Trial Outcomes & Findings for Clinical Validity and Utility of Genomic-targeted Chemoprevention of PCa: Aim 4a (NCT NCT02381015)

NCT ID: NCT02381015

Last Updated: 2019-11-22

Results Overview

Discussion with Physician regarding PSA screening, measured by survey 3 months after provision of risk information

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

700 participants

Primary outcome timeframe

3 months

Results posted on

2019-11-22

Participant Flow

Participant milestones

Participant milestones
Measure
Genetic Risk Score: Number Format
Genetic Risk Score: Number Format Subjects receive genetic risk scores in a number format. Genetic Risk Score: Number Format: Genetic Risk Score: Number + Pictograph Genetic risk score based on validated panel of 46 single nucleotide polymorphisms previously identified to be associated with Prostate Cancer risk by Genome Wide Association Studies, presented to subjects as a number.
Genetic Risk Score: Number + Pictograph
Genetic Risk Score: Number + Pictograph Subjects receive genetic risk scores in a number and pictograph format. Genetic Risk Score: Number + Pictograph: Genetic Risk Score: Number + Pictograph Risk information conveyed as either a number or a number + pictograph, depending on randomization group.
Family History: Number Format
Family History: Number Format Subjects receive family history risk in a number format. Family History: Number Format: Family History: Number Format Risk information conveyed as either a number or a number + pictograph, depending on randomization group.
Family History: Number + Pictograph
Family History: Number + Pictograph Subjects receive family history risk in a number and pictograph format. Family History: Number + Pictograph: Family History: Number + Pictograph Risk information conveyed as either a number or a number + pictograph, depending on randomization group.
Year 3 Chart Review
NOT COMPLETED
47
34
58
51
Visit 1 - Enrollment
STARTED
175
175
175
175
Visit 1 - Enrollment
COMPLETED
175
173
175
172
Visit 1 - Enrollment
NOT COMPLETED
0
2
0
3
Visit 2 - Results DIsclosure
STARTED
175
173
175
172
Visit 2 - Results DIsclosure
COMPLETED
172
168
173
169
Visit 2 - Results DIsclosure
NOT COMPLETED
3
5
2
3
Visit 3 - 3 Months Followup
STARTED
172
168
173
169
Visit 3 - 3 Months Followup
COMPLETED
172
168
173
169
Visit 3 - 3 Months Followup
NOT COMPLETED
0
0
0
0
Year 3 Chart Review
STARTED
172
168
173
169
Year 3 Chart Review
COMPLETED
125
134
115
118

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Clinical Validity and Utility of Genomic-targeted Chemoprevention of PCa: Aim 4a

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Genetic Risk Score: Number Format
n=175 Participants
Genetic Risk Score: Number Format Subjects receive genetic risk scores in a number format. Genetic Risk Score: Number Format: Genetic Risk Score: Number + Pictograph Genetic risk score based on validated panel of 46 single nucleotide polymorphisms previously identified to be associated with Prostate Cancer risk by Genome Wide Association Studies, presented to subjects as a number.
Genetic Risk Score: Number + Pictograph
n=175 Participants
Genetic Risk Score: Number + Pictograph Subjects receive genetic risk scores in a number and pictograph format. Genetic Risk Score: Number + Pictograph: Genetic Risk Score: Number + Pictograph Risk information conveyed as either a number or a number + pictograph, depending on randomization group.
Family History: Number Format
n=175 Participants
Family History: Number Format Subjects receive family history risk in a number format. Family History: Number Format: Family History: Number Format Risk information conveyed as either a number or a number + pictograph, depending on randomization group.
Family History: Number + Pictograph
n=175 Participants
Family History: Number + Pictograph Subjects receive family history risk in a number and pictograph format. Family History: Number + Pictograph: Family History: Number + Pictograph Risk information conveyed as either a number or a number + pictograph, depending on randomization group.
Total
n=700 Participants
Total of all reporting groups
Age, Continuous
44.9 years
STANDARD_DEVIATION 2.85 • n=5 Participants
44.8 years
STANDARD_DEVIATION 3.06 • n=7 Participants
44.7 years
STANDARD_DEVIATION 2.84 • n=5 Participants
45.0 years
STANDARD_DEVIATION 2.76 • n=4 Participants
44.85 years
STANDARD_DEVIATION 2.88 • n=21 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Sex: Female, Male
Male
175 Participants
n=5 Participants
175 Participants
n=7 Participants
175 Participants
n=5 Participants
175 Participants
n=4 Participants
700 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
White
175 Participants
n=5 Participants
175 Participants
n=7 Participants
175 Participants
n=5 Participants
175 Participants
n=4 Participants
700 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Region of Enrollment
United States
175 participants
n=5 Participants
175 participants
n=7 Participants
175 participants
n=5 Participants
175 participants
n=4 Participants
700 participants
n=21 Participants

