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Trial registered on ANZCTR
Registration number
ACTRN12624001200572p
Ethics application status
Submitted, not yet approved
Date submitted
9/09/2024
Date registered
1/10/2024
Date last updated
1/10/2024
Date data sharing statement initially provided
1/10/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
Testing the impact of a innovative digital resource, ActionPlan, on familial cancer patient empowerment.
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Scientific title
Empower study: Testing the impact of a innovative digital resource, ActionPlan, on familial cancer patient empowerment.
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Secondary ID [1]
312741
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The Empower study
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
living with a BRCA2 pathogenic variant
334775
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Breast cancer risk
335175
0
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Ovarian cancer risk
335176
0
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cancer worry
335177
0
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living with a BRCA1 pathogenic variant
335263
0
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Living with a PALB2 pathogenic variant
335264
0
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Condition category
Condition code
Human Genetics and Inherited Disorders
331332
331332
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0
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Other human genetics and inherited disorders
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Cancer
331666
331666
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0
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Breast
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Cancer
331667
331667
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0
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Ovarian and primary peritoneal
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Hybrid two effectiveness and Implementation trial
Arm 1. Access for 8 months to Comprehensive informational management website with decision tools called ActionPlan through login provided by email. Access is at participant discretion. ActionPlan contains personalised risk graphics based on age and risk reduction strategy undertaken, and information modules -breast cancer risk reduction /screening, ovarian cancer risk reduction, lifestyle factors, psychological support, grief support, reproductive options, family communication and cascade tool, rarer cancers and research opportunities. Use of Actionplan is collected through google analytics .
Arm 2. Access to ActionPlan as above, and follow up 20 min behavioural change -targeted telephone conversation at one month after access to ActionPlan
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Intervention code [1]
329263
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Prevention
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Intervention code [2]
329264
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Lifestyle
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Intervention code [3]
329265
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Behaviour
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Comparator / control treatment
Standard care as currently provided by each specialist familial cancer or clinical genetic service in terms of patient information sheets or letter, follow up phones or formal on-going clinical management.
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Control group
Active
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Outcomes
Primary outcome [1]
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Patient empowerment at 8 months after recruitment
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Assessment method [1]
339091
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Genomic outcomes score
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Timepoint [1]
339091
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Before access to ActionPlan (baseline)- , 2 and 8 months (Primary outcome) after access to ActionPlan i.e login details have been sent or baseline survey returned for control arm
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Secondary outcome [1]
438525
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Coping with a genetic diagnosis
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Assessment method [1]
438525
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Multidimensional Impact of Cancer Risk Assessment
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Timepoint [1]
438525
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Before access to ActionPlan (baseline)- , 2 and 8 months after access to ActionPlan i.e login details have been sent or baseline survey returned for control arm
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Secondary outcome [2]
438526
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Decisional conflict
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Assessment method [2]
438526
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Decisional conflict scale
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Timepoint [2]
438526
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2 and 8 months after access to ActionPlan i.e login details have been sent or baseline survey returned for control arm
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Eligibility
Key inclusion criteria
Patients will be eligible for inclusion in this trial if all the following criteria apply:
• Any individual who tests positive in a NATA-accredited molecular laboratory for a germline likely pathogenic (Class4) or pathogenic (class 5) variant in either BRCA1, BRCA2 or PALB2 genes during the period of the trial,
• No personal history of breast, ovary or prostate cancer.
• No current cancer diagnosis or treatment of any type.
• Aged 18 years or ove
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Minimum age
18
Years
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Maximum age
80
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients will not be eligible for inclusion in this trial if any of the following criteria apply:
• Unable to provide informed consent.
• Do not speak or read English.
• Any individual testing positive for a Class 3 variant (genetic variant of uncertain clinical significance) as part of segregation testing
• Any Individual identified as having a germline BRCA1, BRCA2 or PALB2 Class 4 or Class 5 genetic variants prior to study commencement.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Yes, randomisation of the first member of each family is undertaken centrally in the RedCap central study database
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation at family level using a randomisation table created by computer software
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
3 arm cluster randomized by family
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
10/10/2024
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Actual
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Date of last participant enrolment
Anticipated
1/10/2026
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
354
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,QLD,TAS,WA,VIC
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Funding & Sponsors
Funding source category [1]
317172
0
Charities/Societies/Foundations
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Name [1]
317172
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National Breast cancer foundation
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Address [1]
317172
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Country [1]
317172
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Australia
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Primary sponsor type
Hospital
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Name
Peter MacCallum Cancer Centre
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Address
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Country
Australia
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Secondary sponsor category [1]
319437
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None
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Name [1]
319437
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Address [1]
319437
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Country [1]
319437
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
315917
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Peter MacCallum Cancer Centre Human Research Ethics Committee
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Ethics committee address [1]
315917
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https://www.petermac.org/research/doing-research-us/ethics-governance
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Ethics committee country [1]
315917
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Australia
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Date submitted for ethics approval [1]
315917
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12/08/2024
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Approval date [1]
315917
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Ethics approval number [1]
315917
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Summary
Brief summary
Who is it for? You may be eligible for this study if you are a male or female over the age of 18, and test positive in a NATA-accredited molecular laboratory for a germline likely pathogenic (Class 4) or pathogenic (class 5) variant in either BRCA1, BRCA2 or PALB2 genes during the period of the trial, and have no current cancer diagnosis of any type, or previous diagnosis of breast, ovary or prostate cancer. Study details In this Hybrid two effectiveness and Implementation trial, participants will be randomly allocated to 1) access to the Website - ActionPlan, 2) access to ActionPlan with telephone conversation one month after access to improve uptake of the website or 3) standard care. In the Website ActionPlan arm, participants will receive personalised interactive risk graphics, and information modules -breast cancer risk reduction /screening, ovarian cancer risk reduction, lifestyle factors, psychological support, grief support, reproductive options, family communication and cascade tool, rarer cancers and research opportunities. The website can be accessed at the participant discretion. In the ActionPlan and telephone conversation arm, participants will receive access to the website ActionPlan and a follow up telephone call one month after access to ActionPlan using behaviour change theory aimed at addressing any digital or health literacy issues. Participants will be followed up at baseline, 2 , 5 and 8 months post intervention commencement to assess for patient empowerment, coping with a genetic diagnosis, and decisional conflict. It is hoped that this study will contribute to our understanding of digital interventions in healthcare, and improve person-centred care by empowering participants to be more actively engaged in in their health and values- based decision making.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
136210
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A/Prof Alison Trainer
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Address
136210
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Peter MacCallum cancer centre, 305 Grattan st, Melbourne, Victoria, 3000
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Country
136210
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Australia
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Phone
136210
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+610385595322
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Fax
136210
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Email
136210
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[email protected]
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Contact person for public queries
Name
136211
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Alison Trainer
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Address
136211
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Peter MacCallum cancer centre, 305 Grattan st, Melbourne, Victoria 3000
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Country
136211
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Australia
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Phone
136211
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+610385595322
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Fax
136211
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Email
136211
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[email protected]
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Contact person for scientific queries
Name
136212
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Alison Trainer
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Address
136212
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Peter MacCallum cancer centre, 305 Grattan st, Melbourne, Victoria, 3000
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Country
136212
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Australia
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Phone
136212
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+610385595322
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Fax
136212
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Email
136212
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
De-identified participation data
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When will data be available (start and end dates)?
From publication for 5 years
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Available to whom?
researchers with sound proposal
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Available for what types of analyses?
Meta-analysis
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How or where can data be obtained?
by request to
[email protected]
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
24180
Clinical study report
[email protected]
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF