Study on cancer risks linked to CTNNA1 gene mutations

CTNNA1 Familial Expansion (CAFÉ) Study

Observational Abramson Cancer Center at Penn Medicine · NCT05126290

This study is trying to find out if certain gene changes in the CTNNA1 gene increase the risk of cancers like gastric and breast cancer for people who have these changes in their family.

Quick facts

Study typeObservational
Enrollment100 (estimated)
Ages18 Years and up
SexAll
SponsorAbramson Cancer Center at Penn Medicine Academic / other
Locations1 site (Philadelphia, Pennsylvania)
Trial IDNCT05126290 on ClinicalTrials.gov

What this trial studies

The CAFÉ Study investigates the cancer risks associated with germline loss-of-function variants in the CTNNA1 gene, focusing on hereditary cancers such as gastric and breast cancer. By collecting personal and family history from individuals who carry these variants and their relatives, the study aims to clarify the cancer risks and explore potential genotype/phenotype correlations. This observational study will provide valuable insights for future cancer risk management for affected individuals.

Who should consider this trial

Good fit: Ideal candidates include individuals aged 18 and older who are carriers of CTNNA1 loss-of-function variants or first-degree relatives of such carriers.

Not a fit: Patients who do not carry a CTNNA1 loss-of-function variant and are not first-degree relatives of carriers may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could enhance understanding of cancer risks for individuals with CTNNA1 mutations, leading to better risk management strategies.

How similar studies have performed: Other studies have shown success in identifying cancer risks associated with genetic mutations, making this approach promising.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* 18 years of age and older
* Participants must be carrier, or a first degree relative of a carrier, of a CTNNA1 loss-of-function variant defined as: a variant predicted to lead to protein truncation (nonsense and frameshift variants), a large deletion of one or more exons, or a consensus splice site variant predicted to disrupt splicing in CTNNA1. CTNNA1 loss-of-function variants do not need to be classified as pathogenic or likely pathogenic to be included.
* Participants must be able to understand and read English
* Participants must be able to provide informed verbal or written consent

Exclusion Criteria:

* Less than 18 years of age
* Individuals who do not carry a CTNNA1 loss-of-function variant and are not a first degree relative of a CTNNA1 loss-of-function variant carrier.
* Individuals who cannot speak and read English
* Major psychiatric illness or cognitive impairment that in the judgement of the study investigators or study staff would preclude study participation
* Unable to comply with the study procedures as determined by the study investigators or study staff

Where this trial is running

Philadelphia, Pennsylvania

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Cancer Gene MutationGastric CancerBreast CancerCTNNA1Hereditary diffuse gastric cancerGastric cancerBreast cancer
Last reviewed 2026-06-13 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.