Closing the GAPS: Guideline Adherence, Prevention and Surveillance in Hereditary Cancer
Part of paid clinical trials in Boston, Massachusetts.
- Sponsor
- Nest Genomics
- Study ID
- NCT06654466
- Status
- Recruiting
Conditions
- Clinical Decision Support
- Hereditary Cancer Syndromes
Eligibility Criteria
- Sex
- ALL
- Age
- 18 Years - 49 Years
- Healthy Volunteers
- Not accepted
Interventions
- Nest, an electronic medical record (EMR)-integrated software platform to deliver longitudinal, genetics-based care at scale. — DEVICEThe Nest software platform includes the Nest Care Studio, Nest Patient Navigator and the Analytics Dashboard. Nest Care Studio is a clinician facing portal that can be used standalone or electronic medical record (EMR) integrated. Care Studio enables clinicians to effectively manage patients' genetic information over time. Clinicians can see a list of patients that meet criteria for testing, run risk assessment calculations, order genetic tests, manage patients based on results and view education modules.The Nest Patient Navigator is a secure mobile device accessible platform that provides a centralized location for patients to store, manage, and follow-up with their genetic results. The Analytics Dashboard is an interactive dashboard that can track outcomes of genomic programs and trigger interventions to optimize them.
Study Details
The goal of this clinical trial is to see if a software platform can improve cancer screening in young adults with genetic risk for cancer. The trial will also help improve the software platform (Nest). The main questions it aims to answer are: * Do Nest users know more about their cancer risks and recommended care than non-users? * Do Nest users have less psychological distress than non-users? * Do Nest users share cancer risks with family and other doctors more than non-users? * Are Nest users more likely than non-users to have up-to-date care plans? Researchers will compare Nest users to non-users to see if the Nest users are more likely to do recommended cancer screening. Participants will: * Have a genetic counseling or follow up visit * Take a post-visit survey * Intervention arm only: use the Nest Patient Navigator * Complete screening and follow-up care recommended by doctors
Key Dates
- Start date
- Feb 10, 2026
- Status verified
- Dec 2025
- Primary completion
- Mar 31, 2027
- Completion
- Sep 30, 2027
Study Design
- Enrollment
- 100 participants (estimated)
- Allocation
- RANDOMIZED
- Intervention model
- PARALLEL
- Primary purpose
- SUPPORTIVE_CARE
Arms
- No Intervention: Control ArmPatients in the control arm will complete a standard genetic counseling or follow-up visit and a post-visit survey.
- Experimental: Intervention ArmPatients in the intervention arm will complete a genetic counseling or follow-up visit with a clinician using Nest Clinical Decision Support and a post visit-survey. Intervention arm patients will be given access to the Nest Patient Navigator.
Primary Outcome Measure
Acceptability of Intervention Measure (AIM) [ Time Frame: within 7 days of visit ]
Central Contacts
- Jennifer W Mack, MD(617) 632-6622
Locations (1)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| Dana Farber Cancer Institute | Boston | Massachusetts | 02215 | - |
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