphonsus Cancer Care Center-Nampa
        • Kontakt:
        • Ledende efterforsker:
          • Rose A. Juhasz
      • Post Falls, Idaho, Forenede Stater, 83854
        • Rekruttering
        • Kootenai Clinic Cancer Services - Post Falls
        • Ledende efterforsker:
          • John M. Schallenkamp
        • Kontakt:
      • Sandpoint, Idaho, Forenede Stater, 83864
        • Rekruttering
        • Kootenai Clinic Cancer Services - Sandpoint
        • Ledende efterforsker:
          • John M. Schallenkamp
        • Kontakt:
      • Twin Falls, Idaho, Forenede Stater, 83301
        • Rekruttering
        • Saint Luke's Cancer Institute - Twin Falls
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
    • Illinois
      • Alton, Illinois, Forenede Stater, 62002
        • Rekruttering
        • OSF Saint Anthony's Health Center
        • Ledende efterforsker:
          • Jay W. Carlson
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 618-463-5623
      • Aurora, Illinois, Forenede Stater, 60506
        • Rekruttering
        • Advocate Outpatient Center - Aurora
        • Ledende efterforsker:
          • Sigrun Hallmeyer
        • Kontakt:
      • Barrington, Illinois, Forenede Stater, 60010
        • Rekruttering
        • Advocate Good Shepherd Hospital
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 847-842-4847
        • Ledende efterforsker:
          • Sigrun Hallmeyer
      • Bloomington, Illinois, Forenede Stater, 61704
        • Rekruttering
        • Illinois CancerCare-Bloomington
        • Kontakt:
        • Ledende efterforsker:
          • Bryan A. Faller
      • Canton, Illinois, Forenede Stater, 61520
        • Rekruttering
        • Illinois CancerCare-Canton
        • Kontakt:
        • Ledende efterforsker:
          • Bryan A. Faller
      • Carbondale, Illinois, Forenede Stater, 62902
        • Rekruttering
        • Memorial Hospital of Carbondale
        • Ledende efterforsker:
          • Bryan A. Faller
        • Kontakt:
      • Carterville, Illinois, Forenede Stater, 62918
        • Rekruttering
        • SIH Cancer Institute
        • Ledende efterforsker:
          • Bryan A. Faller
        • Kontakt:
      • Carthage, Illinois, Forenede Stater, 62321
        • Rekruttering
        • Illinois CancerCare-Carthage
        • Kontakt:
        • Ledende efterforsker:
          • Bryan A. Faller
      • Centralia, Illinois, Forenede Stater, 62801
        • Rekruttering
        • Centralia Oncology Clinic
        • Ledende efterforsker:
          • Bryan A. Faller
        • Kontakt:
      • Centralia, Illinois, Forenede Stater, 62801
        • Suspenderet
        • Saint Mary's Hospital
      • Chicago, Illinois, Forenede Stater, 60657
        • Rekruttering
        • Advocate Illinois Masonic Medical Center
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 773-296-5360
        • Ledende efterforsker:
          • Sigrun Hallmeyer
      • Crystal Lake, Illinois, Forenede Stater, 60014
        • Rekruttering
        • AMG Crystal Lake - Oncology
        • Kontakt:
        • Ledende efterforsker:
          • Sigrun Hallmeyer
      • Danville, Illinois, Forenede Stater, 61832
        • Rekruttering
        • Carle at The Riverfront
        • Ledende efterforsker:
          • Kendrith M. Rowland
        • Kontakt:
      • Decatur, Illinois, Forenede Stater, 62526
        • Rekruttering
        • Cancer Care Specialists of Illinois - Decatur
        • Ledende efterforsker:
          • Bryan A. Faller
        • Kontakt:
      • Decatur, Illinois, Forenede Stater, 62526
        • Rekruttering
        • Decatur Memorial Hospital
        • Ledende efterforsker:
          • Bryan A. Faller
        • Kontakt:
      • Dixon, Illinois, Forenede Stater, 61021
        • Rekruttering
        • Illinois CancerCare-Dixon
        • Ledende efterforsker:
          • Bryan A. Faller
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 815-285-7800
      • Downers Grove, Illinois, Forenede Stater, 60515
        • Rekruttering
        • Advocate Good Samaritan Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Sigrun Hallmeyer
      • Effingham, Illinois, Forenede Stater, 62401
        • Rekruttering
        • Carle Physician Group-Effingham
        • Kontakt:
        • Ledende efterforsker:
          • Kendrith M. Rowland
      • Effingham, Illinois, Forenede Stater, 62401
        • Rekruttering
        • Crossroads Cancer Center
        • Ledende efterforsker:
          • Bryan A. Faller
        • Kontakt:
      • Elgin, Illinois, Forenede Stater, 60123
        • Rekruttering
        • Advocate Sherman Hospital
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 847-429-2907
        • Ledende efterforsker:
          • Sigrun Hallmeyer
      • Eureka, Illinois, Forenede Stater, 61530
        • Rekruttering
        • Illinois CancerCare-Eureka
        • Kontakt:
        • Ledende efterforsker:
          • Bryan A. Faller
      • Galesburg, Illinois, Forenede Stater, 61401
        • Rekruttering
        • Illinois CancerCare-Galesburg
        • Kontakt:
        • Ledende efterforsker:
          • Bryan A. Faller
      • Hazel Crest, Illinois, Forenede Stater, 60429
        • Rekruttering
        • Advocate South Suburban Hospital
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 708-799-9995
        • Ledende efterforsker:
          • Sigrun Hallmeyer
      • Kewanee, Illinois, Forenede Stater, 61443
        • Rekruttering
        • Illinois CancerCare-Kewanee Clinic
        • Kontakt:
        • Ledende efterforsker:
          • Bryan A. Faller
      • Libertyville, Illinois, Forenede Stater, 60048
        • Rekruttering
        • AMG Libertyville - Oncology
        • Kontakt:
        • Ledende efterforsker:
          • Sigrun Hallmeyer
      • Libertyville, Illinois, Forenede Stater, 60048
        • Rekruttering
        • Condell Memorial Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Sigrun Hallmeyer
      • Macomb, Illinois, Forenede Stater, 61455
        • Rekruttering
        • Illinois CancerCare-Macomb
        • Kontakt:
        • Ledende efterforsker:
          • Bryan A. Faller
      • Mattoon, Illinois, Forenede Stater, 61938
        • Rekruttering
        • Carle Physician Group-Mattoon/Charleston
        • Kontakt:
        • Ledende efterforsker:
          • Kendrith M. Rowland
      • Mount Vernon, Illinois, Forenede Stater, 62864
        • Rekruttering
        • SSM Health Good Samaritan
        • Ledende efterforsker:
          • Jay W. Carlson
        • Kontakt:
      • Normal, Illinois, Forenede Stater, 61761
        • Rekruttering
        • Carle BroMenn Medical Center
        • Ledende efterforsker:
          • Kendrith M. Rowland
        • Kontakt:
      • Normal, Illinois, Forenede Stater, 61761
        • Rekruttering
        • Carle Cancer Institute Normal
        • Ledende efterforsker:
          • Kendrith M. Rowland
        • Kontakt:
      • O'Fallon, Illinois, Forenede Stater, 62269
        • Rekruttering
        • Cancer Care Center of O'Fallon
        • Ledende efterforsker:
          • Bryan A. Faller
        • Kontakt:
      • O'Fallon, Illinois, Forenede Stater, 62269
        • Rekruttering
        • HSHS Saint Elizabeth's Hospital
        • Ledende efterforsker:
          • Bryan A. Faller
        • Kontakt:
      • Oak Lawn, Illinois, Forenede Stater, 60453-2699
        • Rekruttering
        • Advocate Christ Medical Center
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 800-323-8622
        • Ledende efterforsker:
          • Sigrun Hallmeyer
      • Oak Lawn, Illinois, Forenede Stater, 60453
        • Rekruttering
        • Advocate Outpatient Center - Oak Lawn
        • Ledende efterforsker:
          • Sigrun Hallmeyer
        • Kontakt:
      • Ottawa, Illinois, Forenede Stater, 61350
        • Rekruttering
        • Illinois CancerCare-Ottawa Clinic
        • Kontakt:
        • Ledende efterforsker:
          • Bryan A. Faller
      • Palos Heights, Illinois, Forenede Stater, 60463
        • Rekruttering
        • Advocate High Tech Medical Park
        • Ledende efterforsker:
          • Sigrun Hallmeyer
        • Kontakt:
      • Park Ridge, Illinois, Forenede Stater, 60068
        • Rekruttering
        • Advocate Lutheran General Hospital
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 847-384-3621
        • Ledende efterforsker:
          • Sigrun Hallmeyer
      • Pekin, Illinois, Forenede Stater, 61554
        • Rekruttering
        • Illinois CancerCare-Pekin
        • Kontakt:
        • Ledende efterforsker:
          • Bryan A. Faller
      • Peoria, Illinois, Forenede Stater, 61615
        • Rekruttering
        • Illinois CancerCare-Peoria
        • Kontakt:
        • Ledende efterforsker:
          • Bryan A. Faller
      • Peoria, Illinois, Forenede Stater, 61636
        • Rekruttering
        • Methodist Medical Center of Illinois
