Investigation of Tumour Spectrum of Germline Mutations in Breast and Ovarian Cancer Genes.
- Conditions
- MutationHereditary Breast and Ovarian Cancer
- Interventions
- Other: Genetic testing
- Registration Number
- NCT03246841
- Lead Sponsor
- UNICANCER
- Brief Summary
TUMOSPEC is a national family study designed to measure the relative and absolute risk of cancer for carriers of deleterious mutations to these "new" breast cancer (BC) susceptibility genes. Index cases will be enrolled consecutively from patients attending an appointment at one of the Unicancer centres, with no other inclusion criteria, and offered a BRCA1/2 analysis as part of their care plan. A panel of 24 TUMOSPEC genes, chosen in advance by a steering committee, will be tested as the same time as the BRCA1/2 genes, at one of the usual BRCA1/2 analysis laboratories belonging to the same network and participating in the study. If a mutation is found, the index cases will be asked to invite their first and second degree family members and their cousins to take part in the study, regardless of whether they have cancer. Saliva samples will be then taken and used for a targeted analysis of the familial abnormality. Each participant will also complete an epidemiological questionnaire in order to gather information about his/her medical history and any exposure to various risk factors. All medical and genotype data will be centralised at the Genetic Epidemiology Research Platform (PIGE, INSERM). The cumulative mutation frequency for all genes is estimated at 10%. Penetrance will be analysed using methods designed to minimise selection bias. The expression spectrum of the mutations will also be described. For genes where the number of mutated families is too low, the data may be contributed to international consortia. The main project will be preceded by a two-year feasibility study, using the same inclusion criteria and logistic circuits. It is this pilot study to which the current funding application relates.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- All
- Target Recruitment
- 7274
Not provided
People deprived of their civil liberties or who are under judicial protection or guardianship.
Patients unable to answer the questionnaire for social or psychological reasons.
Children of the index cases, of any age.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Analysis of the gene panel Genetic testing The laboratory will carry out the TUMOSPEC gene panel analysis at the same time as the BRCA1 and BRCA2 analysis and will return a negative (no mutation) or positive (presence of a mutation allowing enrolment of family members) result.
- Primary Outcome Measures
Name Time Method Penetrance estimation of the mutations identified in the gene panel 2 years The primary outcome is to obtain unbiased penetrance estimates of the mutations identified in the gene panel (about 20 genes), which will be analysed by the molecular diagnostic laboratories at the same time as the BRCA1 and BRCA2 genes
- Secondary Outcome Measures
Name Time Method Relative risk will be determined by the ratio of calculated cancer incidence in mutated and non-mutated families for this gene. 2 years To determine the deleterious nature of a variant the gene panels will be analysed by the various molecular diagnostics laboratories and we will estimate the relative risk by the ratio of calculated cancer incidence in mutated and non-mutated families for this gene.
The results for the whole panel sequencing will be formatted to be used by all laboratories allowing the subsequent centralisation of the data. 2 years This outcome will allow to establish a procedure for centralising homogeneous genomic sequencing data produced by the molecular diagnostics laboratories
Trial Locations
- Locations (2)
Gustave Roussy
🇫🇷Paris, France
Institut Curie - PIGE
🇫🇷Paris, France