Actively Recruiting

Phase Not Applicable
Age: 18Years - 49Years
All Genders
ID06654466

Enhancing Information Management for Young Adults After Genetic Cancer Risk Testing

Led by Nest Genomics · Updated on 2026-02-25

100

Participants Needed

1

Research Sites

26 weeks

Total Duration

On this page

Sponsors

N

Nest Genomics

Lead Sponsor

D

Dana-Farber Cancer Institute

Collaborating Sponsor

AI-Summary

What this Trial Is About

This research aims to evaluate if the Nest software platform can improve cancer screening and care in young adults who have a genetic risk for cancer. The study focuses on whether using Nest helps patients better understand their cancer risks, feel less psychological stress, share risk information more with family and doctors, and keep their care plans up to date. The trial involves comparing patients who use Nest to those who do not. The Nest platform integrates genetic data into patient care through tools for both clinicians and patients. Clinicians use the Nest Care Studio to manage genetic information and order personalized care plans, while patients access the Nest Patient Navigator on mobile devices to store results, understand risks, follow care recommendations, and share information with relatives and other doctors. The study includes two groups: a control group receiving standard genetic counseling and an intervention group using Nest alongside counseling. Both groups complete surveys after visits, and patients follow recommended screening and care plans. Participants will have a genetic counseling or follow-up visit, complete post-visit surveys, and those in the intervention group will use the Nest Patient Navigator. Researchers will assess knowledge of cancer risks, psychological distress, information sharing, and adherence to care plans using multiple measures shortly after visits. The study also tracks clinician use of Nest features and guideline-based care. Participation lasts through the visits and follow-up recommended care, aiming to improve long-term management of hereditary cancer risk.

CONDITIONS

Brief Title

Closing the GAPS: Guideline Adherence, Prevention and Surveillance in Hereditary Cancer

Who Can Participate

Age: 18Years - 49Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Ages 18 to 49 years, inclusive
  • Previous genetic testing showing a pathogenic or likely pathogenic variant increasing cancer risk
  • Able to speak and read English
  • Receiving care at Dana Farber Cancer Institute
  • Not currently undergoing cancer treatment
Not Eligible

You will not qualify if you...

  • Younger than 18 or older than 49 years
  • No genetic testing for hereditary cancer syndromes or no pathogenic variant found
  • Cannot speak or read English
  • Not receiving care at Dana Farber Cancer Institute
  • Currently receiving cancer treatment

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Implementation

Duration - Duration of participation as per clinical visits

Participants either receive standard genetic counseling or follow-up visits or engage with the Nest electronic medical record-integrated software platform for genetics-based care. This includes access to the Nest Patient Navigator for those in the intervention arm to manage and follow up with their genetic results.

1 genetic counseling or follow-up visit with a clinician and 1 post-visit survey

Long-term Monitoring

Duration - Up to the study completion date (approximately several months to years)

Participants are observed over time to assess outcomes such as knowledge of cancer risk, adherence to recommended care, psychological distress, and sharing of genetic information with family and clinicians.

Assessments within 7 days post-visit; ongoing monitoring as per clinical care

Trial Site Locations

Total: 1 location

1

Dana Farber Cancer Institute

Boston, Massachusetts, United States, 02215

Actively Recruiting

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Research Team

J

Jennifer W Mack, MD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

SUPPORTIVE_CARE

Number of Arms

2

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