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Cancer Risk SyndromeAYA-RISENCT04323774

Intervention For Adolescents and Young Adults (AYAs) With Cancer Risk Syndromes

A study testing AYA-RISE Adolescents and Young Adults Risk Information and Screening Education and Standard clinical visit for genetic counseling in people with Cancer Risk Syndrome, run by Dana-Farber Cancer Institute at 5 sites in United States.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

This research is being done because there is a need to improve cancer risk communication and decision-making among adolescents and young adults. In this study, the investigators are looking at whether using a chatbot and online portal for cancer risk information helps improve communication and decision-making. Read more about this study

Who is it for?
Ages 12 to 24 yearsHealthy volunteers can take part
Conditions the study is for
Cancer Risk Syndrome
What is being tested?
AYA-RISE Adolescents and Young Adults Risk Information and Screening Education and Standard clinical visit for genetic counseling
Could I receive a placebo?
No, everyone receives an active treatment
How many people
115 participants
Where
5 sitesUnited States
Study dates
1 Mar 2021to 30 Jun 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 12 to 24 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult

Who may be able to join

  • Across all study aims, we will enroll AYA patients, family members/caregivers, and providers.
  • AIM 1, PART 1 - STAKEHOLDER INTERVIEWS
  • AYA Patients
  • Ages 12-24 years, inclusive
  • Diagnosed with a cancer risk syndrome
  • English-speaking and -reading
Show all 46Show fewer
  • Receiving care at any of the study sites OR participating in the LiFraumeni Syndrome Association (LFSA) Youth Conference
  • Adequate cognitive function per NeuroQOL indicated by a score of 30 or greater
  • Not receiving active cancer therapy
  • Family caregivers-Inclusion Criteria
  • Parent/guardian, spouse/partner, or other family member who participates in the care of AYAs aged 12-24 with cancer risk syndromes
  • English-speaking and -reading
  • At any of the study sites
  • Providers Inclusion Criteria (Oncologists, nurses, genetic counselors, social workers, or psychologists)
  • English-speaking and reading
  • Caring for AYAs aged 12-24 with cancer risk syndromes at any of the study sites
  • AIM 1, PART 2 - INTERVENTION PILOT
  • AYA Patients
  • Ages 12-24 years, inclusive
  • Diagnosed with a cancer risk syndrome
  • English-speaking and -reading
  • Receiving care at Dana-Farber Cancer Institute
  • Adequate cognitive function per NeuroQOL, indicated by a score of 30 or greater
  • Not receiving active cancer therapy
  • Did not participate in a stakeholder interview
  • Eligibility notes:
  • Family caregivers of participating 12-17y patients will be eligible to participate in the pilot
  • 12-17y patients can participate without a family member if both the patient and family member agree.
  • Patients 18-24y will have the option to participate with or without a family member.
  • AIM 2 - RANDOMIZED TRIAL
  • AYA Patients
  • Ages 12-24 years, inclusive
  • Diagnosed with a cancer risk syndrome
  • English-speaking and reading
  • Has a planned post-disclosure genetic counseling or follow-up visit at any of the study sites
  • Adequate cognitive function per NeuroQOL, indicated by a score of 30 or greater
  • Not receiving active cancer therapy
  • Did not participate in either part of Aim 1 (interview or pilot)
  • Family caregivers
  • Parent/guardian, spouse/partner, or other family member who participates in the care of AYAs aged 12-24 with cancer risk syndromes
  • English-speaking and -reading
  • At any of the study sites
  • Did not participate in either part of Aim 1 (interview or pilot)
  • AIM 3 - SEMI-STRUCTURED INTERVIEWS AYA Patients, Family Caregivers, Providers, and Site PIs
  • Participated in the intervention arm of Aim 2, or
  • Is a site principal investigator at one of the 4 participating study sites

Who cannot join

None listed.

Trial locations and contacts

5 sites in 1 country.

5 sites in 1 country

United States5 sites
  • Emory University School of Medicine

    Atlanta, Georgia, 30342

  • Boston Children's Hospital

    Boston, Massachusetts, 02115

  • Dana Farber Cancer Institute

    Boston, Massachusetts, 02115

  • University of Chicago

    Chicago, Illinois, 60637

  • University of Utah, Huntsman Cancer Institute

    Salt Lake City, Utah, 84112

Other trials in United States

About this study

Official title: AYA-RISE: Refining a Scalable, Patient- and Family-centered Intervention to Improve Cancer Risk Communication and Decision-making Among Adolescents and Young Adults With Cancer Risk Syndromes

This research is being done because there is a need to improve cancer risk communication and decision-making among adolescents and young adults. In this study, the investigators are looking at whether using a chatbot and online portal for cancer risk information helps improve communication and decision-making.

  • Over 70,000 adolescents and young adults (AYAs) are diagnosed with cancer in the U.S. every year and up to 10% have genetic changes (or, mutations) that put them at a higher risk of developing new cancers during their lifetimes. These genetic mutations can result in cancer risk syndromes (such as, Lynch Syndrome or Li-Fraumeni Syndrome). Identifying cancer risk syndromes can allow for screening and early diagnosis of future cancers, which could ultimately save lives and offer more care choices for patients. As a result, genetic counseling and testing for cancer risk syndromes is being recommended more for Adolescents and Young Adults with new cancer diagnoses, regardless of family history.
  • This research study to develop an intervention called AYA-RISE that aims to assist AYAs with cancer risk communication and decision-making around their caregivers.
Read the detailed description

This research study involves three aims (Aims 1, 2, and 3).

  • Aim 1, Part 1, which focuses on finding the best format for the study intervention (called AYA-RISE); whether AYA-RISE is easy to use; and whether patients, family caregivers, and providers find AYA-RISE acceptable.The research study procedures include:
  • Using and reviewing AYA-RISE,
  • Participating in audio-recorded, 30-minute interviews
  • Aim 1, Part 2, which is a pilot study of the study intervention (called AYA-RISE). In this pilot study, the investigators are looking at whether AYA-RISE is easy to use and what participants think of it. -- The activities involved in this part of the study are:
  • Baseline Questionnaire
  • Using and reviewing AYA-RISE
  • Follow-up Questionnaire
  • Brief feedback interviews on AYA-RISE
  • In Aim 2, participants will be randomized trial into one of two groups;
  • Group 1: Standard Genetic Counseling/follow-up visit or
  • Group 2 : Standard Genetic Counseling/follow-up visit and Access to AYA-Rise
  • Aim 3: Semi-Structured Interviews:
  • Evaluate implementation outcomes using 28 semi-structured interviews with patients, family members, providers, and site principal investigators
Being tested
AYA-RISE Adolescents and Young Adults Risk Information and Screening Education, Standard clinical visit for genetic counseling
Keywords
Cancer Risk Syndrome, LiFraumeni Syndrome Association (LFSA) Youth Conference

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • AYA-RISE Adolescents and Young Adults Risk Information and Screening EducationBehavioural

    Also called AYA-RISE

    A chatbot is a computer program that can chat with humans. The text the chatbot uses to talk with humans was created by real people, but the chatbot itself is not a real person. A company called Clear Genetics developed the original chatbot and patient portal, and this study team customized it for this research study.

  • Standard clinical visit for genetic counselingBehavioural

    Standard clinical visit for genetic counseling and follow up

Study groups in NCT04323774
Study groupRoleWhat they receive
Aim 1-Part 1 Stakeholder InterviewNo interventionThis arm will focus on finding the best format for the study intervention (called AYA-RISE) whether AYA-RISE is easy to use; and whether patients, family caregivers, and providers find AYA-RISE acceptable. The research study procedures include: * Using and reviewing AYA-RISE * Participating in audio-recorded, 30-minute interviews
Aim 1-Part 2ExperimentalThis arm is a pilot study of the study intervention (called AYA-RISE). The activities involved in this part of the study are: * Baseline Questionnaire * Using and reviewing AYA-RISE * Follow-up Questionnaire * Brief interviews to get feedback on AYA-RISE
Receives: Behavioral: AYA-RISE Adolescents and Young Adults Risk Information and Screening Education
Aim 2-Genetic CounselingActive comparatorThe names of the study activities involved in this study are: * Baseline Questionnaire * Follow-up Questionnaire * Medical record review The study procedures will all take place on the day of the patient's regularly scheduled clinic visit. Participants will be in this research study for up to 1 year.
Receives: Behavioral: Standard clinical visit for genetic counseling
Aim 2- Genetic Counseling with AYA-RISEExperimentalThe names of the study activities involved in this study are: * Baseline Questionnaire * Follow-up Questionnaire * Medical record review * Using the study intervention, AYA-RISE The study procedures will all take place on the day of the patient's regularly scheduled clinic visit. Participants will be in this research study for up to 1 year.
Receives: Behavioral: AYA-RISE Adolescents and Young Adults Risk Information and Screening Education
Aim 3 Semi-structured interviewsNo interventionEach site will conduct 30-minute interviews with patients, caregivers, and providers, and site principal investigators.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Consenting AYA use AYA-RISE

    The feasibility (>70% consenting AYAs use AYA-RISE through the risk communication step of the chat and patient portal, based on use data from Clear Genetics)

    Measured: 2 years

  2. Percentage of Acceptability

    Acceptability (>70% AYAs consider the intervention acceptable, measured as a post-test AIM score >4.)

