About this trial
The investigators hypothesize that preconception and pregnancy may be a feasible and effective time to offer inherited cancer risk screening. This study will assess interest in cancer genetic testing among patients receiving routine prenatal care or preconception care. The goal is to evaluate the acceptability of hereditary cancer testing when offered alongside standard prenatal genetic screening. The study will also explore whether universal screening in this population could support early cancer prevention
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Age: 18 years - 55 years
Patients receiving obstetrical-related care at a CUMC-affiliated enrollment site
Patients who have elected to undergo OCS with the CUMC-affiliated obstetrics provider
Patients with prior OCS but planned to repeat OCS are eligible
Disqualifiers
Patients who have previously completed a multigene hereditary cancer syndrome panel
Patients that have a hematologic cancer or hematologic pre-cancer
Patients who have a history of an autologous bone marrow transplant
Trial design
Parallel
Treatments tested in this trial
Natera empower comprehensive hereditary cancer panel
DeviceNatera Empower Comprehensive Hereditary Cancer Panel to screen for hereditary cancers
Obstetrical carrier screening
DeviceObstetrical carrier screening for genetic conditions
Treatment groups
Trial outcomes
Primary outcomes
Percentage of Participants Who Complete Both HCS and OCS
The percent of patients who complete hereditary cancer screening (HCS) when offered in addition to routine obstetrical carrier screening (OCS) during preconception and obstetrical-related care.
Secondary outcomes
Score on Regret About Healthcare Decisions survey
Participant experience with combined HCS and OCS will be assessed using a validated Regret About Healthcare Decisions Survey. The minimum score is 0 (lowest regret) to 100 (highest regret).
Score on Regret About Healthcare Decisions Survey among pregnant participants
Assessment of participant experience with combined OCS and HCS in pregnant participants using Regret About Healthcare Decisions Survey and qualitative interviews. The minimum score is 0 (lowest regret) to 100 (highest regret).
Score on Regret About Healthcare Decisions Survey among nonpregnant participants
Assessment of participant experience with combined OCS and HCS in nonpregnant participants using Regret About Healthcare Decisions Survey and qualitative interviews. The minimum score is 0 (lowest regret) to 100 (highest regret).
Hereditary cancer screening results
Number of pathologic variants identified by hereditary cancer screening.
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Columbia University
Lead sponsor
Natera, Inc.
Collaborator