Clinical trial Recruiting at 2 sites Interventional Ages 18 and up Men only

Community health coach program to improve access to germline genetic testing for African American men with prostate cancer

Official title: Navigate Study: Use of a Community-Based Health Coach to Improve Access to Germline Genetic Testing Among African American Men With Prostate Cancer

Run by University of California, San Francisco · NCT04763980 · Data updated 2026-11-12

This project will test whether culturally tailored education from a community-based health coach helps African American men with advanced prostate cancer understand and use germline genetic testing.

Quick facts

Study typeInterventional
Ages18 Years and up
SexMen only
Enrollment72 (estimated)
SponsorUniversity of California, San Francisco
Academic / other
Locations3 sites (San Francisco, California and 2 other locations)
StatusRecruiting
StartedJanuary 15, 2021
Main results expectedMarch 31, 2027
Study endsMarch 31, 2027
Registry record updatedDecember 31, 2025
Trial IDNCT04763980 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

African American men age 18 or older with regional, advanced, or metastatic prostate cancer who speak English and can provide informed consent are ideal candidates.

Probably not a fit

People without prostate cancer, individuals who do not identify as Black/African American, or those who already have a known pathogenic germline mutation are unlikely to benefit from this intervention.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This interventional pilot uses community-based health coaches to deliver culturally relevant, tailored education about germline genetic testing to African American men with regional, advanced, or metastatic prostate cancer. Participants receive education, complete surveys, and may be offered germline testing, with use of the ProGene AI platform to support interactions and data collection. The study measures uptake, consent and completion rates, changes in knowledge and attitudes, decisional conflict, and identifies barriers and facilitators through interviews. Work is conducted at UCSF-affiliated sites in San Francisco with mixed-methods evaluation across initial pilot cohorts and subsequent parts of the study.

Why it matters

Potential benefit: If successful, the program could increase germline testing uptake among African American men with prostate cancer, improving treatment decision-making and family risk awareness.

How similar studies have gone: Previous work using patient navigation and culturally tailored education has improved genetic testing uptake in some underserved groups, but combining community health coaches with AI support like ProGene is a relatively novel approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

CLOSED TO ENROLLMENT: INITIAL PILOT COHORT:

Participants:

1. Age \>=18 years old.
2. Able to speak and read in English.
3. Have no known cancer risk genetic mutation.
4. Self-identify as Black or African American.
5. Self-report a diagnosis of regional (lymph node positive), advanced, or metastatic prostate cancer per National Comprehensive Cancer Network (NCCN) guidelines.

ENROLLING: PART 1:

Participants:

1. Age \>=18 years old.
2. Able to speak and read in English.
3. Able to understand study procedures and to comply with them for the entire length of the study.
4. Able to verbally consent.
5. Self-identifies as Black or African-American.
6. Self-reports a diagnosis of regional (lymph node positive), advanced, or metastatic prostate cancer.

Note: Participants may or may not have had germline testing in the past, as a range of experiences is valuable for holistic feedback.

Providers:

1. Self-identifies as a medical oncologist or genetics provider.
2. Able to speak and read in English.
3. Able to understand study procedures and to comply with them for the entire length of the study.
4. Able to verbally consent.

ENROLLING: PART 2:

Participants:

1. Age \>=18 years old.
2. Able to speak and read in English.
3. Able to understand study procedures and to comply with them for the entire length of the study.
4. Able to provide written informed consent.
5. Have no known cancer risk genetic mutation.
6. Self-identify as Black or African American.
7. Self-report a diagnosis of regional (lymph node positive), advanced, or metastatic prostate cancer per NCCN guidelines.
8. For patients recruited from the clinic: Presence of an oncology appointment within 3 months where germline testing will be discussed.

Exclusion Criteria:

CLOSED TO ENROLLMENT: INITIAL PILOT COHORT.

1. Prior germline genetic test.
2. Age \<18 years old.
3. Unable to read or answer forms.

ENROLLING: PART 1:

1\. Contraindication to any study-related procedure or assessment.

ENROLLING: PART 2:

1. Self-reports prior germline genetic test.
2. Contraindication to any study-related procedure or assessment.

Where it's running

  • Zuckerberg San Francisco General Hospital
    San Francisco, California, United States
    Recruiting
  • University of California San Francisco
    San Francisco, California, United States
    Recruiting
  • San Francisco Veterans Administration Medical Center
    San Francisco, California, United States
    Not yet recruiting

Study contacts

  • Principal investigator: Daniel Kwon, MD — University of California, San Francisco
  • Study coordinator: UCSF Genitourinary Medical Oncology Recruitment
  • Email: GUTrials@ucsf.edu
  • Phone: 877-827-3222

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.