PRIMARY outcome

Timeframe: 3 months

Discussion with Physician regarding PSA screening, measured by survey 3 months after provision of risk information

Outcome measures

Outcome measures
Measure
Genetic Risk Score: Number Format
n=175 Participants
Genetic Risk Score: Number Format Subjects receive genetic risk scores in a number format. Genetic Risk Score: Number Format: Genetic Risk Score: Number + Pictograph Genetic risk score based on validated panel of 46 single nucleotide polymorphisms previously identified to be associated with Prostate Cancer risk by Genome Wide Association Studies, presented to subjects as a number.
Genetic Risk Score: Number + Pictograph
n=173 Participants
Genetic Risk Score: Number + Pictograph Subjects receive genetic risk scores in a number and pictograph format. Genetic Risk Score: Number + Pictograph: Genetic Risk Score: Number + Pictograph Risk information conveyed as either a number or a number + pictograph, depending on randomization group.
Family History: Number Format
n=175 Participants
Family History: Number Format Subjects receive family history risk in a number format. Family History: Number Format: Family History: Number Format Risk information conveyed as either a number or a number + pictograph, depending on randomization group.
Family History: Number + Pictograph
n=172 Participants
Family History: Number + Pictograph Subjects receive family history risk in a number and pictograph format. Family History: Number + Pictograph: Family History: Number + Pictograph Risk information conveyed as either a number or a number + pictograph, depending on randomization group.
Number of Participants Who Had Prostate Specific Antigen (PSA) Discussion With Physician at 3 Months, Measured by Survey
34 participants
30 participants
25 participants
22 participants

PRIMARY outcome

Timeframe: 3 months

PSA screening, measured by survey 3 months after provision of risk information.

Outcome measures

Outcome measures
Measure
Genetic Risk Score: Number Format
n=172 Participants
Genetic Risk Score: Number Format Subjects receive genetic risk scores in a number format. Genetic Risk Score: Number Format: Genetic Risk Score: Number + Pictograph Genetic risk score based on validated panel of 46 single nucleotide polymorphisms previously identified to be associated with Prostate Cancer risk by Genome Wide Association Studies, presented to subjects as a number.
Genetic Risk Score: Number + Pictograph
n=168 Participants
Genetic Risk Score: Number + Pictograph Subjects receive genetic risk scores in a number and pictograph format. Genetic Risk Score: Number + Pictograph: Genetic Risk Score: Number + Pictograph Risk information conveyed as either a number or a number + pictograph, depending on randomization group.
Family History: Number Format
n=173 Participants
Family History: Number Format Subjects receive family history risk in a number format. Family History: Number Format: Family History: Number Format Risk information conveyed as either a number or a number + pictograph, depending on randomization group.
Family History: Number + Pictograph
n=169 Participants
Family History: Number + Pictograph Subjects receive family history risk in a number and pictograph format. Family History: Number + Pictograph: Family History: Number + Pictograph Risk information conveyed as either a number or a number + pictograph, depending on randomization group.
Number of Participants Who Had PSA Testing at 3 Months, Measured by Survey
8 participants
7 participants
4 participants
3 participants

PRIMARY outcome

Timeframe: 3 years

PSA screening, measured by medical records 3 years after provision of risk information.

Outcome measures

Outcome measures
Measure
Genetic Risk Score: Number Format
n=125 Participants
Genetic Risk Score: Number Format Subjects receive genetic risk scores in a number format. Genetic Risk Score: Number Format: Genetic Risk Score: Number + Pictograph Genetic risk score based on validated panel of 46 single nucleotide polymorphisms previously identified to be associated with Prostate Cancer risk by Genome Wide Association Studies, presented to subjects as a number.
Genetic Risk Score: Number + Pictograph
n=134 Participants
Genetic Risk Score: Number + Pictograph Subjects receive genetic risk scores in a number and pictograph format. Genetic Risk Score: Number + Pictograph: Genetic Risk Score: Number + Pictograph Risk information conveyed as either a number or a number + pictograph, depending on randomization group.
Family History: Number Format
n=115 Participants
Family History: Number Format Subjects receive family history risk in a number format. Family History: Number Format: Family History: Number Format Risk information conveyed as either a number or a number + pictograph, depending on randomization group.
Family History: Number + Pictograph
n=118 Participants
Family History: Number + Pictograph Subjects receive family history risk in a number and pictograph format. Family History: Number + Pictograph: Family History: Number + Pictograph Risk information conveyed as either a number or a number + pictograph, depending on randomization group.
Number of Participants Who Had PSA Testing at 3 Years, Measured by Medical Records
45 participants
46 participants
29 participants
40 participants

SECONDARY outcome

Timeframe: Baseline

Population: Computerized randomization of 700 study identifiers into 175 blocks of four each was completed prior to enrollment. Genetic Risk Score=GRS and Family History=FH. Randomization groups were (Group 1) GRS+FH as a number; (Group 2) GRS+FH as a number and pictograph; (Group 3) FH as a number; and (Group 4) FH as a number and pictograph.

Immediate reaction to risk information. Measured by state anxiety scale that assess current feelings "at this moment": 1) not at all, 2) somewhat, 3) moderately so, and 4) very much so. A shortened version of questions 1,3,5,9,11,12,13,15,17, and 19 from STAI form XI were used. Each item, within then STAI is scored on a scale of 1-4 and with 10 items, the possible range of total scores was 10 (lowest anxiety) to 40 (highest anxiety). Lowest scores represent better outcomes.

Outcome measures

Outcome measures
Measure
Genetic Risk Score: Number Format
n=175 Participants
Genetic Risk Score: Number Format Subjects receive genetic risk scores in a number format. Genetic Risk Score: Number Format: Genetic Risk Score: Number + Pictograph Genetic risk score based on validated panel of 46 single nucleotide polymorphisms previously identified to be associated with Prostate Cancer risk by Genome Wide Association Studies, presented to subjects as a number.
Genetic Risk Score: Number + Pictograph
n=172 Participants
Genetic Risk Score: Number + Pictograph Subjects receive genetic risk scores in a number and pictograph format. Genetic Risk Score: Number + Pictograph: Genetic Risk Score: Number + Pictograph Risk information conveyed as either a number or a number + pictograph, depending on randomization group.
Family History: Number Format
n=174 Participants
Family History: Number Format Subjects receive family history risk in a number format. Family History: Number Format: Family History: Number Format Risk information conveyed as either a number or a number + pictograph, depending on randomization group.
Family History: Number + Pictograph
n=171 Participants
Family History: Number + Pictograph Subjects receive family history risk in a number and pictograph format. Family History: Number + Pictograph: Family History: Number + Pictograph Risk information conveyed as either a number or a number + pictograph, depending on randomization group.
Anxiety, Measured by State-trait Anxiety Inventory (STAI)
15.25 units on a scale
Standard Deviation 4.43
15.95 units on a scale
Standard Deviation 5.19
14.92 units on a scale
Standard Deviation 4.40
15.12 units on a scale
Standard Deviation 3.93