        • Kontakt:
        • Ledende efterforsker:
          • Bryan A. Faller
      • Peru, Illinois, Forenede Stater, 61354
        • Rekruttering
        • Illinois CancerCare-Peru
        • Kontakt:
        • Ledende efterforsker:
          • Bryan A. Faller
      • Peru, Illinois, Forenede Stater, 61354
        • Rekruttering
        • Valley Radiation Oncology
        • Ledende efterforsker:
          • Bryan A. Faller
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 815-664-4141
      • Princeton, Illinois, Forenede Stater, 61356
        • Rekruttering
        • Illinois CancerCare-Princeton
        • Kontakt:
        • Ledende efterforsker:
          • Bryan A. Faller
      • Springfield, Illinois, Forenede Stater, 62702
        • Rekruttering
        • Southern Illinois University School of Medicine
        • Ledende efterforsker:
          • Bryan A. Faller
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 217-545-7929
      • Springfield, Illinois, Forenede Stater, 62702
        • Rekruttering
        • Springfield Clinic
        • Ledende efterforsker:
          • Bryan A. Faller
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 800-444-7541
      • Springfield, Illinois, Forenede Stater, 62781
        • Rekruttering
        • Springfield Memorial Hospital
        • Ledende efterforsker:
          • Bryan A. Faller
        • Kontakt:
      • Urbana, Illinois, Forenede Stater, 61801
        • Rekruttering
        • Carle Cancer Center
        • Kontakt:
        • Ledende efterforsker:
          • Kendrith M. Rowland
      • Washington, Illinois, Forenede Stater, 61571
        • Rekruttering
        • Illinois CancerCare - Washington
        • Kontakt:
        • Ledende efterforsker:
          • Bryan A. Faller
    • Iowa
      • Ankeny, Iowa, Forenede Stater, 50023
        • Rekruttering
        • UI Health Care Mission Cancer and Blood - Ankeny Clinic
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 515-241-3305
        • Ledende efterforsker:
          • Seema Harichand-Herdt
      • Carroll, Iowa, Forenede Stater, 51401
        • Rekruttering
        • Saint Anthony Regional Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Seema Harichand-Herdt
      • Clive, Iowa, Forenede Stater, 50325
        • Rekruttering
        • Mercy Cancer Center-West Lakes
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 515-241-3305
        • Ledende efterforsker:
          • Richard L. Deming
      • Clive, Iowa, Forenede Stater, 50325
        • Rekruttering
        • UI Health Care Mission Cancer and Blood - West Des Moines Clinic
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 515-241-3305
        • Ledende efterforsker:
          • Seema Harichand-Herdt
      • Creston, Iowa, Forenede Stater, 50801
        • Suspenderet
        • Greater Regional Medical Center
      • Des Moines, Iowa, Forenede Stater, 50314
        • Rekruttering
        • Broadlawns Medical Center
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 515-282-2200
        • Ledende efterforsker:
          • Seema Harichand-Herdt
      • Des Moines, Iowa, Forenede Stater, 50314
        • Rekruttering
        • Mercy Medical Center - Des Moines
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 515-241-3305
        • Ledende efterforsker:
          • Richard L. Deming
      • Des Moines, Iowa, Forenede Stater, 50309
        • Rekruttering
        • Iowa Methodist Medical Center
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 515-241-6727
        • Ledende efterforsker:
          • Seema Harichand-Herdt
      • Des Moines, Iowa, Forenede Stater, 50309
        • Rekruttering
        • UI Health Care Mission Cancer and Blood - Des Moines Clinic
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 515-241-3305
        • Ledende efterforsker:
          • Seema Harichand-Herdt
      • Des Moines, Iowa, Forenede Stater, 50314
        • Rekruttering
        • UI Health Care Mission Cancer and Blood - Laurel Clinic
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 515-241-3305
        • Ledende efterforsker:
          • Seema Harichand-Herdt
      • Fort Dodge, Iowa, Forenede Stater, 50501
        • Rekruttering
        • UI Healthcare Mission Cancer and Blood - Fort Dodge
        • Ledende efterforsker:
          • Seema Harichand-Herdt
        • Kontakt:
      • Pella, Iowa, Forenede Stater, 50219
        • Rekruttering
        • UI Healthcare Mission Cancer and Blood - Pella
        • Ledende efterforsker:
          • Seema Harichand-Herdt
        • Kontakt:
      • Waukee, Iowa, Forenede Stater, 50263
        • Rekruttering
        • UI Health Care Mission Cancer and Blood - Waukee Clinic
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 515-241-3305
        • Ledende efterforsker:
          • Seema Harichand-Herdt
      • West Des Moines, Iowa, Forenede Stater, 50266
        • Rekruttering
        • Mercy Medical Center-West Lakes
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 515-241-3305
        • Ledende efterforsker:
          • Richard L. Deming
      • West Des Moines, Iowa, Forenede Stater, 50266
        • Rekruttering
        • The Iowa Clinic PC
        • Ledende efterforsker:
          • Seema Harichand-Herdt
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 515-875-9815
    • Kansas
      • Garden City, Kansas, Forenede Stater, 67846
        • Rekruttering
        • Central Care Cancer Center - Garden City
        • Ledende efterforsker:
          • Jay W. Carlson
        • Kontakt:
      • Great Bend, Kansas, Forenede Stater, 67530
        • Rekruttering
        • Central Care Cancer Center - Great Bend
        • Ledende efterforsker:
          • Jay W. Carlson
        • Kontakt:
      • Pittsburg, Kansas, Forenede Stater, 66762
        • Rekruttering
        • Mercy Hospital Pittsburg
        • Ledende efterforsker:
          • Jay W. Carlson
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 888-446-3729
    • Kentucky
      • Bardstown, Kentucky, Forenede Stater, 40004
      • Corbin, Kentucky, Forenede Stater, 40701
      • Lexington, Kentucky, Forenede Stater, 40504
      • Lexington, Kentucky, Forenede Stater, 40504
      • Lexington, Kentucky, Forenede Stater, 40509
        • Rekruttering
        • CommonSpirit Saint Joseph Medical Center - East Lexington
        • Ledende efterforsker:
          • Loretta J. Nastoupil
        • Kontakt:
      • London, Kentucky, Forenede Stater, 40741
      • Mount Sterling, Kentucky, Forenede Stater, 40353
        • Rekruttering
        • CommonSpirit Saint Joseph Hospital Mount Sterling
        • Ledende efterforsker:
          • Loretta J. Nastoupil
        • Kontakt:
    • Maine
      • Augusta, Maine, Forenede Stater, 04330
        • Rekruttering
        • Harold Alfond Center for Cancer Care
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 207-626-4855
        • Ledende efterforsker:
          • Kaylee Underkofler
      • Belfast, Maine, Forenede Stater, 04915
        • Rekruttering
        • MaineHealth Waldo Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Kaylee Underkofler
      • Brunswick, Maine, Forenede Stater, 04011
        • Rekruttering
        • MaineHealth Cancer Care and IV Therapy - Brunswick
        • Kontakt:
        • Ledende efterforsker:
          • Kaylee Underkofler
      • Damariscotta, Maine, Forenede Stater, 04543
        • Rekruttering
        • MaineHealth LincolnHealth Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Kaylee Underkofler
      • Norway, Maine, Forenede Stater, 04268
        • Rekruttering
        • MaineHealth Stephens Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Kaylee Underkofler
      • Rockport, Maine, Forenede Stater, 04856
        • Rekruttering
        • Penobscot Bay Medical Center
        • Kontakt:
        • Ledende efterforsker:
          • Kaylee Underkofler
      • Sanford, Maine, Forenede Stater, 04073
        • Rekruttering
        • MaineHealth Cancer Care and IV Therapy - Sanford
        • Kontakt:
        • Ledende efterforsker:
          • Kaylee Underkofler
      • Scarborough, Maine, Forenede Stater, 04074
        • Rekruttering
        • Maine Children's Cancer Program
        • Kontakt:
        • Ledende efterforsker:
          • Kaylee Underkofler
      • Scarborough, Maine, Forenede Stater, 04074
        • Rekruttering
        • MaineHealth Maine Medical Center- Scarborough
        • Kontakt:
        • Ledende efterforsker:
          • Kaylee Underkofler
      • South Portland, Maine, Forenede Stater, 04106
        • Rekruttering
        • MaineHealth Cancer Care and IV Therapy - South Portland
        • Kontakt:
        • Ledende efterforsker:
          • Kaylee Underkofler
    • Michigan
      • Alma, Michigan, Forenede Stater, 48801
        • Rekruttering
        • MyMichigan Medical Center Gratiot
        • Kontakt:
        • Ledende efterforsker:
          • Rose A. Juhasz
      • Alpena, Michigan, Forenede Stater, 49707
        • Rekruttering
        • MyMichigan Medical Center Alpena
        • Kontakt:
        • Ledende efterforsker:
          • Rose A. Juhasz
      • Ann Arbor, Michigan, Forenede Stater, 48106
        • Rekruttering
        • Trinity Health Saint Joseph Mercy Hospital Ann Arbor
        • Kontakt:
        • Ledende efterforsker:
          • Rose A. Juhasz
      • Ann Arbor, Michigan, Forenede Stater, 48103
      • Brighton, Michigan, Forenede Stater, 48114
        • Rekruttering
        • Trinity Health IHA Medical Group Hematology Oncology - Brighton
        • Kontakt:
        • Ledende efterforsker:
          • Rose A. Juhasz
      • Brighton, Michigan, Forenede Stater, 48114
        • Rekruttering
        • Trinity Health Medical Center - Brighton
        • Kontakt:
        • Ledende efterforsker:
          • Rose A. Juhasz
      • Canton, Michigan, Forenede Stater, 48188
        • Rekruttering
        • Trinity Health IHA Medical Group Hematology Oncology - Canton
        • Kontakt:
        • Ledende efterforsker:
          • Rose A. Juhasz
      • Canton, Michigan, Forenede Stater, 48188
        • Rekruttering
        • Trinity Health Medical Center - Canton
        • Kontakt:
        • Ledende efterforsker:
          • Rose A. Juhasz
      • Chelsea, Michigan, Forenede Stater, 48118
        • Rekruttering
        • Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Rose A. Juhasz
      • Chelsea, Michigan, Forenede Stater, 48118
      • Clarkston, Michigan, Forenede Stater, 48346
        • Rekruttering
        • Hematology Oncology Consultants-Clarkston
        • Kontakt:
        • Ledende efterforsker:
          • Rose A. Juhasz
      • Clarkston, Michigan, Forenede Stater, 48346
        • Rekruttering
        • Trinity Health IHA Medical Group - Primary Care - Clarkston
        • Ledende efterforsker:
          • Rose A. Juhasz
        • Kontakt:
      • Detroit, Michigan, Forenede Stater, 48236
        • Rekruttering
        • Henry Ford Health Saint John Hospital
        • Ledende efterforsker:
          • Rose A. Juhasz
        • Kontakt:
      • East China Township, Michigan, Forenede Stater, 48054
        • Rekruttering
        • Henry Ford River District Hospital
        • Ledende efterforsker:
          • Rose A. Juhasz
        • Kontakt:
      • Escanaba, Michigan, Forenede Stater, 49829
        • Rekruttering
        • OSF Saint Francis Hospital and Medical Group
        • Ledende efterforsker:
          • Anthony J. Jaslowski
        • Kontakt:
      • Flint, Michigan, Forenede Stater, 48503
        • Rekruttering
        • Genesee Hematology Oncology PC
        • Kontakt:
        • Ledende efterforsker:
          • Rose A. Juhasz
      • Flint, Michigan, Forenede Stater, 48503
        • Rekruttering
        • Genesys Hurley Cancer Institute
        • Kontakt:
        • Ledende efterforsker:
          • Rose A. Juhasz
      • Flint, Michigan, Forenede Stater, 48503
        • Rekruttering
        • Hurley Medical Center
        • Kontakt:
        • Ledende efterforsker:
          • Rose A. Juhasz
      • Flint, Michigan, Forenede Stater, 48503
        • Rekruttering
        • Cancer Hematology Centers - Flint
        • Kontakt:
        • Ledende efterforsker:
          • Rose A. Juhasz
      • Gladwin, Michigan, Forenede Stater, 48624
        • Rekruttering
        • MyMichigan Medical Center Gladwin
        • Kontakt:
        • Ledende efterforsker:
          • Rose A. Juhasz
      • Grand Rapids, Michigan, Forenede Stater, 49503
        • Rekruttering
        • Trinity Health Grand Rapids Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Rose A. Juhasz
      • Grosse Pointe Woods, Michigan, Forenede Stater, 48236
        • Rekruttering
        • Henry Ford Saint John Hospital - Breast
        • Kontakt:
        • Ledende efterforsker:
          • Rose A. Juhasz
      • Grosse Pointe Woods, Michigan, Forenede Stater, 48236
        • Rekruttering
        • Henry Ford Saint John Hospital - Academic
        • Ledende efterforsker:
          • Rose A. Juhasz
        • Kontakt:
      • Grosse Pointe Woods, Michigan, Forenede Stater, 48236
        • Rekruttering
        • Henry Ford Saint John Hospital - Van Elslander
        • Ledende efterforsker:
          • Rose A. Juhasz
        • Kontakt:
      • Lansing, Michigan, Forenede Stater, 48912
        • Rekruttering
        • University of Michigan Health - Sparrow Lansing
        • Ledende efterforsker:
          • Rose A. Juhasz
        • Kontakt:
      • Livonia, Michigan, Forenede Stater, 48154
        • Rekruttering
        • Trinity Health Saint Mary Mercy Livonia Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Rose A. Juhasz
      • Macomb, Michigan, Forenede Stater, 48044
        • Rekruttering
        • Henry Ford Warren Hospital - Breast Macomb
        • Ledende efterforsker:
          • Rose A. Juhasz
        • Kontakt:
      • Macomb, Michigan, Forenede Stater, 48044
        • Rekruttering
        • Henry Ford Saint John Hospital - Macomb Medical
        • Ledende efterforsker:
          • Rose A. Juhasz
        • Kontakt:
      • Midland, Michigan, Forenede Stater, 48670
        • Rekruttering
        • MyMichigan Medical Center Midland
        • Kontakt:
        • Ledende efterforsker:
          • Rose A. Juhasz
      • Mount Pleasant, Michigan, Forenede Stater, 48858
        • Rekruttering
        • MyMichigan Medical Center Mount Pleasant
        • Kontakt:
        • Ledende efterforsker:
          • Rose A. Juhasz
      • Muskegon, Michigan, Forenede Stater, 49444
        • Rekruttering
        • Trinity Health Muskegon Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Rose A. Juhasz
      • Norton Shores, Michigan, Forenede Stater, 49444
        • Rekruttering
        • Cancer and Hematology Centers of Western Michigan - Norton Shores
        • Kontakt:
        • Ledende efterforsker:
          • Rose A. Juhasz
      • Pontiac, Michigan, Forenede Stater, 48341
        • Suspenderet
        • Hope Cancer Center
      • Pontiac, Michigan, Forenede Stater, 48341
        • Rekruttering
        • Trinity Health Saint Joseph Mercy Oakland Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Rose A. Juhasz
      • Pontiac, Michigan, Forenede Stater, 48341
        • Rekruttering
        • Michigan Healthcare Professionals Pontiac
        • Ledende efterforsker:
          • Rose A. Juhasz
        • Kontakt:
      • Pontiac, Michigan, Forenede Stater, 48341
        • Rekruttering
        • Trinity Health IHA Medical Group-Alice Gustafson Center
        • Kontakt:
        • Ledende efterforsker:
          • Rose A. Juhasz
      • Saginaw, Michigan, Forenede Stater, 48601
      • Tawas City, Michigan, Forenede Stater, 48764
      • Warren, Michigan, Forenede Stater, 48093
        • Rekruttering
        • Henry Ford Madison Heights Hospital - Breast
        • Ledende efterforsker:
          • Rose A. Juhasz
        • Kontakt:
      • Warren, Michigan, Forenede Stater, 48093
        • Rekruttering
        • Henry Ford Health Warren Hospital
        • Ledende efterforsker:
          • Rose A. Juhasz
        • Kontakt:
      • Warren, Michigan, Forenede Stater, 48093
        • Rekruttering
        • Henry Ford Warren Hospital - GLCMS
        • Ledende efterforsker:
          • Rose A. Juhasz
        • Kontakt:
      • Ypsilanti, Michigan, Forenede Stater, 48106
      • Ypsilanti, Michigan, Forenede Stater, 48197
        • Rekruttering
        • Trinity Health IHA Medical Group Hematology Oncology Ann Arbor Campus
        • Kontakt:
        • Ledende efterforsker:
          • Rose A. Juhasz
    • Minnesota
      • Burnsville, Minnesota, Forenede Stater, 55337
        • Rekruttering
        • Minnesota Oncology - Burnsville
        • Kontakt:
        • Ledende efterforsker:
          • Margaret B. Nolan
      • Coon Rapids, Minnesota, Forenede Stater, 55433
        • Rekruttering
        • Mercy Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Margaret B. Nolan
      • Edina, Minnesota, Forenede Stater, 55435
        • Rekruttering
        • Fairview Southdale Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Margaret B. Nolan
      • Maple Grove, Minnesota, Forenede Stater, 55369
        • Rekruttering
        • Fairview Clinics and Surgery Center Maple Grove
        • Kontakt:
        • Ledende efterforsker:
          • Margaret B. Nolan
      • Maplewood, Minnesota, Forenede Stater, 55109
        • Rekruttering
        • Minnesota Oncology Hematology PA-Maplewood
        • Kontakt:
        • Ledende efterforsker:
          • Margaret B. Nolan
      • Maplewood, Minnesota, Forenede Stater, 55109
        • Rekruttering
        • Saint John's Hospital - Healtheast
        • Kontakt:
        • Ledende efterforsker:
          • Margaret B. Nolan
      • Minneapolis, Minnesota, Forenede Stater, 55407
