A genetic score could sharpen breast cancer risk prediction
NCT ID NCT06922708
First seen Jul 31, 2026 · Last updated Aug 04, 2026 · Updated 2 times
Summary
This study tests whether adding a polygenic risk score (PRS) — a measure based on 313 genetic markers — to the standard CanRisk model can improve breast cancer risk prediction and prevention. About 100 women at increased risk will receive genetic counseling, a blood draw, and the PRS result, then answer questionnaires about their understanding and emotional response. The goal is to see if this integrated approach is practical, acceptable, and helpful in a real-world clinic setting.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Polygenic risk score (PRS) testing integrated into the CanRisk model, alongside standard genetic counseling
- What this could lead to
- If successful, this could make breast cancer risk prediction more precise, enabling earlier and more personalized prevention strategies for women at higher risk.
- What could go wrong
- This is a small feasibility study, not a large trial, so it may not prove that PRS improves outcomes. The added psychological impact and the complexity of integrating PRS into routine care are also potential challenges.
This is an AI summary of the original study and may miss details. Read our disclaimer.
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 100 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2025
- Expected to finish
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Nov 2026
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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18 to 79 years
- Sex
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Female participants only
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Ability to provide informed consent * Voluntary consent to participate * Estimated risk of carrying an inherited pathogenic variant (in BRCA1, BRCA2, PALB2, CHEK2, ATM, RAD51D, RAD51C, BARD1) \> 5%, (calculated on www.canrisk.org) * Healthy women with: 1. Known family history of breast cancer, or 2. Known familiarity with carriers of pathogenic variants for genes included in the CanRisk model (BRCA1, BRCA2, PALB2, CHEK2, ATM, RAD51D, RAD51C, BARD1), or 3. Known carriers of pathogenic variants for genes included in the CanRisk model (BRCA1, BRCA2, PALB2, CHEK2, ATM, RAD51D, RAD51C, BARD1) * Affected women with: 1. Diagnosis of unilateral breast cancer 2. Personal history of ovarian cancer Exclusion Criteria: * Diagnosis or history of bilateral breast cancer * Diagnosis of ductal carcinoma in situ * Previous bilateral mastectomy * Life expectancy \< 12 months due to other medical conditions * Participation in interventional clinical trials for breast cancer prevention in the last 12 months * Carriers or relatives of carriers of pathogenic variants in genes not included in the CanRisk model (genes other than BRCA1, BRCA2, PALB2, CHEK2, ATM, RAD51D, RAD51C, BARD1) * Inability to provide informed consent
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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 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
Locations
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Policlinico Universitario Fondazione Agostino Gemelli
RECRUITINGRoma, Italy
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