Descripción
Este ensayo clínico compara la comunicación mediada por el paciente (el individuo índice) con la comunicación mediada por el proveedor de atención médica para mejorar las pruebas genéticas en los familiares de primer grado de pacientes con cáncer colorrectal de reciente diagnóstico. Se estima que el 30 % de los casos de cáncer colorrectal tienen una base genética y que aproximadamente el 15 % de estos pacientes presentan una variante hereditaria (de la línea germinal) patógena en un gen de susceptibilidad al cáncer. La mayoría de las personas que portan una variante patógena de la línea germinal desconocen su riesgo de cáncer y es posible que no cumplan con los criterios para las pruebas genéticas. La identificación de variantes patógenas de la línea germinal o síndromes de cáncer hereditarios en pacientes con cáncer tiene importantes implicaciones para sus familiares de primer grado que pueden desconocer que tienen un alto riesgo de cáncer. La responsabilidad de comunicar este riesgo a los familiares de primer grado recae a menudo en los pacientes, que pueden carecer de los conocimientos suficientes para compartir y explicar correctamente los resultados de sus pruebas genéticas. Recibir una comunicación mediada por el proveedor de atención médica de los resultados de las pruebas genéticas puede ser más eficaz para comunicar el riesgo genético a los familiares de primer grado que la práctica habitual de la comunicación mediada por el paciente.
Evidencia de la diana molecular en cáncer colorrectal
Estos fármacos NO son el fármaco de este ensayo. Es la eficacia publicada de OTROS fármacos que atacan la misma diana molecular, mostrada como contexto — no se refiere a este ensayo concreto ni confirma elegibilidad. Revísalo siempre con tu oncólogo.
Aún no hay evidencia documentada en nuestra base para la diana o el fármaco de este ensayo. Esta sección crece a medida que se procesan nuevas publicaciones.
Criterios de Elegibilidad
Criterios de inclusión:
- SUJETOS DEL PASO 1: Edad \>= 18 años
- SUJETOS DEL PASO 1: Pacientes con un adenocarcinoma colorrectal primario de diagnóstico reciente (en los 3 meses previos al registro), estadio I a IV
- Estadio I a IV de adenocarcinoma de colon o recto confirmado histológicamente (cualquier T o N, M+). Los tumores que se considera que se originan en el colon pueden extenderse al intestino delgado o involucrarlo (por ejemplo, los que se encuentran en la válvula ileocecal). Los tumores se considerarán que se originan en el colon si todo el tumor se encuentra en el colon. En caso de afectación rectal, el cáncer se considerará un primario rectal.
- Los pacientes con más de un adenocarcinoma colorrectal primario son elegibles.
- SUJETOS DEL PASO 1: No se incluyen pacientes con cáncer colorrectal en estadio 0 o in situ.
- SUJETOS DEL PASO 1: Los pacientes que hayan tenido cánceres previos son elegibles, incluidos los cánceres no invasivos.
- SUJETOS DEL PASO 1: Los pacientes con segundas neoplasias sincrónicas son elegibles.
- SUJETOS DEL PASO 1: No deben haber recibido pruebas de la línea germinal en los 2 años previos a la inscripción ni tener síndromes hereditarios de cáncer de colon conocidos.
- SUJETOS DEL PASO 1: Los pacientes deben tener al menos 2 familiares de primer grado (F1G) vivos que cumplan los criterios de elegibilidad y con quienes el paciente esté dispuesto a compartir su diagnóstico de cáncer.
- SUJETOS DEL PASO 1: Para completar las evaluaciones obligatorias que debe realizar el paciente, ver el vídeo y recibir educación y asesoramiento genéticos, los participantes deben poder hablar y leer inglés o español.
- SUJETOS DEL PASO 1: No deben tener un diagnóstico conocido de demencia o deterioro cognitivo. Las personas con capacidad de toma de decisiones disminuida no son elegibles, ya que deben ser capaces de comprender los resultados de las pruebas genéticas, sus implicaciones para el paciente y la familia, y explicar los resultados de las pruebas genéticas a sus familiares.
- No se incluyen personas con un trastorno psiquiátrico o un trastorno del desarrollo documentado que afecte a las funciones cognitivas o emocionales hasta el punto de que la capacidad de juicio y razonamiento se vea significativamente disminuida, de modo que no puedan participar, según el criterio del médico tratante.
- SUJETOS DEL PASO 2: Sujetos con un resultado positivo para una variante patógena de la línea germinal (VPG) en un gen de susceptibilidad al cáncer.
- F1G: Edad \>= 18 años
- F1G: No deben haber recibido previamente pruebas genéticas de la línea germinal ni tener síndromes hereditarios de cáncer de colon conocidos.
- F1G: Los F1G deben residir en los Estados Unidos, ya que las pruebas genéticas de LabCorp solo están disponibles para los residentes de los Estados Unidos.
- F1G: Para completar las evaluaciones obligatorias que debe realizar el paciente, los participantes deben poder hablar y leer inglés o español.
Criterios de exclusión:
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Información del Ensayo
NCT07143487
Reclutando
Sin fase definida
4186 participantes
Abr 2026
Nov 2029
Ubicaciones319
Puerto Rico (7)
Cancer Center-Metro Medical Center Bayamon
Bayamón
Puerto Rico Hematology Oncology Group
Bayamón
Doctors Cancer Center
Manati
Centro Comprensivo de Cancer de UPR
San Juan
PROncology
San Juan
San Juan City Hospital
San Juan
San Juan Community Oncology Group
San Juan
United States (312)
Providence Regional Cancer System-Aberdeen
Aberdeen
Riverwood Healthcare Center
Aitkin
Lehigh Valley Hospital-Cedar Crest
Allentown
Aultman Alliance Community Hospital
Alliance
MyMichigan Medical Center Gratiot
Alma
MyMichigan Medical Center Alpena
Alpena
OSF Saint Anthony's Health Center
Alton
Community Hospital of Anaconda
Anaconda
Alaska Breast Care and Surgery LLC
Anchorage
Alaska Oncology and Hematology LLC
Anchorage
Alaska Women's Cancer Care
Anchorage
Anchorage Associates in Radiation Medicine
Anchorage
Katmai Oncology Group
Anchorage
Providence Alaska Medical Center
Anchorage
Trinity Health Saint Joseph Mercy Hospital Ann Arbor
Ann Arbor
Mission Hope Medical Oncology - Arroyo Grande
Arroyo Grande
Duluth Clinic Ashland
Ashland
Northwest Wisconsin Cancer Center
Ashland
Saint Alphonsus Cancer Care Center-Baker City
Baker City
Mercy Oncology and Hematology - Clayton-Clarkson
Ballwin
Sinai Hospital of Baltimore
Baltimore
CommonSpirit Saint Joseph Hospital - Bardstown
Bardstown
Bronson Battle Creek
Battle Creek
Essentia Health - Baxter Clinic
Baxter
Indu and Raj Soin Medical Center
Beavercreek
PeaceHealth Saint Joseph Medical Center
Bellingham
Saint Charles Health System
Bend
Lehigh Valley Hospital - Muhlenberg
Bethlehem
Billings Clinic Cancer Center
Billings
Illinois CancerCare-Bloomington
Bloomington
Saint Elizabeth Boardman Hospital
Boardman
Saint Alphonsus Cancer Care Center-Boise
Boise
Saint Luke's Cancer Institute - Boise
Boise
Central Care Cancer Center - Bolivar
Bolivar
Bozeman Health Deaconess Hospital
Bozeman
Essentia Health Saint Joseph's Medical Center
Brainerd
Cox Cancer Center Branson
Branson
Trinity Health IHA Medical Group Hematology Oncology - Brighton
Brighton
Trinity Health Medical Center - Brighton
Brighton
Providence Saint Joseph Medical Center/Disney Family Cancer Center
Burbank
Minnesota Oncology - Burnsville
Burnsville
Saint Alphonsus Cancer Care Center-Caldwell
Caldwell
Marshall Cancer Center
Cameron Park
Aultman Health Foundation
Canton
Illinois CancerCare-Canton
Canton
Trinity Health IHA Medical Group Hematology Oncology - Canton
Canton
Trinity Health Medical Center - Canton
Canton
Mercy Cancer Center - Cape Girardeau
Cape Girardeau
Saint Francis Medical Center
Cape Girardeau
Memorial Hospital of Carbondale
Carbondale
Mercy Cancer Center - Carmichael
Carmichael
Mercy San Juan Medical Center
Carmichael
SIH Cancer Institute
Carterville
Illinois CancerCare-Carthage
Carthage
Centralia Oncology Clinic
Centralia
Providence Regional Cancer System-Centralia
Centralia
Minnesota Oncology Hematology PA-Chaska
Chaska
Chelsea Hospital
Chelsea
Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital
Chelsea
Memorial Hospital of Laramie County
Cheyenne
Enloe Medical Center
Chico
Bethesda North Hospital
Cincinnati
Good Samaritan Hospital - Cincinnati
Cincinnati
Oncology Hematology Care Inc-Kenwood
Cincinnati
TriHealth Cancer Institute-Anderson
Cincinnati
TriHealth Cancer Institute-Westside
Cincinnati
University of Cincinnati Cancer Center-UC Medical Center
Cincinnati
Clackamas Radiation Oncology Center
Clackamas
Hematology Oncology Consultants-Clarkston
Clarkston
Newland Medical Associates-Clarkston
Clarkston
Southeastern Medical Oncology Center-Clinton
Clinton
Billings Clinic-Cody
Cody
Kootenai Health - Coeur d'Alene
Coeur d'Alene
Penrose-Saint Francis Healthcare
Colorado Springs
Rocky Mountain Cancer Centers-Penrose
Colorado Springs
Saint Francis Cancer Center
Colorado Springs
Mercy Hospital
Coon Rapids
Minnesota Oncology - Coon Rapids
Coon Rapids
Bay Area Hospital
Coos Bay
Commonwealth Cancer Center-Corbin
Corbin
Essentia Health - Saint Joseph's Crosslake Clinic
Crosslake
Carle at The Riverfront
Danville
Dayton Physician LLC - Englewood
Dayton
Cancer Care Specialists of Illinois - Decatur
Decatur
Decatur Memorial Hospital
Decatur
Essentia Health - Deer River Clinic
Deer River
Henry Ford Health Saint John Hospital
Detroit
Essentia Health Saint Mary's - Detroit Lakes Clinic
Detroit Lakes
Illinois CancerCare-Dixon
Dixon
Essentia Health Cancer Center
Duluth
Essentia Health Saint Mary's Medical Center
Duluth
Miller-Dwan Hospital
Duluth
CommonSpirit Cancer Center Mercy
Durango
Mercy Medical Center
Durango
Henry Ford River District Hospital
East China Township
Pocono Medical Center
East Stroudsburg
Fairview Southdale Hospital
Edina
Minnesota Oncology - Edina
Edina
Swedish Cancer Institute-Edmonds
Edmonds
Carle Physician Group-Effingham
Effingham
Crossroads Cancer Center
Effingham
Mercy Cancer Center - Elk Grove
Elk Grove
Essentia Health - Ely Clinic
Ely
Illinois CancerCare-Eureka
Eureka
Providence Regional Cancer Partnership
Everett
Fairbanks Memorial Hospital
Fairbanks
Essentia Health Cancer Center-South University Clinic
Fargo
Parkland Health Center - Farmington
Farmington
Armes Family Cancer Center
Findlay
Blanchard Valley Hospital
Findlay
Cancer Hematology Centers - Flint
Flint
Genesee Hematology Oncology PC
Flint
Genesys Hurley Cancer Institute
Flint
Hurley Medical Center
Flint
Holy Cross Hospital
Fort Lauderdale
Mercy Hospital Fort Smith
Fort Smith
Essentia Health - Fosston
Fosston
Dayton Physicians LLC-Atrium
Franklin
Saint Luke's Cancer Institute - Fruitland
Fruitland
Illinois CancerCare-Galesburg
Galesburg
Central Care Cancer Center - Garden City
Garden City
CaroMont Regional Medical Center
Gastonia
MyMichigan Medical Center Gladwin
Gladwin
Southeastern Medical Oncology Center-Goldsboro
Goldsboro
CHI Health Saint Francis
Grand Island
Corewell Health Grand Rapids Hospitals - Butterworth Hospital
Grand Rapids
Corewell Health Grand Rapids Hospitals - Helen DeVos Children's Hospital
Grand Rapids
Central Care Cancer Center - Great Bend
Great Bend
Benefis Sletten Cancer Institute
Great Falls
Great Falls Clinic
Great Falls
Wayne Hospital
Greenville
Henry Ford Saint John Hospital - Academic
Grosse Pointe Woods
Henry Ford Saint John Hospital - Breast
Grosse Pointe Woods
Henry Ford Saint John Hospital - Van Elslander
Grosse Pointe Woods
Hi-Line Sletten Cancer Center
Havre
Essentia Health-Hayward Clinic
Hayward
Tamarack Health Hayward Medical Center
Hayward
Lehigh Valley Hospital-Hazleton
Hazleton
Benefis Helena Specialty Center
Helena
Essentia Health Hibbing Clinic
Hibbing
Providence Hood River Memorial Hospital
Hood River
Essentia Health - International Falls Clinic
International Falls
Swedish Cancer Institute-Issaquah
Issaquah
Southeastern Medical Oncology Center-Jacksonville
Jacksonville
Essentia Health - Jamestown Clinic
Jamestown
Freeman Health System
Joplin
Mercy Hospital Joplin
Joplin
Beacon Kalamazoo
Kalamazoo
Beacon Kalamazoo Cancer Center
Kalamazoo
Bronson Methodist Hospital
Kalamazoo
West Michigan Cancer Center
Kalamazoo
Logan Health Medical Center
Kalispell
CHI Health Good Samaritan
Kearney
Kadlec Clinic Hematology and Oncology
Kennewick
Greater Dayton Cancer Center
Kettering
Kettering Medical Center
Kettering
Illinois CancerCare-Kewanee Clinic
Kewanee
Providence Regional Cancer System-Lacey
Lacey
CommonSpirit Saint Anthony Hospital Cancer Center
Lakewood
University of Michigan Health - Sparrow Lansing
Lansing
CommonSpirit Saint Joseph Hospital - Lexington
Lexington
CommonSpirit Saint Joseph Medical Center - East Lexington
Lexington
Saint Joseph Radiation Oncology Resource Center
Lexington
CaroMont Health - Lincoln Cancer Center
Lincolnton
CARTI Cancer Center
Little Rock
Trinity Health Saint Mary Mercy Livonia Hospital
Livonia
CommonSpirit Saint Joseph Hospital London
London
Longmont United Hospital
Longmont
PeaceHealth Saint John Medical Center
Longview
Henry Ford Saint John Hospital - Macomb Medical
Macomb
Henry Ford Warren Hospital - Breast Macomb
Macomb
Illinois CancerCare-Macomb
Macomb
Fairview Clinics and Surgery Center Maple Grove
Maple Grove
Minnesota Oncology - Maple Grove
Maple Grove
Minnesota Oncology Hematology PA-Maplewood
Maplewood
Saint John's Hospital - Healtheast
Maplewood
Fremont - Rideout Cancer Center
Marysville
Carle Physician Group-Mattoon/Charleston
Mattoon
Redeemer Health
Meadowbrook
Mercy Cancer Center
Merced
Idaho Urologic Institute-Meridian
Meridian
Saint Luke's Cancer Institute - Meridian
Meridian
MyMichigan Medical Center Midland
Midland
Abbott-Northwestern Hospital
Minneapolis
Hennepin County Medical Center
Minneapolis
Community Medical Center
Missoula
Saint Patrick Hospital - Community Hospital
Missoula
Essentia Health - Moose Lake Clinic
Moose Lake
MyMichigan Medical Center Mount Pleasant
Mount Pleasant
CommonSpirit Saint Joseph Hospital Mount Sterling
Mount Sterling
Skagit Regional Health Cancer Care Center
Mount Vernon
SSM Health Good Samaritan
Mount Vernon
Saint Alphonsus Cancer Care Center-Nampa
Nampa
Saint Luke's Cancer Institute - Nampa
Nampa
Providence Queen of The Valley
Napa
Cancer Center of Western Wisconsin
New Richmond
New Ulm Medical Center
New Ulm
Providence Newberg Medical Center
Newberg
Corewell Health Lakeland Hospitals - Niles Hospital
Niles
Carle BroMenn Medical Center
Normal
Carle Cancer Institute Normal
Normal
Cancer Care Center of O'Fallon
O'Fallon
HSHS Saint Elizabeth's Hospital
O'Fallon
Mercy Hospital Oklahoma City
Oklahoma City
Alegent Health Bergan Mercy Medical Center
Omaha
Alegent Health Immanuel Medical Center
Omaha
Alegent Health Lakeside Hospital
Omaha
Saint Alphonsus Cancer Care Center-Ontario
Ontario
Providence Willamette Falls Medical Center
Oregon City
Lake Regional Hospital
Osage Beach
Illinois CancerCare-Ottawa Clinic
Ottawa
Essentia Health - Park Rapids
Park Rapids
Illinois CancerCare-Pekin
Pekin
Illinois CancerCare-Peoria
Peoria
Methodist Medical Center of Illinois
Peoria
Essentia Health - Saint Joseph's Pequot Lakes Clinic
Pequot Lakes
Illinois CancerCare-Peru
Peru
Valley Radiation Oncology
Peru
Cancer Center at Saint Joseph's
Phoenix
Essentia Health - Saint Joseph's Pine River Clinic
Pine River
Mercy Hospital Pittsburg
Pittsburg
Hope Cancer Center
Pontiac
Michigan Healthcare Professionals Pontiac
Pontiac
Newland Medical Associates-Pontiac
Pontiac
Trinity Health Saint Joseph Mercy Oakland Hospital
Pontiac
Providence Portland Medical Center
Portland
Providence Saint Vincent Medical Center
Portland
Kootenai Clinic Cancer Services - Post Falls
Post Falls
Fairview Northland Medical Center
Princeton
Illinois CancerCare-Princeton
Princeton
Saint Mary Corwin Medical Center
Pueblo
Northwest Hospital Center
Randallstown
Rapid City Regional Hospital
Rapid City
Saint Charles Health System-Redmond
Redmond
Corewell Health Reed City Hospital
Reed City
Renown Regional Medical Center
Reno
Reid Health
Richmond
VCU Massey Comprehensive Cancer Center
Richmond
North Memorial Medical Health Center
Robbinsdale
OSF Saint Anthony Medical Center
Rockford
Mercy Cancer Center - Rocklin
Rocklin
Mercy Clinic-Rolla-Cancer and Hematology
Rolla
Phelps Health Delbert Day Cancer Institute
Rolla
Mercy Cancer Center - Sacramento
Sacramento
MyMichigan Medical Center Saginaw
Saginaw
Corewell Health Lakeland Hospitals - Marie Yeager Cancer Center
Saint Joseph
Corewell Health Lakeland Hospitals - Saint Joseph Hospital
Saint Joseph
Heartland Regional Medical Center
Saint Joseph
Park Nicollet Clinic - Saint Louis Park
Saint Louis Park
Regions Hospital
Saint Paul
United Hospital
Saint Paul
Sainte Genevieve County Memorial Hospital
Sainte Genevieve
Pacific Central Coast Health Center-San Luis Obispo
San Luis Obispo
Kootenai Clinic Cancer Services - Sandpoint
Sandpoint
Essentia Health Sandstone
Sandstone
Mission Hope Medical Oncology - Santa Maria
Santa Maria
Providence Medical Foundation - Santa Rosa
Santa Rosa
Providence Santa Rosa Memorial Hospital
Santa Rosa
Swedish Medical Center-Ballard Campus
Seattle
Swedish Medical Center-Cherry Hill
Seattle
Swedish Medical Center-First Hill
Seattle
PeaceHealth United General Medical Center
Sedro-Woolley
Saint Francis Regional Medical Center
Shakopee
Saint Joseph Medical Center Hematology and Oncology - Silverdale
Silverdale
VCU Community Memorial Health Center
South Hill
Cancer Care Northwest - Spokane South
Spokane
Cancer Care Northwest-North Spokane
Spokane
Cancer Care Northwest-Valley
Spokane
Essentia Health-Spooner Clinic
Spooner
CoxHealth South Hospital
Springfield
Mercy Hospital Springfield
Springfield
Southern Illinois University School of Medicine
Springfield
Springfield Clinic
Springfield
Springfield Memorial Hospital
Springfield
Mercy Hospital Saint Louis
St Louis
Mercy Hospital South
St Louis
Mercy Infusion Center - Chippewa
St Louis
Missouri Baptist Medical Center
St Louis
Saint Helena Hospital
St. Helena
Essentia Health - Saint Joseph's Staples Clinic
Staples
Lakeview Hospital
Stillwater
Saint Joseph's Medical Center
Stockton
Missouri Baptist Sullivan Hospital
Sullivan
Essentia Health Saint Mary's Hospital - Superior
Superior
MyMichigan Medical Center Tawas
Tawas City
Cotton O'Neil Cancer Center / Stormont Vail Health
Topeka
UM Saint Joseph Medical Center
Towson
Munson Medical Center
Traverse City
Gene Upshaw Memorial Tahoe Forest Cancer Center
Truckee
Saint Luke's Cancer Institute - Twin Falls
Twin Falls
Carle Cancer Center
Urbana
PeaceHealth Southwest Medical Center
Vancouver
Essentia Health Virginia Clinic
Virginia
Ridgeview Medical Center
Waconia
Providence Saint Mary Regional Cancer Center
Walla Walla
Henry Ford Health Warren Hospital
Warren
Henry Ford Madison Heights Hospital - Breast
Warren
Henry Ford Warren Hospital - GLCMS
Warren
Saint Joseph Warren Hospital
Warren
Illinois CancerCare - Washington
Washington
Mercy Hospital Washington
Washington
University of Cincinnati Cancer Center-West Chester
West Chester
Saint Anthony North Hospital
Westminster
William E Kahlert Regional Cancer Center/Sinai Hospital
Westminster
Rice Memorial Hospital
Willmar
Minnesota Oncology Hematology PA-Woodbury
Woodbury
Woodland Memorial Hospital
Woodland
Fairview Lakes Medical Center
Wyoming
University of Michigan Health - West
Wyoming
Saint Elizabeth Youngstown Hospital
Youngstown
Huron Gastroenterology PC
Ypsilanti
Trinity Health IHA Medical Group Hematology Oncology Ann Arbor Campus
Ypsilanti