SECONDARY outcome

Timeframe: Baseline

Mean between Immediate recall of risk information and told risk information. Immediate recall is measured by survey question: "Based on the information given to you, what were you told is your chance of developing prostate cancer in your lifetime from 0% to 100% \_\_\_\_\_\_ %"

Outcome measures

Outcome measures
Measure
Genetic Risk Score: Number Format
n=175 Participants
Genetic Risk Score: Number Format Subjects receive genetic risk scores in a number format. Genetic Risk Score: Number Format: Genetic Risk Score: Number + Pictograph Genetic risk score based on validated panel of 46 single nucleotide polymorphisms previously identified to be associated with Prostate Cancer risk by Genome Wide Association Studies, presented to subjects as a number.
Genetic Risk Score: Number + Pictograph
n=173 Participants
Genetic Risk Score: Number + Pictograph Subjects receive genetic risk scores in a number and pictograph format. Genetic Risk Score: Number + Pictograph: Genetic Risk Score: Number + Pictograph Risk information conveyed as either a number or a number + pictograph, depending on randomization group.
Family History: Number Format
n=174 Participants
Family History: Number Format Subjects receive family history risk in a number format. Family History: Number Format: Family History: Number Format Risk information conveyed as either a number or a number + pictograph, depending on randomization group.
Family History: Number + Pictograph
n=173 Participants
Family History: Number + Pictograph Subjects receive family history risk in a number and pictograph format. Family History: Number + Pictograph: Family History: Number + Pictograph Risk information conveyed as either a number or a number + pictograph, depending on randomization group.
Accuracy of Immediate Recall of Risk Information Measured by Survey
0.65 Percentage of recall
Standard Deviation 4.05
0.72 Percentage of recall
Standard Deviation 3.84
0.26 Percentage of recall
Standard Deviation 1.42
1.0 Percentage of recall
Standard Deviation 5.84

SECONDARY outcome

Timeframe: 3 month

Mean between recall of risk information at 3 months measured by survey, and told risk information. Recall at 3 months is measured by survey question: "Based on the information given to you, what were you told is your chance of developing prostate cancer in your lifetime from 0% to 100% \_\_\_\_\_\_ %"

Outcome measures

Outcome measures
Measure
Genetic Risk Score: Number Format
n=172 Participants
Genetic Risk Score: Number Format Subjects receive genetic risk scores in a number format. Genetic Risk Score: Number Format: Genetic Risk Score: Number + Pictograph Genetic risk score based on validated panel of 46 single nucleotide polymorphisms previously identified to be associated with Prostate Cancer risk by Genome Wide Association Studies, presented to subjects as a number.
Genetic Risk Score: Number + Pictograph
n=168 Participants
Genetic Risk Score: Number + Pictograph Subjects receive genetic risk scores in a number and pictograph format. Genetic Risk Score: Number + Pictograph: Genetic Risk Score: Number + Pictograph Risk information conveyed as either a number or a number + pictograph, depending on randomization group.
Family History: Number Format
n=173 Participants
Family History: Number Format Subjects receive family history risk in a number format. Family History: Number Format: Family History: Number Format Risk information conveyed as either a number or a number + pictograph, depending on randomization group.
Family History: Number + Pictograph
n=169 Participants
Family History: Number + Pictograph Subjects receive family history risk in a number and pictograph format. Family History: Number + Pictograph: Family History: Number + Pictograph Risk information conveyed as either a number or a number + pictograph, depending on randomization group.
Accuracy of Recall of Risk Information at 3 Months Measured by Survey
3.30 Percentage of recall
Standard Deviation 6.04
3.78 Percentage of recall
Standard Deviation 6.01
4.43 Percentage of recall
Standard Deviation 6.92
4.38 Percentage of recall
Standard Deviation 7.33

Adverse Events

Genetic Risk Score: Number Format

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Genetic Risk Score: Number + Pictograph

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Family History: Number Format

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Family History: Number + Pictograph

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Aubrey R. Turner

Wake Forest University Health Sciences

Phone: 336-918-3585

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place