- ICH GCP
- Yhdysvaltain kliinisten tutkimusten rekisteri
- Kliininen tutkimus NCT07809659
CanRisk-Based Ovarian Cancer Risk Assessment Versus Standard Practice (DISARM CSA) (DISARM CSA)
Operationalising Multifactorial Ovarian Cancer Risk Assessment Using the CanRisk Tool Versus Standard Practices.
The purpose of this study is to improve how the risk of developing ovarian cancer is assessed in people who may be at increased risk of ovarian cancer due to their family history or genetic background.
In current clinical practice, ovarian cancer risk assessment usually relies on information about cancer in the family and, in some cases, genetic testing for certain genes known to be associated with ovarian cancer. While this approach is commonly used, the inclusion of additional factors may support more personalised ovarian cancer risk assessment.
This study compares two approaches to ovarian cancer risk assessment:
- Standard clinical practice, which follows current national guidelines, and
- A more personalised risk assessment, which uses a validated tool called CanRisk, recommended by European guidelines, to combine family history, genetic test results, and other factors, including health and lifestyle-related factors.
By comparing these two approaches, the study aims to understand whether the personalised risk assessment tool, CanRisk, can be used in everyday clinical care. To do this, researchers will investigate whether the CanRisk tool is feasible in clinical practice, acceptable to both healthcare professionals and persons receiving a risk assessment, as well as whether it can be delivered in a cost-effective way.
The study does not involve people who have been diagnosed with ovarian cancer. It focuses on individuals who are currently cancer-free and are undergoing assessment because they may have an increased risk of ovarian cancer.
Tutkimuksen yleiskatsaus
Tila
Ehdot
Interventio / Hoito
Yksityiskohtainen kuvaus
Opintotyyppi
Ilmoittautuminen (Arvioitu)
Vaihe
- Ei sovellettavissa
Yhteystiedot ja paikat
Opiskelupaikat
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Athens, Kreikka
- Rekrytointi
- Dept of Clinical Therapeutics, Alexandra Hospital
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Ottaa yhteyttä:
- Michael Liontos
- Puhelinnumero: +302132162845
- Sähköposti: mlionto@med.uoa.gr
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Osallistumiskriteerit
Kelpoisuusvaatimukset
Opintokelpoiset iät
- Aikuinen
- Vanhempi Aikuinen
Hyväksyy terveitä vapaaehtoisia
Kuvaus
Inclusion Criteria:
- Women, trans men, non-binary people with female reproductive organs
- Aged 18 to 75 years
- Referred or self-referred because of a family history suggestive of increased risk for ovarian, fallopian tube or peritoneum cancer, or because a family member has been found to have a PV associated with OC risk
- Able to give informed consent
- Expected to remain in the study catchment area for the duration of follow-up.
Exclusion Criteria:
- Personal history of cancer
- Previously undergone Risk-Reducing Salpingo-Oophorectomy (RRSO)
- Previously undergone multifactorial risk assessment (using CanRisk or another tool) incorporating risk factors, family history and genetic testing (panel +/- PGS)
- Any condition or circumstance that, in the opinion of the investigator, could interfere with the participant's ability to participate or comply with study requirements
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Muut
- Jako: Satunnaistettu
- Inventiomalli: Rinnakkaistehtävä
- Naamiointi: Ei mitään (avoin tarra)
Aseet ja interventiot
Osallistujaryhmä / Arm |
Interventio / Hoito |
|---|---|
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Kokeellinen: CanRisk Intervention
Participants receive ovarian cancer risk assessment using the CanRisk tool incorporating personal and family history, genetic testing results, and a polygenic risk score (PRS), in addition to standard clinical management.
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Risk assessment using the CanRisk tool, incorporating personal and family history, genetic testing results and polygenic risk score (PRS), to provide individualized ovarian cancer risk estimation.
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Active Comparator: Standard Care
Participants receive standard clinical genetic assessment and management according to national clinical practice without CanRisk-guided risk estimation
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Standard clinical genetic counselling, genetic testing and risk assessment according to national clinical practice, without use of the CanRisk tool.
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Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
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Recruitment Rate
Aikaikkuna: Month 12
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Proportion of eligible individuals who consent to enroll in the study.
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Month 12
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Retention Rate
Aikaikkuna: Month 12
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Proportion of enrolled participants who complete the study through final assessment.
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Month 12
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CanRisk Data Completeness
Aikaikkuna: Month 12
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Proportion of CanRisk assessments completed with full data entry.
