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Trial Title: Enhancing Information Management for Young Adults After Genetic Cancer Risk Testing

NCT ID: NCT05759143

Condition: Genetic Predisposition to Disease
Genetic Predisposition

Conditions: Official terms:
Disease Susceptibility
Genetic Predisposition to Disease

Conditions: Keywords:
Genetic Predisposition to Disease
Genetic Predisposition
Genetic Testing
Cancer Risk Syndromes
VUS
Variant of Uncertain Significance
Pathogenic Variant

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Single Group Assignment

Primary purpose: Health Services Research

Masking: None (Open Label)

Intervention:

Intervention type: Behavioral
Intervention name: Nest Platform
Description: Patient- and clinician-facing portal via secure link
Arm group label: Nest Pilot Phase
Arm group label: Nest Refinement Phase

Summary: This research is being done to develop the electronic platform Nest for young adults (ages 18-39) who have had prior cancer genetic testing. The platform will give patients and their clinicians access to continuously updated information about both pathogenic variants and variants of uncertain significance (VUS). The name of the intervention used in this research study is: Nest portal (electronic platform for patients and clinicians)

Detailed description: The goal of the electronic platform Nest is to help patients understand and manage genetic test results and recommended care and to help clinicians with access to results and recommendations, facilitating orders, and documentation. The portal has two parts, one for participants and one for clinicians. For the first phase of the study, participants will give their feedback on the Nest portal's content and processes that will guide refinement of the portal. The Pilot phase will test the feasibility and acceptability of the intervention. The research study procedures include a baseline survey, using the portal after receiving a brief orientation from the study team, a follow-up survey, and then a 30-minute interview. Participants will be in this research study for up to 2 hours. It is expected that about 40 people will take part in this research study. The electronic platform is being developed by Nest Genomics.

Criteria for eligibility:
Criteria:
Inclusion Criteria AIM 1: - YA Patients: - Ages 18-39 years, inclusive. - Has had previous cancer genetic testing, with a finding of a pathogenic variant or VUS; patient has previously received results from the clinical team. - English-speaking and -reading. - Receiving care at DFCI. - Not undergoing active cancer therapy at the time of approach. - Clinicians: - Cancer risk physicians (oncologists, gastroenterologists, geneticists), oncologists, nurse practitioners, physician assistants, or genetic counselors. - English-speaking and -reading. - Cares for YAs aged 18-39 with cancer risk syndromes. Inclusion Criteria AIM 2: - YA Patients: - Ages 18-39 years, inclusive. - Has had previous cancer genetic testing, with a finding of a pathogenic variant or VUS; patient has previously received results from the clinical team. - English-speaking and -reading. - Receiving care at Dana-Farber Cancer Institute. - Did not participate in a stakeholder interview (Aim 1). - Not undergoing active cancer therapy at the time of approach. - Clinicians: - Oncologists, nurse practitioners, cancer risk physicians, or genetic counselors. - English-speaking and -reading. - Caring for a participating YA.

Gender: All

Minimum age: 18 Years

Maximum age: 39 Years

Healthy volunteers: Accepts Healthy Volunteers

Locations:

Facility:
Name: Dana Farber Cancer Institute

Address:
City: Boston
Zip: 02115
Country: United States

Status: Recruiting

Contact:
Last name: Jennifer Mack, MD

Phone: 617-632-6622
Email: JMACK@PARTNERS.ORG

Investigator:
Last name: Jennifer Mack, MD
Email: Principal Investigator

Start date: May 1, 2023

Completion date: March 30, 2026

Lead sponsor:
Agency: Dana-Farber Cancer Institute
Agency class: Other

Collaborator:
Agency: Nest Genomics
Agency class: Industry

Source: Dana-Farber Cancer Institute

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05759143

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