CClinicalTrials.gg
CompletedNCT06534424Updated Jun 27, 2025

Clinical Impact of Enhanced Risk Assessments in Women With a BRCA1/2 Mutation, CARE Study

An interventional study of Best Practice and Biospecimen Collection in BRCA1/2-Associated Hereditary Breast and Ovarian Cancer Syndrome, sponsored by Ohio State University Comprehensive Cancer Center. Completed at 2 sites in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-06-27.

Sponsored by Ohio State University Comprehensive Cancer Center · Not applicable, Interventional, and Health services research

From the registry’s dates

  • Registered 6 years 6 months after the study started (first participant enrolled Jan 2018, registered Jul 2024).
Phase
Not applicable
Study type
Interventional
Enrollment
152
Allocation
Randomized
Ages
18 Years and older
Sex
Female
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Study summary

This clinical trial evaluates the impact of enhanced risk assessments on knowledge, perceptions, and decisional conflict about cancer prevention in women with a BRCA1 or BRCA2 mutation. BRCA1/2 mutation carriers have a much higher risk of developing breast and ovarian cancer. Due to the high risk of cancer, mutation carriers are provided guidelines on more intensive screening and preventative surgeries such as bilateral mastectomy and bilateral salpingo-oophorectomy. Doctors want to learn if a more personalized risk assessment impacts the patients' risk perceptions and comfort with decision-making around cancer prevention behaviors.

Read the detailed description

PRIMARY OBJECTIVES:

I. To deploy tools for delivering enhanced genetic risk predictions based on BRCA1/2 genetic risk modifiers in a clinical setting and assess the impact of risk stratification on genetic knowledge, risk perceptions and decisional conflict regarding cancer prevention decision-making.

II. To perform long-term follow-up of individuals in the randomized controlled trial (RCT) to determine if there are differences in satisfaction, decision-making and outcomes in individuals who received standard versus enhanced genetic risk predictions over time.

OUTLINE: Patients undergo collection of blood or mouthwash samples. Patients are then randomized to 1 of 2 arms.

ARM I: Patients undergo genotyping with enhanced risk assessment on study. 4 to 8 weeks later, patients receive a follow-up phone call for return of enhanced risk assessment results and tailored counseling.

ARM II: 4-8 weeks later, patients receive a standard follow-up phone call.

After completion of study intervention, patients are followed up for 2 years.

02

Conditions studied

  • BRCA1/2-Associated Hereditary Breast and Ovarian Cancer Syndrome
03

In context

Hereditary Breast and Ovarian Cancer Syndrome

57 studies on the registry are indexed under Hereditary Breast and Ovarian Cancer Syndrome; 13 are open to participants now.

This study's enrollment of 152 is above the median of 121 across 40 interventional studies indexed under Hereditary Breast and Ovarian Cancer Syndrome.

Browse Hereditary Breast and Ovarian Cancer Syndrome studies →

Lead sponsor

Ohio State University Comprehensive Cancer Center is the lead sponsor of 369 studies on the registry; 81 are open to participants now.

Of its 38 completed or terminated interventional studies of FDA-regulated products, 19 (50%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria:

  • Have had genetic counseling and testing for mutations in BRCA1 and/or BRCA2 through a Clinical Laboratory Improvement Act (CLIA)-certified laboratory
  • Were found to have a known pathogenic mutation upon testing
  • Are within 3 weeks of results disclosure
  • Have available medical records for ascertainment of clinical information
  • Are able to provide a source of deoxyribonucleic acid (DNA) (blood or mouthwash) for study
  • Have access to a telephone and a computer or other internet-ready device
  • Have not yet had a bilateral prophylactic mastectomy or bilateral Salpingo oophorectomy
05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
152 participants (actual)

Study arms

  • Experimental
    Arm I (enhanced risk assessment)

    Patients undergo collection of blood or mouthwash samples. Patients undergo genotyping with enhanced risk assessment on study. 4 to 8 weeks later, patients receive a follow-up phone call for return of enhanced risk assessment results and tailored counseling.

    Procedure: Biospecimen Collection · Other: Counseling · Procedure: Discussion · Procedure: Genotyping · Procedure: Molecular Risk Assessment · Other: Questionnaire Administration

  • Active comparator
    Arm II (standard)

    Patients undergo collection of blood or mouthwash samples. 4-8 weeks later, patients receive a standard follow-up phone call.

    Other: Best Practice · Procedure: Biospecimen Collection · Procedure: Discussion · Other: Questionnaire Administration

Interventions

  • OtherBest Practice

    Receive standard care

    Also known as: standard of care, standard therapy

  • ProcedureBiospecimen Collection

    Undergo collection of blood or mouthwash sample

    Also known as: Biological Sample Collection, Biospecimen Collected, Specimen Collection

  • OtherCounseling

    Receive tailored counseling

    Also known as: Counseling Intervention

  • ProcedureDiscussion

    Participate in phone discussion

    Also known as: Discuss

  • ProcedureGenotyping

    Undergo genotyping

    Also known as: GENOTYPE, Genotype Analysis, Genotype Assay

  • ProcedureMolecular Risk Assessment

    Undergo enhanced risk assessment

  • OtherQuestionnaire Administration

    Ancillary studies

06

What researchers measure

Primary outcomes

  1. Decisional conflict Regarding Cancer Risk Management

    Decisional conflict regarding cancer risk management will be measured via a questionnaire. Comparison of this measure between the enhanced and standard arms adjusting for stratified randomization will be made using linear regression. The alpha level for the outcome will be 0.05.

    Time frame: Up to 3 months

07

Study locations

2 sites
  • Ohio State University Comprehensive Cancer Center
    Columbus, Ohio 43210, United States
  • Huntsman Cancer Institute/University of Utah
    Salt Lake City, Utah 84112, United States
08

References and documents

Related links

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 27, 2025, 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
NCT06534424
Lead sponsor
Ohio State University Comprehensive Cancer Center
Responsible party
Amanda Toland (Principal Investigator, Ohio State University Comprehensive Cancer Center) — Principal investigator
First posted
Aug 2, 2024
Start date
Jan 1, 2018
Primary completion
Sep 30, 2023
Completion
Sep 30, 2023
Last update
Jun 27, 2025

Study contacts

Amanda E Toland
principal investigator · Ohio State University Comprehensive Cancer Center

Oversight

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

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This study is completed, as verified in Jun 2025. You cannot join it, but the record below documents what was studied.

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