Design of a randomized controlled trial for genomic carrier screening in healthy patients seeking preconception genetic testing

Tia L. Kauffman, Michael C. Leo, Frances L. Lynch, Jacob A. Reiss, Carmit McMullen, Katrina A.B. Goddard, Benjamin S. Wilfond, Gail P. Jarvik, Gail P. Jarvik, Deborah Nickerson, C. Sue Richards, Michael O. Dorschner

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

Population-based carrier screening is limited to well-studied or high-impact genetic conditions for which the benefits may outweigh the associated harms and costs. As the cost of genome sequencing declines and availability increases, the balance of risks and benefits may change for a much larger number of genetic conditions, including medically actionable additional findings. We designed an RCT to evaluate genomic clinical sequencing for women and partners considering a pregnancy. All results are placed into the medical record for use by healthcare providers. Through quantitative and qualitative measures, including baseline and post result disclosure surveys, post result disclosure interviews, 1–2 year follow-up interviews, and team journaling, we are obtaining data about the clinical and personal utility of genomic carrier screening in this population. Key outcomes include the number of reportable carrier and additional findings, and the comparative cost, utilization, and psychosocial impacts of usual care vs. genomic carrier screening. As the study progresses, we will compare the costs of genome sequencing and usual care as well as the cost of screening, pattern of use of genetic or mental health counseling services, number of outpatient visits, and total healthcare costs. This project includes novel investigation into human reactions and responses from would-be parents who are learning information that could both affect a future pregnancy and their own health.

Original languageEnglish (US)
Pages (from-to)100-105
Number of pages6
JournalContemporary Clinical Trials
Volume53
DOIs
StatePublished - Feb 1 2017

Keywords

  • Clinical trial
  • Genetic testing
  • Genetics
  • Genome sequencing
  • Preconception

ASJC Scopus subject areas

  • Pharmacology (medical)

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  • Cite this

    Kauffman, T. L., Leo, M. C., Lynch, F. L., Reiss, J. A., McMullen, C., Goddard, K. A. B., Wilfond, B. S., Jarvik, G. P., Jarvik, G. P., Nickerson, D., Richards, C. S., & Dorschner, M. O. (2017). Design of a randomized controlled trial for genomic carrier screening in healthy patients seeking preconception genetic testing. Contemporary Clinical Trials, 53, 100-105. https://doi.org/10.1016/j.cct.2016.12.007