Genetic Counseling in Women at Risk for BRCA1 or BRCA2 Mutations

NCT ID: NCT00416754

Last Updated: 2017-04-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

1109 participants

Study Classification

INTERVENTIONAL

Study Start Date

2000-12-31

Study Completion Date

2006-12-31

Brief Summary

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RATIONALE: Genetic counseling and using an interactive computer program may help women at risk for breast cancer make medical decisions about treatment.

PURPOSE: This randomized clinical trial is studying standard genetic counseling to see how well it works when given together with or without a medical decision-making computer program in women at risk for BRCA1 or BRCA2 mutations.

Detailed Description

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OBJECTIVES:

* Evaluate the impact of BRCA1/BRCA2 testing among members of hereditary breast-ovarian cancer families.
* Evaluate the long-term impact of genetic counseling and testing on psychosocial and behavioral outcomes.
* Evaluate the relative impact of standard genetic counseling (SGC) versus SGC plus the interactive decision-aid (IDA) on medical decision-making.
* Evaluate the relative impact of SGC vs SGC + IDA on psychological well-being.
* Explore the mechanisms by which the SGC + IDA intervention impacts on psychosocial and behavioral outcomes.

OUTLINE: This is a multicenter study.

Eligible women are asked to participate in a baseline telephone interview over 30 minutes and then invited to a genetic counseling session over 1.5-2 hours that includes information about BRCA1/2 testing. Patients are then offered BRCA1/2 testing, and the test results (i.e., mutation carrier vs noncarrier) are presented at a subsequent in-person individual genetic counseling session over 1.5-2 hours. Patients who tested positive for BRCA1 or 2 mutation are randomized to 1 of 2 counseling arms. All other patients proceed to follow up.

* Arm I (standard genetic counseling): No further counselor-initiated contact is scheduled.
* Arm II (individualized decision aid): Patients are asked to view an interactive computer program that is designed to help the patients make medical decisions based on their breast cancer risk.

Outcome assessments, including quality of life assessment, are conducted at 2, 6, and 12 months.

PROJECTED ACCRUAL: A total of 950 patients will be accrued for this study.

Conditions

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Breast Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

SCREENING

Blinding Strategy

NONE

Interventions

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counseling intervention

subjects will receive genetic counseling

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

PATIENT CHARACTERISTICS:

* Female only
* No psychiatric or cognitive disorder that would preclude giving informed consent

PRIOR CONCURRENT THERAPY:

* See Disease Characteristics
Minimum Eligible Age

25 Years

Maximum Eligible Age

75 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

Georgetown University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Marc Schwartz, PhD

Role: PRINCIPAL_INVESTIGATOR

Lombardi Comprehensive Cancer Center

Other Identifiers

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R01CA082346

Identifier Type: NIH

Identifier Source: secondary_id

View Link

P30CA051008

Identifier Type: NIH

Identifier Source: secondary_id

View Link

GUMC-2000-305

Identifier Type: -

Identifier Source: secondary_id

CDR0000450754

Identifier Type: -

Identifier Source: org_study_id

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