NCT06329323

Brief Summary

The goal of this observational case-control study is to learn about the circulating and tissue microRNA expression, imaging and radiomic profiles of malignant ovarian germ cell tumours (MOGCT) compared to patients with a benign OGCT and no ovarian pathology. The main question\[s\] it aims to answer are:

  1. 1.To understand the circulating miRNA expression of malignant ovarian germ cell tumours (MOGCTs) compared to those with benign ovarian germ cell tumours (BOGCTs)
  2. 2.To understand the imaging profile of MOGCTs compared to that of BOGCTs
  3. 3.To establish the relationship between serum and plasma miRNA expression in response to treatment and relapse of disease
  4. 4.To discover if miRNA expression correlates with radiomic features of OGCTs on both ultrasound and MRI
  5. 5.To see if we can link the micro RNAs in tumour samples to those found in blood samples, and to find a plausible explanation for why these micro RNAs are raised (in terms of the tumour biology itself).aims

Trial Health

65
Monitor

Trial Health Score

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

Enrollment
24

participants targeted

Target at below P25 for all trials

Timeline
23mo left

Started Apr 2024

Longer than P75 for all trials

Status
not yet 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 Progress52%
Apr 2024Apr 2028

First Submitted

Initial submission to the registry

December 4, 2023

Completed
4 months until next milestone

First Posted

Study publicly available on registry

March 25, 2024

Completed
20 days until next milestone

Study Start

First participant enrolled

April 14, 2024

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2027

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2028

Last Updated

March 26, 2024

Status Verified

March 1, 2024

Enrollment Period

3 years

First QC Date

December 4, 2023

Last Update Submit

March 25, 2024

Conditions

Keywords

Germ Cell CancermicroRNAmiRNAOvarian Cancer

Outcome Measures

Primary Outcomes (4)

  • Difference in microRNA expression (plasma) between benign and malignant masses

    Comparison of heatmaps based on mean expression of clusters across samples

    24 months

  • Difference in microRNA expression (serum) between benign and malignant masses

    Comparison of heatmaps based on mean expression of clusters across samples

    24 months

  • microRNA expression (plasma)

    Differential expression of microRNAs (assessed using a moderated t statistic and P values adjusted for multiple testing)

    24 months

  • microRNA expression (serum)

    Differential expression of microRNAs (assessed using a moderated t statistic and P values adjusted for multiple testing)

    24 months

Secondary Outcomes (8)

  • Quantitative measure of circulating miRNA before treatment

    24 months

  • Quantitative measure of circulating miRNA before treatment

    24 months

  • Quantitative measure of circulating miRNA after treatment

    24 months

  • Quantitative measure of circulating miRNA after treatment

    24 months

  • Performance of segmentation model on ultrasound images

    24 months

  • +3 more secondary outcomes

Study Arms (5)

Cases- Malignant Ovarian Germ Cell Tumour - Arm 1

Patients with a diagnosis of stage 1a MOGCT. Bloods taken at the following time points: Day 0, then 4 weeks; 6 months; 12 months; 24 months post-operatively

Diagnostic Test: Blood testDiagnostic Test: Pathology specimen miRNA expression

Cases - Malignant Ovarian Germ Cell Tumour - Arm 2

Patients with a diagnosis of stage 1b/1c MOGCT. Bloods taken at the following time points: Day 0, then 4 weeks; 6 months; 12 months; 24 months post-operatively OR post-final dose of adjuvant chemotherapy

Diagnostic Test: Blood testDiagnostic Test: Pathology specimen miRNA expression

Cases - Malignant Ovarian Germ Cell Tumour - Arm 3

Patients with a diagnosis of stage 2 or higher MOGCT. Bloods taken at the following time points: Day 0, then 4 weeks post-neoadjuvant chemotherapy, then 4 weeks; 6 months; 12 months; 24 months post-operatively

Diagnostic Test: Blood testDiagnostic Test: Pathology specimen miRNA expression

Controls - Benign Ovarian Germ Cell Tumour

Bloods taken at the time of diagnosis of BOGCT (single blood test)

Diagnostic Test: Blood testDiagnostic Test: Pathology specimen miRNA expression

Controls - No Known Gynaecological Pathology

Single blood test

Diagnostic Test: Blood test

Interventions

Blood testDIAGNOSTIC_TEST

Serum and plasma microRNA quantification

Cases - Malignant Ovarian Germ Cell Tumour - Arm 2Cases - Malignant Ovarian Germ Cell Tumour - Arm 3Cases- Malignant Ovarian Germ Cell Tumour - Arm 1Controls - Benign Ovarian Germ Cell TumourControls - No Known Gynaecological Pathology

Pathology specimen mirNA expression - ALL MOGCT; OPTIONAL for BOGCT

Cases - Malignant Ovarian Germ Cell Tumour - Arm 2Cases - Malignant Ovarian Germ Cell Tumour - Arm 3Cases- Malignant Ovarian Germ Cell Tumour - Arm 1Controls - Benign Ovarian Germ Cell Tumour

Eligibility Criteria

Age16 Years+
Sexfemale
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Women aged over 16 with a diagnosis of a malignant ovarian germ cell tumour, benign ovarian germ cell tumour or no known gynaecological pathology may take part in this study.

You may qualify if:

  • All patients with a new diagnosis of a malignant ovarian germ cell tumour.
  • The control population will include all patients with a new diagnosis of a benign ovarian germ cell tumour or no known gynaecological pathology.

You may not qualify if:

  • Previous or ongoing chemotherapy for MOGCT
  • Previous surgery for MOGCT
  • Pregnancy - this will be verbally communicated for those not having surgery or chemotherapy, for those having surgery or chemotherapy a urine pregnancy test should be negative and documented in the clinical notes.
  • Fetal circulating DNA is known to be present in maternal blood and therefore pregnant women should not be included in this study
  • Denial of informed consent
  • Age \<16 years
  • History of any other cancer

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Biospecimen

Retention: SAMPLES WITHOUT DNA

Serum and plasma (microRNA expression); tumour specimen (microRNA expression)

MeSH Terms

Conditions

Ovarian Germ Cell CancerNeoplasms, Germ Cell and EmbryonalOvarian Neoplasms

Interventions

Hematologic Tests

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Clinical Laboratory TechniquesDiagnostic Techniques and ProceduresDiagnosisInvestigative Techniques

Study Officials

  • Srdjan Saso, PhD MRCOG MRCS

    Imperial College Healthcare NHS Trust

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Nina C Cooper, MBBS BSc

CONTACT

Srdjan Saso, MRCOG Phd

CONTACT

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 4, 2023

First Posted

March 25, 2024

Study Start

April 14, 2024

Primary Completion (Estimated)

April 1, 2027

Study Completion (Estimated)

April 1, 2028

Last Updated

March 26, 2024

Record last verified: 2024-03

Data Sharing

IPD Sharing
Will not share