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Trial Title: COsegregation of VARiants in Panel of Genes

NCT ID: NCT01689584

Condition: Gene Mutation-Related Cancer
Genetic Predisposition

Conditions: Official terms:
Genetic Predisposition to Disease

Conditions: Keywords:
BRCA1
BRCA2
VUS
co-segregation
genetic counseling
PALB2
panel of genes

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Diagnostic

Masking: None (Open Label)

Intervention:

Intervention type: Genetic
Intervention name: salivary kit
Description: The saliva samples will be made of selected related (DNA).
Arm group label: Covar

Summary: The aim of the COVAR project is to classify reliably a maximum of VUS of the French database in order to use them for the genetic counseling. The results obtained through this study will have a major impact on clinical management of the patients and their families conducting in some cases to propose a prophylactic surgery.

Detailed description: Originally, the COVAR study was designed to explore Variants of unknown biological significance (VUS) in BRCA1 (BReast Cancer 1) and BRCA2 (BReast Cancer 2) genes, which are the two major genes identified in hereditary breast and/or ovarian cancers. Since then the study has evolved, in parallel with the evolution of diagnosis, first introducing the PALB2 (Partner and localizer of BRCA2) gene explored in diagnosis since 2015 and now opening the study to all the genes of the panels performed in diagnosis in families with a genetic predisposition syndrome to cancers. The French UMD (Universal Mutation Database)-BRCA1/2, accredited by the French National Cancer Institute, collects anonymous results of genetic tests performed by authorized French laboratories since 1995, giving a real-time vision of families carrying the same VUS. In september 2011, the French UMD-BRCA1/2 database comprised 706 different variants in 1,300 BRCA1 families and 1,089 different variants in 2,101 BRCA2 families. In April 2021, this database contained 1,651 different VSU for BRCA1, 3,015 different VUS for BRCA2, 471 different VUS for PALB2, 68 for RAD51C and 66 for RAD51D. Since 2017, new genes have been explored in the diagnostic setting as they have been reported as predisposing factors for cancers. This list is constantly evolving (Moretta et al., 2018; Dhooge et al., 2020). Data collection for these genes is ongoing and a new database (FrOG) gathering all VUS and mutations identified in the French oncogenetic network has been set up. We have set up a consortium agreement at the end of 2020. This database gathers to date 12 genes and 11,912 different variants in more than 40,000 French families. One of the key measurable parameters for classification of VUS as causal mutations is their co-segregation with the disease. The average size of French families is relatively small, the information of variant co-segregation limited to one family would not be significant. However, the compilation of co-segregation results obtained from several families will allow to obtain more precise and complete estimations of the probability of causality of a given variant. The objective of the COVAR study (COsegregation VARiants) is to organize co-segregation studies of the VUS of the database UMD-BRCA1/2, in order to determine the causal or non-causal nature of these variants. To organize the variants by their clinical relevance, a grid with 5 classes has been used: 1=neutral, 2=likely neutral, 3=VUS, 4=likely causal, 5=causal. The VUS of classes 3 and 4 will be candidates to co-segregation studies because they cannot be used for the genetic counseling. In the selected families the index case will invite the family members (affected and unaffected) to provide a sample of salivary fluid to test the presence of the VUS. The probability that a VUS is causal will be calculated from the cosegregation data using a Bayesian model. The results will be integrated in the multifactorial model described by D. Goldgar, model integrating different parameters as amino acid conservation, structural impact of the variant, co-occurrence with a pathogenic mutation, family history and tumor characteristics.

Criteria for eligibility:
Criteria:
Inclusion Criteria: Index cases: - A person carrying a gene variant class 3 or 4, present and selected in the families of national database of genetic group and cancer (GGC Unicancer) which identifies the variations of all genes from the panel of genes of all French laboratories. - Age ≥ 18 years. - Signed written inform consent "index case" Related parties: - Any relative of an index case with cancer - Any relative without cancer related to an index case, retained by investigators, based on family structure and degree of related compared to the index case - Age ≥ 18 years - Information and signature of the informed consent "selected relatives" Exclusion Criteria: - Minors - Persons deprived of liberty or under guardianship (including curators). - Absence of signed written inform consent

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Institut Curie - Hopital Rene Huguenin

Address:
City: Saint-Cloud
Zip: 92210
Country: France

Status: Recruiting

Contact:
Last name: Emmanuelle FOURME, PhD
Email: emmanuelle.fourme@curie.fr

Investigator:
Last name: Emmanuelle FOURME, MD
Email: Principal Investigator

Facility:
Name: Institut Curie

Address:
City: Paris
Zip: 75005
Country: France

Status: Recruiting

Contact:
Last name: Sandrine CAPUTO, PhD
Email: sandrine.caputo@curie.fr

Investigator:
Last name: Dominique STOPPA-LYONNET, PU-PH
Email: Principal Investigator

Facility:
Name: CHU Amiens - Hôpital Nord

Address:
City: Amiens
Zip: 80054
Country: France

Status: Recruiting

Contact:
Last name: Gilles MORIN, MD

Investigator:
Last name: Gilles MORIN, MD
Email: Principal Investigator

Facility:
Name: ICO - Centre Paul Papin

Address:
City: Angers
Zip: 49933
Country: France

Status: Recruiting

Contact:
Last name: Marie COUDERT, MD

Investigator:
Last name: Marie COUDERT, MD
Email: Principal Investigator

Facility:
Name: Centre Hospitalier d'Angoulème

Address:
City: Angoulême
Zip: 16959
Country: France

Status: Recruiting

Contact:
Last name: Stéphanie CHIEZE-VALERO, MD

Investigator:
Last name: Stéphanie CHIEZE-VALERO, MD
Email: Principal Investigator

Facility:
Name: Institut Sainte-Catherine

Address:
City: Avignon
Zip: 84918
Country: France

Status: Recruiting

Contact:
Last name: Hélène DREYFUS, MD

Investigator:
Last name: Hélène DREYFUS, MD
Email: Principal Investigator

Facility:
Name: CHU Besançon

Address:
City: Besancon
Zip: 25030
Country: France

Status: Recruiting

Contact:
Last name: Marie-Agnès COLLONGE-RAME, MD

Investigator:
Last name: Marie-Agnès COLLONGE-RAME, MD
Email: Principal Investigator

Facility:
Name: Groupe Hospitalier Pellegrin

Address:
City: Bordeaux
Zip: 33076
Country: France

Status: Recruiting

Contact:
Last name: Julie TINAT, MD

Investigator:
Last name: Julie TINAT, MD
Email: Principal Investigator

Facility:
Name: Institut Bergonié

Address:
City: Bordeaux
Zip: 33076
Country: France

Status: Recruiting

Contact:
Last name: Virginie BUBIEN, MD

Investigator:
Last name: Virginie BUBIEN, MD
Email: Principal Investigator

Facility:
Name: Centre Hospitalier Jacques Coeur

Address:
City: Bourges
Zip: 18020
Country: France

Status: Recruiting

Contact:
Last name: Isabelle MORTEMOUSQUE, MD

Investigator:
Last name: Isabelle MORTEMOUSQUE, MD
Email: Principal Investigator

Facility:
Name: CHU Morvan de Brest

Address:
City: Brest
Zip: 29200
Country: France

Status: Recruiting

Contact:
Last name: Marc PLANES, MD

Investigator:
Last name: Marc PLANES, MD
Email: Principal Investigator

Facility:
Name: Centre François Baclesse

Address:
City: Caen
Zip: 14076
Country: France

Status: Recruiting

Contact:
Last name: Pascaline BERTHET, MD

Investigator:
Last name: Pascaline BERTHET, MD
Email: Principal Investigator

Facility:
Name: Centre Hospitalier Hôtel Dieu

Address:
City: Chambery
Zip: 73011
Country: France

Status: Recruiting

Contact:
Last name: Sandra FERRER, MD

Investigator:
Last name: Sandra FERRER, MD
Email: Principal Investigator

Facility:
Name: Centre Jean Perrin

Address:
City: Clermont-Ferrand
Zip: 63011
Country: France

Status: Recruiting

Contact:
Last name: Mathilde GAY-BELLILE, MD

Investigator:
Last name: Mathilde GAY-BELLILE, MD
Email: Principal Investigator

Facility:
Name: Hôpital Civil de Colmar

Address:
City: Colmar
Zip: 68024
Country: France

Status: Not yet recruiting

Contact:
Last name: Jean-Marc LIMACHER

Investigator:
Last name: Jean-Marc LIMACHER, MD
Email: Principal Investigator

Facility:
Name: CHU de Dijon

Address:
City: Dijon
Zip: 21079
Country: France

Status: Recruiting

Contact:
Last name: Laurence FAIVRE-OLIVIER, MD

Investigator:
Last name: Laurence FAIVRE-OLIVIER, MD
Email: Principal Investigator

