Hormone Replacement Therapy After Risk Reducing Salpingo-oophorectomy

Purpose

The goal of this study is to develop an educational aid about hormone replacement therapy that physicians can share with patients as part of their pre-surgical counseling for a risk-reducing salpingo-oophorectomy (RRSO).

Conditions

  • BRCA1 Mutation
  • BRCA2 Mutation

Eligibility

Eligible Ages
Between 19 Years and 50 Years
Eligible Sex
Female
Accepts Healthy Volunteers
No

Inclusion Criteria

  • BRCA1 or BRCA2 germline mutation - scheduled for a risk-reducing salpingo-oophorectomy (RRSO) by Duke Gynecologic Oncologist - premenopausal

Exclusion Criteria

  • personal history of cancer - postmenopausal - >50 years old - unable to provide informed consent in English

Study Design

Phase
N/A
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Supportive Care
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Placebo Comparator
Standard of Care
The control arm will receive standard counseling regarding post operative HRT by their gynecologic oncologist during their visit, as well as standardized written education in their after-visit summary.
  • Behavioral: SOC Arm
    Participants will be randomized to SOC counseling.
Experimental
Experimental
The experimental arm will receive standard verbal counseling and written education plus the video-based educational aid describing the risks and benefits of HRT.
  • Behavioral: Experimental Arm
    Participants will be randomized to SOC plus the video.

Recruiting Locations

Duke University Health System
Durham, North Carolina 27710
Contact:
Amelia Scott
919-613-4584
amelia.lorenzo@duke.edu

More Details

NCT ID
NCT06972719
Status
Recruiting
Sponsor
Duke University

Study Contact

Amelia Scott
(919) 613-4584
amelia.lorenzo@duke.edu

Detailed Description

The proposed randomized study seeks to enroll 50 individuals from gynecologic oncology and high-risk breast clinics who are actively planning RRSO. Participants will be randomized to usual provider education versus usual education plus video education. The researchers will assess participants' level of conflict around the decision to use HRT, their satisfaction with their decision, their satisfaction with their counseling, and their postoperative decision regarding HRT. This project will provide pilot data for a larger randomized trial. Ultimately, the investigators seek to create a comprehensive aid for education and values clarification, with the aim of improving informed decision making for individuals with BRCA1-2 mutations.