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Testando um modelo de entrega digital aprimorada para testes genéticos de câncer herdados em adultos jovens com câncer

2 de novembro de 2026 atualizado por: Alliance for Clinical Trials in Oncology

Estudo de Acesso AYA: Um modelo de entrega habilitado para a eHealth e bate-papo aprimorado para serviços genéticos clínicos em pacientes comunitários de câncer de AYA

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.

Visão geral do estudo

Descrição detalhada

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.

Tipo de estudo

Intervencional

Inscrição (Estimado)

535

Estágio

  • Não aplicável

Contactos e Locais

Esta seção fornece os detalhes de contato para aqueles que conduzem o estudo e informações sobre onde este estudo está sendo realizado.

Contato de estudo

Locais de estudo

    • Alaska
      • Anchorage, Alaska, Estados Unidos, 99508
      • Anchorage, Alaska, Estados Unidos, 99508
      • Anchorage, Alaska, Estados Unidos, 99508
      • Anchorage, Alaska, Estados Unidos, 98508
      • Anchorage, Alaska, Estados Unidos, 99508
      • Anchorage, Alaska, Estados Unidos, 99508
      • Fairbanks, Alaska, Estados Unidos, 99701
        • Recrutamento
        • Fairbanks Memorial Hospital
        • Contato:
        • Investigador principal:
          • John M. Schallenkamp
    • Arizona
      • Phoenix, Arizona, Estados Unidos, 85004
    • Arkansas
      • Fort Smith, Arkansas, Estados Unidos, 72903
        • Recrutamento
        • Mercy Hospital Fort Smith
        • Contato:
          • Site Public Contact
          • Número de telefone: 800-378-9373
        • Investigador principal:
          • Jay W. Carlson
      • Little Rock, Arkansas, Estados Unidos, 72205
        • Recrutamento
        • CARTI Cancer Center
        • Investigador principal:
          • Jay W. Carlson
        • Contato:
    • California
      • Arroyo Grande, California, Estados Unidos, 93420
        • Recrutamento
        • Mission Hope Medical Oncology - Arroyo Grande
        • Investigador principal:
          • Loretta J. Nastoupil
        • Contato:
      • Burbank, California, Estados Unidos, 91505
        • Recrutamento
        • Providence Saint Joseph Medical Center/Disney Family Cancer Center
        • Investigador principal:
          • Alison K. Conlin
        • Contato:
      • Carmichael, California, Estados Unidos, 95608
      • Carmichael, California, Estados Unidos, 95608
      • Elk Grove, California, Estados Unidos, 95758
      • Merced, California, Estados Unidos, 95340
      • Napa, California, Estados Unidos, 94558
        • Recrutamento
        • Providence Queen of The Valley
        • Investigador principal:
          • Alison K. Conlin
        • Contato:
          • Site Public Contact
          • Número de telefone: 707-521-3830
      • Rocklin, California, Estados Unidos, 95765
      • Sacramento, California, Estados Unidos, 95816
      • San Luis Obispo, California, Estados Unidos, 93401
        • Recrutamento
        • Pacific Central Coast Health Center-San Luis Obispo
        • Investigador principal:
          • Loretta J. Nastoupil
        • Contato:
      • Santa Cruz, California, Estados Unidos, 95065
        • Recrutamento
        • Dominican Santa Cruz Hospital
        • Contato:
          • Site Public Contact
          • Número de telefone: 831-462-7770
        • Investigador principal:
          • Loretta J. Nastoupil
      • Santa Maria, California, Estados Unidos, 93444
        • Recrutamento
        • Mission Hope Medical Oncology - Santa Maria
        • Investigador principal:
          • Loretta J. Nastoupil
        • Contato:
      • Santa Rosa, California, Estados Unidos, 95403
        • Recrutamento
        • Providence Medical Foundation - Santa Rosa
        • Investigador principal:
          • Alison K. Conlin
        • Contato:
          • Site Public Contact
          • Número de telefone: 707-521-3830
      • Santa Rosa, California, Estados Unidos, 95405
        • Recrutamento
        • Providence Santa Rosa Memorial Hospital
        • Investigador principal:
          • Alison K. Conlin
        • Contato:
          • Site Public Contact
          • Número de telefone: 707-521-3830
      • Stockton, California, Estados Unidos, 95204
        • Recrutamento
        • Saint Joseph's Medical Center
        • Contato:
          • Site Public Contact
          • Número de telefone: 209-461-5257
        • Investigador principal:
          • Loretta J. Nastoupil
      • Stockton, California, Estados Unidos, 95204
        • Recrutamento
        • Stockton Hematology Oncology Medical Group
        • Investigador principal:
          • Loretta J. Nastoupil
        • Contato:
          • Site Public Contact
          • Número de telefone: 209-466-2626
      • Woodland, California, Estados Unidos, 95695
    • Colorado
      • Colorado Springs, Colorado, Estados Unidos, 80907
      • Colorado Springs, Colorado, Estados Unidos, 80907
      • Colorado Springs, Colorado, Estados Unidos, 80923
      • Durango, Colorado, Estados Unidos, 81301
      • Durango, Colorado, Estados Unidos, 81301
      • Lakewood, Colorado, Estados Unidos, 80228
        • Recrutamento
        • CommonSpirit Saint Anthony Hospital Cancer Center
        • Investigador principal:
          • Loretta J. Nastoupil
        • Contato:
      • Longmont, Colorado, Estados Unidos, 80501
      • Pueblo, Colorado, Estados Unidos, 81004
      • Westminster, Colorado, Estados Unidos, 80023
    • Delaware
      • Wilmington, Delaware, Estados Unidos, 19803
        • Recrutamento
        • Alfred I duPont Hospital for Children
        • Contato:
        • Investigador principal:
          • Emi H. Caywood
    • Florida
      • Fort Lauderdale, Florida, Estados Unidos, 33308
      • Orlando, Florida, Estados Unidos, 32806
        • Recrutamento
        • Arnold Palmer Hospital for Children
        • Contato:
        • Investigador principal:
          • Michelle Amit
      • Orlando, Florida, Estados Unidos, 32827
        • Recrutamento
        • Nemours Children's Hospital
        • Contato:
        • Investigador principal:
          • Emi H. Caywood
      • Pensacola, Florida, Estados Unidos, 32504
        • Recrutamento
        • Nemours Children's Clinic - Pensacola
        • Contato:
        • Investigador principal:
          • Jeffrey H. Schwartz
    • Georgia
      • Augusta, Georgia, Estados Unidos, 30912
        • Recrutamento
        • Augusta University Medical Center
        • Contato:
        • Investigador principal:
          • Anand P. Jillella
    • Hawaii
      • Honolulu, Hawaii, Estados Unidos, 96826
        • Recrutamento
        • Kapiolani Medical Center for Women and Children
        • Contato:
          • Site Public Contact
          • Número de telefone: 808-983-6090
        • Investigador principal:
          • Wade T. Kyono
    • Idaho
      • Boise, Idaho, Estados Unidos, 83712
        • Recrutamento
        • Saint Luke's Cancer Institute - Boise
        • Investigador principal:
          • Alison K. Conlin
        • Contato:
      • Boise, Idaho, Estados Unidos, 83706
        • Recrutamento
        • Saint Alphonsus Cancer Care Center-Boise
        • Contato:
        • Investigador principal:
          • Rose A. Juhasz
      • Caldwell, Idaho, Estados Unidos, 83605
        • Recrutamento
        • Saint Alphonsus Cancer Care Center-Caldwell
        • Contato:
        • Investigador principal:
          • Rose A. Juhasz
      • Coeur d'Alene, Idaho, Estados Unidos, 83814
        • Recrutamento
        • Kootenai Health - Coeur d'Alene
        • Investigador principal:
          • John M. Schallenkamp
        • Contato:
      • Fruitland, Idaho, Estados Unidos, 83619
        • Recrutamento
        • Saint Luke's Cancer Institute - Fruitland
        • Investigador principal:
          • Alison K. Conlin
        • Contato:
      • Meridian, Idaho, Estados Unidos, 83642
        • Recrutamento
        • Idaho Urologic Institute-Meridian
        • Contato:
        • Investigador principal:
          • Rose A. Juhasz
      • Meridian, Idaho, Estados Unidos, 83642
        • Recrutamento
        • Saint Luke's Cancer Institute - Meridian
        • Investigador principal:
          • Alison K. Conlin
        • Contato:
      • Nampa, Idaho, Estados Unidos, 83687
        • Recrutamento
        • Saint Luke's Cancer Institute - Nampa
        • Investigador principal:
          • Alison K. Conlin
        • Contato:
      • Nampa, Idaho, Estados Unidos, 83687
        • Recrutamento
        • Saint Alphonsus Cancer Care Center-Nampa
        • Contato:
        • Investigador principal:
          • Rose A. Juhasz
      • Post Falls, Idaho, Estados Unidos, 83854
        • Recrutamento
        • Kootenai Clinic Cancer Services - Post Falls
        • Investigador principal:
          • John M. Schallenkamp
        • Contato:
      • Sandpoint, Idaho, Estados Unidos, 83864
        • Recrutamento
        • Kootenai Clinic Cancer Services - Sandpoint
        • Investigador principal:
          • John M. Schallenkamp
        • Contato:
      • Twin Falls, Idaho, Estados Unidos, 83301
        • Recrutamento
        • Saint Luke's Cancer Institute - Twin Falls
        • Investigador principal:
          • Alison K. Conlin
        • Contato:
    • Illinois
      • Alton, Illinois, Estados Unidos, 62002
        • Recrutamento
        • OSF Saint Anthony's Health Center
        • Investigador principal:
          • Jay W. Carlson
        • Contato:
          • Site Public Contact
          • Número de telefone: 618-463-5623
      • Aurora, Illinois, Estados Unidos, 60506
        • Recrutamento
        • Advocate Outpatient Center - Aurora