        • Rekruttering
        • Abbott-Northwestern Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Margaret B. Nolan
      • Minneapolis, Minnesota, Forenede Stater, 55415
        • Rekruttering
        • Hennepin County Medical Center
        • Kontakt:
        • Ledende efterforsker:
          • Margaret B. Nolan
      • Monticello, Minnesota, Forenede Stater, 55362
        • Rekruttering
        • Monticello Cancer Center
        • Kontakt:
        • Ledende efterforsker:
          • Margaret B. Nolan
      • New Ulm, Minnesota, Forenede Stater, 56073
        • Rekruttering
        • New Ulm Medical Center
        • Kontakt:
        • Ledende efterforsker:
          • Margaret B. Nolan
      • Princeton, Minnesota, Forenede Stater, 55371
        • Rekruttering
        • Fairview Northland Medical Center
        • Kontakt:
        • Ledende efterforsker:
          • Margaret B. Nolan
      • Robbinsdale, Minnesota, Forenede Stater, 55422
        • Rekruttering
        • North Memorial Medical Health Center
        • Kontakt:
        • Ledende efterforsker:
          • Margaret B. Nolan
      • Saint Louis Park, Minnesota, Forenede Stater, 55416
        • Rekruttering
        • Park Nicollet Clinic - Saint Louis Park
        • Kontakt:
        • Ledende efterforsker:
          • Margaret B. Nolan
      • Saint Paul, Minnesota, Forenede Stater, 55101
        • Rekruttering
        • Regions Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Margaret B. Nolan
      • Saint Paul, Minnesota, Forenede Stater, 55102
        • Rekruttering
        • United Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Margaret B. Nolan
      • Shakopee, Minnesota, Forenede Stater, 55379
        • Rekruttering
        • Saint Francis Regional Medical Center
        • Kontakt:
        • Ledende efterforsker:
          • Margaret B. Nolan
      • Stillwater, Minnesota, Forenede Stater, 55082
        • Rekruttering
        • Lakeview Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Margaret B. Nolan
      • Waconia, Minnesota, Forenede Stater, 55387
        • Rekruttering
        • Ridgeview Medical Center
        • Kontakt:
        • Ledende efterforsker:
          • Margaret B. Nolan
      • Willmar, Minnesota, Forenede Stater, 56201
        • Rekruttering
        • Rice Memorial Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Margaret B. Nolan
      • Woodbury, Minnesota, Forenede Stater, 55125
        • Rekruttering
        • Minnesota Oncology Hematology PA-Woodbury
        • Kontakt:
        • Ledende efterforsker:
          • Margaret B. Nolan
      • Wyoming, Minnesota, Forenede Stater, 55092
        • Rekruttering
        • Fairview Lakes Medical Center
        • Kontakt:
        • Ledende efterforsker:
          • Margaret B. Nolan
    • Missouri
      • Ballwin, Missouri, Forenede Stater, 63011
        • Rekruttering
        • Mercy Oncology and Hematology - Clayton-Clarkson
        • Ledende efterforsker:
          • Jay W. Carlson
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 888-446-3729
      • Bolivar, Missouri, Forenede Stater, 65613
        • Rekruttering
        • Central Care Cancer Center - Bolivar
        • Ledende efterforsker:
          • Jay W. Carlson
        • Kontakt:
      • Branson, Missouri, Forenede Stater, 65616
        • Rekruttering
        • Cox Cancer Center Branson
        • Ledende efterforsker:
          • Jay W. Carlson
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 417-269-4520
      • Cape Girardeau, Missouri, Forenede Stater, 63703
        • Rekruttering
        • Saint Francis Medical Center
        • Ledende efterforsker:
          • Bryan A. Faller
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 573-334-2230
          • E-mail: sfmc@sfmc.net
      • Cape Girardeau, Missouri, Forenede Stater, 63703
        • Rekruttering
        • Mercy Cancer Center - Cape Girardeau
        • Ledende efterforsker:
          • Jay W. Carlson
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 888-446-3729
      • Farmington, Missouri, Forenede Stater, 63640
        • Rekruttering
        • Parkland Health Center - Farmington
        • Ledende efterforsker:
          • Bryan A. Faller
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 314-996-5569
      • Joplin, Missouri, Forenede Stater, 64804
        • Rekruttering
        • Freeman Health System
        • Ledende efterforsker:
          • Jay W. Carlson
        • Kontakt:
      • Joplin, Missouri, Forenede Stater, 64804
        • Rekruttering
        • Mercy Hospital Joplin
        • Ledende efterforsker:
          • Jay W. Carlson
        • Kontakt:
      • Osage Beach, Missouri, Forenede Stater, 65065
        • Rekruttering
        • Lake Regional Hospital
        • Ledende efterforsker:
          • Jay W. Carlson
        • Kontakt:
      • Rolla, Missouri, Forenede Stater, 65401
        • Rekruttering
        • Mercy Clinic-Rolla-Cancer and Hematology
        • Ledende efterforsker:
          • Jay W. Carlson
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 573-458-6379
      • Rolla, Missouri, Forenede Stater, 65401
        • Rekruttering
        • Phelps Health Delbert Day Cancer Institute
        • Ledende efterforsker:
          • Jay W. Carlson
        • Kontakt:
      • Saint Joseph, Missouri, Forenede Stater, 64506
        • Rekruttering
        • Heartland Regional Medical Center
        • Ledende efterforsker:
          • Jay W. Carlson
        • Kontakt:
      • Sainte Genevieve, Missouri, Forenede Stater, 63670
        • Rekruttering
        • Sainte Genevieve County Memorial Hospital
        • Ledende efterforsker:
          • Bryan A. Faller
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 314-996-5569
      • Springfield, Missouri, Forenede Stater, 65804
        • Rekruttering
        • Mercy Hospital Springfield
        • Ledende efterforsker:
          • Jay W. Carlson
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 417-269-4520
      • Springfield, Missouri, Forenede Stater, 65807
        • Rekruttering
        • CoxHealth South Hospital
        • Ledende efterforsker:
          • Jay W. Carlson
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 417-269-4520
      • St Louis, Missouri, Forenede Stater, 63128
        • Rekruttering
        • Mercy Hospital South
        • Ledende efterforsker:
          • Jay W. Carlson
        • Kontakt:
      • St Louis, Missouri, Forenede Stater, 63141
        • Rekruttering
        • Mercy Hospital Saint Louis
        • Ledende efterforsker:
          • Jay W. Carlson
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 314-251-7066
      • St Louis, Missouri, Forenede Stater, 63131
        • Rekruttering
        • Missouri Baptist Medical Center
        • Ledende efterforsker:
          • Bryan A. Faller
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 314-996-5569
      • St Louis, Missouri, Forenede Stater, 63109
        • Rekruttering
        • Mercy Infusion Center - Chippewa
        • Ledende efterforsker:
          • Jay W. Carlson
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 888-446-3729
      • Sullivan, Missouri, Forenede Stater, 63080
        • Rekruttering
        • Missouri Baptist Sullivan Hospital
        • Ledende efterforsker:
          • Bryan A. Faller
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 314-996-5569
      • Washington, Missouri, Forenede Stater, 63090
        • Rekruttering
        • Mercy Hospital Washington
        • Ledende efterforsker:
          • Jay W. Carlson
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 636-390-1600
    • Montana
      • Anaconda, Montana, Forenede Stater, 59711
        • Rekruttering
        • Community Hospital of Anaconda
        • Ledende efterforsker:
          • John M. Schallenkamp
        • Kontakt:
      • Billings, Montana, Forenede Stater, 59101
        • Rekruttering
        • Billings Clinic Cancer Center
        • Ledende efterforsker:
          • John M. Schallenkamp
        • Kontakt:
      • Bozeman, Montana, Forenede Stater, 59715
        • Rekruttering
        • Bozeman Health Deaconess Hospital
        • Ledende efterforsker:
          • John M. Schallenkamp
        • Kontakt:
      • Great Falls, Montana, Forenede Stater, 59405
        • Rekruttering
        • Great Falls Clinic
        • Ledende efterforsker:
          • John M. Schallenkamp
        • Kontakt:
      • Great Falls, Montana, Forenede Stater, 59405
        • Rekruttering
        • Benefis Sletten Cancer Institute
        • Ledende efterforsker:
          • John M. Schallenkamp
        • Kontakt:
      • Havre, Montana, Forenede Stater, 59501
        • Rekruttering
        • Hi-Line Sletten Cancer Center
        • Ledende efterforsker:
          • John M. Schallenkamp
        • Kontakt:
      • Helena, Montana, Forenede Stater, 59601
        • Rekruttering
        • Benefis Helena Specialty Center
