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CompletedNCT00287898Updated Apr 7, 2017

Telephone-Based Genetic Counseling or Standard Genetic Counseling in Women at Risk of Carrying the BRCA1 or BRCA2 Mutation

An interventional study of Telephone Genetic Counseling and Usual Care in Breast Cancer, sponsored by Georgetown University. Completed at 4 sites in United States. Open to female participants aged 21 Years to 85 Years. Per ClinicalTrials.gov, last updated 2017-04-07.

Sponsored by Georgetown University · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Registered 9 months after the study started (first participant enrolled May 2005, registered Feb 2006).
Phase
Not applicable
Study type
Interventional
Enrollment
669
Allocation
Randomized
Ages
21 Years to 85 Years
Sex
Female
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Study summary

RATIONALE: Genetic counseling may work as well over the telephone as it does in-person. It is not yet known whether genetic counseling by telephone is more effective than standard (in-person) genetic counseling in women at risk of carrying the BRCA1 or BRCA2 mutation.

PURPOSE: This randomized phase III trial is studying telephone-based genetic counseling to see how well it works compared to standard (in-person) genetic counseling in women at risk of carrying the BRCA1 or BRCA2 mutation.

Read the detailed description

OBJECTIVES:

Primary

  • Compare the impact of telephone genetic counseling (TGC) versus standard genetic counseling (SGC) on utilization of BRCA1/BRCA2 testing in women at risk of carrying the BRCA1/BRCA2 mutation.
  • Compare the relative efficacy of TGC versus SGC on satisfaction with the counseling process, informed decision making, psychosocial distress, and quality of life.

Secondary

  • Identify participant characteristics that predict differential response to TGC.
  • Explore the mechanisms by which TGC or SGC impact distress and quality of life.

OUTLINE: This is a randomized, multicenter study. Participants are stratified according to participating site. Participants are randomized to 1 of 2 groups.

  • Group 1 (standard genetic counseling): Participants undergo an in-person genetic counseling session. Participants are then given the option of providing blood for genetic testing at the study site. Participants who choose to undergo genetic testing receive their results in-person from their genetic counselor.
  • Group 2 (telephone-based genetic counseling): Participants undergo a telephone-based genetic counseling session. Participants who choose to undergo genetic testing receive a pre-labeled blood kit in the mail. Participants receive their results over the phone from their genetic counselor.

After completion of genetic counseling, all participants are followed periodically for 1 year.

PROJECTED ACCRUAL: A total of 600 participants will be accrued for this study.

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Conditions studied

  • Breast Cancer

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Keywords

  • breast cancer
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In context

Breast Neoplasms

12,544 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's enrollment of 669 is above the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Georgetown University is the lead sponsor of 286 studies on the registry; 42 are open to participants now.

Of its 28 completed or terminated interventional studies of FDA-regulated products, 20 (71%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
21 Years to 85 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Must have at least 10% chance of carrying the BRCA1/BRCA2 gene, as defined by ≥ 1 of the following:

    • First-degree relative of affected family member with a 50% chance of inheriting a BRCA1/BRCA2 mutation
    • Second-degree relative with BRCA1/BRCA2 mutation with 25% risk of inheritance (parent deceased)
    • Obligate gene carrier or affected woman
  • Must live within 100 miles of the Lombardi Comprehensive Cancer Center
  • No more than 4 weeks since breast or ovarian cancer diagnosis
  • No metastatic or inflammatory breast cancer or ovarian cancer
  • No stage III breast or ovarian cancer while undergoing concurrent chemotherapy

PATIENT CHARACTERISTICS:

  • No psychiatric illness or cognitive disorder that would preclude informed consent

PRIOR CONCURRENT THERAPY:

  • No prior genetic counseling or testing for BRCA1 and/or BRCA2
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Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
669 participants (actual)

Study arms

  • Experimental
    Telephone Genetic Counseling

    Participants randomized to this arm will receive all genetic counseling via telephone.

    Behavioral: Telephone Genetic Counseling

  • Active comparator
    Usual Care

    Participants randomized to usual care will receive standard in-person genetic counseling.

    Behavioral: Usual Care

Interventions

  • BehavioralTelephone Genetic Counseling

    Participants will receive all genetic counseling via telephone

  • BehavioralUsual Care

    subjects will receive standard in-person genetic counseling

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What researchers measure

Primary outcomes

  1. Uptake of BRCA1/BRCA2 mutation testing as measured by genetic test results at 3 and 6 months

    Time frame: 6 months

  2. Knowledge assessed by genetic testing knowledge measure at post-counseling and 3 months

    Time frame: 3 months

  3. Decision making as assessed by Decisional Conflict Satisfaction at post-counseling and 3 months

    Time frame: 3 months

  4. Quality of life as assessed by SF-12 health survey at 3 and 6 months

    Time frame: 6 months

  5. Distress as assessed by Impact of Events Scale Brief Symptom Inventory MICRA at 3 and 6 months

    Time frame: 6 months

Secondary outcomes

  1. Costs by cost measurement post-counseling

    Time frame: 6 months

  2. Management behaviors as assessed by utilization of management options (e.g., mammography, surgery, and chemoprevention) at 6 and 12 months

    Time frame: 12 months

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Study locations

4 sites
  • Lombardi Comprehensive Cancer Center at Georgetown University Medical Center
    Washington, District of Columbia 20007, United States
  • Dana-Farber/Harvard Cancer Center at Dana-Farber Cancer Institute
    Boston, Massachusetts 02115-6084, United States
  • Mount Sinai School of Medicine
    New York, New York 10029, United States
  • Vermont Cancer Center at University of Vermont
    Burlington, Vermont 05405-0110, United States
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References and documents

Publications

  • Peshkin BN, Kelly S, Nusbaum RH, Similuk M, DeMarco TA, Hooker GW, Valdimarsdottir HB, Forman AD, Joines JR, Davis C, McCormick SR, McKinnon W, Graves KD, Isaacs C, Garber J, Wood M, Jandorf L, Schwartz MD. Patient Perceptions of Telephone vs. In-Person BRCA1/BRCA2 Genetic Counseling. J Genet Couns. 2016 Jun;25(3):472-82. doi: 10.1007/s10897-015-9897-6. Epub 2015 Oct 12. PubMed 26455498 ↗
  • Schwartz MD, Valdimarsdottir HB, Peshkin BN, Mandelblatt J, Nusbaum R, Huang AT, Chang Y, Graves K, Isaacs C, Wood M, McKinnon W, Garber J, McCormick S, Kinney AY, Luta G, Kelleher S, Leventhal KG, Vegella P, Tong A, King L. Randomized noninferiority trial of telephone versus in-person genetic counseling for hereditary breast and ovarian cancer. J Clin Oncol. 2014 Mar 1;32(7):618-26. doi: 10.1200/JCO.2013.51.3226. Epub 2014 Jan 21. PubMed 24449235 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 7, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00287898
Lead sponsor
Georgetown University
Collaborators
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Feb 7, 2006
Start date
May 2005
Primary completion
Dec 2012
Completion
Jan 2014
Last update
Apr 7, 2017

Study contacts

Marc Schwartz, PhD
study chair · Lombardi Comprehensive Cancer Center

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Feb 2017. You cannot join it, but the record below documents what was studied.

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