USF, Aetna to examine influence of genetic testing on breast cancer treatment

University of South Florida (USF Health)May 10 2013

University of South Florida's Dr. Rebecca Sutphen will lead the national, collaborative research expected to help personalize and improve cancer care

The University of South Florida (USF) and Aetna (NYSE: AET) are launching a ground-breaking study that will examine the influence genetic testing may have on clinical treatment decisions among breast cancer patients and their doctors. Understanding the connection between genetic risk factors, treatment options and results can guide policies and services that can help patients and doctors make more informed, personalized decisions that lead to better health.

The National Institutes of Health (NIH) awarded funding to USF for the five-year American BRCA Outcomes Among the Recently Diagnosed (ABOARD) study. The study will follow 5,000 Aetna members from across the country who have been newly diagnosed with breast cancer and who are undergoing genetic testing.

Certified genetic counselors can help assess specific cancer risks in families, recommend appropriate genetic tests, and interpret genetic test results. They can also recommend appropriate personalized options for cancer screening, early detection and prevention. Individuals and their doctors can use this information to optimize care. Current research suggests that only a small percentage of breast cancer patients who have an inherited cancer risk actually receive genetic counseling and testing services. Even fewer receive this information at the time of diagnosis when it might be most useful for making surgical and other treatment decisions.

"Research shows that many women who develop breast cancer have inherited a strong predisposition to cancer. However, many of these women are not aware of their genetic susceptibility. They also do not know that they are at high risk to develop another breast cancer or ovarian cancer in the future and that other blood relatives are at increased risk for cancer," said Rebecca Sutphen, M.D., professor of genetics at the Epidemiology Center, USF Department of Pediatrics. "This unique academic-industry collaboration will create a new level of research into the impact of genetic information on American cancer patients and their families. Few topics have greater potential for positive public health impact. We appreciate Aetna's leadership and collaboration to make this important research possible."

Dr. Sutphen, an American Board of Medical Genetics-certified clinical and molecular geneticist and expert in inherited cancer risk, will lead the national study. The multidisciplinary team will include:

• Dr. Sutphen's research team at the USF Health Morsani College of Medicine, including co-investigators Kristian Lynch, Ph.D., James Andrews, Ph.D. and Claudia Aguado Loi, Ph.D.

• An Aetna team led by Joanne Armstrong, M.D., M.P.H., national medical director for women's health and lead for genomic medicine

• An advocacy team led by Sue Friedman of the national non-profit advocacy and awareness organization Facing Our Risk of Cancer Empowered (FORCE)

• Marc Schwartz, Ph.D., director of cancer control, Lombardi Comprehensive Cancer Center, Georgetown University

The project will use patient-reported outcomes as well as medical claims data. Using information from a variety of clinical settings rather than only academic centers will provide a more "real-world" view of current care. USF and Aetna have developed an extensive research and security infrastructure to ensure the privacy and confidentiality of participant data.

"The research will provide critical information that can help ensure the benefits of advanced genetic testing and genomics can be used to guide safe, effective personalized health care. As more sophisticated tests are developed, we have a responsibility to help patients and doctors understand how to act on the information to improve patients' health," Dr. Armstrong says.

The new study builds on an existing research partnership between this multidisciplinary team and researchers from the American Cancer Society. The groups have been working together for the past two years, with support from the Aetna Foundation, to better understand the experiences of individuals who have had genetic tests to determine their inherited risk of cancer. The study also looked at differences in treatment, information and health outcomes among minority patients. Results are expected to be published later this year.