        • Ledende efterforsker:
          • John M. Schallenkamp
        • Kontakt:
      • Kalispell, Montana, Forenede Stater, 59901
        • Rekruttering
        • Logan Health Medical Center
        • Ledende efterforsker:
          • John M. Schallenkamp
        • Kontakt:
      • Missoula, Montana, Forenede Stater, 59802
        • Rekruttering
        • Saint Patrick Hospital - Community Hospital
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
      • Missoula, Montana, Forenede Stater, 59804
        • Rekruttering
        • Community Medical Center
        • Ledende efterforsker:
          • John M. Schallenkamp
        • Kontakt:
    • Nebraska
      • Grand Island, Nebraska, Forenede Stater, 68803
      • Kearney, Nebraska, Forenede Stater, 68847
      • Omaha, Nebraska, Forenede Stater, 68122
      • Omaha, Nebraska, Forenede Stater, 68124
      • Omaha, Nebraska, Forenede Stater, 68130
    • North Carolina
      • Charlotte, North Carolina, Forenede Stater, 28204
        • Rekruttering
        • Novant Health Presbyterian Medical Center
        • Ledende efterforsker:
          • Kimberly S. Strickland
        • Kontakt:
      • Huntersville, North Carolina, Forenede Stater, 28078
        • Rekruttering
        • Novant Health Cancer Institute - Huntersville
        • Ledende efterforsker:
          • Kimberly S. Strickland
        • Kontakt:
      • Huntersville, North Carolina, Forenede Stater, 28078
        • Rekruttering
        • Novant Health Presbyterian Medical Center Huntersville
        • Ledende efterforsker:
          • Kimberly S. Strickland
        • Kontakt:
      • Kernersville, North Carolina, Forenede Stater, 27284
        • Rekruttering
        • Novant Health Cancer Institute - Kernersville
        • Kontakt:
        • Ledende efterforsker:
          • Judith O. Hopkins
      • Matthews, North Carolina, Forenede Stater, 28105
        • Rekruttering
        • Novant Health Cancer Institute - Matthews
        • Ledende efterforsker:
          • Kimberly S. Strickland
        • Kontakt:
      • Matthews, North Carolina, Forenede Stater, 28105
        • Rekruttering
        • Matthews Radiation Oncology Center
        • Ledende efterforsker:
          • Kimberly S. Strickland
        • Kontakt:
      • Mooresville, North Carolina, Forenede Stater, 28117
        • Rekruttering
        • Novant Health Cancer Institute - Mooresville
        • Ledende efterforsker:
          • Kimberly S. Strickland
        • Kontakt:
      • Mount Airy, North Carolina, Forenede Stater, 27030
        • Rekruttering
        • Novant Health Cancer Institute - Mount Airy
        • Kontakt:
        • Ledende efterforsker:
          • Judith O. Hopkins
      • Salisbury, North Carolina, Forenede Stater, 28144
        • Rekruttering
        • Rowan Regional Medical Center
        • Kontakt:
        • Ledende efterforsker:
          • Kimberly S. Strickland
      • Salisbury, North Carolina, Forenede Stater, 28144
        • Rekruttering
        • Novant Health Cancer Institute - Rowan
        • Ledende efterforsker:
          • Kimberly S. Strickland
        • Kontakt:
      • Thomasville, North Carolina, Forenede Stater, 27360
        • Rekruttering
        • Novant Health Cancer Institute - Thomasville
        • Ledende efterforsker:
          • Judith O. Hopkins
        • Kontakt:
      • Wilmington, North Carolina, Forenede Stater, 28401
        • Rekruttering
        • Novant Health New Hanover Regional Medical Center
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 910-342-3000
        • Ledende efterforsker:
          • Lindsey Prochaska
      • Winston-Salem, North Carolina, Forenede Stater, 27103
        • Rekruttering
        • Novant Health Forsyth Medical Center
        • Ledende efterforsker:
          • Judith O. Hopkins
        • Kontakt:
    • Ohio
      • Cincinnati, Ohio, Forenede Stater, 45220
      • Cincinnati, Ohio, Forenede Stater, 45242
      • Cincinnati, Ohio, Forenede Stater, 45247
      • Cincinnati, Ohio, Forenede Stater, 45255
    • Oklahoma
      • Oklahoma City, Oklahoma, Forenede Stater, 73120
        • Rekruttering
        • Mercy Hospital Oklahoma City
        • Ledende efterforsker:
          • Jay W. Carlson
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 405-752-3402
    • Oregon
      • Baker City, Oregon, Forenede Stater, 97814
        • Rekruttering
        • Saint Alphonsus Cancer Care Center-Baker City
        • Kontakt:
        • Ledende efterforsker:
          • Rose A. Juhasz
      • Bend, Oregon, Forenede Stater, 97701
        • Rekruttering
        • Saint Charles Health System
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
      • Clackamas, Oregon, Forenede Stater, 97015
        • Rekruttering
        • Clackamas Radiation Oncology Center
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
      • Coos Bay, Oregon, Forenede Stater, 97420
        • Suspenderet
        • Bay Area Hospital
      • Hood River, Oregon, Forenede Stater, 97031
        • Rekruttering
        • Providence Hood River Memorial Hospital
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
      • Newberg, Oregon, Forenede Stater, 97132
        • Rekruttering
        • Providence Newberg Medical Center
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
      • Ontario, Oregon, Forenede Stater, 97914
        • Rekruttering
        • Saint Alphonsus Cancer Care Center-Ontario
        • Kontakt:
        • Ledende efterforsker:
          • Rose A. Juhasz
      • Oregon City, Oregon, Forenede Stater, 97045
        • Rekruttering
        • Providence Willamette Falls Medical Center
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
      • Portland, Oregon, Forenede Stater, 97213
        • Rekruttering
        • Providence Portland Medical Center
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
      • Portland, Oregon, Forenede Stater, 97225
        • Rekruttering
        • Providence Saint Vincent Medical Center
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
      • Redmond, Oregon, Forenede Stater, 97756
        • Rekruttering
        • Saint Charles Health System-Redmond
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 541-706-2909
    • Pennsylvania
      • Allentown, Pennsylvania, Forenede Stater, 18103
        • Rekruttering
        • Lehigh Valley Hospital-Cedar Crest
        • Kontakt:
        • Ledende efterforsker:
          • Rose A. Juhasz
      • Bethlehem, Pennsylvania, Forenede Stater, 18017
        • Rekruttering
        • Lehigh Valley Hospital - Muhlenberg
        • Kontakt:
        • Ledende efterforsker:
          • Rose A. Juhasz
      • East Stroudsburg, Pennsylvania, Forenede Stater, 18301
        • Rekruttering
        • Pocono Medical Center
        • Kontakt:
        • Ledende efterforsker:
          • Rose A. Juhasz
      • Hazleton, Pennsylvania, Forenede Stater, 18201
        • Rekruttering
        • Lehigh Valley Hospital-Hazleton
        • Kontakt:
        • Ledende efterforsker:
          • Rose A. Juhasz
    • South Carolina
      • Charleston, South Carolina, Forenede Stater, 29425
        • Rekruttering
        • Medical University of South Carolina
        • Kontakt:
        • Ledende efterforsker:
          • Kevin S. Hughes
    • Texas
      • San Antonio, Texas, Forenede Stater, 78229
        • Rekruttering
        • University of Texas Health Science Center at San Antonio
        • Kontakt:
        • Ledende efterforsker:
          • Anne-Marie R. Langevin
    • Virginia
      • Mechanicsville, Virginia, Forenede Stater, 23116
        • Rekruttering
        • Bon Secours Memorial Regional Medical Center
        • Kontakt:
        • Ledende efterforsker:
          • William J. Irvin
      • Midlothian, Virginia, Forenede Stater, 23114
        • Rekruttering
        • Bon Secours Saint Francis Medical Center
        • Kontakt:
        • Ledende efterforsker:
          • William J. Irvin
      • Richmond, Virginia, Forenede Stater, 23235
        • Rekruttering
        • VCU Massey Cancer Center at Stony Point
        • Kontakt:
        • Ledende efterforsker:
          • Mary H. Hackney
      • Richmond, Virginia, Forenede Stater, 23226
        • Rekruttering
        • Bon Secours Saint Mary's Hospital
        • Kontakt:
        • Ledende efterforsker:
          • William J. Irvin
      • Richmond, Virginia, Forenede Stater, 23298
        • Rekruttering
        • VCU Massey Comprehensive Cancer Center
        • Ledende efterforsker:
          • Mary H. Hackney
        • Kontakt:
      • South Hill, Virginia, Forenede Stater, 23970
        • Rekruttering
        • VCU Community Memorial Health Center
        • Kontakt:
        • Ledende efterforsker:
          • Mary H. Hackney
    • Washington
      • Aberdeen, Washington, Forenede Stater, 98520
        • Rekruttering
        • Providence Regional Cancer System-Aberdeen
