Ovarian Carcinoma
Conditions
Brief summary
Prospective multicentre assay to assess ctDNA value for ovarian cancer monitoring and disease recurrence after front-line treatment.
Detailed description
The main objective is to explore the capacity of ctDNA to be an early marker of ovarian carcinoma recurrence after front-line treatments, i.e. to show significant modifications before clinical diagnosis of disease relapse. Prospective multicentre open-label study During visits in the frame of management of the disease, blood samples will be collected at diagnosis, after each cycle of eventual neoadjuvant chemotherapy, every 6 months during the following 2 years, and every year during the remainin time of follow-up. Tumor samples will be collected at surgery or through a biopsy. Patients will then have a standard care follow-up for a period of 5 years.
Interventions
Tumor and blood samples
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patient with suspicion of ovarian or tubar epithelial cancer, or peritoneal primitive carcino-ma, without previous treatment for ovarian malignancy. 2. Indication of preoperative and/or adjuvant chemotherapy. 3. Age ≥ 18 years old. 4. Patient affiliated to the ''National security'' regimen or beneficiary of this regimen 5. Signed written informed consent prior to any screening procedures being performed Non inclusion Criteria: 1. Contraindication to surgical assessment. 2. Pathological diagnosis of mucinous carcinoma. 3. History of concurrent malignancy or malignancy within 5 years before study enrollment, (with the exceptions of adequately treated non melanomatous skin cancer or curatively re-sected noninvasive cervical cancer). 4. Assessment by the investigator as being unable or unwilling to comply with the require-ments of the protocol. 5. Patient in urgency situation, adult under legal protection, or unable to give his consent.
Exclusion criteria
after histological exam: Any diagnostic that is not ovarian or tubar epithelial cancer, or peritoneal primitive carcinoma.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Prognostic value of ctDNA increase for predicting a subsequent clinical, radiological (RECIST v1.1) or biological (CA-125 according to GCIG criteria) diagnosis of disease relapse. | at diagnosis, after each cycle of eventual neo-adjuvant chemotherapy, before surgery, then every six months during the next two years, and every year in the following three years | Re-appearance of mutations non detectable after treatment or increase of ctDNA comparing to the nadir |
Countries
France