Reduce All Avoidable Cancer-promoting Exposures in Individuals at High Genetic Risk of Cancer Carrying a Constitutional Variant of the TP53 Gene (LIFPREV)
Personalized Intervention to Reduce All Avoidable Cancer-promoting Exposures in Individuals at High Genetic Risk of Cancer Carrying a Constitutional Variant of the TP53 Gene
45% of cancer deaths are linked to modifiable factors (behavioral, metabolic). Li-Fraumeni syndrome (LFS), caused by germline TP53 mutations, leads to an extremely high, early-onset cancer risk (≈24× higher than general population).
Current surveillance programs are intensive but show no clear survival benefit; primary prevention is minimal.
Evidence suggests health behaviors (smoking, alcohol, diet, weight, physical activity) may influence cancer risk in TP53 carriers.
Early studies show frequent modifiable risk factors in this population (smoking, overweight/obesity, poor diet).
A major unmet need appears: current LFS care is currently focused almost solely on screening, without any other prevention measures.
This study aims to evaluate this participatory, multidimensional prevention program for germline TP53 carriers. If effective, it could be scaled nationally and internationally
Studieöversikt
Status
Betingelser
Intervention / Behandling
Studietyp
Inskrivning (Beräknad)
Fas
- Inte tillämpbar
Kontakter och platser
Studiekontakt
- Namn: Olivier CARON, MD
- Telefonnummer: +33142115178
- E-post: olivier.caron@gustaveroussy.fr
Studera Kontakt Backup
- Namn: Tarek Ben-Ahmed, MD
- Telefonnummer: +33142112612
- E-post: tarek.ben-Ahmed@gustaveroussy.fr
Studieorter
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Villejuif, Frankrike, 94805
- Gustave Roussy
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Kontakt:
- Olivier CARON, MD
- Telefonnummer: +33142115178
- E-post: olivier.caron@gustaveroussy.fr
-
Kontakt:
- Tarek Ben-Ahmed, MD
- Telefonnummer: +33142112612
- E-post: tarek.ben-Ahmed@gustaveroussy.fr
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-
Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
Inclusion Criteria:
- Adult carriers of a pathogenic or likely pathogenic (class 4 or 5) germline variant in the TP53 gene.
- Free of active cancer, defined as cancer-free or having received no cancer treatment for more than one year, except hormone therapy for breast or prostate cancer.
- Attending the INTERCEPTION One-stop Prevention Clinic (OPC).
- Able to read and understand French.
- Agree to use their smartphone, including installation/use of the MyINTERCEPTION application and scanning QR codes to access study questionnaires.
Exclusion Criteria:
- Persons under guardianship or curatorship.
- Persons with currently active cancer or malignant disease.
- Persons currently receiving chemotherapy, radiotherapy, or targeted therapy for cancer. Hormone therapy for breast or prostate cancer is permitted.
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Förebyggande
- Tilldelning: N/A
- Interventionsmodell: Enskild gruppuppgift
- Maskning: Ingen (Open Label)
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
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Experimentell: Single Group Assignment
Participants will receive a personalized, multidimensional cancer prevention intervention integrated into the INTERCEPTION program, including assessment of modifiable cancer risk factors, educational and individualized counseling, a personalized prevention plan, digital follow-up through MyINTERCEPTION, and motivational telecoaching. |
Single Group Assignment |
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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Change in the composite Lifestyle Index at 1 year
Tidsram: From baseline to follow up visit at 1 year
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Percentage of participants who achieve an improvement of at least 1 point in the composite Lifestyle Index between baseline and the 1-year follow-up visit (V2). The Lifestyle Index assesses exposure to modifiable cancer risk factors and is based on the World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) cancer prevention recommendations. |
From baseline to follow up visit at 1 year
|
Samarbetspartners och utredare
Studieavstämningsdatum
Studera stora datum
Studiestart (Beräknad)
Primärt slutförande (Beräknad)
Avslutad studie (Beräknad)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Faktisk)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- 2025-A01242-47
- CSET number 2026/4358 (Annan identifierare: Gustave Roussy)
Plan för individuella deltagardata (IPD)
Planerar du att dela individuella deltagardata (IPD)?
IPD-planbeskrivning
Individual participant data (IPD) will not be made publicly available. Study data will be pseudonymized and access will be restricted to authorized members of the study team in accordance with applicable data protection requirements.
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