        • Investigador principal:
          • Sigrun Hallmeyer
        • Contato:
      • Barrington, Illinois, Estados Unidos, 60010
        • Recrutamento
        • Advocate Good Shepherd Hospital
        • Contato:
          • Site Public Contact
          • Número de telefone: 847-842-4847
        • Investigador principal:
          • Sigrun Hallmeyer
      • Bloomington, Illinois, Estados Unidos, 61704
        • Recrutamento
        • Illinois CancerCare-Bloomington
        • Contato:
        • Investigador principal:
          • Bryan A. Faller
      • Canton, Illinois, Estados Unidos, 61520
        • Recrutamento
        • Illinois CancerCare-Canton
        • Contato:
        • Investigador principal:
          • Bryan A. Faller
      • Carbondale, Illinois, Estados Unidos, 62902
        • Recrutamento
        • Memorial Hospital of Carbondale
        • Investigador principal:
          • Bryan A. Faller
        • Contato:
      • Carterville, Illinois, Estados Unidos, 62918
        • Recrutamento
        • SIH Cancer Institute
        • Investigador principal:
          • Bryan A. Faller
        • Contato:
      • Carthage, Illinois, Estados Unidos, 62321
        • Recrutamento
        • Illinois CancerCare-Carthage
        • Contato:
        • Investigador principal:
          • Bryan A. Faller
      • Centralia, Illinois, Estados Unidos, 62801
        • Recrutamento
        • Centralia Oncology Clinic
        • Investigador principal:
          • Bryan A. Faller
        • Contato:
      • Centralia, Illinois, Estados Unidos, 62801
        • Suspenso
        • Saint Mary's Hospital
      • Chicago, Illinois, Estados Unidos, 60657
        • Recrutamento
        • Advocate Illinois Masonic Medical Center
        • Contato:
          • Site Public Contact
          • Número de telefone: 773-296-5360
        • Investigador principal:
          • Sigrun Hallmeyer
      • Crystal Lake, Illinois, Estados Unidos, 60014
        • Recrutamento
        • AMG Crystal Lake - Oncology
        • Contato:
        • Investigador principal:
          • Sigrun Hallmeyer
      • Danville, Illinois, Estados Unidos, 61832
        • Recrutamento
        • Carle at The Riverfront
        • Investigador principal:
          • Kendrith M. Rowland
        • Contato:
      • Decatur, Illinois, Estados Unidos, 62526
        • Recrutamento
        • Cancer Care Specialists of Illinois - Decatur
        • Investigador principal:
          • Bryan A. Faller
        • Contato:
      • Decatur, Illinois, Estados Unidos, 62526
        • Recrutamento
        • Decatur Memorial Hospital
        • Investigador principal:
          • Bryan A. Faller
        • Contato:
      • Dixon, Illinois, Estados Unidos, 61021
        • Recrutamento
        • Illinois CancerCare-Dixon
        • Investigador principal:
          • Bryan A. Faller
        • Contato:
          • Site Public Contact
          • Número de telefone: 815-285-7800
      • Downers Grove, Illinois, Estados Unidos, 60515
        • Recrutamento
        • Advocate Good Samaritan Hospital
        • Contato:
        • Investigador principal:
          • Sigrun Hallmeyer
      • Effingham, Illinois, Estados Unidos, 62401
        • Recrutamento
        • Carle Physician Group-Effingham
        • Contato:
        • Investigador principal:
          • Kendrith M. Rowland
      • Effingham, Illinois, Estados Unidos, 62401
        • Recrutamento
        • Crossroads Cancer Center
        • Investigador principal:
          • Bryan A. Faller
        • Contato:
      • Elgin, Illinois, Estados Unidos, 60123
        • Recrutamento
        • Advocate Sherman Hospital
        • Contato:
          • Site Public Contact
          • Número de telefone: 847-429-2907
        • Investigador principal:
          • Sigrun Hallmeyer
      • Eureka, Illinois, Estados Unidos, 61530
        • Recrutamento
        • Illinois CancerCare-Eureka
        • Contato:
        • Investigador principal:
          • Bryan A. Faller
      • Galesburg, Illinois, Estados Unidos, 61401
        • Recrutamento
        • Illinois CancerCare-Galesburg
        • Contato:
        • Investigador principal:
          • Bryan A. Faller
      • Hazel Crest, Illinois, Estados Unidos, 60429
        • Recrutamento
        • Advocate South Suburban Hospital
        • Contato:
          • Site Public Contact
          • Número de telefone: 708-799-9995
        • Investigador principal:
          • Sigrun Hallmeyer
      • Kewanee, Illinois, Estados Unidos, 61443
        • Recrutamento
        • Illinois CancerCare-Kewanee Clinic
        • Contato:
        • Investigador principal:
          • Bryan A. Faller
      • Libertyville, Illinois, Estados Unidos, 60048
        • Recrutamento
        • AMG Libertyville - Oncology
        • Contato:
        • Investigador principal:
          • Sigrun Hallmeyer
      • Libertyville, Illinois, Estados Unidos, 60048
        • Recrutamento
        • Condell Memorial Hospital
        • Contato:
        • Investigador principal:
          • Sigrun Hallmeyer
      • Macomb, Illinois, Estados Unidos, 61455
        • Recrutamento
        • Illinois CancerCare-Macomb
        • Contato:
        • Investigador principal:
          • Bryan A. Faller
      • Mattoon, Illinois, Estados Unidos, 61938
        • Recrutamento
        • Carle Physician Group-Mattoon/Charleston
        • Contato:
        • Investigador principal:
          • Kendrith M. Rowland
      • Mount Vernon, Illinois, Estados Unidos, 62864
        • Recrutamento
        • SSM Health Good Samaritan
        • Investigador principal:
          • Jay W. Carlson
        • Contato:
      • Normal, Illinois, Estados Unidos, 61761
        • Recrutamento
        • Carle BroMenn Medical Center
        • Investigador principal:
          • Kendrith M. Rowland
        • Contato:
      • Normal, Illinois, Estados Unidos, 61761
        • Recrutamento
        • Carle Cancer Institute Normal
        • Investigador principal:
          • Kendrith M. Rowland
        • Contato:
      • O'Fallon, Illinois, Estados Unidos, 62269
        • Recrutamento
        • Cancer Care Center of O'Fallon
        • Investigador principal:
          • Bryan A. Faller
        • Contato:
      • O'Fallon, Illinois, Estados Unidos, 62269
        • Recrutamento
        • HSHS Saint Elizabeth's Hospital
        • Investigador principal:
          • Bryan A. Faller
        • Contato:
      • Oak Lawn, Illinois, Estados Unidos, 60453-2699
        • Recrutamento
        • Advocate Christ Medical Center
        • Contato:
          • Site Public Contact
          • Número de telefone: 800-323-8622
        • Investigador principal:
          • Sigrun Hallmeyer
      • Oak Lawn, Illinois, Estados Unidos, 60453
        • Recrutamento
        • Advocate Outpatient Center - Oak Lawn
        • Investigador principal:
          • Sigrun Hallmeyer
        • Contato:
      • Ottawa, Illinois, Estados Unidos, 61350
        • Recrutamento
        • Illinois CancerCare-Ottawa Clinic
        • Contato:
        • Investigador principal:
          • Bryan A. Faller
      • Palos Heights, Illinois, Estados Unidos, 60463
        • Recrutamento
        • Advocate High Tech Medical Park
        • Investigador principal:
          • Sigrun Hallmeyer
        • Contato:
      • Park Ridge, Illinois, Estados Unidos, 60068
        • Recrutamento
        • Advocate Lutheran General Hospital
        • Contato:
          • Site Public Contact
          • Número de telefone: 847-384-3621
        • Investigador principal:
          • Sigrun Hallmeyer
      • Pekin, Illinois, Estados Unidos, 61554
        • Recrutamento
        • Illinois CancerCare-Pekin
        • Contato:
        • Investigador principal:
          • Bryan A. Faller
      • Peoria, Illinois, Estados Unidos, 61615
        • Recrutamento
        • Illinois CancerCare-Peoria
        • Contato:
        • Investigador principal:
          • Bryan A. Faller
      • Peoria, Illinois, Estados Unidos, 61636
        • Recrutamento
        • Methodist Medical Center of Illinois
        • Contato:
        • Investigador principal:
          • Bryan A. Faller
      • Peru, Illinois, Estados Unidos, 61354
        • Recrutamento
        • Illinois CancerCare-Peru
        • Contato:
        • Investigador principal:
          • Bryan A. Faller
      • Peru, Illinois, Estados Unidos, 61354
        • Recrutamento
        • Valley Radiation Oncology
        • Investigador principal:
          • Bryan A. Faller
        • Contato:
          • Site Public Contact
          • Número de telefone: 815-664-4141
      • Princeton, Illinois, Estados Unidos, 61356
        • Recrutamento
        • Illinois CancerCare-Princeton
        • Contato:
        • Investigador principal:
          • Bryan A. Faller
      • Springfield, Illinois, Estados Unidos, 62702
        • Recrutamento
        • Southern Illinois University School of Medicine
        • Investigador principal:
          • Bryan A. Faller
        • Contato:
          • Site Public Contact
          • Número de telefone: 217-545-7929
      • Springfield, Illinois, Estados Unidos, 62702
        • Recrutamento
        • Springfield Clinic
        • Investigador principal:
          • Bryan A. Faller
        • Contato:
          • Site Public Contact
          • Número de telefone: 800-444-7541
      • Springfield, Illinois, Estados Unidos, 62781
        • Recrutamento
        • Springfield Memorial Hospital
        • Investigador principal:
          • Bryan A. Faller
        • Contato:
      • Urbana, Illinois, Estados Unidos, 61801
        • Recrutamento
        • Carle Cancer Center
        • Contato:
        • Investigador principal:
          • Kendrith M. Rowland
