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Prostate CarcinomaNCT04763980

Community-Based Health Coach for Access to Germline Genetic Testing Among African American Men With Prostate Cancer

A study testing Educational Intervention, Genetic Testing and Survey Administration in people with Prostate Carcinoma, run by University of California, San Francisco at 3 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This clinical trial studies barriers to genetic testing in African American men with prostate cancer and whether tailored, culturally relevant genetic testing education provided by a community-based health coach is beneficial in improving knowledge, attitudes, and awareness of genetic testing. Read more about this study

Who is it for?
Ages 18 years and older, men only
Conditions the study is for
Prostate Carcinoma
What is being tested?
Educational Intervention, Genetic Testing and Survey Administration
Could I receive a placebo?
No, everyone receives an active treatment
How many people
72 participants
Where
3 sitesUnited States
Study dates
15 Jan 2021to 31 Mar 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 18 years and older
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • CLOSED TO ENROLLMENT: INITIAL PILOT COHORT:
  • Participants:
  • Age >=18 years old.
  • Able to speak and read in English.
  • Have no known cancer risk genetic mutation.
  • Self-identify as Black or African American.
Show all 31Show fewer
  • Self-report a diagnosis of regional (lymph node positive), advanced, or metastatic prostate cancer per National Comprehensive Cancer Network (NCCN) guidelines.
  • ENROLLING: PART 1:
  • Participants:
  • Age >=18 years old.
  • Able to speak and read in English.
  • Able to understand study procedures and to comply with them for the entire length of the study.
  • Able to verbally consent.
  • Self-identifies as Black or African-American.
  • Self-reports a diagnosis of regional (lymph node positive), advanced, or metastatic prostate cancer.
  • Note: Participants may or may not have had germline testing in the past, as a range of experiences is valuable for holistic feedback.
  • Providers:
  • Self-identifies as a medical oncologist or genetics provider.
  • Able to speak and read in English.
  • Able to understand study procedures and to comply with them for the entire length of the study.
  • Able to verbally consent.
  • ENROLLING: PART 2:
  • Participants:
  • Age >=18 years old.
  • Able to speak and read in English.
  • Able to understand study procedures and to comply with them for the entire length of the study.
  • Able to provide written informed consent.
  • Have no known cancer risk genetic mutation.
  • Self-identify as Black or African American.
  • Self-report a diagnosis of regional (lymph node positive), advanced, or metastatic prostate cancer per NCCN guidelines.
  • For patients recruited from the clinic: Presence of an oncology appointment within 3 months where germline testing will be discussed.

Who cannot join

  • CLOSED TO ENROLLMENT: INITIAL PILOT COHORT.
  • Prior germline genetic test.
  • Age <18 years old.
  • Unable to read or answer forms.
  • ENROLLING: PART 1:
  • 1. Contraindication to any study-related procedure or assessment.
Show all 9Show fewer
  • ENROLLING: PART 2:
  • Self-reports prior germline genetic test.
  • Contraindication to any study-related procedure or assessment.

Trial locations and contacts

3 sites in 1 country. Contact the study team or a site near you to ask about taking part.

UCSF Genitourinary Medical Oncology Recruitment contact

877-827-3222

GUTrials@ucsf.edu

United States3 sites, 3 recruiting
  • Zuckerberg San Francisco General Hospital

    San Francisco, California, 94110

    Miriam Perales, Miriam.Perales@ucsf.edu

    Recruiting
  • San Francisco Veterans Administration Medical Center

    San Francisco, California, 94121

    Not yet recruiting
  • University of California San Francisco

    San Francisco, California, 94143

    UCSF Genitourinary Medical Oncology Recruitment, 877-827-3222, GUTrials@ucsf.edu

    cancertrials@ucsf.edu

    Recruiting

Other trials in United States

About this study

Official title: Navigate Study: Use of a Community-Based Health Coach to Improve Access to Germline Genetic Testing Among African American Men With Prostate Cancer

This clinical trial studies barriers to genetic testing in African American men with prostate cancer and whether tailored, culturally relevant genetic testing education provided by a community-based health coach is beneficial in improving knowledge, attitudes, and awareness of genetic testing. Information gained from this study, may help researchers better understand and learn more about how to increase access to germline genetic testing in underrepresented populations.

Read the detailed description

PRIMARY OBJECTIVES:

  1. To assess uptake of genetic testing using tailored education strategies and culturally relevant cancer resources delivered by a community-based health coach (Initial Pilot Cohorts).

II. To assess barriers to the intervention (Part 1). III. To evaluate consent rate of germline testing among participants receiving the intervention (Part 2).

SECONDARY OBJECTIVES:

  1. To assess decisional conflict among African American men receiving tailored education strategies and culturally relevant cancer resources on genetic testing delivered by a community-based health coach (Initial Pilot Cohorts).

