NCT04294927

Brief Summary

The aim of the project is to evaluate the risk-reducing salpingectomy with delayed oophorectomy as an alternative for risk-reducing salpingo-oophorectomy in high risk women with respect to ovarian cancer incidence.

Trial Health

88
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
3,000

participants targeted

Target at P75+ for not_applicable

Timeline
168mo left

Started Mar 2020

Longer than P75 for not_applicable

Geographic Reach
11 countries

48 active sites

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress31%
Mar 2020Feb 2040

First Submitted

Initial submission to the registry

March 1, 2020

Completed
Same day until next milestone

Study Start

First participant enrolled

March 1, 2020

Completed
3 days until next milestone

First Posted

Study publicly available on registry

March 4, 2020

Completed
20 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 17, 2040

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 17, 2040

Last Updated

October 20, 2025

Status Verified

October 1, 2025

Enrollment Period

20 years

First QC Date

March 1, 2020

Last Update Submit

October 16, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • High grade serous (ovarian) cancer incidence

    High grade serous (ovarian) cancer incidence

    Until the age of 45 for BRCA1 and 50 for BRCA2 germline mutation carriers

Secondary Outcomes (5)

  • Incidence of (pre)malignant findings in tubes/ovaries

    6 weeks after each surgery

  • Peri-operative morbidity and mortality

    6 weeks after each surgery

  • Incidence of pelvic cancer (other than ovarian cancer)

    Up to the age of 70

  • Incidence of breast cancer

    Up to the age of 70

  • Uptake of risk reducing oophorectomy

    Up to the age of 70

Other Outcomes (1)

  • High grade serous (ovarian) cancer incidence at the age of 70

    Up to the age of 70

Study Arms (2)

Risk-reducing salpingectomy with delayed oophorectomy

EXPERIMENTAL

Risk-reducing salpingectomy after the completion of childbearing with delayed oophorectomy.

Procedure: Risk-reducing salpingectomy with delayed oophorectomy

Risk-reducing salpingo-oophorectomy

ACTIVE COMPARATOR

Risk-reducing salpingo-oophorectomy.

Procedure: Risk-reducing salpingo-oophorectomy

Interventions

* BRCA1: RRS at age 25-40 and RRO at a maximum age of 45 (advised between 35 and 45). * BRCA2: RRS at age 25-45 and RRO at a maximum age of 50 (advised between age 40 and 50). * BRIP1, RAD51C, RAD51D: RRS at age 25-50 and RRO at a maximum age of 55 (advised between 45 and 55)

Risk-reducing salpingectomy with delayed oophorectomy

* BRCA1 at a maximum age of 40 (advised between age 35 and 40) * BRCA2 at a maximum age of 45 (advised between age 40 and 45) * BRIP1, RAD51C, RAD51D: at a maximum age of 50 (advised between 45 and 50)

Risk-reducing salpingo-oophorectomy

Eligibility Criteria

Age25 Years - 50 Years
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Women with a class 5 (definitely pathogenic) BRCA1, BRCA2, RAD51C, RAD51D or BRIP1 germline mutation in one of the participating centers.
  • BRCA1: 25-40 years
  • BRCA2: 25-45 years
  • RAD51C, RAD51D, BRIP1: 25-50 years
  • Childbearing completed
  • Presence of at least one fallopian tube
  • Participants may have a personal history of non-ovarian malignancy
  • Informed consent must be obtained and documented according to national and local regulatory requirements and the local rules followed in the institution.

You may not qualify if:

  • Postmenopausal status (natural menopause or due to treatment)
  • Wish for second stage RRO within two years after RRS
  • Legally incapable
  • Prior bilateral salpingectomy
  • A personal history of ovarian, fallopian tube or peritoneal cancer
  • Current diagnosis or treatment for malignant disease

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (48)

Dana Farber Cancer Institute

Boston, Massachusetts, 02215, United States

RECRUITING

Mayo Clinic

Rochester, Minnesota, 55905, United States

RECRUITING

MD Anderson Cancer Centre

Houston, Texas, 77030-4009, United States

RECRUITING

University of Washington

Seattle, Washington, 98195, United States

RECRUITING

Chris O'Brien Lifehouse

Sydney, New South Wales, 2050, Australia

RECRUITING

Westmead hospital

Sydney, New South Wales, 2145, Australia

RECRUITING

St Andrew War Memorial Hospital

Brisbane, Queensland, 4001, Australia

RECRUITING

Royal Brisbane Hospital

Brisbane, Queensland, 4006, Australia

RECRUITING

Greenslopes Private Hospital

Brisbane, Queensland, 4120, Australia

RECRUITING

Royal Adelaide Hospital

Adelaide, South Australia, 5000, Australia

RECRUITING

Frances Perry House

Melbourne, Victoria, 3050, Australia

RECRUITING

Mercy Hospital

Melbourne, Victoria, 3084, Australia

RECRUITING

Epworth Hospital

Richmon, Victoria, 3121, Australia

RECRUITING

Western Health

St Albans, Victoria, 3021, Australia

RECRUITING

King Edward Memorial Hospital

Perth, Western Australia, 6008, Australia

RECRUITING

Monash Health

Melbourne, Australia

RECRUITING

Peter MacCallum Centre

Melbourne, Australia

RECRUITING

Royal Womens Hospital

Melbourne, Australia

RECRUITING

Hopital Universitaire Bruxelles

Brussels, Belgium

RECRUITING

Universitair Ziekenhuis Leuven

Leuven, Belgium

RECRUITING

AC Camargo Cancer Centre

São Paulo, Brazil

RECRUITING

Universita di Bologna

Bologna, Italy

RECRUITING

San Gerardo Hospital

Monza, Italy

RECRUITING

Gemelli Hospital

Rome, Italy

RECRUITING

Instituto Nacional de Cancerología

Mexico City, Mexico

RECRUITING

Radboudumc

Nijmegen, Gelderland, Netherlands

RECRUITING

Maastricht University Medical Center

Maastricht, Limburg, Netherlands

RECRUITING

Catharina Ziekenhuis

Eindhoven, North Brabant, 5623 EJ, Netherlands

RECRUITING

Elisabeth-TweeSteden Ziekenhuis

Tilburg, North Brabant, Netherlands

RECRUITING

Amsterdam University Medical Center

Amsterdam, Netherlands

RECRUITING

Antoni van Leeuwenhoek

Amsterdam, Netherlands

RECRUITING

Medisch Spectrum Twente

Enschede, Netherlands

RECRUITING

University Medical Center Groningen

Groningen, Netherlands

RECRUITING

Medical Center Leeuwarden

Leeuwarden, Netherlands

RECRUITING

Leiden University Medical Center

Leiden, Netherlands

RECRUITING

Erasmus Medical Center

Rotterdam, Netherlands

RECRUITING

University Medical Center Utrecht

Utrecht, Netherlands

RECRUITING

Maxima Medical Center

Veldhoven, Netherlands

RECRUITING

Isala Klinieken

Zwolle, Netherlands

RECRUITING

Akershus University Hospital

Nordbyhagen, Norway

ACTIVE NOT RECRUITING

Oslo University Hospital

Oslo, Norway

RECRUITING

Stavanger Uniersity Hospital

Stavanger, Norway

RECRUITING

Gdynia Oncology Centre

Gdynia, Poland

RECRUITING

Bonifraterskie Centrum Medyczne

Katowice, Poland

RECRUITING

Medical University of Silesia

Katowice, Poland

RECRUITING

National Cancer Institute Warsaw

Warsaw, Poland

RECRUITING

Karolinksa Institutet

Stockholm, Sweden

RECRUITING

Hospital Británico

Montevideo, Uruguay

RECRUITING

Related Publications (2)

  • Pennington KP, Pugh SL, Huh W, Walker JL, Jewell E, Havrilesky LJ, Carter J, Muller CY, Drapkin R, Lankes HA, Castellano T, Zamorano AS, Blank SV, Kachnic LA. Optimization of Timing for Risk-Reducing Salpingectomy and Oophorectomy. Obstet Gynecol. 2025 Jan 1;145(1):21-30. doi: 10.1097/AOG.0000000000005781. Epub 2024 Nov 7.

  • Steenbeek MP, van Bommel MHD, intHout J, Peterson CB, Simons M, Roes KCB, Kets M, Norquist BM, Swisher EM, Hermens RPMG; TUBA-WISP II consortium; Lu KH, de Hullu JA. TUBectomy with delayed oophorectomy as an alternative to risk-reducing salpingo-oophorectomy in high-risk women to assess the safety of prevention: the TUBA-WISP II study protocol. Int J Gynecol Cancer. 2023 Jun 5;33(6):982-987. doi: 10.1136/ijgc-2023-004377.

MeSH Terms

Conditions

Ovarian Neoplasms

Condition Hierarchy (Ancestors)

Endocrine Gland NeoplasmsNeoplasms by SiteNeoplasmsOvarian DiseasesAdnexal DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital Neoplasms, FemaleUrogenital NeoplasmsGenital DiseasesEndocrine System DiseasesGonadal Disorders

Study Officials

  • Joanne A. de Hullu, MD, PhD

    Radboud University Medical Center

    PRINCIPAL INVESTIGATOR
  • Karen H. Lu, MD, PhD

    M.D. Anderson Cancer Center

    PRINCIPAL INVESTIGATOR
  • Rosella P.M.G. Hermens, MD,PhD

    Radboud University Medical Center

    PRINCIPAL INVESTIGATOR
  • Elizabeth M. Swisher, MD, PhD

    University of Washington

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Joanne A. de Hullu, MD, PhD

CONTACT

Karen H. Lu, MD, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Dr. J.A. de Hullu, MD, PhD

Study Record Dates

First Submitted

March 1, 2020

First Posted

March 4, 2020

Study Start

March 1, 2020

Primary Completion (Estimated)

February 17, 2040

Study Completion (Estimated)

February 17, 2040

Last Updated

October 20, 2025

Record last verified: 2025-10

Data Sharing

IPD Sharing
Will not share

Locations