Family History and Cancer Risk Study
FOREST
Improving Identification and Healthcare for Patients With Inherited Cancer Syndromes: Evidence-based EMR Implementation Using a Web-based Computer Platform
2 other identifiers
observational
1,847
1 country
2
Brief Summary
Investigators from Vanderbilt University Medical Center (VUMC), Duke University, and Meharry Medical College (MMC) are collaborating on a family health history study to deploy a family health history (FHH) platform, MeTree. Recruited participants will complete surveys, the MeTree questionnaire, and MeTree will determine the participant's cancer risk based on current guidelines. The study team will offer genetic counseling to high-risk participants. Investigators will track participant outcomes and behaviors from the use of MeTree to determine the efficiency of the use of MeTree compared to completion of pedigrees in clinic.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jan 2022
Longer than P75 for all trials
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 1, 2021
CompletedFirst Posted
Study publicly available on registry
October 15, 2021
CompletedStudy Start
First participant enrolled
January 1, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 31, 2025
CompletedResults Posted
Study results publicly available
February 10, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2026
ExpectedFebruary 10, 2026
May 1, 2025
3.7 years
October 1, 2021
November 13, 2025
January 22, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
MeTree Completion (REACH)
Proportion of participants sent a MeTree link who complete the MeTree family health history questionnaire, defined by generation of a MeTree risk report. Engagement steps (link clicked, account created) will be summarized descriptively. 95% confidence intervals will be reported using the Wilson method; subgroup comparisons by site and demographics will be exploratory.
From enrollment to study completion (up to 3 years)
Secondary Outcomes (2)
EHR-based Identification for High Risk of Hereditary Cancer (Effectiveness)
Assessed at two time points: baseline (pre-MeTree, using all available prior EHR history) and 12 months after MeTree completion.
Genetic Counseling Appointment Lengths
At the genetic counseling appointment (index visit) occurring after MeTree results review and within 12 months after enrollment.
Interventions
Eligibility Criteria
Anyone over 18 years old, receiving care at our study site (virtual included), and willing/able to use the internet.
You may qualify if:
- Receiving care at sites included in study
- Able to read and communicate in English
- Willing to use the Internet
- Currently enrolled in the patient portal, or willing to enroll (VUMC-specific)
You may not qualify if:
- Non-study site patient
- Diagnosed with a terminal illness
- Unable to speak/read English
- Unable/unwilling to use the Internet
- Previous genetic testing and/or counseling from the VUMC Hereditary Cancer Clinic
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Meharry Medical College
Nashville, Tennessee, 37208, United States
Vanderbilt University Medical Center
Nashville, Tennessee, 37212, United States
Related Publications (1)
Mittendorf KF, Bland HT, Andujar J, Celaya-Cobbs N, Edwards C, Gerhart M, Hooker G, Hubert M, Jones SH, Marshall DR, Myers RA, Pratap S, Rosenbloom ST, Sadeghpour A, Wu RR, Orlando LA, Wiesner GL. Family history and cancer risk study (FOREST): A clinical trial assessing electronic patient-directed family history input for identifying patients at risk of hereditary cancer. Contemp Clin Trials. 2025 Jan;148:107714. doi: 10.1016/j.cct.2024.107714. Epub 2024 Oct 10.
PMID: 39395532BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Dr. Georgia Wiesner
- Organization
- Vanderbilt University Medical Center
Study Officials
- PRINCIPAL INVESTIGATOR
Georgia Wiesner, MD
Vanderbilt University Medical Center
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor of Medicine
Study Record Dates
First Submitted
October 1, 2021
First Posted
October 15, 2021
Study Start
January 1, 2022
Primary Completion
August 31, 2025
Study Completion (Estimated)
June 1, 2026
Last Updated
February 10, 2026
Results First Posted
February 10, 2026
Record last verified: 2025-05
Data Sharing
- IPD Sharing
- Will not share