CClinicalTrials.gg
CompletedNCT04257474B-SUPERUpdated Mar 18, 2024Results posted

Barriers to Screening Breast MRI Utilization Among Patients at Elevated Risk

An observational study in Breast Cancer, sponsored by H. Lee Moffitt Cancer Center and Research Institute. Completed at 2 sites in United States. Open to female participants aged 25 Years to 85 Years. Per ClinicalTrials.gov, last updated 2024-03-18.

Sponsored by H. Lee Moffitt Cancer Center and Research Institute · Observational

Study type
Observational
Model
Case-only
Time perspective
Cross-sectional
Enrollment
265
Ages
25 Years to 85 Years
Sex
Female
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Study summary

This study seeks to develop an explanatory framework for breast MRI utilization to inform future interventions. The Health Services Utilization Model (HSUM) will guide the selection of specific participant-level factors for examination, including predisposing characteristics (knowledge, health/cultural beliefs), enabling resources (social support, cost/insurance coverage), and perceived need (perceived susceptibility, provider recommendation).

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Conditions studied

  • Breast Cancer

Keywords

  • Pathogenic BRCA 1/2 Mutation
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In context

Lead sponsor

H. Lee Moffitt Cancer Center and Research Institute is the lead sponsor of 533 studies on the registry; 74 are open to participants now.

Of its 99 completed or terminated interventional studies of FDA-regulated products, 57 (58%) have results posted.

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

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Who can participate

Ages eligible
25 Years to 85 Years
Sexes eligible
Female
Sampling method
Non-probability sample

Study population

Women will be recruited from mammography and primary care clinics, community-based outreach events, or via Facebook

Inclusion criteria

  • Ability to speak/read English
  • Within 2 years of last screening mammogram
  • Pathogenic BRCA1/2 mutations OR estimated lifetime risk ≥20% per the National Cancer Institute (NCI) Breast Cancer Risk Assessment Tool (BCRAT)

Exclusion criteria

Exclusion Criteria:

  • Women who have received a prior diagnosis of breast cancer
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Study design

Observational model
Case-only
Time perspective
Cross-sectional
Enrollment
265 participants (actual)
Patient registry
No

Groups and cohorts

  • Assessing Health Services Utilization Model (HSUM)

    150 women with a high lifetime breast cancer risk will be recruited from mammography and primary care clinics. Researchers will assess HSUM factors influencing screening breast MRI utilization. Results will identify participant-level HSUM factors significantly associated with screening outcomes.

    Behavioral: Self-Report Survey

  • Qualitative Interviews

    Researchers will randomly select 30 participants from group 1 and will use semi-structured qualitive interviews exploring factors impacting utilization of screening breast MRI

    Behavioral: Qualitative Interviews

Interventions

  • BehavioralSelf-Report Survey

    The self-report survey will be created using the Health Services Utilization Model (HSUM)

  • BehavioralQualitative Interviews

    Researchers will randomly select 30 participants from group 1 and will use semi structured qualitive interviews exploring factors impacting utilization of screening breast MRI

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What researchers measure

Primary outcomes

  1. Reporting Receipt of MRI Breast Screening at Any Time

    Participant-reported receipt of screening breast MRI at any time in the past.

    Time frame: Baseline

  2. Reporting Receipt of MRI Breast Screening in the Last 24 Months

    Participant-reported receipt of screening breast MRI in the last 24 months

    Time frame: Baseline

Secondary outcomes

  1. Reporting Receipt of Mammogram

    Participant-reported receipt of breast cancer screening mammogram in the last 24 months

    Time frame: Baseline

  2. Reporting Receipt of Ultrasound

    Participant-reported receipt of breast cancer screening ultrasound in the last 24 months

    Time frame: Baseline

  3. Reporting Receipt of Chemoprevention

    Participant-reported receipt of chemoprevention at any point in time (including currently receiving).

    Time frame: Baseline

  4. Reporting Receipt of Genetic Testing

    Participant-reported receipt of genetic testing at any time in the past

    Time frame: Baseline

  5. Reporting Receipt of Genetic Counseling

    Participant-reported receipt of genetic counseling at any time in the past

    Time frame: Baseline

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Results

Posted Mar 18, 2024

Participant flow

Participant flow — Overall Study
MilestoneGroup 1: Self-Report Surveys OnlyGroup 2:Self-Report Survey and Qualitative Interviews
Started17263
Completed17263
Not completed00

Outcome measures

PrimaryReporting Receipt of MRI Breast Screening at Any Time

Participant-reported receipt of screening breast MRI at any time in the past.

Time frame:
Baseline
Reported as:
Number · percentage of participants
Reporting Receipt of MRI Breast Screening at Any Time
percentage of participantsAll Participants
Reporting Receipt of MRI Breast Screening at Any Time32.34
PrimaryReporting Receipt of MRI Breast Screening in the Last 24 Months

Participant-reported receipt of screening breast MRI in the last 24 months

Time frame:
Baseline
Reported as:
Number · percentage of participants
Reporting Receipt of MRI Breast Screening in the Last 24 Months
percentage of participantsAll Participants
Reporting Receipt of MRI Breast Screening in the Last 24 Months25.11
SecondaryReporting Receipt of Mammogram

Participant-reported receipt of breast cancer screening mammogram in the last 24 months

Time frame:
Baseline
Reported as:
Number · percentage of participants
Reporting Receipt of Mammogram
percentage of participantsAll Participants
Reporting Receipt of Mammogram71.06
SecondaryReporting Receipt of Ultrasound

Participant-reported receipt of breast cancer screening ultrasound in the last 24 months

Time frame:
Baseline
Reported as:
Number · percentage of participants
Reporting Receipt of Ultrasound
percentage of participantsAll Participants
Reporting Receipt of Ultrasound34.04
SecondaryReporting Receipt of Chemoprevention

Participant-reported receipt of chemoprevention at any point in time (including currently receiving).

Time frame:
Baseline
Reported as:
Number · percentage of participants
Reporting Receipt of Chemoprevention
percentage of participantsAll Participants
Reporting Receipt of Chemoprevention18.30
SecondaryReporting Receipt of Genetic Testing

Participant-reported receipt of genetic testing at any time in the past

Time frame:
Baseline
Reported as:
Number · percentage of participants
Reporting Receipt of Genetic Testing
percentage of participantsAll Participants
Reporting Receipt of Genetic Testing42.99
SecondaryReporting Receipt of Genetic Counseling

Participant-reported receipt of genetic counseling at any time in the past

Time frame:
Baseline
Reported as:
Number · percentage of participants
Reporting Receipt of Genetic Counseling
percentage of participantsAll Participants
Reporting Receipt of Genetic Counseling39.57

Adverse events

Collected over Adverse Events were not collected for this project.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
All Participants———

Baseline characteristics

Age, Customized
Age, Customized(Participants)Group 1: Self-Report Surveys OnlyGroup 2: Self-Report Survey and Qualitative InterviewsTotal
25-2920323
30-39621880
40-49381250
50-59281947
60-69171027
70-79516
80-85202
Sex: Female, Male
Sex: Female, Male(Participants)Group 1: Self-Report Surveys OnlyGroup 2: Self-Report Survey and Qualitative InterviewsTotal
Female17263235
Male000
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Group 1: Self-Report Surveys OnlyGroup 2: Self-Report Survey and Qualitative InterviewsTotal
Hispanic or Latino8311
Not Hispanic or Latino16460224
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Group 1: Self-Report Surveys OnlyGroup 2: Self-Report Survey and Qualitative InterviewsTotal
American Indian or Alaska Native213
Asian314
Native Hawaiian or Other Pacific Islander000
Black or African American10515
White14954203
More than one race011
Unknown or Not Reported819
Region of Enrollment
Region of Enrollment(participants)Group 1: Self-Report Surveys OnlyGroup 2: Self-Report Survey and Qualitative InterviewsTotal
United States17263235
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Study locations

2 sites
  • Georgetown Lombardi Comprehensive Cancer Center
    Washington, District of Columbia 20007, United States
  • Moffitt Cancer Center
    Tampa, Florida 33612, United States
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References and documents

Study documents

  • Protocol and statistical analysis plan · Jan 4, 2021

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Undecided

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 18, 2024, 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
NCT04257474
Lead sponsor
H. Lee Moffitt Cancer Center and Research Institute
Responsible party
Sponsor
First posted
Feb 6, 2020
Start date
Jan 30, 2020
Primary completion
Jan 19, 2022
Completion
Jan 19, 2022
Results posted
Mar 18, 2024
Last update
Mar 18, 2024

Study contacts

Susan Vadaparampil, PhD, MPH
principal investigator · Moffitt Cancer Center

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2023. You cannot join it, but the record below documents what was studied.

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