    Measured: 2 years

  3. Change in patient knowledge of cancer risk and screening

    This change will be measured by baseline and post-visit survey responses on the Knowledge of Cancer Screening and Gist Comprehension of Genetic Cancer Risk measures.

    Measured: baseline to post-visit surveys up to 24 months

  4. Change in psychological distress

    This change will be measured by baseline and post-visit survey responses using the psychosocial aspects of hereditary cancer (PAHC) measure.

    Measured: baseline to post-visit surveys up to 24 months

  5. Patient ownership of information in the intervention arm

    determined as % AYAs able to store and access portal information

    Measured: 24 Months

  6. Participants who followed up for recommended care

    We will identify recommended care and screening via medical record review, and whether care was received, post-visit.

    Measured: screening and follow-up over the next year up to 24 Months

  7. Utilization of AYA-RISE

    Chat transcripts and patient portal access

    Measured: 2 Years

  8. Acceptability of AYA-RISE

    Semi-structured interview: How did patients, providers, family members feel about the intervention? Was the experience positive, negative, or neutral? An analytic matrix on intervention design will be used to code of semi-structured interviews

    Measured: 2 Years

  9. Adoption of AYA-RISE

    An analytic matrix on intervention design will be used to code of semi-structured interviews

    • Semi-structured interview of Providers and Clinic Leaders
    • Were patients and providers willing to try the intervention?
    • Would they want to continue to use the intervention?

    Measured: 2 Years

  10. Practicality of Using AYA-RISE

    An analytic matrix on intervention design will be used to code of semi-structured interviews: Site PI Semi-structured interview

    • Is it practical to continue to use AYA-RISE within constraints of
    • clinic, provider, and patient/family needs?

    Measured: 2 Years

  11. Fidelity of AYA-RISE

    • Site RA: Observation and Checklist
    • Does actual implementation match the planned process?

    Measured: 2 Years

  12. Sustainability of AYA-Rise

    An analytic matrix on intervention design will be used to code of semi-structured interviews Can the processes required for AYA-RISE be maintained beyond the research setting?

    Measured: 2 Years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Mar 2020
  2. Study start1 Mar 2021
  3. Primary completion11 Jul 2025
  4. Study completion30 Jun 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Health services research
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
115 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04323774
Sponsor's protocol ID
20-003
Other IDs
U01CA243688-01
Acronym
AYA-RISE
Status last verified
Jul 2026
First submitted
23 Mar 2020
Last updated
29 Jul 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: The Dana-Farber / Harvard Cancer Center encourages and supports the responsible and ethical sharing of data from clinical trials. De-identified participant data from the final research dataset used in the published manuscript may only be shared under the terms of a Data Use Agreement. Requests may be directed to Sponsor Investigator or designee. The protocol and statistical analysis plan will be made available on Clinicaltrials.gov only as required by federal regulation or as a condition of awards and agreements supporting the research.

Publications

  • Kamihara J, Cronin AM, Uno H, Horiguchi M, Fisher L, Schienda J, Vanderwall R, Snir M, Snir G, Simmons E, Khalaj A, Goler E, Hamilton KV, Porter CC, Pencheva B, Schiffman JD, Maese LD, Kohlmann WK, Henderson TO, Garber JE, Diller LR, Desai AV, Feola S, Johnson DL, Rodriguez SM, Vagher J, Mehrhoff CJ, Savage S, Perry J, Glorioso M, Moyer N, Klosky JL, Rana HQ, Mack JW. Chatbot Intervention and Cancer Risk Knowledge in Adolescents and Young Adults With Cancer Predisposition: A Randomized Clinical Trial. JAMA Netw Open. 2026 Oct 1;9(10):e2635794. doi: 10.1001/jamanetworkopen.2026.35794.

    PubMed 42842248

Questions about this trial

What is this clinical trial studying?

A study testing AYA-RISE Adolescents and Young Adults Risk Information and Screening Education and Standard clinical visit for genetic counseling in people with Cancer Risk Syndrome, run by Dana-Farber Cancer Institute at 5 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 46 inclusion and 0 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 29 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Consenting AYA use AYA-RISE (time frame: 2 years). The study lists 12 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04323774, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Jul 2026.

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