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Trial Title: Genetic Testing for the Prevention of Cancer in Indigenous American Communities (JUNIPER Trial)

NCT ID: NCT06569316

Condition: Hematopoietic and Lymphatic System Neoplasm
Malignant Solid Neoplasm

Conditions: Official terms:
Neoplasms

Study type: Interventional

Study phase: N/A

Overall status: Not yet recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Screening

Masking: None (Open Label)

Intervention:

Intervention type: Procedure
Intervention name: Biospecimen Collection
Description: Undergo blood or saliva and leftover tissue sample collection
Arm group label: Screening (blood, saliva, tissue collection, genetic testing)

Other name: Biological Sample Collection

Other name: Biospecimen Collected

Other name: Specimen Collection

Intervention type: Other
Intervention name: Communication Intervention
Description: Receive care plan recommendations
Arm group label: Screening (blood, saliva, tissue collection, genetic testing)

Intervention type: Other
Intervention name: Genetic Testing
Description: Undergo genetic testing
Arm group label: Screening (blood, saliva, tissue collection, genetic testing)

Other name: Genetic Analysis

Other name: Genetic Examination

Other name: Genetic Test

Intervention type: Other
Intervention name: Survey Administration
Description: Ancillary studies
Arm group label: Screening (blood, saliva, tissue collection, genetic testing)

Summary: This clinical trial is studying the genetic changes in cells associated with different types of cancer in Indigenous American (IA) populations in the Southwest to improve cancer screening, precision prevention, and therapeutic intervention for individual in these communities. IA tribes have much lower rates of cancer screening, have more limited access to healthcare, are more often diagnosed at later stages of disease, and have the poorest outcomes in all types of cancer when compared to any other racial and ethnic group in the United States. Due to these significant cancer health disparities, IAs have been understudied and little is known about the molecular characterization of tumors arising in IAs. Undergoing genetic testing of tumors may improve cancer outcomes in IA participants and communities.

Detailed description: PRIMARY OBJECTIVES: I. To develop culturally appropriate, respectful, trusted, and collaborative means to engage and recruit Indigenous Americans (IAs) affected by cancer (newly diagnosed cancer participants, participants undergoing cancer treatment, and cancer survivors) for molecular characterization of their tumors. Ia. Conduct direct participant engagement with cancer participants/survivors, community advisors, and partners to refine and optimize methods/processes. Ib. Identify, recruit, and consent eligible IA cancer participants/survivors. Ic. Implement tissue acquisition, epidemiologic, behavioral, and clinical data collection, conduct continuous assessment of performance benchmarks. Id. Return clinical grade and clinically useful genomic data to participants with navigation to counseling and clinical resources as warranted and as they select. SECONDARY OBJECTIVE: I. Translate any discoveries to improved cancer screening, precision prevention, and therapeutic intervention that can be used to enhance cancer screening and precision prevention and improve cancer outcomes in Indigenous American participants and communities. OUTLINE: Patients undergo collection of blood or saliva samples on study for genetic testing. Patients also undergo collection of leftover tissue obtained from standard of care (SOC) surgical procedure or biopsy, or stored tissue samples for genetic testing on study. Patients receive the results of their genetic testing and are given resources for counseling and further care. After completion of study intervention, patients are followed up once a year up to 5 years from study registration.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Male or female adults >= 18 years of age - Cancer patient undergoing active treatment or a cancer survivor - Self-identify as Indigenous American Exclusion Criteria: - Unable to provide informed consent - Individuals who are under 18 years of age - Prisoners

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Mayo Clinic in Arizona

Address:
City: Scottsdale
Zip: 85259
Country: United States

Contact:
Last name: Clinical Trials Referral Office

Phone: 855-776-0015
Email: mayocliniccancerstudies@mayo.edu

Investigator:
Last name: Jewel Samadder, MD
Email: Principal Investigator

Start date: September 30, 2024

Completion date: August 31, 2027

Lead sponsor:
Agency: Mayo Clinic
Agency class: Other

Collaborator:
Agency: National Cancer Institute (NCI)
Agency class: NIH

Source: Mayo Clinic

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06569316
https://www.mayo.edu/research/clinical-trials

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