Facility:
Name: CHU de Grenoble

Address:
City: Grenoble
Zip: 38043
Country: France

Status: Recruiting

Contact:
Last name: Clémentine LEGRAND, MD

Investigator:
Last name: Clémentine LEGRAND, MD
Email: Principal Investigator

Facility:
Name: Groupe Hospitalier La Rochelle-Ré-Aunis

Address:
City: La Rochelle
Zip: 17019
Country: France

Status: Recruiting

Contact:
Last name: Stéphanie CHIEZE-VALERO, MD

Investigator:
Last name: Stéphanie CHIEZE-VALERO, MD
Email: Principal Investigator

Facility:
Name: Hôpital Flaubert

Address:
City: Le Havre
Zip: 76083
Country: France

Status: Recruiting

Contact:
Last name: Elodie LACAZE, MD

Investigator:
Last name: Elodie LACAZE, MD
Email: Principal Investigator

Facility:
Name: Centre Oscar Lambret

Address:
City: Lille
Zip: 59000
Country: France

Status: Recruiting

Contact:
Last name: Audrey MAILLIEZ, MD

Investigator:
Last name: Audrey MAILLIEZ, MD
Email: Principal Investigator

Facility:
Name: Chru Lille

Address:
City: Lille
Zip: 59037
Country: France

Status: Recruiting

Contact:
Last name: Sophie LEJEUNE, MD

Investigator:
Last name: Sophie LEJEUNE, MD
Email: Principal Investigator

Facility:
Name: CHU Dupuytren

Address:
City: Limoges
Zip: 87042
Country: France

Status: Recruiting

Contact:
Last name: Laurence VENAT-BOUVET, MD

Investigator:
Last name: Laurence VENAT-BOUVET, MD
Email: Principal Investigator

Facility:
Name: Hospices Civils de Lyon

Address:
City: Lyon
Zip: 69229
Country: France

Status: Recruiting

Contact:
Last name: Sophie GIRAUD, MD

Investigator:
Last name: Sophie GIRAUD, MD
Email: Principal Investigator

Facility:
Name: Centre Léon Bérard

Address:
City: Lyon
Zip: 69373
Country: France

Status: Recruiting

Contact:
Last name: Christine LASSET, MD

Investigator:
Last name: Christine LASSET, MD
Email: Principal Investigator

Facility:
Name: Institut Paoli Calmettes

Address:
City: Marseille
Zip: 13009
Country: France

Status: Recruiting

Contact:
Last name: Hagay SOBOL, PhD

Investigator:
Last name: Hagay SOBOL, PhD
Email: Principal Investigator

Facility:
Name: CHU La Timone

Address:
City: Marseille
Zip: 13385
Country: France

Status: Recruiting

Contact:
Last name: Hélène ZATTARA, MD

Investigator:
Last name: Hélène ZATTARA, MD
Email: Principal Investigator

Facility:
Name: CHU Arnaud de Villeneuve

Address:
City: Montpellier
Zip: 34295
Country: France

Status: Recruiting

Contact:
Last name: Isabelle COUPIER, MD

Investigator:
Last name: Isabelle COUPIER, MD
Email: Principal Investigator

Facility:
Name: Centre Catherine de Sienne

Address:
City: Nantes
Zip: 44202
Country: France

Status: Recruiting

Contact:
Last name: Alain LORTHOLARY, MD

Investigator:
Last name: Alain LORTHOLARY, MD
Email: Principal Investigator

Facility:
Name: Centre Antoine Lacassagne

Address:
City: Nice
Zip: 06189
Country: France

Status: Recruiting

Contact:
Last name: Véronique MARI, MD

Investigator:
Last name: Véronique MARI, MD
Email: Principal Investigator

Facility:
Name: Centre Hospitalier Georges Renon

Address:
City: Niort
Zip: 79021
Country: France

Status: Recruiting

Contact:
Last name: Stéphanie CHIEZE-VALERO, MD

Investigator:
Last name: Stéphanie CHIEZE-VALERO, MD
Email: Principal Investigator

