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CompletedNCT01927770Updated Nov 10, 2021

A Study of Consent Forms for Whole Exome and Whole Genome Sequencing

An observational study in Whole Genome Sequencing, sponsored by National Human Genome Research Institute (NHGRI). Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-11-10.

Sponsored by National Human Genome Research Institute (NHGRI) · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
212
Ages
18 Years and older
Sex
All
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Study summary

Background:

The purpose of this study is to investigate the process of consenting participants to whole exome/genome sequencing and its outcomes. It is unknown how best to consent people to this new technology. NO GENOME SEQUENCING IS OFFERED AS PART OF THIS STUDY. This protocol is a companion to other NIH studies that involve genomic sequencing. Participants must be enrolled in a parent NIH study that is collaborating on this consent study to be eligible. Currently this involves only one NIH study.

Objectives:

  • To learn the best way to help participants understand sequencing, so they can decide whether to join studies that use it.

Eligibility:

  • Adults at least 18 years old who are enrolled in a National Institutes of Health (NIH) study that uses WES/WGS.
  • Adults at least 18 years old whose children are enrolled in an NIH study that uses WES/WGS.

Design:

  • Participants will take part in the study either in person or over the phone.
  • Participants will review two sequencing consent forms with a genetic counselor.
  • Before and after meeting with the counselor, participants will answer several questions about sequencing. Each questionnaire will take about 15 minutes.
  • Six weeks later, participants will answer questions about sequencing. This will take about 15 minutes.
Read the detailed description

Consent to participant in studies that include whole exome and whole genome sequencing (WES/WGS) studies and to receive results present challenges to achieving informed consent due to the scope, depth and uncertainty of the information. NIH Intramural studies increasingly involve WES/WGS to identify elusive primary variants. This umbrella protocol aims to compare an evidence-based consent for WES/WGS to a standard consent in collaboration with ongoing and future NIH studies. An equivocal hypothesis will be tested to evaluate whether informed choice and perceptions of uncertainty differ between two consent

groups. A mixed-methods design is proposed that starts with a qualitative mental-model pilot

study to revise an expert opinion consent intervention by integrating lay-person response

preferences. Following development of this evidence-based intervention, a randomized two- factor design will be used for a quantitative survey study conducted in conjunction with a

number of NIH studies conducting WES/WGS to test for differences between two consent

models. A descriptive analysis of the audiotaped consent process will also be conducted to

assess differences in the content or extent of the process, and related outcomes of satisfaction and decisional conflict will also be assessed.

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Conditions studied

  • Whole Genome Sequencing

Keywords

  • WES
  • Informed Consent
  • WGS
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In context

Lead sponsor

National Human Genome Research Institute (NHGRI) is the lead sponsor of 199 studies on the registry; 32 are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Parents and eligible children.

Inclusion criteria

Eligible adults (greater than or equal to 18 years of age) consenting to enroll in an NIH study that includes WES/WGS. Parents of eligible children (\<18 years of age) consenting to enroll their child(ren) in an NIH study that includes WES/WGS. Participants must be cognitively able to consent and fluent in written and spoken English.

Exclusion criteria

EXCLUSION CRITERIA:

Children (\<18 years of age). Non-English speaking participants (until the study has evolved to be able to use translations of the interventions into Spanish).

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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
212 participants (actual)

Groups and cohorts

  • WES/WGS

    Eligible adults (or parents of eligible children) consenting to enroll in an NIH study thatincludes WES/WGS.

06

What researchers measure

Primary outcomes

  1. A

    To contrast the efficacy of an evidence-based streamlined consent model (based upon the integration of an expert opinion model and laypersons responses using a mental- models approach) to a standard NIH consent in consenting adult and parent participants to undergo WES/WGS within NIH Intramural studies.

    Time frame: Ongoing

  2. B

    To quantitatively assess changes in understanding, perceptions of uncertainty and informed choice between the two consent interventions, assuming equivalency.

    Time frame: Ongoing

  3. C

    To describe satisfaction,decisional conflict and residual questions and concerns following use of each consent intervention.

    Time frame: Ongoing

  4. D

    To compare the content, dialogue and time spent in the consent discussions between interventions.

    Time frame: Ongoing

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Study locations

1 site
  • National Institutes of Health Clinical Center, 9000 Rockville Pike
    Bethesda, Maryland 20892, United States
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References and documents

Publications

  • Ayuso C, Millan JM, Mancheno M, Dal-Re R. Informed consent for whole-genome sequencing studies in the clinical setting. Proposed recommendations on essential content and process. Eur J Hum Genet. 2013 Oct;21(10):1054-9. doi: 10.1038/ejhg.2012.297. Epub 2013 Jan 16. PubMed 23321621 ↗
  • Biesecker LG, Mullikin JC, Facio FM, Turner C, Cherukuri PF, Blakesley RW, Bouffard GG, Chines PS, Cruz P, Hansen NF, Teer JK, Maskeri B, Young AC; NISC Comparative Sequencing Program; Manolio TA, Wilson AF, Finkel T, Hwang P, Arai A, Remaley AT, Sachdev V, Shamburek R, Cannon RO, Green ED. The ClinSeq Project: piloting large-scale genome sequencing for research in genomic medicine. Genome Res. 2009 Sep;19(9):1665-74. doi: 10.1101/gr.092841.109. Epub 2009 Jul 14. PubMed 19602640 ↗
  • Dormandy E, Michie S, Hooper R, Marteau TM. Low uptake of prenatal screening for Down syndrome in minority ethnic groups and socially deprived groups: a reflection of women's attitudes or a failure to facilitate informed choices? Int J Epidemiol. 2005 Apr;34(2):346-52. doi: 10.1093/ije/dyi021. Epub 2005 Feb 28. PubMed 15737971 ↗
  • Turbitt E, Chrysostomou PP, Peay HL, Heidlebaugh AR, Nelson LM, Biesecker BB. A randomized controlled study of a consent intervention for participating in an NIH genome sequencing study. Eur J Hum Genet. 2018 May;26(5):622-630. doi: 10.1038/s41431-018-0105-7. Epub 2018 Feb 16. PubMed 29453419 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 10, 2021, 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
NCT01927770
Lead sponsor
National Human Genome Research Institute (NHGRI)
Responsible party
Sponsor
First posted
Aug 23, 2013
Start date
Dec 16, 2013
Primary completion
Mar 7, 2016
Completion
Nov 8, 2021
Last update
Nov 10, 2021

Study contacts

Julie Sapp
principal investigator · National Human Genome Research Institute (NHGRI)
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2021. You cannot join it, but the record below documents what was studied.

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