II. To assess facilitators to the intervention (Part 1).

III. To assess acceptability of the intervention (Parts 1 and 2).

IV. To characterize patient and health coach use of ProGene (Part 1).

  1. To evaluate completion rate of germline testing among participants receiving the intervention (Part 2).

VI. To evaluate change in participant knowledge about germline testing among patient participants (Part 2).

VII. To evaluate change in participant attitudes toward germline testing among patient participants (Part 2).

VIII. To evaluate change in decisional conflict about germline testing among patient participants (Part 2).

IX. To evaluate reach of the intervention (Part 2).

  1. To evaluate barriers and facilitators to the intervention (Part 2).

XI. To identify reasons for declining germline testing.

TERTIARY OBJECTIVE:

  1. To assess the germline mutation rate among African American men with prostate cancer (Initial Pilot Cohorts)

OUTLINE: The initial pilot phase of the study has concluded. Participants are assigned to Parts 1 or 2 of current study.

CLOSED TO ENROLLMENT: INITIAL PILOT COHORT A:

Participants complete a survey about knowledge of, attitudes towards, and awareness of genetic testing and technology preferences and use over 30 minutes at baseline and over 20 minutes at exit or follow up. Participants may also undergo genetic testing.

CLOSED TO ENROLLMENT: INITIAL PILOT COHORT B:

Participants engage in an educational session with health coach over 60 minutes. Participants also complete a survey about knowledge of, attitudes towards, and awareness of genetic testing and technology preferences and use over 30 minutes at baseline and over 20 minutes at exit or follow up. Participants may undergo genetic testing.

PART 1:

Participants engage in an educational session with health coach over 60 minutes. Participants also complete a survey about knowledge of, attitudes towards, and awareness of genetic testing and technology preferences and use over 30 minutes at baseline and over 20 minutes at exit or follow up. Participants may undergo genetic testing.

PART 2:

Participants in this secondary pilot engage in an educational session with health coach over 60 minutes. Participants also complete a survey about knowledge of, attitudes towards, and awareness of genetic testing and technology preferences and use over 30 minutes at baseline and over 20 minutes at exit or follow up. Participants may undergo genetic testing.

Being tested
Educational Intervention, Genetic Testing, Survey Administration, ProGene Artificial Intelligence (AI) Platform, Interviews
Medical subject headings
Prostatic Neoplasms

What participants receive

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

  • Educational InterventionOther

    Also called Education for Intervention, Intervention by Education, Intervention through Education, Intervention, Educational

    Participate in educational session with health coach

  • Genetic TestingOther

    Also called Genetic analysis, Genetic Examination, Genetic Test

    Undergo genetic testing

  • Survey AdministrationOther

    Also called Questionnaire Administration

    Complete surveys throughout course of study.

  • ProGene Artificial Intelligence (AI) PlatformOther

    Also called ProGene AI Platform, ProGene

    AI Platform to be used by health coach during sessions

  • InterviewsOther

    Also called Participant interviews

    Participant and provider interviews will be conducted by study staff.

Study groups in NCT04763980
Study groupRoleWhat they receive
CLOSED TO ENROLLMENT - Initial Pilot Cohort A (survey, genetic testing)Active comparatorParticipants complete a survey about knowledge of, attitudes towards, and awareness of genetic testing and technology preferences and use over 30 minutes at baseline and over 20 minutes at exit or follow up. Participants may also undergo genetic testing.
Receives: Other: Genetic Testing; Other: Survey Administration
CLOSED TO ENROLLMENT -Initial Pilot Cohort B (educational session, survey, genetic testing)ExperimentalParticipants engage in educational session with health coach over 60 minutes. Participants also complete a survey about knowledge of, attitudes towards, and awareness of genetic testing and technology preferences and use over 30 minutes at baseline and over 20 minutes at exit or follow up. Participants may undergo genetic testing. Participant and provider interviews will be conducted at end of study.
Receives: Other: Educational Intervention; Other: Genetic Testing; Other: Survey Administration
Part 1 (educational session, survey, genetic testing)ExperimentalParticipants engage in educational session lasting 15-30 minutes with health coach in-person or remotely who will be using a ProGene chatbot to augment the session over 15-30 minutes. Participants also complete surveys about knowledge of, attitudes towards, and awareness of genetic testing and technology preferences. Participants may undergo genetic testing.
Receives: Other: Educational Intervention; Other: Genetic Testing; Other: Survey Administration; Other: ProGene Artificial Intelligence (AI) Platform; Other: Interviews
Part 2 Pilot (educational session, survey, genetic testing)ExperimentalClinical participants engage in educational session lasting about 15-30 minutes with health coach in-person or remotely who will be using a ProGene chatbot to augment the session. Participants also complete surveys about knowledge of, attitudes towards, and awareness of genetic testing and technology preferences. Community and clinical participants may undergo genetic testing.
Receives: Other: Educational Intervention; Other: Genetic Testing; Other: Survey Administration; Other: ProGene Artificial Intelligence (AI) Platform; Other: Interviews

What is being measured

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

  1. Consent rate for germline testing (Initial Pilot Cohort and Part 2)

    The consent rate for each cohort will be defined as proportion of patients enrolled in the study who agree to undergo germline genetic testing with Color genomics. The point estimate and 90% confidence interval will be provided.