Facility:
Name: CHRU Caremeau

Address:
City: Nîmes
Zip: 30029
Country: France

Status: Recruiting

Contact:
Last name: Jean CHIESA, MD

Investigator:
Last name: Jean CHIESA, MD
Email: Principal Investigator

Facility:
Name: Hôpital de la Source

Address:
City: Orléans
Zip: 45067
Country: France

Status: Recruiting

Contact:
Last name: E COTTEREAU, MD

Investigator:
Last name: E COTTEREAU, MD
Email: Principal Investigator

Facility:
Name: Hôpital Saint-Antoine

Address:
City: Paris
Zip: 75012
Country: France

Status: Recruiting

Contact:
Last name: Antoine DARDENNE, MD

Investigator:
Last name: Antoine DARDENNE, MD
Email: Principal Investigator

Facility:
Name: Groupe Hospitalier Pitié-Salpêtrière

Address:
City: Paris
Zip: 75013
Country: France

Status: Recruiting

Contact:
Last name: Véronica CUSIN, MD

Investigator:
Last name: Véronica CUSIN, MD
Email: Principal Investigator

Facility:
Name: Hôpital Tenon

Address:
City: Paris
Zip: 75020
Country: France

Status: Recruiting

Contact:
Last name: Clémence EVREVIN, MD

Investigator:
Last name: Clémence EVREVIN, MD
Email: Principal Investigator

Facility:
Name: Hôpital Saint-Louis

Address:
City: Paris
Zip: 75475
Country: France

Status: Recruiting

Contact:
Last name: Odile COHEN-HAGUENAUER, MD

Investigator:
Last name: Odile COHEN-HAGUENAUER, MD
Email: Principal Investigator

Facility:
Name: HEGP

Address:
City: Paris
Zip: 75908
Country: France

Status: Recruiting

Contact:
Last name: Pierre-Laurent PUIG, Phd

Investigator:
Last name: Pierre-Laurent PUIG, Phd
Email: Principal Investigator

Facility:
Name: CHU La Milétrie

Address:
City: Poitiers
Zip: 86021
Country: France

Status: Recruiting

Contact:
Last name: Stéphanie CHIEZE-VALERO, MD

Investigator:
Last name: Stéphanie CHIEZE-VALERO, MD
Email: Principal Investigator