      • Washington, Illinois, Estados Unidos, 61571
        • Recrutamento
        • Illinois CancerCare - Washington
        • Contato:
        • Investigador principal:
          • Bryan A. Faller
    • Iowa
      • Ankeny, Iowa, Estados Unidos, 50023
        • Recrutamento
        • UI Health Care Mission Cancer and Blood - Ankeny Clinic
        • Contato:
          • Site Public Contact
          • Número de telefone: 515-241-3305
        • Investigador principal:
          • Seema Harichand-Herdt
      • Carroll, Iowa, Estados Unidos, 51401
        • Recrutamento
        • Saint Anthony Regional Hospital
        • Contato:
          • Site Public Contact
          • Número de telefone: 515-689-7658
          • E-mail: sbenson@iora.org
        • Investigador principal:
          • Seema Harichand-Herdt
      • Clive, Iowa, Estados Unidos, 50325
        • Recrutamento
        • Mercy Cancer Center-West Lakes
        • Contato:
          • Site Public Contact
          • Número de telefone: 515-241-3305
        • Investigador principal:
          • Richard L. Deming
      • Clive, Iowa, Estados Unidos, 50325
        • Recrutamento
        • UI Health Care Mission Cancer and Blood - West Des Moines Clinic
        • Contato:
          • Site Public Contact
          • Número de telefone: 515-241-3305
        • Investigador principal:
          • Seema Harichand-Herdt
      • Creston, Iowa, Estados Unidos, 50801
        • Suspenso
        • Greater Regional Medical Center
      • Des Moines, Iowa, Estados Unidos, 50314
        • Recrutamento
        • Broadlawns Medical Center
        • Contato:
          • Site Public Contact
          • Número de telefone: 515-282-2200
        • Investigador principal:
          • Seema Harichand-Herdt
      • Des Moines, Iowa, Estados Unidos, 50314
        • Recrutamento
        • Mercy Medical Center - Des Moines
        • Contato:
          • Site Public Contact
          • Número de telefone: 515-241-3305
        • Investigador principal:
          • Richard L. Deming
      • Des Moines, Iowa, Estados Unidos, 50309
        • Recrutamento
        • Iowa Methodist Medical Center
        • Contato:
          • Site Public Contact
          • Número de telefone: 515-241-6727
        • Investigador principal:
          • Seema Harichand-Herdt
      • Des Moines, Iowa, Estados Unidos, 50309
        • Recrutamento
        • UI Health Care Mission Cancer and Blood - Des Moines Clinic
        • Contato:
          • Site Public Contact
          • Número de telefone: 515-241-3305
        • Investigador principal:
          • Seema Harichand-Herdt
      • Des Moines, Iowa, Estados Unidos, 50314
        • Recrutamento
        • UI Health Care Mission Cancer and Blood - Laurel Clinic
        • Contato:
          • Site Public Contact
          • Número de telefone: 515-241-3305
        • Investigador principal:
          • Seema Harichand-Herdt
      • Fort Dodge, Iowa, Estados Unidos, 50501
        • Recrutamento
        • UI Healthcare Mission Cancer and Blood - Fort Dodge
        • Investigador principal:
          • Seema Harichand-Herdt
        • Contato:
      • Pella, Iowa, Estados Unidos, 50219
        • Recrutamento
        • UI Healthcare Mission Cancer and Blood - Pella
        • Investigador principal:
          • Seema Harichand-Herdt
        • Contato:
      • Waukee, Iowa, Estados Unidos, 50263
        • Recrutamento
        • UI Health Care Mission Cancer and Blood - Waukee Clinic
        • Contato:
          • Site Public Contact
          • Número de telefone: 515-241-3305
        • Investigador principal:
          • Seema Harichand-Herdt
      • West Des Moines, Iowa, Estados Unidos, 50266
        • Recrutamento
        • Mercy Medical Center-West Lakes
        • Contato:
          • Site Public Contact
          • Número de telefone: 515-241-3305
        • Investigador principal:
          • Richard L. Deming
      • West Des Moines, Iowa, Estados Unidos, 50266
        • Recrutamento
        • The Iowa Clinic PC
        • Investigador principal:
          • Seema Harichand-Herdt
        • Contato:
          • Site Public Contact
          • Número de telefone: 515-875-9815
    • Kansas
      • Garden City, Kansas, Estados Unidos, 67846
        • Recrutamento
        • Central Care Cancer Center - Garden City
        • Investigador principal:
          • Jay W. Carlson
        • Contato:
      • Great Bend, Kansas, Estados Unidos, 67530
        • Recrutamento
        • Central Care Cancer Center - Great Bend
        • Investigador principal:
          • Jay W. Carlson
        • Contato:
      • Pittsburg, Kansas, Estados Unidos, 66762
        • Recrutamento
        • Mercy Hospital Pittsburg
        • Investigador principal:
          • Jay W. Carlson
        • Contato:
          • Site Public Contact
          • Número de telefone: 888-446-3729
    • Kentucky
      • Bardstown, Kentucky, Estados Unidos, 40004
        • Recrutamento
        • CommonSpirit Saint Joseph Hospital - Bardstown
        • Investigador principal:
          • Loretta J. Nastoupil
        • Contato:
      • Corbin, Kentucky, Estados Unidos, 40701
      • Lexington, Kentucky, Estados Unidos, 40504
        • Recrutamento
        • Saint Joseph Radiation Oncology Resource Center
        • Investigador principal:
          • Loretta J. Nastoupil
        • Contato:
      • Lexington, Kentucky, Estados Unidos, 40504
        • Recrutamento
        • CommonSpirit Saint Joseph Hospital - Lexington
        • Investigador principal:
          • Loretta J. Nastoupil
        • Contato:
      • Lexington, Kentucky, Estados Unidos, 40509
        • Recrutamento
        • CommonSpirit Saint Joseph Medical Center - East Lexington
        • Investigador principal:
          • Loretta J. Nastoupil
        • Contato:
      • London, Kentucky, Estados Unidos, 40741
        • Recrutamento
        • CommonSpirit Saint Joseph Hospital London
        • Investigador principal:
          • Loretta J. Nastoupil
        • Contato:
      • Mount Sterling, Kentucky, Estados Unidos, 40353
        • Recrutamento
        • CommonSpirit Saint Joseph Hospital Mount Sterling
        • Investigador principal:
          • Loretta J. Nastoupil
        • Contato:
    • Maine
      • Augusta, Maine, Estados Unidos, 04330
        • Recrutamento
        • Harold Alfond Center for Cancer Care
        • Contato:
          • Site Public Contact
          • Número de telefone: 207-626-4855
        • Investigador principal:
          • Kaylee Underkofler
      • Belfast, Maine, Estados Unidos, 04915
        • Recrutamento
        • MaineHealth Waldo Hospital
        • Contato:
        • Investigador principal:
          • Kaylee Underkofler
      • Brunswick, Maine, Estados Unidos, 04011
        • Recrutamento
        • MaineHealth Cancer Care and IV Therapy - Brunswick
        • Contato:
        • Investigador principal:
          • Kaylee Underkofler
      • Damariscotta, Maine, Estados Unidos, 04543
        • Recrutamento
        • MaineHealth LincolnHealth Hospital
        • Contato:
        • Investigador principal:
          • Kaylee Underkofler
      • Norway, Maine, Estados Unidos, 04268
        • Recrutamento
        • MaineHealth Stephens Hospital
        • Contato:
        • Investigador principal:
          • Kaylee Underkofler
      • Rockport, Maine, Estados Unidos, 04856
        • Recrutamento
        • Penobscot Bay Medical Center
        • Contato:
        • Investigador principal:
          • Kaylee Underkofler
      • Sanford, Maine, Estados Unidos, 04073
        • Recrutamento
        • MaineHealth Cancer Care and IV Therapy - Sanford
        • Contato:
        • Investigador principal:
          • Kaylee Underkofler
      • Scarborough, Maine, Estados Unidos, 04074
        • Recrutamento
        • Maine Children's Cancer Program
        • Contato:
        • Investigador principal:
          • Kaylee Underkofler
      • Scarborough, Maine, Estados Unidos, 04074
        • Recrutamento
        • MaineHealth Maine Medical Center- Scarborough
        • Contato:
        • Investigador principal:
          • Kaylee Underkofler
      • South Portland, Maine, Estados Unidos, 04106
        • Recrutamento
        • MaineHealth Cancer Care and IV Therapy - South Portland
        • Contato:
        • Investigador principal:
          • Kaylee Underkofler
    • Michigan
      • Alma, Michigan, Estados Unidos, 48801
        • Recrutamento
        • MyMichigan Medical Center Gratiot
        • Contato:
        • Investigador principal:
          • Rose A. Juhasz
      • Alpena, Michigan, Estados Unidos, 49707
        • Recrutamento
        • MyMichigan Medical Center Alpena
        • Contato:
        • Investigador principal:
          • Rose A. Juhasz
      • Ann Arbor, Michigan, Estados Unidos, 48106
        • Recrutamento
        • Trinity Health Saint Joseph Mercy Hospital Ann Arbor
        • Contato:
        • Investigador principal:
          • Rose A. Juhasz
      • Ann Arbor, Michigan, Estados Unidos, 48103
      • Brighton, Michigan, Estados Unidos, 48114
        • Recrutamento
        • Trinity Health IHA Medical Group Hematology Oncology - Brighton
        • Contato:
        • Investigador principal:
          • Rose A. Juhasz
      • Brighton, Michigan, Estados Unidos, 48114
        • Recrutamento
        • Trinity Health Medical Center - Brighton
        • Contato:
        • Investigador principal:
          • Rose A. Juhasz
      • Canton, Michigan, Estados Unidos, 48188
        • Recrutamento
        • Trinity Health IHA Medical Group Hematology Oncology - Canton
        • Contato:
        • Investigador principal:
          • Rose A. Juhasz
      • Canton, Michigan, Estados Unidos, 48188