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Month 12
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Time to Complete CanRisk Assessment vs. Standard Practice
Aikaikkuna: Month 12
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Average time required to complete a CanRisk-based risk assessment compared with standard practice risk assessment.
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Month 12
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Consultation and Assessment Workflow Timelines
Aikaikkuna: Month 12
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Time required for consultation and assessment workflow processes associated with the CanRisk-based assessment.
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Month 12
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Usability of CanRisk (System Usability Scale)
Aikaikkuna: Month 6 & 12
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Usability of the CanRisk tool as rated by healthcare professionals using the System Usability Scale (SUS), assessed at mid-study and end of study.
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Month 6 & 12
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Qualitative Implementation Assessment (CFIR)
Aikaikkuna: Month 12
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Number and type of implementation barriers and facilitators identified through qualitative assessment guided by the Consolidated Framework for Implementation Research (CFIR), at end of study.
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Month 12
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Acceptability by Healthcare Professionals (TFA Questionnaire)
Aikaikkuna: Month 6 &12
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Acceptability of CanRisk-based assessment among healthcare professionals, measured using the Theoretical Framework of Acceptability (TFA) Generic Questionnaire, assessed at mid-study and end of study.
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Month 6 &12
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HCP Satisfaction with CanRisk vs. Standard Practice
Aikaikkuna: Month 6 & 12
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Proportion of healthcare professionals reporting satisfaction with CanRisk versus standard practice assessment, assessed at mid-study and end of study.
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Month 6 & 12
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HCP Willingness to Continue Using CanRisk
Aikaikkuna: Month 6 & 12
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Proportion of healthcare professionals indicating willingness to continue using CanRisk after study completion, assessed at mid-study and end of study.
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Month 6 & 12
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Qualitative Feedback from Healthcare Professionals
Aikaikkuna: Month 12
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Number and type of themes identified from focus groups and/or semi-structured interviews with healthcare professionals, at end of study.
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Month 12
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Acceptability by Study Participants (TFA Questionnaire)
Aikaikkuna: Immediately following delivery of risk assessment results
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Acceptability of risk assessment results among study participants, measured using the TFA Generic Questionnaire, administered immediately after delivery of results.
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Immediately following delivery of risk assessment results
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Incremental Mean Cost per Participant
Aikaikkuna: Month 12
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Incremental mean cost per participant at 12 months, including assessment-related and downstream care costs incurred within follow-up.
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Month 12
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Incremental Cost per Completed Risk Assessment
Aikaikkuna: Month 12
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Incremental cost per completed CanRisk-based risk assessment.
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Month 12
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Incremental Quality-Adjusted Life Years (QALYs)
Aikaikkuna: Month 12
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Incremental quality-adjusted life years accrued over 12 months, comparing CanRisk-based assessment to standard practice.
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Month 12
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Descriptive Subgroup Summaries of Costs and Outcomes
Aikaikkuna: Month 12
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Descriptive summary of costs and outcomes across pre-specified subgroups.
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Month 12
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Yhteistyökumppanit ja tutkijat
Yhteistyökumppanit
Opintojen ennätyspäivät
Opi tärkeimmät päivämäärät
Opiskelun aloitus (Todellinen)
Ensisijainen valmistuminen (Arvioitu)
Opintojen valmistuminen (Arvioitu)
Opintoihin ilmoittautumispäivät
Ensimmäinen lähetetty
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen Lähetetty (Todellinen)
Tutkimustietojen päivitykset
Viimeisin päivitys julkaistu (Todellinen)
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeksi vahvistettu
Lisää tietoa
Tähän tutkimukseen liittyvät termit
Muita asiaankuuluvia MeSH-ehtoja
- Urogenitaaliset sairaudet
- Sukuelinten sairaudet
- Endokriinisen järjestelmän sairaudet
- Urogenitaaliset kasvaimet
- Neoplasmat sivustoittain
- Neoplasmat
- Naisten virtsa- ja sukupuolielinten sairaudet
- Naisten virtsa- ja sukupuolielinten sairaudet ja raskauden komplikaatiot
- Sukuelinten sairaudet, naiset
- Endokriinisten rauhasten kasvaimet
- Munasarjan sairaudet
- Adnexaaliset sairaudet
- Sukuelinten kasvaimet, naiset
- Sukurauhasten häiriöt
- Munasarjan kasvaimet
Muut tutkimustunnusnumerot
- DISARM CSA
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