Facility:
Name: CHU de Reims

Address:
City: Reims
Zip: 51092
Country: France

Status: Recruiting

Contact:
Last name: Anne DURLACH, MD

Investigator:
Last name: Anne DURLACH, MD
Email: Principal Investigator

Facility:
Name: ICC Courlancy

Address:
City: Reims
Zip: 51100
Country: France

Status: Recruiting

Contact:
Last name: Fanny BRAYOTEL, MD

Investigator:
Last name: Fanny BRAYOTEL, MD
Email: Principal Investigator

Facility:
Name: Institut Jean Godinot

Address:
City: Reims
Zip: 51100
Country: France

Status: Recruiting

Contact:
Last name: Tan Dat NGUYEN, PHD

Investigator:
Last name: Tan Dat NGUYEN, PHD
Email: Principal Investigator

Facility:
Name: Centre Eugène Marquis

Address:
City: Rennes
Zip: 35042
Country: France

Status: Recruiting

Contact:
Last name: Louise CRIVELLI, MD

Investigator:
Last name: Louise CRIVELLI, MD
Email: Principal Investigator

Facility:
Name: CHU de Rouen

Address:
City: Rouen
Zip: 76031
Country: France

Status: Recruiting

Contact:
Last name: Isabelle TENNEVET, MD

Investigator:
Last name: Isabelle TENNEVET, MD
Email: Principal Investigator

Facility:
Name: ICO - Centre René Gauducheau

Address:
City: Saint-Herblain
Zip: 44804
Country: France

Status: Recruiting

Contact:
Last name: Capucine DELNATTE, MD

Investigator:
Last name: Capucine DELNATTE, MD
Email: Principal Investigator

Facility:
Name: CHU Saint Etienne

Address:
City: Saint-Étienne
Zip: 42055
Country: France

Status: Recruiting

Contact:
Last name: Fabienne PRIEUR, MD

Investigator:
Last name: Fabienne PRIEUR, MD
Email: Principal Investigator

Facility:
Name: Institut de Cancérologie Strasbourg Europe ICANS

Address:
City: Strasbourg
Zip: 67033
Country: France

Status: Recruiting

Contact:
Last name: Philippe BOUDIER, MD

Investigator:
Last name: Philippe BOUDIER, MD
Email: Principal Investigator

Facility:
Name: Hopital de Hautepierre - Hôpital Universitaire

Address:
City: Strasbourg
Zip: 67200
Country: France

Status: Recruiting

Contact:
Last name: Christine MAUGARD, MD

Investigator:
Last name: Christine MAUGARD, MD
Email: Principal Investigator

Facility:
Name: Institut Claudius Regaud - IUCT - Oncopole

Address:
City: Toulouse
Zip: 31059
Country: France

Status: Recruiting

Contact:
Last name: Laurence GLADIEFF, MD

Investigator:
Last name: Laurence GLADIEFF, MD
Email: Principal Investigator

Facility:
Name: CHU Bretonneau

Address:
City: Tours
Zip: 37044
Country: France

Status: Recruiting

Contact:
Last name: Isabelle MORTEMOUSQUE, MD

Investigator:
Last name: Isabelle MORTEMOUSQUE, MD
Email: Principal Investigator

Facility:
Name: CH Simone VEIL

Address:
City: Troyes
Zip: 10003
Country: France

Status: Recruiting

Contact:
Last name: Charlotte CAILLE-BENIGNI, MD

Investigator:
Last name: Charlotte CAILLE-BENIGNI, MD
Email: Principal Investigator

Facility:
Name: Centre Hospitalier de Valence

Address:
City: Valence
Zip: 26953
Country: France

Status: Recruiting

Contact:
Last name: Marie-Noëlle BONNET-DUPEYRON, MD

Investigator:
Last name: Marie-Noëlle BONNET-DUPEYRON, MD
Email: Principal Investigator

Facility:
Name: Centre Alexis Vautrin

Address:
City: Vandoeuvre les Nancy
Zip: 54511
Country: France

Status: Withdrawn

Facility:
Name: CHU Nancy - Hôpital Brabois

Address:
City: Vandoeuvre les Nancy
Zip: 54511
Country: France

Status: Recruiting

Contact:
Last name: Jean-Marie RAVEL, MD

Investigator:
Last name: Jean-Marie RAVEL, MD
Email: Principal Investigator

Facility:
Name: Gustave Roussy

Address:
City: Villejuif
Zip: 94805
Country: France

Status: Recruiting

Contact:
Last name: Olivier CARON, MD

Investigator:
Last name: Olivier CARON, MD
Email: Principal Investigator

Facility:
Name: CHU de Pointe à Pitre

Address:
City: Pointe à Pitre
Zip: 97110
Country: Guadeloupe

Status: Recruiting

Contact:
Last name: Marilyn LACKMY-PORT-LIS, MD

Investigator:
Last name: Marilyn LACKMY-PORT-LIS, MD
Email: Principal Investigator

Facility:
Name: CHU de Fort de France

Address:
City: Fort de France
Zip: 97261
Country: Martinique

Status: Recruiting

Contact:
Last name: Odile BERA, MD

Investigator:
Last name: Odile BERA, MD
Email: Principal Investigator

Facility:
Name: CHU Sud Réunion Saint-Pierre

Address:
City: Saint-Pierre
Zip: 97410
Country: Réunion

Status: Recruiting

Contact:
Last name: Hanitra RANJATOELINA, MD

Investigator:
Last name: Hanitra RANJATOELINA, MD
Email: Principal Investigator

Start date: July 2, 2012

Completion date: January 2, 2034

Lead sponsor:
Agency: Institut Curie
Agency class: Other

Source: Institut Curie

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT01689584
http://www.umd.be/BRCA1/
http://www.umd.be/BRCA2/

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