    Measured: At baseline (1 day)

  2. Frequency of reported barriers to interventions (Part 1)

    Participant- and provider-reported barriers to engaging in the intervention for participants to make an informed decision about germline testing will be reported descriptively.

    Measured: Up to 30 days

Secondary outcomes (11)
  1. Decisional conflict scale score (Initial Pilot Cohort and Part 2)

    The decisional conflict scale will be scored using a validated instrument. Scores range from 0 (no decisional conflict) to 100 (extremely high decisional conflict). Summary statistics with median and interquartile range will be obtained.

    Measured: Up to 120 days

  2. Frequency of reported facilitators to interventions (Part 1 and 2)

    Participant- and provider-reported facilitators to engaging in the intervention for participants to make an informed decision about germline testing.

    Measured: Up to 120 days

  3. Mean score of theoretical framework of acceptability (TFA) questionnaire (Part 1 and Part 2)

    Participant-reported acceptability of the intervention will be described using the TFA questionnaire. Scores on the TFA items will be averaged across all participants. Items will be scored on a 5-point scale: 1= Completely disagree, 2 = Disagree, 3 = Neither agree nor disagree, 4 = Agree, 5= Completely agree. All negatively worded items will be reverse-scored for a total score of 24-120. Higher scores represent greater acceptability (more positive attitudes). The mean score and standard deviation will be reported.

    Measured: Up to 120 days

  4. Number of recorded inputs into ProGene (Part 1)

    The number of recorded data inputs into the ProGene platform will be reported descriptively to characterize patient-participant and health coach use of ProGene.

    Measured: Up to 30 days

  5. Proportion of patient participants who complete germline testing (Part 2)

    The completion rate is defined as the proportion of patient-participants who complete germline testing within 90 days of intervention will be reported.

    Measured: Up to 120 days

  6. Mean score of adapted KnowGene germline testing knowledge survey (Part 2)

    Knowledge of tumor genetic testing adapted from a validated survey from Blanchette, et al.+ select questions from a survey from Rogith, et al. will be utilized to measure the level of cancer genomic testing knowledge. "Don't know" will be scored as incorrect. The proportion of correct responses will be calculated to generate a total score between 0-100, with a higher score indicating greater knowledge. No items will be weighted. Since all items are required, we anticipate missing responses will be rare. Any missing data will be managed case-by-case post-hoc.

    Measured: Up to 120 days

  7. Mean score of genetic testing attitudes survey (Part 2)

    Attitude and expectations measure for tumor genetic testing is a 17-item measure adapted from a validated survey from Blanchette, et al. including one open-ended investigator-created item. Items on the attitude scoring scale range from "Yes" = 1 and "No" or "Unsure" = 0

    Measured: Up to 120 days

  8. Proportion of individuals classified as "supporters" (Part 2)

    Proportion of individuals classified as "supporters" of genetic testing

    Measured: Up to 120 days

  9. Proportion of participants who consent to study (Part 2)

    Proportion of participants who consent to study among those approached as potential participants will be reported

    Measured: Up to 120 days

  10. Frequency of reported barriers to interventions (Part 2)

    Participant- and provider-reported barriers to engaging in the intervention for participants to make an informed decision about germline testing will be reported descriptively.

    Measured: Up to 120 days

  11. Frequency of reasons for declining testing (Part 2)

    Patient-participant reported reasons for declining germline testing will be reported descriptively.

    Measured: Up to 120 days

Timeline

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

  1. First posted21 Feb 2021
  2. Study start15 Jan 2021
  3. Primary completion31 Mar 2027 (estimated)
  4. Study completion31 Mar 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
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
72 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04763980
Sponsor's protocol ID
20553
Other IDs
NCI-2021-01027
Status last verified
Dec 2025
First submitted
17 Feb 2021
Last updated
31 Dec 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Educational Intervention, Genetic Testing and Survey Administration in people with Prostate Carcinoma, run by University of California, San Francisco at 3 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 31 inclusion and 9 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: looking for participants now, as of the sponsor's last update on 31 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 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?

Contact UCSF Genitourinary Medical Oncology Recruitment (877-827-3222, GUTrials@ucsf.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Consent rate for germline testing (Initial Pilot Cohort and Part 2) (time frame: At baseline (1 day)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 31 Dec 2025.

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