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Genetic Predisposition Testing Program for Pancreatic Neuroendocrine Neoplasms


2023-04-07


2025-12-31


2025-12-31


300

Study Overview

Genetic Predisposition Testing Program for Pancreatic Neuroendocrine Neoplasms

This is a prospective observational multi-center pilot study of germline testing for participants receiving care at University of California participating locations with a new or existing diagnosis of Pancreatic Neuroendocrine Neoplasms (PanNEN). This protocol is an extension of existing Genetic Testing Station efforts at University of California, San Francisco (UCSF)

PRIMARY OBJECTIVE: I. To assess the frequency of germline mutations in patients with PanNEN. SECONDARY OBJECTIVES: I. To assess the rates of different types of germline mutations in patients PanNEN. II. To assess the rates of different types of variants of uncertain significance in patients with PanNEN. III. To estimate the rate of completion of genetic testing in patients who are offered prospective germline testing. EXPLORATORY OBJECTIVES: I. To examine attitudes of patients who have completed germline testing. II. To explore reasons for declining germline testing. III. In patients with repeat germline testing, compare the frequency of germline alteration between tests. IV. Assess the relationship between germline pathogenic variants and somatic mutations in PanNEN. OUTLINE: Potential eligible participants will be identified via chart review and invited to consent to the study. Study participants who agree to prospective testing and have not had previous large panel germline testing will watch an informational video about germline testing and be offered testing with University of California, San Francisco's (UCSF) Expanded Hereditary Cancer Panel. Study participants who decline germline testing will be asked to answer a one-question Declination Survey. Results will be shared with participants and their providers per the standard of practice at each participating study site. All participants who decided to receive germline testing will be asked to complete a decision survey.

  • Pancreatic Neuroendocrine Neoplasm
  • DIAGNOSTIC_TEST: Hereditary Cancer Panel
  • 224513
  • NCI-2023-01566 (REGISTRY Identifier) (REGISTRY: NCI Clinical Trials Reporting Program (CTRP))

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2023-02-17  

N/A  

2025-01-06  

2023-02-17  

N/A  

2025-01-08  

2023-02-27  

N/A  

2024-12  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
N/A


Allocation:
N/A


Interventional Model:
N/A


Masking:
N/A


Arms and Interventions

Participant Group/ArmIntervention/Treatment
: Participants with Pancreatic Neuroendocrine Neoplasms

DIAGNOSTIC_TEST: Hereditary Cancer Panel

  • UCSF's Internal Clinical Laboratory Improvement Amendments of 1988 (CLIA)-certified Expanded Hereditary Cancer Panel will be employed which measures a minimum 88 genes
Primary Outcome MeasuresMeasure DescriptionTime Frame
Rate of overall pathogenic germline mutationsThe overall percentage of participants with pathogenic, or likely pathogenic germline mutations will be reported with 95% confidence intervalsUp to 2 years
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Rates of different types of pathogenic mutationsThe percentage of participants with each identified type of pathogenic, or likely pathogenic, will be reported with 95% confidence intervalsUp to 2 years
Rates of different types of variants of uncertain significance (VUS)The percentage of participants with identified variants of uncertain significance will be reported with 95% confidence intervals.Up to 2 years
Rate of declination for participants offered testing.Participants who decline genetic testing but agree to participate in other study procedures will complete a Declination Survey which consists of one questions asking the reason for the decision to decline germline testing.Up to 2 years
Rate of completion of testingThe rate of study completion defined as the percentage of participants who agree to testing, and complete all study procedures through return of results and meeting with genetic counselor (as appropriate) will be reported.Up to 2 years

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Name: Bryan Le

Phone Number: (415) 502-6313

Email: bryankhuong.le@ucsf.edu

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
18 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:
    1. Histologically confirmed PanNEN.
    a. The diagnostic biopsy may have been taken from any site (primary or metastatic). 2. New and existing PanNEN participants will be eligible (any grade, any stage, any age > 18 years). 3. Participants willing and able to comply with the study procedures.
    Exclusion Criteria:
    1. Inability to provide informed consent. 2. For participants who have not had prior testing with a dedicated germline pane of at least 80 genes:
    1. Inability to speak/read a language supported by the germline testing station (GTS). The supported languages currently include English, Korean, Japanese, Vietnamese, Russian, Tagalog, Farsi, Spanish, Cantonese, Mandarin, and Arabic). 2. Active hematologic malignancy. 3. History of allogenic bone marrow transplant or stem cell transplant.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

  • University of California Pancreatic Cancer Consortium (UCPCC)

  • PRINCIPAL_INVESTIGATOR: Emily Bergsland, MD, University of California, San Francisco

Publications

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

No publications available