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
      • Bellingham, Washington, Forenede Stater, 98225
        • Rekruttering
        • PeaceHealth Saint Joseph Medical Center
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
      • Centralia, Washington, Forenede Stater, 98531
        • Rekruttering
        • Providence Regional Cancer System-Centralia
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
      • Edmonds, Washington, Forenede Stater, 98026
        • Rekruttering
        • Swedish Cancer Institute-Edmonds
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
      • Everett, Washington, Forenede Stater, 98201
        • Rekruttering
        • Providence Regional Cancer Partnership
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
      • Everett, Washington, Forenede Stater, 98201
        • Rekruttering
        • Providence Swedish Cancer Institute
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 855-922-6237
      • Issaquah, Washington, Forenede Stater, 98029
        • Rekruttering
        • Swedish Cancer Institute-Issaquah
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
      • Kennewick, Washington, Forenede Stater, 99336
        • Rekruttering
        • Kadlec Clinic Hematology and Oncology
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
      • Lacey, Washington, Forenede Stater, 98503
        • Rekruttering
        • Providence Regional Cancer System-Lacey
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
      • Longview, Washington, Forenede Stater, 98632
        • Rekruttering
        • PeaceHealth Saint John Medical Center
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
      • Mount Vernon, Washington, Forenede Stater, 98274
      • Seattle, Washington, Forenede Stater, 98122
        • Rekruttering
        • Swedish Medical Center-First Hill
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
      • Seattle, Washington, Forenede Stater, 98107
        • Rekruttering
        • Swedish Medical Center-Ballard Campus
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
      • Seattle, Washington, Forenede Stater, 98122-5711
        • Rekruttering
        • Swedish Medical Center-Cherry Hill
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
      • Sedro-Woolley, Washington, Forenede Stater, 98284
        • Rekruttering
        • PeaceHealth United General Medical Center
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
      • Silverdale, Washington, Forenede Stater, 98383
        • Rekruttering
        • Saint Joseph Medical Center Hematology and Oncology - Silverdale
        • Ledende efterforsker:
          • Loretta J. Nastoupil
        • Kontakt:
      • Spokane, Washington, Forenede Stater, 99202
        • Rekruttering
        • Cancer Care Northwest - Spokane South
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
      • Spokane, Washington, Forenede Stater, 99216
        • Rekruttering
        • Cancer Care Northwest-Valley
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
      • Spokane, Washington, Forenede Stater, 99218
        • Rekruttering
        • Cancer Care Northwest-North Spokane
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
      • Vancouver, Washington, Forenede Stater, 98664
        • Rekruttering
        • PeaceHealth Southwest Medical Center
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
      • Walla Walla, Washington, Forenede Stater, 99362
        • Rekruttering
        • Providence Saint Mary Regional Cancer Center
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
    • Wisconsin
      • Burlington, Wisconsin, Forenede Stater, 53105
        • Rekruttering
        • Aurora Cancer Care-Southern Lakes VLCC
        • Kontakt:
        • Ledende efterforsker:
          • Sigrun Hallmeyer
      • Cudahy, Wisconsin, Forenede Stater, 53110
        • Rekruttering
        • Aurora Saint Luke's South Shore
        • Kontakt:
        • Ledende efterforsker:
          • Sigrun Hallmeyer
      • Germantown, Wisconsin, Forenede Stater, 53022
        • Rekruttering
        • Aurora Health Care Germantown Health Center
        • Kontakt:
        • Ledende efterforsker:
          • Sigrun Hallmeyer
      • Grafton, Wisconsin, Forenede Stater, 53024
        • Rekruttering
        • Aurora Cancer Care-Grafton
        • Kontakt:
        • Ledende efterforsker:
          • Sigrun Hallmeyer
      • Green Bay, Wisconsin, Forenede Stater, 54311
        • Rekruttering
        • Aurora BayCare Medical Center
        • Kontakt:
        • Ledende efterforsker:
          • Sigrun Hallmeyer
      • Green Bay, Wisconsin, Forenede Stater, 54301
        • Rekruttering
        • Saint Vincent Hospital Cancer Center Green Bay
        • Ledende efterforsker:
          • Anthony J. Jaslowski
        • Kontakt:
      • Green Bay, Wisconsin, Forenede Stater, 54303
        • Rekruttering
        • Saint Vincent Hospital Cancer Center at Saint Mary's
        • Ledende efterforsker:
          • Anthony J. Jaslowski
        • Kontakt:
      • Kenosha, Wisconsin, Forenede Stater, 53142
        • Rekruttering
        • Aurora Cancer Care-Kenosha South
        • Kontakt:
        • Ledende efterforsker:
          • Sigrun Hallmeyer
      • Marinette, Wisconsin, Forenede Stater, 54143
        • Rekruttering
        • Aurora Bay Area Medical Group-Marinette
        • Kontakt:
        • Ledende efterforsker:
          • Sigrun Hallmeyer
      • Milwaukee, Wisconsin, Forenede Stater, 53209
        • Rekruttering
        • Aurora Cancer Care-Milwaukee
        • Kontakt:
        • Ledende efterforsker:
          • Sigrun Hallmeyer
      • Milwaukee, Wisconsin, Forenede Stater, 53215
        • Rekruttering
        • Aurora Saint Luke's Medical Center
        • Kontakt:
        • Ledende efterforsker:
          • Sigrun Hallmeyer
      • Milwaukee, Wisconsin, Forenede Stater, 53233
        • Rekruttering
        • Aurora Sinai Medical Center
        • Kontakt:
        • Ledende efterforsker:
          • Sigrun Hallmeyer
      • New Richmond, Wisconsin, Forenede Stater, 54017
        • Rekruttering
        • Cancer Center of Western Wisconsin
        • Kontakt:
        • Ledende efterforsker:
          • Margaret B. Nolan
      • Oconto Falls, Wisconsin, Forenede Stater, 54154
        • Rekruttering
        • Saint Vincent Hospital Cancer Center at Oconto Falls
        • Ledende efterforsker:
          • Anthony J. Jaslowski
        • Kontakt:
      • Oshkosh, Wisconsin, Forenede Stater, 54904
        • Rekruttering
        • Vince Lombardi Cancer Clinic - Oshkosh
        • Kontakt:
        • Ledende efterforsker:
          • Sigrun Hallmeyer
      • Racine, Wisconsin, Forenede Stater, 53406
        • Rekruttering
        • Aurora Cancer Care-Racine
        • Kontakt:
        • Ledende efterforsker:
          • Sigrun Hallmeyer
      • Sheboygan, Wisconsin, Forenede Stater, 53081
        • Rekruttering
        • Vince Lombardi Cancer Clinic-Sheboygan
        • Kontakt:
        • Ledende efterforsker:
          • Sigrun Hallmeyer
      • Sheboygan, Wisconsin, Forenede Stater, 53081
        • Rekruttering
        • Saint Vincent Hospital Cancer Center at Sheboygan
        • Ledende efterforsker:
          • Anthony J. Jaslowski
        • Kontakt:
      • Sheboygan, Wisconsin, Forenede Stater, 53081
        • Rekruttering
        • Sheboygan Physicians Group
        • Ledende efterforsker:
          • Anthony J. Jaslowski
        • Kontakt:
      • Sturgeon Bay, Wisconsin, Forenede Stater, 54235-1495
        • Rekruttering
        • Saint Vincent Hospital Cancer Center at Sturgeon Bay
        • Ledende efterforsker:
          • Anthony J. Jaslowski
        • Kontakt:
      • Summit, Wisconsin, Forenede Stater, 53066
        • Rekruttering
        • Aurora Medical Center in Summit
        • Kontakt:
        • Ledende efterforsker:
          • Sigrun Hallmeyer
      • Two Rivers, Wisconsin, Forenede Stater, 54241
        • Rekruttering
        • Vince Lombardi Cancer Clinic-Two Rivers
        • Kontakt:
        • Ledende efterforsker:
          • Sigrun Hallmeyer
      • Wauwatosa, Wisconsin, Forenede Stater, 53226
        • Rekruttering
        • Aurora Cancer Care-Milwaukee West
        • Kontakt:
        • Ledende efterforsker:
          • Sigrun Hallmeyer
      • West Allis, Wisconsin, Forenede Stater, 53227
        • Rekruttering
        • Aurora West Allis Medical Center
        • Kontakt:
        • Ledende efterforsker:
          • Sigrun Hallmeyer
    • Wyoming
      • Cheyenne, Wyoming, Forenede Stater, 82001
        • Rekruttering
        • Memorial Hospital of Laramie County
        • Ledende efterforsker:
          • John M. Schallenkamp
        • Kontakt:
      • Cody, Wyoming, Forenede Stater, 82414
        • Rekruttering
        • Billings Clinic-Cody
        • Ledende efterforsker:
          • John M. Schallenkamp
        • Kontakt:

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ja

Køn, der er berettiget til at studere

Alle

Beskrivelse

  • PATIENTS: Age ≥ 18 years and ≤ 39 years at the time of enrollment
  • PATIENTS: AYA cancer patients and survivors. This includes patients at any stage of diagnosis (e.g., newly diagnosed, in treatment, in survivorship) and a cancer diagnosis (including pediatric cancers) at any age ≤ 39 years old. Given targeted therapies for BRCA+ and microsatellite instability (MSI)-high/Lynch Syndrome patients and benefit to relatives, patients with metastatic cancer are included. Any history of cancer, regardless of being in treatment or not
  • PATIENTS: Language: In order to complete the mandatory patient-completed measures and receive genetic education and counseling, participants must be able to speak and read English or Spanish
  • PATIENTS: No known diagnosis of dementia or cognitive impairment. Persons with impaired decision-making capacity are ineligible as they need to be able to understand genetic test results, its implications for the patient and family, and explain genetic test results to their family members
  • PATIENTS: No persons with a known psychiatric or documented developmental disorder that affects cognitive or emotional functions to the extent that the capacity for judgment and reason is significantly diminished, such that they cannot participate based on the judgment of the treating physician
  • PATIENTS: Participants must meet National Comprehensive Cancer Network (NCCN) guidelines for genetic testing assessment provided by Penn Telegenetics by the Eligibility Verification Assessment (EVA) chatbot, or paper forms and genetic counselor's review
  • NON-PATIENT PARTICIPANT: Non-patient participants eligible for this study include: oncology providers, members of the care team and clinic staff, genetic counselors, and insurers (i.e., people who work in financial services and/or for insurance companies) who participate in oncology care among AYA in community for this study
  • NON-PATIENT PARTICIPANT: Age ≥ 18 years
  • NON-PATIENT PARTICIPANT: Non-patient participants must be able to speak and read English or Spanish in order to participate in the key informant interviews

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Sundhedstjenesteforskning
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Aktiv komparator: Arm I (standard remote genetic services)

Patients attend a standard of care telehealth visit with a genetic counselor for pretest genetic education. Patients then undergo standard of care genetic testing and attend a telehealth visit with a genetic counselor for disclosure of results.

Ancillary studies

Undergo telehealth visit with genetic counselor for pretest genetic education

Complete standard of care genetic testing

Undergo telehealth visit with genetic counselor for disclosure of results

Eksperimentel: Arm II (Genetic Journey Chatbot)

Patients receive access to the Genetic Journey Chatbot and choose to complete digital pre-test genetic education via the digital tool or via telehealth visit with a genetic counselor. Via the chatbot, patients may request a telehealth visit with a genetic counselor at any time to answer unresolved questions. Patients then undergo standard of care genetic testing and attend a telehealth visit with a genetic counselor for disclosure of results. The chatbot remains available to answer questions, assess barriers, and provide reminders for next steps during the testing period.

Ancillary studies

Undergo telehealth visit with genetic counselor for pretest genetic education

Complete standard of care genetic testing

Undergo telehealth visit with genetic counselor for disclosure of results

Receive access to Genetic Journey Chatbot

Complete digital pre-test genetic education

Utilize chatbot to answer questions, assess barriers, and provide reminders for next steps during the testing period

Complete interview

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Uptake of genetic counseling
Tidsramme: Within 6 months of baseline

Defined as a binary outcome of whether an adolescent or young adult (AYA) underwent genetic counseling within 6 months post completion of the baseline survey. Will be compared between randomized arms using Cochran-Mantel-Haenszel (CMH) tests stratified by gender and a Bonferroni correction will be applied to control family-wise type I error.

Within 6 months of baseline
Uptake of genetic testing
Tidsramme: Within 6 months of baseline

Defined as a binary outcome of whether an AYA underwent genetic testing within 6 months post completion of the baseline survey. Will be compared between randomized arms using CMH tests stratified by gender and a Bonferroni correction will be applied to control family-wise type I error.

Within 6 months of baseline

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Knowledge of genetic disease
Tidsramme: Up to 42 months post registration

Obtained from the KnowGene scale. Will be compared using non-inferiority testing with the equivalent of a 0.3 standard deviation (SD) non-inferiority margin. The lower limit of the one-sided 97.5% confidence limit for the difference in means will be compared with the non-inferiority margin and non-inferiority will be concluded if the interval fully lies above -0.3 SD. Longitudinal analyses will include model based analysis using generalized linear models of endpoints over time with link function determined by distribution of the endpoint being modeled and adjusting for baseline patient and disease characteristics.

Up to 42 months post registration
Test result recall
Tidsramme: Up to 42 months post registration

Measured via the Test Result Recall scale. Will be compared using non-inferiority testing with the equivalent of a 0.3 SD non-inferiority margin. The lower limit of the one-sided 97.5% confidence limit for each secondary endpoint at T2 (the primary time point of interest for the secondary analyses) will be compared with the non-inferiority margin and non-inferiority will be concluded if the interval fully lies above -0.3 SD. Longitudinal analyses will include model based analysis using generalized linear models of endpoints over time with link function determined by distribution of the endpoint being modeled and adjusting for baseline patient and disease characteristics.

Up to 42 months post registration
Perceptions of genetic disease
Tidsramme: Up to 42 months post registration

Measured via the Perceived Risk scale. Will be compared using non-inferiority testing with the equivalent of a 0.3 SD non-inferiority margin. The lower limit of the one-sided 97.5% confidence limit for the difference in means will be compared with the non-inferiority margin and non-inferiority will be concluded if the interval fully lies above -0.3 SD. Longitudinal analyses will include model based analysis using generalized linear models of endpoints over time with link function determined by distribution of the endpoint being modeled and adjusting for baseline patient and disease characteristics.

Up to 42 months post registration
Anxiety
Tidsramme: Up to 42 months post registration

Measured via Patient Reported Outcome Measurement Information System (PROMIS) anxiety score. Will be compared using non-inferiority testing with the equivalent of a 0.3 SD non-inferiority margin. The lower limit of the one-sided 97.5% confidence limit for the difference in means will be compared with the non-inferiority margin and non-inferiority will be concluded if the interval fully lies above -0.3 SD. Longitudinal analyses will include model based analysis using generalized linear models of endpoints over time with link function determined by distribution of the endpoint being modeled and adjusting for baseline patient and disease characteristics.

Up to 42 months post registration
Depression
Tidsramme: Up to 42 months post registration

Measured via PROMIS Depression score. Will be compared using non-inferiority testing with the equivalent of a 0.3 SD non-inferiority margin. The lower limit of the one-sided 97.5% confidence limit for the difference in means will be compared with the non-inferiority margin and non-inferiority will be concluded if the interval fully lies above -0.3 SD. Longitudinal analyses will include model based analysis using generalized linear models of endpoints over time with link function determined by distribution of the endpoint being modeled and adjusting for baseline patient and disease characteristics.

Up to 42 months post registration
Disease-specific distress
Tidsramme: Up to 42 months post registration

Measured via the Revised Impact of Events Scale score. Will be compared using non-inferiority testing with the equivalent of a 0.3 SD non-inferiority margin. The lower limit of the one-sided 97.5% confidence limit for the difference in means will be compared with the non-inferiority margin and non-inferiority will be concluded if the interval fully lies above -0.3 SD. Longitudinal analyses will include model based analysis using generalized linear models of endpoints over time with link function determined by distribution of the endpoint being modeled and adjusting for baseline patient and disease characteristics.

Up to 42 months post registration
Impact of cancer risk
Tidsramme: Up to 42 months post registration

Measured via the Multi-dimensional Impact of Cancer Risk Assessment score. Will be compared using non-inferiority testing with the equivalent of a 0.3 SD non-inferiority margin. The lower limit of the one-sided 97.5% confidence limit or each secondary endpoint at T2 (the primary time point of interest for the secondary analyses) will be compared with the non-inferiority margin and non-inferiority will be concluded if the interval fully lies above -0.3 SD. Longitudinal analyses will include model based analysis using generalized linear models of endpoints over time with link function determined by distribution of the endpoint being modeled and adjusting for baseline patient and disease characteristics

Up to 42 months post registration
Satisfaction with genetic services
Tidsramme: Up to 30 months post registration

Measured via the Satisfaction with Genetic Services scale. Will be compared using non-inferiority testing with the equivalent of a 0.3 SD non-inferiority margin. The lower limit of the one-sided 97.5% confidence limit or each secondary endpoint at T2 (the primary time point of interest for the secondary analyses) will be compared with the non-inferiority margin and non-inferiority will be concluded if the interval fully lies above -0.3 SD.

Up to 30 months post registration
Attitude toward genetic testing
Tidsramme: Up to 24 months post registration

Measured via Attitudes Toward Genetic Testing scale. Will be compared using non-inferiority testing with the equivalent of a 0.3 SD non-inferiority margin. The lower limit of the one-sided 97.5% confidence limit or each secondary endpoint at T2 (the primary time point of interest for the secondary analyses) will be compared with the non-inferiority margin and non-inferiority will be concluded if the interval fully lies above -0.3 SD.

Up to 24 months post registration
Lifestyle behaviors
Tidsramme: Up to 42 months post registration

Will be compared using non-inferiority testing with the equivalent of a 0.3 SD non-inferiority margin. The lower limit of the one-sided 97.5% confidence limit for the difference in means will be compared with the non-inferiority margin and non-inferiority will be concluded if the interval fully lies above -0.3 SD. Longitudinal analyses will include model based analysis using generalized linear models of endpoints over time with link function determined by distribution of the endpoint being modeled and adjusting for baseline patient and disease characteristics.

Up to 42 months post registration
Health behaviors
Tidsramme: Up to 42 months post registration

Measured via the Screening Health behaviors score. Will be compared using non-inferiority testing with the equivalent of a 0.3 SD non-inferiority margin. The lower limit of the one-sided 97.5% confidence limit for the difference in means will be compared with the non-inferiority margin and non-inferiority will be concluded if the interval fully lies above -0.3 SD. Longitudinal analyses will include model based analysis using generalized linear models of endpoints over time with link function determined by distribution of the endpoint being modeled and adjusting for baseline patient and disease characteristics.

Up to 42 months post registration
Communication to at-risk relatives
Tidsramme: Up to 42 months post registration

Will be compared using non-inferiority testing with the equivalent of a 0.3 SD non-inferiority margin. The lower limit of the one-sided 97.5% confidence limit for the difference in means will be compared with the non-inferiority margin and non-inferiority will be concluded if the interval fully lies above -0.3 SD. Longitudinal analyses will include model based analysis using generalized linear models of endpoints over time with link function determined by distribution of the endpoint being modeled and adjusting for baseline patient and disease characteristics.

Up to 42 months post registration
Genetic counselor time
Tidsramme: Up to 24 months post registration

o Will be compared using non-inferiority testing with the equivalent of a 0.3 SD non-inferiority margin. The lower limit of the one-sided 97.5% confidence limit for the difference in means will be compared with the non-inferiority margin and non-inferiority will be concluded if the interval fully lies above -0.3 SD. Longitudinal analyses will include model based analysis using generalized linear models of endpoints over time with link function determined by distribution of the endpoint being modeled and adjusting for baseline patient and disease characteristics.

Up to 24 months post registration
Testing costs
Tidsramme: Up to 36 months post registration

Measured by 2 patient reported items

Up to 36 months post registration
Costs of the intervention
Tidsramme: Up to 42 months post registration

o Will be estimated from a societal perspective, including direct medical and nonmedical costs. These include intervention and chatbot hosting, telecommunication services, personnel and patient time. Information to estimate intervention costs collected from study billing and payment records (e.g. website hosting, chatbot usage and time, videoconferencing and phone usage) and telegenetic staff logs (personnel time). The cost of personnel time will be based on institution-specific salaries, including fringe benefits. In sensitivity analysis, will substitute site-specific salary information with national average wage rates for the relevant occupational categories. Information about other out-of-pocket costs for testing (e.g. copayments) will be obtained through participant surveys. Patient time costs will be valued using national average wage rates for participant-specified occupations.

Up to 42 months post registration

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Samarbejdspartnere

Efterforskere

  • Studiestol: Angela Bradbury, MD, Alliance for Clinical Trials in Oncology

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

10. december 2025

Primær færdiggørelse (Anslået)

28. april 2028

Studieafslutning (Anslået)

30. april 2029

Datoer for studieregistrering

Først indsendt

24. juni 2025

Først indsendt, der opfyldte QC-kriterier

21. juli 2025

Først opslået (Faktiske)

29. juli 2025

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

4. november 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

2. november 2026

Sidst verificeret

1. november 2026

Mere information

Begreber relateret til denne undersøgelse

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

UBESLUTET

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ingen

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .