NCT06497270

Brief Summary

Selecting theca and granulosa cells from removed ovaries of BRCA1/2mut patients undergoing Risk-reducing salpingo-oophorectomy (RRSO) and developing a 3D bioprinted hormone-producing bioprosthetic model. If efficacy and tolerability are confirmed in vivo, this bioprosthetic model might be used to replace hormones' production in BRCA mutated patients undergoing prophylactic surgery.

Trial Health

75
On Track

Trial Health Score

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

Enrollment
3

participants targeted

Target at below P25 for not_applicable

Timeline
13mo left

Started Oct 2024

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
active not 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 Progress60%
Oct 2024Jun 2027

First Submitted

Initial submission to the registry

June 26, 2024

Completed
15 days until next milestone

First Posted

Study publicly available on registry

July 11, 2024

Completed
3 months until next milestone

Study Start

First participant enrolled

October 10, 2024

Completed
1.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2026

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2027

Last Updated

October 23, 2024

Status Verified

October 1, 2024

Enrollment Period

1.6 years

First QC Date

June 26, 2024

Last Update Submit

October 21, 2024

Conditions

Keywords

BRCA mutationSurgical menopauseovarian cancer preventionestrogen deficiency

Outcome Measures

Primary Outcomes (1)

  • oestrogens and progesterone's levels

    (Unit: pg/mL for both hormones)

    minumum 3 months

Study Arms (1)

BRCAmut patients

EXPERIMENTAL

germinal BRCA1/2 mutated (BRCAmut) patients undergoing risk reducing salpingo-oophorectomy whose ovaries will be used to select theca and granulosa cells for the 3D bioprinted device.

Procedure: Theca and Granulosa Cell Isolation

Interventions

These patients will receive standard procedure during the risk reducing surgery but their ovaries will be used to extract theca and granulosa cells which will be used for the 3D bioprinted device's realisation.

BRCAmut patients

Eligibility Criteria

Age18 Years - 40 Years
Sexfemale(Gender-based eligibility)
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Women between 18-40 years old;
  • BRCA1/2 germline mutations;
  • Completed childbearing;
  • Willing to undergo RRSO;
  • Negative final histological examination;
  • No previous breast cancer.

You may not qualify if:

  • Other malignancies;
  • Final histological examination reporting malignant disease (any);
  • Desire of fertility sparing.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Day Hospital Tumori Femminili, Policlinico Universitario Fondazione Agostino Gemelli, IRCCS

Rome, 00168, Italy

Location

Related Publications (21)

  • Antoniou A, Pharoah PD, Narod S, Risch HA, Eyfjord JE, Hopper JL, Loman N, Olsson H, Johannsson O, Borg A, Pasini B, Radice P, Manoukian S, Eccles DM, Tang N, Olah E, Anton-Culver H, Warner E, Lubinski J, Gronwald J, Gorski B, Tulinius H, Thorlacius S, Eerola H, Nevanlinna H, Syrjakoski K, Kallioniemi OP, Thompson D, Evans C, Peto J, Lalloo F, Evans DG, Easton DF. Average risks of breast and ovarian cancer associated with BRCA1 or BRCA2 mutations detected in case Series unselected for family history: a combined analysis of 22 studies. Am J Hum Genet. 2003 May;72(5):1117-30. doi: 10.1086/375033. Epub 2003 Apr 3.

    PMID: 12677558BACKGROUND
  • Gabaldo Barrios X, Sarabia Meseguer MD, Marin Vera M, Sanchez Bermudez AI, Macias Cerrolaza JA, Sanchez Henarejos P, Zafra Poves M, Garcia Hernandez MR, Cuevas Tortosa E, Aliaga Bano A, Castillo Guardiola V, Martinez Hernandez P, Tovar Zapata I, Martinez Barba E, Ayala de la Pena F, Alonso Romero JL, Noguera Velasco JA, Ruiz Espejo F. Molecular characterization and clinical interpretation of BRCA1/BRCA2 variants in families from Murcia (south-eastern Spain) with hereditary breast and ovarian cancer: clinical-pathological features in BRCA carriers and non-carriers. Fam Cancer. 2017 Oct;16(4):477-489. doi: 10.1007/s10689-017-9985-x.

    PMID: 28477318BACKGROUND
  • Marchetti C, De Felice F, Palaia I, Perniola G, Musella A, Musio D, Muzii L, Tombolini V, Panici PB. Risk-reducing salpingo-oophorectomy: a meta-analysis on impact on ovarian cancer risk and all cause mortality in BRCA 1 and BRCA 2 mutation carriers. BMC Womens Health. 2014 Dec 12;14:150. doi: 10.1186/s12905-014-0150-5.

    PMID: 25494812BACKGROUND
  • Rocca WA, Grossardt BR, de Andrade M, Malkasian GD, Melton LJ 3rd. Survival patterns after oophorectomy in premenopausal women: a population-based cohort study. Lancet Oncol. 2006 Oct;7(10):821-8. doi: 10.1016/S1470-2045(06)70869-5.

    PMID: 17012044BACKGROUND
  • Madalinska JB, Hollenstein J, Bleiker E, van Beurden M, Valdimarsdottir HB, Massuger LF, Gaarenstroom KN, Mourits MJ, Verheijen RH, van Dorst EB, van der Putten H, van der Velden K, Boonstra H, Aaronson NK. Quality-of-life effects of prophylactic salpingo-oophorectomy versus gynecologic screening among women at increased risk of hereditary ovarian cancer. J Clin Oncol. 2005 Oct 1;23(28):6890-8. doi: 10.1200/JCO.2005.02.626. Epub 2005 Aug 29.

    PMID: 16129845BACKGROUND
  • Gaba F, Blyuss O, Chandrasekaran D, Osman M, Goyal S, Gan C, Izatt L, Tripathi V, Esteban I, McNicol L, Ragupathy K, Crawford R, Evans DG, Legood R, Menon U, Manchanda R. Attitudes towards risk-reducing early salpingectomy with delayed oophorectomy for ovarian cancer prevention: a cohort study. BJOG. 2021 Mar;128(4):714-726. doi: 10.1111/1471-0528.16424. Epub 2020 Aug 16.

    PMID: 32803845BACKGROUND
  • Kumru S, Godekmerdan A, Yilmaz B. Immune effects of surgical menopause and estrogen replacement therapy in peri-menopausal women. J Reprod Immunol. 2004 Aug;63(1):31-8. doi: 10.1016/j.jri.2004.02.001.

    PMID: 15284002BACKGROUND
  • Rott H. Prevention and treatment of venous thromboembolism during HRT: current perspectives. Int J Gen Med. 2014 Sep 1;7:433-40. doi: 10.2147/IJGM.S46310. eCollection 2014.

    PMID: 25210472BACKGROUND
  • Bakken K, Alsaker E, Eggen AE, Lund E. Hormone replacement therapy and incidence of hormone-dependent cancers in the Norwegian Women and Cancer study. Int J Cancer. 2004 Oct 20;112(1):130-4. doi: 10.1002/ijc.20389.

    PMID: 15305384BACKGROUND
  • Holtorf K. The bioidentical hormone debate: are bioidentical hormones (estradiol, estriol, and progesterone) safer or more efficacious than commonly used synthetic versions in hormone replacement therapy? Postgrad Med. 2009 Jan;121(1):73-85. doi: 10.3810/pgm.2009.01.1949.

    PMID: 19179815BACKGROUND
  • Rosenberg LU, Magnusson C, Lindstrom E, Wedren S, Hall P, Dickman PW. Menopausal hormone therapy and other breast cancer risk factors in relation to the risk of different histological subtypes of breast cancer: a case-control study. Breast Cancer Res. 2006;8(1):R11. doi: 10.1186/bcr1378. Epub 2006 Feb 17.

