Closing the GAPS: Guideline Adherence, Prevention and Surveillance in Hereditary Cancer
Enhancing Information Management for Young Adults After Genetic Cancer Risk Testing
Nest Genomics
100 participants
Feb 10, 2026
INTERVENTIONAL
Conditions
Summary
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
Eligibility
Inclusion Criteria5
- Ages 18-49 years, inclusive
- previous cancer genetic testing with a finding of a pathogenic or likely pathogenic variant resulting in an increased risk of cancer warranting clinical management.
- English-speaking and -reading
- Receiving care at Dana Farber Cancer Institute
- Not in active cancer therapy at the time of approach
Exclusion Criteria5
- Age \<18 or \>49 years
- Has not had genetic testing for hereditary cancer syndromes or has been tested but no pathogenic or likely pathogenic variant was identified.
- Non-English speaking and reading
- Not receiving care at Dana Farber Cancer Institute
- Active cancer with therapy in progress
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Interventions
The 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.
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT06654466