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CompletedNCT04354675Updated Mar 31, 2026

Effectiveness of AI Genetic Counseling Program vs In-person Genetic Counseling in Breast Cancer

An interventional study of Automated program (ChatBot) and Genetics counselor in Breast Cancer, sponsored by Case Comprehensive Cancer Center. Completed at 1 site in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-03-31.

Sponsored by Case Comprehensive Cancer Center · Not applicable, Interventional, and Screening

Phase
Not applicable
Study type
Interventional
Enrollment
35
Allocation
Randomized
Ages
18 Years and older
Sex
Female
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Study summary

The purpose of this study is to help better understand the uptake and impact of genetic testing for women diagnosed with breast cancer who do not meet National Comprehensive Cancer Network (NCCN) criteria for genetic testing. By doing so, the research team will gain a better understanding of the clinical implications for offering genetic testing for all patients recently diagnosed with breast cancer versus only offering genetic testing to those meeting NCCN criteria.

By offering genetic counseling and genetic testing to all women recently diagnosed with breast cancer, there will be a shortage of genetic counselors. This study will also assess the feasibility of using artificial intelligence to assist in the genetic counseling process.

Read the detailed description

This is a randomized trial comparing the effectiveness of pre-test genetic counseling using an artificial intelligence program and traditional in-person genetic counseling in women newly diagnosed with breast cancer who do not currently meet National Comprehensive Cancer Network (NCCN) criteria for genetic testing.

The primary objectives of this study are:

  1. To determine up-take of testing for those who do not meet NCCN guidelines for genetic testing
  2. To assess overall patient satisfaction and comprehension in both groups

The secondary objectives of this study are:

  1. To assess mutation rate in the overall cohort
  2. Identify reasons for not pursuing genetic testing
  3. Identify any specific areas of improvement in satisfaction and comprehension
  4. Assess the impact of genetic testing on Time to Treatment in this cohort
  5. Develop workflow for offering genetic testing, providing pre-test genetic counseling, ordering testing, and delivering results
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Conditions studied

  • Breast Cancer

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03

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 35 is below the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Case Comprehensive Cancer Center is the lead sponsor of 484 studies on the registry; 59 are open to participants now.

Of its 74 completed or terminated interventional studies of FDA-regulated products, 45 (61%) have results posted.

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
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Subjects diagnosed with Stage 0-3 breast cancer.
  • Patients who do not satisfy current NCCN criteria for referral to a genetics counselor and genetics testing.
  • Must have the ability to understand and the willingness to sign a written informed consent document as well as complete the study questionnaires.

Exclusion criteria

Exclusion Criteria:

- N/A

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Study design

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

Study arms

  • Experimental
    Artificial intelligence program

    Will complete consult with the use of an artificial intelligence program Chatbot.

    Genetic: Automated program (ChatBot) · Other: BCGCKQ Survey · Other: Satisfaction Survey · Device: Genetic testing

  • Active comparator
    in-person genetic counseling

    Will complete a traditional in-person genetic counseling. consult by meeting with a Genetics Counselor

    Genetic: Genetics counselor · Other: BCGCKQ Survey · Other: Satisfaction Survey · Device: Genetic testing

Interventions

  • GeneticAutomated program (ChatBot)

    Pre-test counseling and information through a pre-test automated genetic counseling program (ChatBot)

  • GeneticGenetics counselor

    Traditional in-person genetic counseling

  • OtherBCGCKQ Survey

    Survey assessing Breast Cancer Genetic Counseling Knowledge Questionnaire (BCGCKQ)

    Also known as: Breast Cancer Genetic Counseling Knowledge Questionnaire (BCGCKQ)

  • OtherSatisfaction Survey

    Survey assessing satisfaction with Decision-Genetic Testing

  • DeviceGenetic testing

    Genetic testing for all participants will assess for a mutation in 47 genes commonly associated with hereditary cancer syndromes (Invitae's Common Hereditary Cancer Panel) for those who choose to complete testing.

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What researchers measure

Primary outcomes

  1. Percent of participants who took up genetic testing after not meeting NCCN guidelines for genetic testing

    Up-take of testing for those who do not meet NCCN guidelines for genetic testing

    Time frame: 2 years

  2. Mean overall patient satisfaction with decision about genetic testing: survey

    Mean overall patient satisfaction with decision about genetic testing as assessed by survey. The survey is a previously validated six-question Likert scale based survey. The scale ranges from 6 to 30, with higher scores indicating more satisfaction. Satisfaction will be compared between groups with t-test or Wilcoxon rank sum test. Published data suggest that standard deviation on the satisfaction survey is 3. A 2 point difference in average satisfaction score between groups is considered to be relevant

    Time frame: 2 years

  3. Overall comprehension as assessed by BCGCKQ

    Comprehension as assessed by previously validated survey consisting of 27 questions, which are a blend of True or False and multiple choice questions. The scale ranges from to , with higher scores indicating more comprehension. Comprehension will be compared between groups with t-test or Wilcoxon rank sum test.

    Time frame: 3 years

Secondary outcomes

  1. Percentage of overall cohort with mutation

    Mutation rate as described by percentage of overall cohort with mutation. Groups will be compared with Chi-square test or Fisher's exact test

    Time frame: 2 years

  2. Number of patients who decline genetic testing

    Number of patients who decline genetic testing. Groups will be compared with Chi-square test or Fisher's exact test

    Time frame: 2 years

  3. Frequencies of most common reasons for not pursuing genetic testing

    Reasons for not pursuing genetic testing in those who declined will be collected as a descriptive measure and then analyzed as frequencies of the different responses, summarizing the most common answers

    Time frame: 2 years

  4. Time to treatment

    Time to treatment will be compared between patients who had genetic testing to those who did not using t-test or Wilcoxon rank sum test among all study patients.

    Time frame: 3 years

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Study locations

1 site
  • Cleveland Clinic Taussig Cancer institute, Case Comprehensive Cancer Center
    Cleveland, Ohio 44195, United States
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References and documents

Individual participant data

Plan to share: No — Commercially available software being used to conduct the study

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 31, 2026, 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
NCT04354675
Lead sponsor
Case Comprehensive Cancer Center
Responsible party
Sponsor
First posted
Apr 21, 2020
Start date
Jun 29, 2021
Primary completion
Mar 30, 2023
Completion
Mar 30, 2023
Last update
Mar 31, 2026

Study contacts

Zahraa Al-Hilli, MD
principal investigator · Cleveland Clinic Taussig Cancer institute, Case Comprehensive 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 Mar 2026. You cannot join it, but the record below documents what was studied.

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