A Registry for Hereditary Cancer Risk Assessment and Genetic Testing

Completed

• Conditions: Prostate Cancer

• Registration Number: NCT04015102
• Lead Sponsor: Myriad Genetic Laboratories, Inc.

Brief Summary

This prospective registry will evaluate the feasibility and impact of implementing standard cancer family history review and guideline-aligned genetic testing for men diagnosed with Prostate Cancer in community urology practices nationwide.

Detailed Description

Genes linked to hereditary cancer syndromes have been associated with increased risk for prostate cancer (PrCa), earlier disease onset and increased disease aggressiveness.1,2 Ascertaining family cancer history and hereditary risk in men diagnosed with PrCa can help inform medical management decisions. Recently published National Comprehensive Cancer Network (NCCN) Clinical Practice Guidelines in Oncology for Prostate Cancer (v3.2018)3 and Genetic/Familial High Risk Assessment: Breast and Ovarian (v2.2019)4 as well as the American Urological Association Guideline for Clinically Localized Prostate Cancer (2017)5 recommend appropriate counseling and genetic testing for men who are at increased hereditary cancer risk, based upon personal or family history. Genetic testing for patients with metastatic prostate cancer is now standard of care per NCCN Genetic/Familial High Risk Assessment: Breast and Ovarian (v2.2019) guidelines4. NCCN Prostate Cancer Guidelines (v3.2018)3 recommend obtaining a cancer-focused family history at diagnosis and consideration of germline genetic testing in multiple risk groups. Community urology practices can support guideline-aligned care by performing routine hereditary cancer risk assessment (HCRA), patient counseling and, when appropriate, genetic testing. This prospective registry will evaluate the feasibility and impact of implementing standard cancer family history review and guideline-aligned genetic testing for men diagnosed with PrCa in community urology practices nationwide.

Study Timeline

• Study Start: 2019-03-06
• Study First Submitted: 2019-06-26
• Study First Submitted QC: 2019-07-09
• Study First Posted: 2019-07-10
• Primary Completion: 2020-10-21
• Study Completion: 2020-10-30
• Status Verified: 2020-11
• Last Update Submitted: 2020-11-03
• Last Update Posted: 2020-11-05

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Male
• Target Recruitment: 255

Inclusion Criteria

• 18 Years of age or older at time of enrollment
• Affected with Prostate Cancer (newly or previously diagnosed patients).
• Presents for a medical care visit and meets eligibility criteria for hereditary cancer genetic testing, based on personal and family cancer history and NCCN Practice Guidelines in Oncology (Prostate Cancer)
• Able to understand informed consent and agrees to participate in the registry.

Exclusion Criteria

• Minors (younger than 18 years of age)
• Have had previous genetic testing for Hereditary Breast and Ovarian Cancer or Lynch Syndrome, or have previously undergone hereditary multi-gene, pan-cancer, or panel testing.
• Unable to provide routine clinical informed consent.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To see how practical it would be to integrate a standard hereditary cancer risk assessment, patient counseling and genetic testing process into the community urology practice setting.	18 weeks per site	To see how practical it would be to integrate a standard hereditary cancer risk assessment , patient counseling and genetic testing process into the community urology practice setting. Also to evaluate the impact of the integrated process on provider and patient satisfaction. This registry will gather information to evaluate the feasibility of HCRA and genetic testing process integration in the Urology community practice setting. Analysis of the registry will compare historical pre-process integration data with post-integration data from the same providers within participating community Urology practices.

Secondary Outcome Measures

Name	Time	Method
To see what the proportion of community urology patients with PrCa is who complete each component of the HCRA, patient counseling and genetic testing process.	18 weeks	To see what the proportion of community urology patients with PrCa is who complete each component of the HCRA, patient counseling and genetic testing process. This registry will gather information to evaluate the feasibility of HCRA and genetic testing process integration in the Urology community practice setting. Analysis of the registry will compare historical pre-process integration data with post-integration data from the same providers within participating community Urology practices.

Trial Locations

Locations (9)

Associated Medical Professionals of New York; 🇺🇸 Syracuse, New York, United States

Associated Urologists of North Carolina; 🇺🇸 Raleigh, North Carolina, United States

Urologic Specialists of Northwest Indiana; 🇺🇸 Merrillville, Indiana, United States

Urology Associates of Central California; 🇺🇸 Fresno, California, United States

Oregon Urology Institute; 🇺🇸 Springfield, Oregon, United States

Arkansas Urology; 🇺🇸 Little Rock, Arkansas, United States

Comprehensive Urology; 🇺🇸 Waterford, Michigan, United States

MidLantic Urology; 🇺🇸 Bala-Cynwyd, Pennsylvania, United States

Carolina Urologic Research Center; 🇺🇸 Myrtle Beach, South Carolina, United States