        • Recrutamento
        • Trinity Health Medical Center - Canton
        • Contato:
        • Investigador principal:
          • Rose A. Juhasz
      • Chelsea, Michigan, Estados Unidos, 48118
        • Recrutamento
        • Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital
        • Contato:
        • Investigador principal:
          • Rose A. Juhasz
      • Chelsea, Michigan, Estados Unidos, 48118
      • Clarkston, Michigan, Estados Unidos, 48346
        • Recrutamento
        • Hematology Oncology Consultants-Clarkston
        • Contato:
        • Investigador principal:
          • Rose A. Juhasz
      • Clarkston, Michigan, Estados Unidos, 48346
        • Recrutamento
        • Trinity Health IHA Medical Group - Primary Care - Clarkston
        • Investigador principal:
          • Rose A. Juhasz
        • Contato:
      • Detroit, Michigan, Estados Unidos, 48236
        • Recrutamento
        • Henry Ford Health Saint John Hospital
        • Investigador principal:
          • Rose A. Juhasz
        • Contato:
      • East China Township, Michigan, Estados Unidos, 48054
        • Recrutamento
        • Henry Ford River District Hospital
        • Investigador principal:
          • Rose A. Juhasz
        • Contato:
      • Escanaba, Michigan, Estados Unidos, 49829
        • Recrutamento
        • OSF Saint Francis Hospital and Medical Group
        • Investigador principal:
          • Anthony J. Jaslowski
        • Contato:
      • Flint, Michigan, Estados Unidos, 48503
        • Recrutamento
        • Genesee Hematology Oncology PC
        • Contato:
          • Site Public Contact
          • Número de telefone: 810-762-8038
          • E-mail: wstrong@ghci.org
        • Investigador principal:
          • Rose A. Juhasz
      • Flint, Michigan, Estados Unidos, 48503
        • Recrutamento
        • Genesys Hurley Cancer Institute
        • Contato:
          • Site Public Contact
          • Número de telefone: 810-762-8038
          • E-mail: wstrong@ghci.org
        • Investigador principal:
          • Rose A. Juhasz
      • Flint, Michigan, Estados Unidos, 48503
        • Recrutamento
        • Hurley Medical Center
        • Contato:
          • Site Public Contact
          • Número de telefone: 810-762-8038
          • E-mail: wstrong@ghci.org
        • Investigador principal:
          • Rose A. Juhasz
      • Flint, Michigan, Estados Unidos, 48503
        • Recrutamento
        • Cancer Hematology Centers - Flint
        • Contato:
          • Site Public Contact
          • Número de telefone: 810-762-8038
          • E-mail: wstrong@ghci.org
        • Investigador principal:
          • Rose A. Juhasz
      • Gladwin, Michigan, Estados Unidos, 48624
        • Recrutamento
        • MyMichigan Medical Center Gladwin
        • Contato:
        • Investigador principal:
          • Rose A. Juhasz
      • Grand Rapids, Michigan, Estados Unidos, 49503
        • Recrutamento
        • Trinity Health Grand Rapids Hospital
        • Contato:
        • Investigador principal:
          • Rose A. Juhasz
      • Grosse Pointe Woods, Michigan, Estados Unidos, 48236
        • Recrutamento
        • Henry Ford Saint John Hospital - Breast
        • Contato:
        • Investigador principal:
          • Rose A. Juhasz
      • Grosse Pointe Woods, Michigan, Estados Unidos, 48236
        • Recrutamento
        • Henry Ford Saint John Hospital - Academic
        • Investigador principal:
          • Rose A. Juhasz
        • Contato:
      • Grosse Pointe Woods, Michigan, Estados Unidos, 48236
        • Recrutamento
        • Henry Ford Saint John Hospital - Van Elslander
        • Investigador principal:
          • Rose A. Juhasz
        • Contato:
      • Lansing, Michigan, Estados Unidos, 48912
        • Recrutamento
        • University of Michigan Health - Sparrow Lansing
        • Investigador principal:
          • Rose A. Juhasz
        • Contato:
      • Livonia, Michigan, Estados Unidos, 48154
        • Recrutamento
        • Trinity Health Saint Mary Mercy Livonia Hospital
        • Contato:
        • Investigador principal:
          • Rose A. Juhasz
      • Macomb, Michigan, Estados Unidos, 48044
        • Recrutamento
        • Henry Ford Warren Hospital - Breast Macomb
        • Investigador principal:
          • Rose A. Juhasz
        • Contato:
      • Macomb, Michigan, Estados Unidos, 48044
        • Recrutamento
        • Henry Ford Saint John Hospital - Macomb Medical
        • Investigador principal:
          • Rose A. Juhasz
        • Contato:
      • Midland, Michigan, Estados Unidos, 48670
        • Recrutamento
        • MyMichigan Medical Center Midland
        • Contato:
        • Investigador principal:
          • Rose A. Juhasz
      • Mount Pleasant, Michigan, Estados Unidos, 48858
        • Recrutamento
        • MyMichigan Medical Center Mount Pleasant
        • Contato:
        • Investigador principal:
          • Rose A. Juhasz
      • Muskegon, Michigan, Estados Unidos, 49444
        • Recrutamento
        • Trinity Health Muskegon Hospital
        • Contato:
        • Investigador principal:
          • Rose A. Juhasz
      • Norton Shores, Michigan, Estados Unidos, 49444
        • Recrutamento
        • Cancer and Hematology Centers of Western Michigan - Norton Shores
        • Contato:
        • Investigador principal:
          • Rose A. Juhasz
      • Pontiac, Michigan, Estados Unidos, 48341
        • Suspenso
        • Hope Cancer Center
      • Pontiac, Michigan, Estados Unidos, 48341
        • Recrutamento
        • Trinity Health Saint Joseph Mercy Oakland Hospital
        • Contato:
        • Investigador principal:
          • Rose A. Juhasz
      • Pontiac, Michigan, Estados Unidos, 48341
        • Recrutamento
        • Michigan Healthcare Professionals Pontiac
        • Investigador principal:
          • Rose A. Juhasz
        • Contato:
      • Pontiac, Michigan, Estados Unidos, 48341
        • Recrutamento
        • Trinity Health IHA Medical Group-Alice Gustafson Center
        • Contato:
        • Investigador principal:
          • Rose A. Juhasz
      • Saginaw, Michigan, Estados Unidos, 48601
        • Recrutamento
        • MyMichigan Medical Center Saginaw
        • Contato:
        • Investigador principal:
          • Rose A. Juhasz
      • Tawas City, Michigan, Estados Unidos, 48764
        • Recrutamento
        • MyMichigan Medical Center Tawas
        • Contato:
        • Investigador principal:
          • Rose A. Juhasz
      • Warren, Michigan, Estados Unidos, 48093
        • Recrutamento
        • Henry Ford Madison Heights Hospital - Breast
        • Investigador principal:
          • Rose A. Juhasz
        • Contato:
      • Warren, Michigan, Estados Unidos, 48093
        • Recrutamento
        • Henry Ford Health Warren Hospital
        • Investigador principal:
          • Rose A. Juhasz
        • Contato:
      • Warren, Michigan, Estados Unidos, 48093
        • Recrutamento
        • Henry Ford Warren Hospital - GLCMS
        • Investigador principal:
          • Rose A. Juhasz
        • Contato:
      • Ypsilanti, Michigan, Estados Unidos, 48106
      • Ypsilanti, Michigan, Estados Unidos, 48197
        • Recrutamento
        • Trinity Health IHA Medical Group Hematology Oncology Ann Arbor Campus
        • Contato:
        • Investigador principal:
          • Rose A. Juhasz
    • Minnesota
      • Burnsville, Minnesota, Estados Unidos, 55337
        • Recrutamento
        • Minnesota Oncology - Burnsville
        • Contato:
        • Investigador principal:
          • Margaret B. Nolan
      • Coon Rapids, Minnesota, Estados Unidos, 55433
        • Recrutamento
        • Mercy Hospital
        • Contato:
        • Investigador principal:
          • Margaret B. Nolan
      • Edina, Minnesota, Estados Unidos, 55435
        • Recrutamento
        • Fairview Southdale Hospital
        • Contato:
        • Investigador principal:
          • Margaret B. Nolan
      • Maple Grove, Minnesota, Estados Unidos, 55369
        • Recrutamento
        • Fairview Clinics and Surgery Center Maple Grove
        • Contato:
        • Investigador principal:
          • Margaret B. Nolan
      • Maplewood, Minnesota, Estados Unidos, 55109
        • Recrutamento
        • Minnesota Oncology Hematology PA-Maplewood
        • Contato:
        • Investigador principal:
          • Margaret B. Nolan
      • Maplewood, Minnesota, Estados Unidos, 55109
        • Recrutamento
        • Saint John's Hospital - Healtheast
        • Contato:
        • Investigador principal:
          • Margaret B. Nolan
      • Minneapolis, Minnesota, Estados Unidos, 55407
        • Recrutamento
        • Abbott-Northwestern Hospital
        • Contato:
        • Investigador principal:
          • Margaret B. Nolan
      • Minneapolis, Minnesota, Estados Unidos, 55415
        • Recrutamento
        • Hennepin County Medical Center
        • Contato:
        • Investigador principal:
          • Margaret B. Nolan
      • Monticello, Minnesota, Estados Unidos, 55362
        • Recrutamento
        • Monticello Cancer Center
        • Contato:
        • Investigador principal:
          • Margaret B. Nolan
      • New Ulm, Minnesota, Estados Unidos, 56073
        • Recrutamento
        • New Ulm Medical Center
        • Contato:
        • Investigador principal:
          • Margaret B. Nolan
      • Princeton, Minnesota, Estados Unidos, 55371
        • Recrutamento
        • Fairview Northland Medical Center
        • Contato:
        • Investigador principal:
          • Margaret B. Nolan
      • Robbinsdale, Minnesota, Estados Unidos, 55422
        • Recrutamento
        • North Memorial Medical Health Center
        • Contato:
        • Investigador principal:
          • Margaret B. Nolan
      • Saint Louis Park, Minnesota, Estados Unidos, 55416
        • Recrutamento
        • Park Nicollet Clinic - Saint Louis Park
        • Contato:
        • Investigador principal:
          • Margaret B. Nolan
      • Saint Paul, Minnesota, Estados Unidos, 55101
        • Recrutamento
        • Regions Hospital
        • Contato:
        • Investigador principal:
          • Margaret B. Nolan
      • Saint Paul, Minnesota, Estados Unidos, 55102
        • Recrutamento
        • United Hospital
        • Contato:
        • Investigador principal:
          • Margaret B. Nolan
      • Shakopee, Minnesota, Estados Unidos, 55379
        • Recrutamento
        • Saint Francis Regional Medical Center
        • Contato:
        • Investigador principal:
          • Margaret B. Nolan
      • Stillwater, Minnesota, Estados Unidos, 55082
        • Recrutamento
        • Lakeview Hospital
        • Contato:
        • Investigador principal:
          • Margaret B. Nolan
      • Waconia, Minnesota, Estados Unidos, 55387
        • Recrutamento
        • Ridgeview Medical Center
        • Contato:
        • Investigador principal:
          • Margaret B. Nolan
      • Willmar, Minnesota, Estados Unidos, 56201
        • Recrutamento
        • Rice Memorial Hospital
        • Contato:
        • Investigador principal:
          • Margaret B. Nolan
      • Woodbury, Minnesota, Estados Unidos, 55125
        • Recrutamento
        • Minnesota Oncology Hematology PA-Woodbury
        • Contato:
        • Investigador principal:
          • Margaret B. Nolan
      • Wyoming, Minnesota, Estados Unidos, 55092
        • Recrutamento
        • Fairview Lakes Medical Center
        • Contato:
        • Investigador principal:
          • Margaret B. Nolan
    • Missouri
      • Ballwin, Missouri, Estados Unidos, 63011
        • Recrutamento
        • Mercy Oncology and Hematology - Clayton-Clarkson
        • Investigador principal:
          • Jay W. Carlson
        • Contato:
          • Site Public Contact
          • Número de telefone: 888-446-3729
      • Bolivar, Missouri, Estados Unidos, 65613
        • Recrutamento
        • Central Care Cancer Center - Bolivar
        • Investigador principal:
          • Jay W. Carlson
        • Contato:
      • Branson, Missouri, Estados Unidos, 65616
        • Recrutamento
        • Cox Cancer Center Branson
        • Investigador principal:
          • Jay W. Carlson
        • Contato:
          • Site Public Contact
          • Número de telefone: 417-269-4520
      • Cape Girardeau, Missouri, Estados Unidos, 63703
        • Recrutamento
        • Saint Francis Medical Center
        • Investigador principal:
          • Bryan A. Faller
        • Contato:
          • Site Public Contact
          • Número de telefone: 573-334-2230
          • E-mail: sfmc@sfmc.net
      • Cape Girardeau, Missouri, Estados Unidos, 63703
        • Recrutamento
        • Mercy Cancer Center - Cape Girardeau
        • Investigador principal:
          • Jay W. Carlson
        • Contato:
          • Site Public Contact
          • Número de telefone: 888-446-3729
      • Farmington, Missouri, Estados Unidos, 63640
        • Recrutamento
        • Parkland Health Center - Farmington
        • Investigador principal:
          • Bryan A. Faller
        • Contato:
          • Site Public Contact
          • Número de telefone: 314-996-5569
      • Joplin, Missouri, Estados Unidos, 64804
        • Recrutamento
        • Freeman Health System
        • Investigador principal:
          • Jay W. Carlson
        • Contato:
      • Joplin, Missouri, Estados Unidos, 64804
        • Recrutamento
        • Mercy Hospital Joplin
        • Investigador principal:
          • Jay W. Carlson
        • Contato:
      • Osage Beach, Missouri, Estados Unidos, 65065
        • Recrutamento
        • Lake Regional Hospital
        • Investigador principal:
          • Jay W. Carlson
        • Contato:
      • Rolla, Missouri, Estados Unidos, 65401
        • Recrutamento
        • Mercy Clinic-Rolla-Cancer and Hematology
        • Investigador principal:
          • Jay W. Carlson
        • Contato:
          • Site Public Contact
          • Número de telefone: 573-458-6379
      • Rolla, Missouri, Estados Unidos, 65401
        • Recrutamento
        • Phelps Health Delbert Day Cancer Institute
        • Investigador principal:
          • Jay W. Carlson
        • Contato:
      • Saint Joseph, Missouri, Estados Unidos, 64506
        • Recrutamento
        • Heartland Regional Medical Center
        • Investigador principal:
          • Jay W. Carlson
        • Contato:
      • Sainte Genevieve, Missouri, Estados Unidos, 63670
        • Recrutamento
        • Sainte Genevieve County Memorial Hospital
        • Investigador principal:
          • Bryan A. Faller
        • Contato:
          • Site Public Contact
          • Número de telefone: 314-996-5569
      • Springfield, Missouri, Estados Unidos, 65804
        • Recrutamento
        • Mercy Hospital Springfield
        • Investigador principal:
          • Jay W. Carlson
        • Contato:
          • Site Public Contact
          • Número de telefone: 417-269-4520
      • Springfield, Missouri, Estados Unidos, 65807
        • Recrutamento
        • CoxHealth South Hospital
        • Investigador principal:
          • Jay W. Carlson
        • Contato:
          • Site Public Contact
          • Número de telefone: 417-269-4520
      • St Louis, Missouri, Estados Unidos, 63128
        • Recrutamento
        • Mercy Hospital South
        • Investigador principal:
          • Jay W. Carlson
        • Contato:
      • St Louis, Missouri, Estados Unidos, 63141
        • Recrutamento
        • Mercy Hospital Saint Louis
        • Investigador principal:
          • Jay W. Carlson
        • Contato:
          • Site Public Contact
          • Número de telefone: 314-251-7066
      • St Louis, Missouri, Estados Unidos, 63131
        • Recrutamento
        • Missouri Baptist Medical Center
        • Investigador principal:
          • Bryan A. Faller
        • Contato:
          • Site Public Contact
          • Número de telefone: 314-996-5569
      • St Louis, Missouri, Estados Unidos, 63109
        • Recrutamento
        • Mercy Infusion Center - Chippewa
        • Investigador principal:
          • Jay W. Carlson
        • Contato:
          • Site Public Contact
          • Número de telefone: 888-446-3729
      • Sullivan, Missouri, Estados Unidos, 63080
        • Recrutamento
        • Missouri Baptist Sullivan Hospital
        • Investigador principal:
          • Bryan A. Faller
        • Contato:
          • Site Public Contact
          • Número de telefone: 314-996-5569
      • Washington, Missouri, Estados Unidos, 63090
        • Recrutamento
        • Mercy Hospital Washington
        • Investigador principal:
          • Jay W. Carlson
        • Contato:
          • Site Public Contact
          • Número de telefone: 636-390-1600
    • Montana
      • Anaconda, Montana, Estados Unidos, 59711
        • Recrutamento
        • Community Hospital of Anaconda
        • Investigador principal:
          • John M. Schallenkamp
        • Contato:
      • Billings, Montana, Estados Unidos, 59101
        • Recrutamento
        • Billings Clinic Cancer Center
        • Investigador principal:
          • John M. Schallenkamp
        • Contato:
      • Bozeman, Montana, Estados Unidos, 59715
        • Recrutamento
        • Bozeman Health Deaconess Hospital
        • Investigador principal:
          • John M. Schallenkamp
        • Contato:
      • Great Falls, Montana, Estados Unidos, 59405
        • Recrutamento
        • Great Falls Clinic
        • Investigador principal:
          • John M. Schallenkamp
        • Contato:
      • Great Falls, Montana, Estados Unidos, 59405
        • Recrutamento
        • Benefis Sletten Cancer Institute
        • Investigador principal:
          • John M. Schallenkamp
        • Contato:
      • Havre, Montana, Estados Unidos, 59501
        • Recrutamento
        • Hi-Line Sletten Cancer Center
        • Investigador principal:
          • John M. Schallenkamp
        • Contato:
      • Helena, Montana, Estados Unidos, 59601
        • Recrutamento
        • Benefis Helena Specialty Center
        • Investigador principal:
          • John M. Schallenkamp
        • Contato:
      • Kalispell, Montana, Estados Unidos, 59901
        • Recrutamento
        • Logan Health Medical Center
        • Investigador principal:
          • John M. Schallenkamp
        • Contato:
      • Missoula, Montana, Estados Unidos, 59802
        • Recrutamento
        • Saint Patrick Hospital - Community Hospital
        • Investigador principal:
          • Alison K. Conlin
        • Contato:
      • Missoula, Montana, Estados Unidos, 59804
        • Recrutamento
        • Community Medical Center
        • Investigador principal:
          • John M. Schallenkamp
        • Contato:
    • Nebraska
      • Grand Island, Nebraska, Estados Unidos, 68803
      • Kearney, Nebraska, Estados Unidos, 68847
      • Omaha, Nebraska, Estados Unidos, 68122
      • Omaha, Nebraska, Estados Unidos, 68124
        • Recrutamento
        • Alegent Health Bergan Mercy Medical Center
        • Investigador principal:
          • Loretta J. Nastoupil
        • Contato:
      • Omaha, Nebraska, Estados Unidos, 68130
    • North Carolina
      • Charlotte, North Carolina, Estados Unidos, 28204
        • Recrutamento
        • Novant Health Presbyterian Medical Center
        • Investigador principal:
          • Kimberly S. Strickland
        • Contato:
      • Huntersville, North Carolina, Estados Unidos, 28078
        • Recrutamento
        • Novant Health Cancer Institute - Huntersville
        • Investigador principal:
          • Kimberly S. Strickland
        • Contato:
      • Huntersville, North Carolina, Estados Unidos, 28078
        • Recrutamento
        • Novant Health Presbyterian Medical Center Huntersville
        • Investigador principal:
          • Kimberly S. Strickland
        • Contato:
      • Kernersville, North Carolina, Estados Unidos, 27284
        • Recrutamento
        • Novant Health Cancer Institute - Kernersville
        • Contato:
        • Investigador principal:
          • Judith O. Hopkins
      • Matthews, North Carolina, Estados Unidos, 28105
        • Recrutamento
        • Novant Health Cancer Institute - Matthews
        • Investigador principal:
          • Kimberly S. Strickland
        • Contato:
      • Matthews, North Carolina, Estados Unidos, 28105
        • Recrutamento
        • Matthews Radiation Oncology Center
        • Investigador principal:
          • Kimberly S. Strickland
        • Contato:
      • Mooresville, North Carolina, Estados Unidos, 28117
        • Recrutamento
        • Novant Health Cancer Institute - Mooresville
        • Investigador principal:
          • Kimberly S. Strickland
        • Contato:
      • Mount Airy, North Carolina, Estados Unidos, 27030
        • Recrutamento
        • Novant Health Cancer Institute - Mount Airy
        • Contato:
        • Investigador principal:
          • Judith O. Hopkins
      • Salisbury, North Carolina, Estados Unidos, 28144
        • Recrutamento
        • Rowan Regional Medical Center
        • Contato:
        • Investigador principal:
          • Kimberly S. Strickland
      • Salisbury, North Carolina, Estados Unidos, 28144
        • Recrutamento
        • Novant Health Cancer Institute - Rowan
        • Investigador principal:
          • Kimberly S. Strickland
        • Contato:
      • Thomasville, North Carolina, Estados Unidos, 27360
        • Recrutamento
        • Novant Health Cancer Institute - Thomasville
        • Investigador principal:
          • Judith O. Hopkins
        • Contato:
      • Wilmington, North Carolina, Estados Unidos, 28401
        • Recrutamento
        • Novant Health New Hanover Regional Medical Center
        • Contato:
          • Site Public Contact
          • Número de telefone: 910-342-3000
        • Investigador principal:
          • Lindsey Prochaska
      • Winston-Salem, North Carolina, Estados Unidos, 27103
        • Recrutamento
        • Novant Health Forsyth Medical Center
        • Investigador principal:
          • Judith O. Hopkins
        • Contato:
    • Ohio
      • Cincinnati, Ohio, Estados Unidos, 45220
      • Cincinnati, Ohio, Estados Unidos, 45242
      • Cincinnati, Ohio, Estados Unidos, 45247
      • Cincinnati, Ohio, Estados Unidos, 45255
    • Oklahoma
      • Oklahoma City, Oklahoma, Estados Unidos, 73120
        • Recrutamento
        • Mercy Hospital Oklahoma City
        • Investigador principal:
          • Jay W. Carlson
        • Contato:
          • Site Public Contact
          • Número de telefone: 405-752-3402
    • Oregon
      • Baker City, Oregon, Estados Unidos, 97814
        • Recrutamento
        • Saint Alphonsus Cancer Care Center-Baker City
        • Contato:
        • Investigador principal:
          • Rose A. Juhasz
      • Bend, Oregon, Estados Unidos, 97701
        • Recrutamento
        • Saint Charles Health System
        • Investigador principal:
          • Alison K. Conlin
        • Contato:
      • Clackamas, Oregon, Estados Unidos, 97015
        • Recrutamento
        • Clackamas Radiation Oncology Center
        • Investigador principal:
          • Alison K. Conlin
        • Contato:
      • Coos Bay, Oregon, Estados Unidos, 97420
        • Suspenso
        • Bay Area Hospital
      • Hood River, Oregon, Estados Unidos, 97031
        • Recrutamento
        • Providence Hood River Memorial Hospital
        • Investigador principal:
          • Alison K. Conlin
        • Contato:
      • Newberg, Oregon, Estados Unidos, 97132
        • Recrutamento
        • Providence Newberg Medical Center
        • Investigador principal:
          • Alison K. Conlin
        • Contato:
      • Ontario, Oregon, Estados Unidos, 97914
        • Recrutamento
        • Saint Alphonsus Cancer Care Center-Ontario
        • Contato:
        • Investigador principal:
          • Rose A. Juhasz
      • Oregon City, Oregon, Estados Unidos, 97045
        • Recrutamento
        • Providence Willamette Falls Medical Center
        • Investigador principal:
          • Alison K. Conlin
        • Contato:
      • Portland, Oregon, Estados Unidos, 97213
        • Recrutamento
        • Providence Portland Medical Center
        • Investigador principal:
          • Alison K. Conlin
        • Contato:
      • Portland, Oregon, Estados Unidos, 97225
        • Recrutamento
        • Providence Saint Vincent Medical Center
        • Investigador principal:
          • Alison K. Conlin
        • Contato:
      • Redmond, Oregon, Estados Unidos, 97756
        • Recrutamento
        • Saint Charles Health System-Redmond
        • Investigador principal:
          • Alison K. Conlin
        • Contato:
          • Site Public Contact
          • Número de telefone: 541-706-2909
    • Pennsylvania
      • Allentown, Pennsylvania, Estados Unidos, 18103
        • Recrutamento
        • Lehigh Valley Hospital-Cedar Crest
        • Contato:
        • Investigador principal:
          • Rose A. Juhasz
      • Bethlehem, Pennsylvania, Estados Unidos, 18017
        • Recrutamento
        • Lehigh Valley Hospital - Muhlenberg
        • Contato:
        • Investigador principal:
          • Rose A. Juhasz
      • East Stroudsburg, Pennsylvania, Estados Unidos, 18301
        • Recrutamento
        • Pocono Medical Center
        • Contato:
        • Investigador principal:
          • Rose A. Juhasz
      • Hazleton, Pennsylvania, Estados Unidos, 18201
        • Recrutamento
        • Lehigh Valley Hospital-Hazleton
        • Contato:
        • Investigador principal:
          • Rose A. Juhasz
    • South Carolina
      • Charleston, South Carolina, Estados Unidos, 29425
        • Recrutamento
        • Medical University of South Carolina
        • Contato:
        • Investigador principal:
          • Kevin S. Hughes
    • Texas
      • San Antonio, Texas, Estados Unidos, 78229
        • Recrutamento
        • University of Texas Health Science Center at San Antonio
        • Contato:
        • Investigador principal:
          • Anne-Marie R. Langevin
    • Virginia
      • Mechanicsville, Virginia, Estados Unidos, 23116
        • Recrutamento
        • Bon Secours Memorial Regional Medical Center
        • Contato:
        • Investigador principal:
          • William J. Irvin
      • Midlothian, Virginia, Estados Unidos, 23114
        • Recrutamento
        • Bon Secours Saint Francis Medical Center
        • Contato:
        • Investigador principal:
          • William J. Irvin
      • Richmond, Virginia, Estados Unidos, 23235
        • Recrutamento
        • VCU Massey Cancer Center at Stony Point
        • Contato:
        • Investigador principal:
          • Mary H. Hackney
      • Richmond, Virginia, Estados Unidos, 23226
        • Recrutamento
        • Bon Secours Saint Mary's Hospital
        • Contato:
        • Investigador principal:
          • William J. Irvin
      • Richmond, Virginia, Estados Unidos, 23298
        • Recrutamento
        • VCU Massey Comprehensive Cancer Center
        • Investigador principal:
          • Mary H. Hackney
        • Contato:
      • South Hill, Virginia, Estados Unidos, 23970
        • Recrutamento
        • VCU Community Memorial Health Center
        • Contato:
        • Investigador principal:
          • Mary H. Hackney
    • Washington
      • Aberdeen, Washington, Estados Unidos, 98520
        • Recrutamento
        • Providence Regional Cancer System-Aberdeen
        • Investigador principal:
          • Alison K. Conlin
        • Contato:
      • Bellingham, Washington, Estados Unidos, 98225
        • Recrutamento
        • PeaceHealth Saint Joseph Medical Center
        • Investigador principal:
          • Alison K. Conlin
        • Contato:
      • Centralia, Washington, Estados Unidos, 98531
        • Recrutamento
        • Providence Regional Cancer System-Centralia
        • Investigador principal:
          • Alison K. Conlin
        • Contato:
      • Edmonds, Washington, Estados Unidos, 98026
        • Recrutamento
        • Swedish Cancer Institute-Edmonds
        • Investigador principal:
          • Alison K. Conlin
        • Contato:
      • Everett, Washington, Estados Unidos, 98201
        • Recrutamento
        • Providence Regional Cancer Partnership
        • Investigador principal:
          • Alison K. Conlin
        • Contato:
      • Everett, Washington, Estados Unidos, 98201
        • Recrutamento
        • Providence Swedish Cancer Institute
        • Investigador principal:
          • Alison K. Conlin
        • Contato:
          • Site Public Contact
          • Número de telefone: 855-922-6237
      • Issaquah, Washington, Estados Unidos, 98029
        • Recrutamento
        • Swedish Cancer Institute-Issaquah
        • Investigador principal:
          • Alison K. Conlin
        • Contato:
      • Kennewick, Washington, Estados Unidos, 99336
        • Recrutamento
        • Kadlec Clinic Hematology and Oncology
        • Investigador principal:
          • Alison K. Conlin
        • Contato:
      • Lacey, Washington, Estados Unidos, 98503
        • Recrutamento
        • Providence Regional Cancer System-Lacey
        • Investigador principal:
          • Alison K. Conlin
        • Contato:
      • Longview, Washington, Estados Unidos, 98632
        • Recrutamento
        • PeaceHealth Saint John Medical Center
        • Investigador principal:
          • Alison K. Conlin
        • Contato:
      • Mount Vernon, Washington, Estados Unidos, 98274
      • Seattle, Washington, Estados Unidos, 98122
        • Recrutamento
        • Swedish Medical Center-First Hill
        • Investigador principal:
          • Alison K. Conlin
        • Contato:
      • Seattle, Washington, Estados Unidos, 98107
        • Recrutamento
        • Swedish Medical Center-Ballard Campus
        • Investigador principal:
          • Alison K. Conlin
        • Contato:
      • Seattle, Washington, Estados Unidos, 98122-5711
        • Recrutamento
        • Swedish Medical Center-Cherry Hill
        • Investigador principal:
          • Alison K. Conlin
        • Contato:
      • Sedro-Woolley, Washington, Estados Unidos, 98284
        • Recrutamento
        • PeaceHealth United General Medical Center
        • Investigador principal:
          • Alison K. Conlin
        • Contato:
      • Silverdale, Washington, Estados Unidos, 98383
        • Recrutamento
        • Saint Joseph Medical Center Hematology and Oncology - Silverdale
        • Investigador principal:
          • Loretta J. Nastoupil
        • Contato:
      • Spokane, Washington, Estados Unidos, 99202
        • Recrutamento
        • Cancer Care Northwest - Spokane South
        • Investigador principal:
          • Alison K. Conlin
        • Contato:
      • Spokane, Washington, Estados Unidos, 99216
        • Recrutamento
        • Cancer Care Northwest-Valley
        • Investigador principal:
          • Alison K. Conlin
        • Contato:
      • Spokane, Washington, Estados Unidos, 99218
        • Recrutamento
        • Cancer Care Northwest-North Spokane
        • Investigador principal:
          • Alison K. Conlin
        • Contato:
      • Vancouver, Washington, Estados Unidos, 98664
        • Recrutamento
        • PeaceHealth Southwest Medical Center
        • Investigador principal:
          • Alison K. Conlin
        • Contato:
      • Walla Walla, Washington, Estados Unidos, 99362
        • Recrutamento
        • Providence Saint Mary Regional Cancer Center
        • Investigador principal:
          • Alison K. Conlin
        • Contato:
    • Wisconsin
      • Burlington, Wisconsin, Estados Unidos, 53105
        • Recrutamento
        • Aurora Cancer Care-Southern Lakes VLCC
        • Contato:
          • Site Public Contact
          • Número de telefone: 414-302-2304
          • E-mail: ncorp@aurora.org
        • Investigador principal:
          • Sigrun Hallmeyer
      • Cudahy, Wisconsin, Estados Unidos, 53110
        • Recrutamento
        • Aurora Saint Luke's South Shore
        • Contato:
          • Site Public Contact
          • Número de telefone: 414-302-2304
          • E-mail: ncorp@aurora.org
        • Investigador principal:
          • Sigrun Hallmeyer
      • Germantown, Wisconsin, Estados Unidos, 53022
        • Recrutamento
        • Aurora Health Care Germantown Health Center
        • Contato:
          • Site Public Contact
          • Número de telefone: 414-302-2304
          • E-mail: ncorp@aurora.org
        • Investigador principal:
          • Sigrun Hallmeyer
      • Grafton, Wisconsin, Estados Unidos, 53024
        • Recrutamento
        • Aurora Cancer Care-Grafton
        • Contato:
          • Site Public Contact
          • Número de telefone: 414-302-2304
          • E-mail: ncorp@aurora.org
        • Investigador principal:
          • Sigrun Hallmeyer
      • Green Bay, Wisconsin, Estados Unidos, 54311
        • Recrutamento
        • Aurora BayCare Medical Center
        • Contato:
          • Site Public Contact
          • Número de telefone: 414-302-2304
          • E-mail: ncorp@aurora.org
        • Investigador principal:
          • Sigrun Hallmeyer
      • Green Bay, Wisconsin, Estados Unidos, 54301
        • Recrutamento
        • Saint Vincent Hospital Cancer Center Green Bay
        • Investigador principal:
          • Anthony J. Jaslowski
        • Contato:
      • Green Bay, Wisconsin, Estados Unidos, 54303
        • Recrutamento
        • Saint Vincent Hospital Cancer Center at Saint Mary's
        • Investigador principal:
          • Anthony J. Jaslowski
        • Contato:
      • Kenosha, Wisconsin, Estados Unidos, 53142
        • Recrutamento
        • Aurora Cancer Care-Kenosha South
        • Contato:
          • Site Public Contact
          • Número de telefone: 414-302-2304
          • E-mail: ncorp@aurora.org
        • Investigador principal:
          • Sigrun Hallmeyer
      • Marinette, Wisconsin, Estados Unidos, 54143
        • Recrutamento
        • Aurora Bay Area Medical Group-Marinette
        • Contato:
          • Site Public Contact
          • Número de telefone: 414-302-2304
          • E-mail: ncorp@aurora.org
        • Investigador principal:
          • Sigrun Hallmeyer
      • Milwaukee, Wisconsin, Estados Unidos, 53209
        • Recrutamento
        • Aurora Cancer Care-Milwaukee
        • Contato:
          • Site Public Contact
          • Número de telefone: 414-302-2304
          • E-mail: ncorp@aurora.org
        • Investigador principal:
          • Sigrun Hallmeyer
      • Milwaukee, Wisconsin, Estados Unidos, 53215
        • Recrutamento
        • Aurora Saint Luke's Medical Center
        • Contato:
          • Site Public Contact
          • Número de telefone: 414-302-2304
          • E-mail: ncorp@aurora.org
        • Investigador principal:
          • Sigrun Hallmeyer
      • Milwaukee, Wisconsin, Estados Unidos, 53233
        • Recrutamento
        • Aurora Sinai Medical Center
        • Contato:
          • Site Public Contact
          • Número de telefone: 414-302-2304
          • E-mail: ncorp@aurora.org
        • Investigador principal:
          • Sigrun Hallmeyer
      • New Richmond, Wisconsin, Estados Unidos, 54017
        • Recrutamento
        • Cancer Center of Western Wisconsin
        • Contato:
        • Investigador principal:
          • Margaret B. Nolan
      • Oconto Falls, Wisconsin, Estados Unidos, 54154
        • Recrutamento
        • Saint Vincent Hospital Cancer Center at Oconto Falls
        • Investigador principal:
          • Anthony J. Jaslowski
        • Contato:
      • Oshkosh, Wisconsin, Estados Unidos, 54904
        • Recrutamento
        • Vince Lombardi Cancer Clinic - Oshkosh
        • Contato:
          • Site Public Contact
          • Número de telefone: 414-302-2304
          • E-mail: ncorp@aurora.org
        • Investigador principal:
          • Sigrun Hallmeyer
      • Racine, Wisconsin, Estados Unidos, 53406
        • Recrutamento
        • Aurora Cancer Care-Racine
        • Contato:
          • Site Public Contact
          • Número de telefone: 414-302-2304
          • E-mail: ncorp@aurora.org
        • Investigador principal:
          • Sigrun Hallmeyer
      • Sheboygan, Wisconsin, Estados Unidos, 53081
        • Recrutamento
        • Vince Lombardi Cancer Clinic-Sheboygan
        • Contato:
          • Site Public Contact
          • Número de telefone: 414-302-2304
          • E-mail: ncorp@aurora.org
        • Investigador principal:
          • Sigrun Hallmeyer
      • Sheboygan, Wisconsin, Estados Unidos, 53081
        • Recrutamento
        • Saint Vincent Hospital Cancer Center at Sheboygan
        • Investigador principal:
          • Anthony J. Jaslowski
        • Contato:
      • Sheboygan, Wisconsin, Estados Unidos, 53081
        • Recrutamento
        • Sheboygan Physicians Group
        • Investigador principal:
          • Anthony J. Jaslowski
        • Contato:
      • Sturgeon Bay, Wisconsin, Estados Unidos, 54235-1495
        • Recrutamento
        • Saint Vincent Hospital Cancer Center at Sturgeon Bay
        • Investigador principal:
          • Anthony J. Jaslowski
        • Contato:
      • Summit, Wisconsin, Estados Unidos, 53066
        • Recrutamento
        • Aurora Medical Center in Summit
        • Contato:
          • Site Public Contact
          • Número de telefone: 414-302-2304
          • E-mail: ncorp@aurora.org
        • Investigador principal:
          • Sigrun Hallmeyer
      • Two Rivers, Wisconsin, Estados Unidos, 54241
        • Recrutamento
        • Vince Lombardi Cancer Clinic-Two Rivers
        • Contato:
          • Site Public Contact
          • Número de telefone: 414-302-2304
          • E-mail: ncorp@aurora.org
        • Investigador principal:
          • Sigrun Hallmeyer
      • Wauwatosa, Wisconsin, Estados Unidos, 53226
        • Recrutamento
        • Aurora Cancer Care-Milwaukee West
        • Contato:
          • Site Public Contact
          • Número de telefone: 414-302-2304
          • E-mail: ncorp@aurora.org
        • Investigador principal:
          • Sigrun Hallmeyer
      • West Allis, Wisconsin, Estados Unidos, 53227
        • Recrutamento
        • Aurora West Allis Medical Center
        • Contato:
          • Site Public Contact
          • Número de telefone: 414-302-2304
          • E-mail: ncorp@aurora.org
        • Investigador principal:
          • Sigrun Hallmeyer
    • Wyoming
      • Cheyenne, Wyoming, Estados Unidos, 82001
        • Recrutamento
        • Memorial Hospital of Laramie County
        • Investigador principal:
          • John M. Schallenkamp
        • Contato:
      • Cody, Wyoming, Estados Unidos, 82414
        • Recrutamento
        • Billings Clinic-Cody
        • Investigador principal:
          • John M. Schallenkamp
        • Contato:

Critérios de participação

Os pesquisadores procuram pessoas que se encaixem em uma determinada descrição, chamada de critérios de elegibilidade. Alguns exemplos desses critérios são a condição geral de saúde de uma pessoa ou tratamentos anteriores.

Critérios de elegibilidade

Idades elegíveis para estudo

18 anos e mais velhos (Adulto, Adulto mais velho)

Aceita Voluntários Saudáveis

Sim

Gêneros Elegíveis para o Estudo

Tudo

Descrição

  • 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

Plano de estudo

Esta seção fornece detalhes do plano de estudo, incluindo como o estudo é projetado e o que o estudo está medindo.

Como o estudo é projetado?

Detalhes do projeto

  • Finalidade Principal: Pesquisa de serviços de saúde
  • Alocação: Randomizado
  • Modelo Intervencional: Atribuição Paralela
  • Mascaramento: Nenhum (rótulo aberto)

Armas e Intervenções

Grupo de Participantes / Braço
Intervenção / Tratamento
Comparador Ativo: 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

Experimental: 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

O que o estudo está medindo?

Medidas de resultados primários

Medida de resultado
Descrição da medida
Prazo
Uptake of genetic counseling
Prazo: 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
Prazo: 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

Medidas de resultados secundários

Medida de resultado
Descrição da medida
Prazo
Knowledge of genetic disease
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: Up to 36 months post registration

Measured by 2 patient reported items

Up to 36 months post registration
Costs of the intervention
Prazo: 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

Colaboradores e Investigadores

É aqui que você encontrará pessoas e organizações envolvidas com este estudo.

Investigadores

  • Cadeira de estudo: Angela Bradbury, MD, Alliance for Clinical Trials in Oncology

Datas de registro do estudo

Essas datas acompanham o progresso do registro do estudo e os envios de resumo dos resultados para ClinicalTrials.gov. Os registros do estudo e os resultados relatados são revisados ​​pela National Library of Medicine (NLM) para garantir que atendam aos padrões específicos de controle de qualidade antes de serem publicados no site público.

Datas Principais do Estudo

Início do estudo (Real)

10 de dezembro de 2025

Conclusão Primária (Estimado)

28 de abril de 2028

Conclusão do estudo (Estimado)

30 de abril de 2029

Datas de inscrição no estudo

Enviado pela primeira vez

24 de junho de 2025

Enviado pela primeira vez que atendeu aos critérios de CQ

21 de julho de 2025

Primeira postagem (Real)

29 de julho de 2025

Atualizações de registro de estudo

Última Atualização Postada (Real)

4 de novembro de 2026

Última atualização enviada que atendeu aos critérios de controle de qualidade

2 de novembro de 2026

Última verificação

1 de novembro de 2026

Mais Informações

Termos relacionados a este estudo

Plano para dados de participantes individuais (IPD)

Planeja compartilhar dados de participantes individuais (IPD)?

INDECISO

Informações sobre medicamentos e dispositivos, documentos de estudo

Estuda um medicamento regulamentado pela FDA dos EUA

Não

Estuda um produto de dispositivo regulamentado pela FDA dos EUA

Não

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