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RecruitingNCT07471958eREACH3Updated Mar 13, 2026

Implementation of eHealth Delivery Alternatives for Cancer Genetic Testing for Hereditary Cancer (eREACH3)

An observational study in Cancer, sponsored by Abramson Cancer Center at Penn Medicine. Recruiting at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-03-13.

Sponsored by Abramson Cancer Center at Penn Medicine · Observational

From the registry’s dates

  • Started Sep 2025; still recruiting 1 year 1 month later.
Study type
Observational
Model
Other
Time perspective
Prospective
Enrollment
360
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of the study is to understand patient interest in telehealth and digital tools for pre-test genetic education and/or disclosure of genetic test results. Participants will receive telehealth genetic counseling in the home and may be offered various digital tools to help with the counseling and testing process. These are optional and participants can still speak with a genetic counselor if they wish.

Read the detailed description

The goal of the eREACH3 Study is to evaluate the implementation of these tools into remote genetic services, evaluating uptake and use of digital tools and outcomes in representative clinical populations. The initial protocol will include two genetic counseling visits, providing comparison outcomes. Future amendments will be provided as digital tools are ready for implementation.

Specific Aim 1: (Reach) Evaluate the uptake, use and acceptability of digital delivery alternatives in remote genetic services provided as alternatives to the traditional two-visit model with a genetic counselor.

Specific Aim 2: (Effectiveness) Evaluate short-term and 6 month patient reported cognitive, affective and behavioral outcomes (2a) with remote genetic services and digital alternatives in representative clinical populations and moderators of outcomes (2b).

Specific Aim 3: (Implementation) Evaluate provider time associated with implementation of remote telehealth services and digital delivery alternatives and barriers and facilitators to future clinical implementation.

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Conditions studied

  • Cancer

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03

In context

Neoplasms

9,371 studies on the registry are indexed under Neoplasms; 2,492 are open to participants now.

This study's planned enrollment of 360 is above the median of 205 across 1,684 observational studies indexed under Neoplasms.

Browse Neoplasms studies →

Lead sponsor

Abramson Cancer Center at Penn Medicine is the lead sponsor of 446 studies on the registry; 86 are open to participants now.

Of its 32 completed or terminated interventional studies of FDA-regulated products, 14 (44%) 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
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Individuals with personal or family history of cancer.

Inclusion criteria

  • 18 years of age or older
  • Speak and understand English
  • Meet current National Comprehensive Cancer Network (NCCN) or other national guidelines for germline genetic testing or are interested in genetic counseling based on personal or family history of cancer. Patients with prior genetic testing are eligible if they meet criteria for updated testing, or if post-test genetic counseling services are requested.

Exclusion criteria

Exclusion Criteria:

  • Communication difficulties such as:
  • Uncorrected or uncompensated hearing and/or vision impairment. Patients who can successfully use clinical assistance devices are not excluded.
  • Uncorrected or uncompensated speech defects. Patients who can successfully use clinical assistance devices are not excluded.
  • Uncontrolled psychiatric/mental condition or severe physical, neurological or cognitive deficits rendering individual unable to understand study goals and tasks
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Study design

Observational model
Other
Time perspective
Prospective
Enrollment
360 participants (estimated)
Patient registry
No

Groups and cohorts

  • Visit 1

    All participants will be offered remote telehealth Visit 1 services by telephone or real-time videoconference or by a chatbot (patient choice).

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What researchers measure

Primary outcomes

  1. Uptake of Visit 1

    Participant completion of Visit 1 (yes/no)

    Time frame: Through 6 months

  2. Uptake of Digital Visit 1

    Participant completion of digital intervention as an alternative for Visit 1 (yes/no)

    Time frame: Through 6 months

  3. Uptake of genetic testing

    Participant completion of genetic testing and received results/Visit 2 (yes/no)

    Time frame: Through 6 months

Secondary outcomes

  1. The KnowGene Scale

    Change in Knowledge - Score Range = 0-16, Higher score = Better outcome

    Time frame: Through study completion, an average of 6 months

  2. Test result recall

    Recall of genetic testing results

    Time frame: Through study completion, an average of 6 months

  3. Impact of Events Scale (IES)

    Change in Cancer Specific Distress - Score Range = 0-40, Lower score = Better outcome

    Time frame: Through study completion, an average of 6 months

  4. Satisfaction with genetic services

    Differences in satisfaction - Score Range = 14-70, Higher score = Better outcome

    Time frame: Through study completion, an average of 6 months

  5. Multi-dimensional Impact of Cancer Risk Assessment Questionnaire (MICRA)

    Change in Uncertainty - Score Range = 0-85, Lower score = Better outcome

    Time frame: Through study completion, an average of 6 months

  6. Decisional Regret Scale

    Differences in decisional regret - Score Range = 5-25, Lower score = Better outcome

    Time frame: Through study completion, an average of 6 months

07

Study locations

1 of 1 sites recruiting
  • Abramson Cancer Center at the University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 13, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07471958
Lead sponsor
Abramson Cancer Center at Penn Medicine
Collaborators
Fox Chase Cancer Center
Responsible party
Sponsor
First posted
Mar 13, 2026
Start date
Sep 2, 2025
Primary completion
Mar 2029 (estimated)
Completion
Mar 2029 (estimated)
Last update
Mar 13, 2026

Study contacts

Angela Bradbury, MD
Contact
angela.bradbury@pennmedicine.upenn.edu
215-615-3341
Kelsey Karpink
Contact
kelsey.karpink@pennmedicine.upenn.edu
215-662-3531
Angela Bradbury, MD
principal investigator · University of Pennsylvania

Oversight

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

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