Can your medical record nudge you toward cancer gene testing?
NCT ID NCT07876349
First seen Oct 15, 2026 · Last updated Oct 16, 2026 · Updated 1 time
Summary
Researchers at Columbia University are testing whether tools built into the electronic health record can increase genetic testing for hereditary breast and ovarian cancer among women with a family history of the disease. The study enrolls women aged 21 to 75 who have no personal history of breast or ovarian cancer and no prior genetic testing, but who screen positive on a family history questionnaire. Primary care providers receive alerts, and patients get referral information and access to a decision aid website called RealRisks. The trial measures changes in patients' knowledge about genetic testing and their beliefs about cancer risk.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- electronic health record alerts, family history screening, and a patient decision aid website
- What this could lead to
- If the approach works, clinics could use routine electronic health record tools to find more women at risk for hereditary breast and ovarian cancer and connect them with genetic counseling and testing.
- What could go wrong
- This is a small pilot study in a few primary care clinics, so the results may not apply to other settings. Alerts and websites often fail to change busy clinicians' behavior, and patients may not follow through on testing referrals.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 55 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2026
- Expected to finish
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Feb 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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21 to 75 years
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Women, age 21-75 years * Completed Six-Point Scale (SPS) family history screener with a score of 6 or higher. * Seen in NewYork Presbyterian primary care clinic selected for pilot testing * No personal history of breast or ovarian cancer * No prior germline HBOC genetic testing * English or Spanish-speaking * Access to a smartphone, tablet, or computer * Able to provide written, verbal, or online informed consent Exclusion criteria: \- Patients who previously participated in the development studies for RealRisks and BNAV.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
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Study contacts
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Contact
Email: •••••@•••••
Locations
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Columbia University Irving Medical Center
RECRUITINGNew York, New York, 10032, United States
Contact Email: •••••@•••••
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