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Facilitated Genetic Testing for BRCA Mutation
N/A
Recruiting
Led By Melissa K Frey, MD, MS
Research Sponsored by Weill Medical College of Cornell University
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
BRCA1/2 mutation that is included on testing panel provided by the clinical genetic testing laboratory
18 years of age or older as documented in the medical record
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 18 months
Awards & highlights
Summary
This trial will compare the efficacy of a multicomponent facilitated intervention vs. standard care in terms of the overall proportion of first degree relatives who complete genetic testing for inherited gynecologic/breast cancer syndromes.
Who is the study for?
This trial is for English or Spanish-speaking adults over 18 with a recent BRCA1/2 mutation diagnosis at select medical centers. They must be receiving care related to the mutation and have at least one first-degree relative who could also be at risk. People without email access or unable to consent are excluded.Check my eligibility
What is being tested?
The FaCT Trial is testing whether a new approach (including an educational video, genetic testing kits mailed home, and telephone counseling) helps more relatives of patients get tested for BRCA mutations compared to just getting a family letter about it.See study design
What are the potential side effects?
Since this trial involves non-medical interventions like education and genetic testing, there are no direct side effects from medications. However, participants may experience stress or anxiety related to genetic test results.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
My cancer has a BRCA1 or BRCA2 mutation.
Select...
I am 18 years old or older.
Select...
I can speak and read either English or Spanish.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ 18 months
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~18 months
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Primary outcome measures
Proportion of genetic testing by 6 months among FDRs on each study arm
Secondary outcome measures
Proportion of first-degree relatives who subsequently engage in recommended risk-reducing behaviors by 18 months
Trial Design
3Treatment groups
Experimental Treatment
Group I: Standard of care - Proband-mediated cascade testingExperimental Treatment1 Intervention
Probands randomized to the standard of care group will be instructed to share a family letter (providing information on the familial mutation) with their FDRs and encourage FDRs to complete genetic testing.
Group II: Intervention - Facilitated cascade testingExperimental Treatment3 Interventions
In the intervention group, a patient navigator will provide facilitated support, including an initial genetic counseling call, an email with a link to an educational video, and, for individuals who are interested in completing testing - a link to create an account for a free saliva kit and a follow-up call to discuss the results and ensure participants are connected with their primary care provider or other clinician, as appropriate.
Group III: Exploratory ArmExperimental Treatment3 Interventions
Probands at WCM only who do not meet eligibility criteria for randomization to the intervention and control arms will be offered enrollment in a third arm, in which they will receive the intervention in addition to the option for referral to patient advocacy/support groups including FORCE: Facing Hereditary Cancer EMPOWERED, Sharsheret, SHARE, LatinaSHARE, Oneinforty, Susan G. Komen, Any Mountain, and Genetic Support Foundation, for additional guidance. Probands enrolled in this third arm only will be asked to share the names and contact information for all first, second, and third-degree relatives with whom they have shared their genetic testing results. We estimate enrolling up to 200 subjects into this exploratory third arm (50 probands and 150 Relatives including first, second, and third-degree relatives).
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Who is running the clinical trial?
Weill Medical College of Cornell UniversityLead Sponsor
1,064 Previous Clinical Trials
1,318,386 Total Patients Enrolled
Basser Research Center for BRCAUNKNOWN
Melissa K Frey, MD, MSPrincipal InvestigatorWeill Medical College of Cornell University
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I have a close family member at risk due to our shared genetics.My cancer has a BRCA1 or BRCA2 mutation.I am 18 years old or older.I can speak and read either English or Spanish.I have a new or confirmed BRCA mutation within the last year.
Research Study Groups:
This trial has the following groups:- Group 1: Exploratory Arm
- Group 2: Intervention - Facilitated cascade testing
- Group 3: Standard of care - Proband-mediated cascade testing
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
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