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 type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | Men only |
| Enrollment | 72 (estimated) |
| Sponsor | University of California, San Francisco Academic / other |
| Locations | 3 sites (San Francisco, California and 2 other locations) |
| Status | Recruiting |
| Started | January 15, 2021 |
| Main results expected | March 31, 2027 |
| Study ends | March 31, 2027 |
| Registry record updated | December 31, 2025 |
| Trial ID | NCT04763980 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
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Understanding NK Cell Function in Prostate Cancer Across Races
This study tests whether natural killer (NK) cells behave differently in prostate cancer patients of diverse racial backgrounds by analyzing blood and tissue samples.
-
MRI or CT planning to guide high-dose-rate prostate brachytherapy
This trial tests whether adding an MRI to CT-based treatment planning for HDR prostate brachytherapy changes urinary side effects in men with localized prostate cancer.
-
Targeted Early Detection for Men at High Genetic Risk for Prostate Cancer
This study tests urinary biomarkers and PSA to see if they can improve early detection for men with a strong family or genetic risk for prostate cancer.
-
Urine and MRI approach to find aggressive prostate cancer early
This study tests whether a urine test called MPS2, paired with MRI, can better detect aggressive prostate cancer in men 50–75 at risk, possibly reducing unnecessary biopsies.
-
GET FIT Together: a socially enhanced exercise program for older men with prostate cancer
This program tests whether adding structured social support to supervised online exercise reduces cancer-related loneliness and improves mental and physical health in men 65 and older who have had prostate cancer.
-
Improved MRI methods to distinguish benign from cancerous pelvic findings
This test tries new deep-learning image-processing methods on MRI scans to get clearer images faster for adults scanned for prostate screening or suspected endometriosis.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.