    PMID: 16507159BACKGROUND
  • Weiderpass E, Baron JA, Adami HO, Magnusson C, Lindgren A, Bergstrom R, Correia N, Persson I. Low-potency oestrogen and risk of endometrial cancer: a case-control study. Lancet. 1999 May 29;353(9167):1824-8. doi: 10.1016/S0140-6736(98)10233-7.

    PMID: 10359406BACKGROUND
  • Furness S, Roberts H, Marjoribanks J, Lethaby A. Hormone therapy in postmenopausal women and risk of endometrial hyperplasia. Cochrane Database Syst Rev. 2012 Aug 15;2012(8):CD000402. doi: 10.1002/14651858.CD000402.pub4.

    PMID: 22895916BACKGROUND
  • Faulkner DL, Young C, Hutchins D, McCollam JS. Patient noncompliance with hormone replacement therapy: a nationwide estimate using a large prescription claims database. Menopause. 1998 Winter;5(4):226-9.

    PMID: 9872489BACKGROUND
  • Skouby SO, Barlow D, Samsioe G, Gompel A, Pines A, Al-Azzawi F, Graziottin A, Hudita D, Rozenberg S; European Menopause and Andropause Society (EMAS). Climacteric medicine: European Menopause and Andropause Society (EMAS) statements on postmenopausal hormonal therapy. Maturitas. 2004 May 28;48(1):19-25. doi: 10.1016/j.maturitas.2004.03.003.

    PMID: 15223104BACKGROUND
  • Lumsden MA. The NICE Guideline - Menopause: diagnosis and management. Climacteric. 2016 Oct;19(5):426-9. doi: 10.1080/13697137.2016.1222483. Epub 2016 Aug 24. No abstract available.

    PMID: 27558301BACKGROUND
  • Mazer NA. Interaction of estrogen therapy and thyroid hormone replacement in postmenopausal women. Thyroid. 2004;14 Suppl 1:S27-34. doi: 10.1089/105072504323024561.

    PMID: 15142374BACKGROUND
  • Edwards KM, Mills PJ. Effects of estrogen versus estrogen and progesterone on cortisol and interleukin-6. Maturitas. 2008 Dec 20;61(4):330-3. doi: 10.1016/j.maturitas.2008.09.024. Epub 2008 Nov 17.

    PMID: 19010617BACKGROUND
  • Abdi F, Mobedi H, Roozbeh N. Hops for Menopausal Vasomotor Symptoms: Mechanisms of Action. J Menopausal Med. 2016 Aug;22(2):62-4. doi: 10.6118/jmm.2016.22.2.62. Epub 2016 Aug 30.

    PMID: 27617238BACKGROUND
  • Taneja V. Sex Hormones Determine Immune Response. Front Immunol. 2018 Aug 27;9:1931. doi: 10.3389/fimmu.2018.01931. eCollection 2018. No abstract available.

    PMID: 30210492BACKGROUND
  • Gradishar WJ, Moran MS, Abraham J, Abramson V, Aft R, Agnese D, Allison KH, Anderson B, Burstein HJ, Chew H, Dang C, Elias AD, Giordano SH, Goetz MP, Goldstein LJ, Hurvitz SA, Jankowitz RC, Javid SH, Krishnamurthy J, Leitch AM, Lyons J, Mortimer J, Patel SA, Pierce LJ, Rosenberger LH, Rugo HS, Schneider B, Smith ML, Soliman H, Stringer-Reasor EM, Telli ML, Wei M, Wisinski KB, Young JS, Yeung K, Dwyer MA, Kumar R. NCCN Guidelines(R) Insights: Breast Cancer, Version 4.2023. J Natl Compr Canc Netw. 2023 Jun;21(6):594-608. doi: 10.6004/jnccn.2023.0031.

    PMID: 37308117BACKGROUND

MeSH Terms

Conditions

Menopause, PrematureOvarian Neoplasms

Condition Hierarchy (Ancestors)

Ovarian DiseasesAdnexal DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital DiseasesEndocrine Gland NeoplasmsNeoplasms by SiteNeoplasmsGenital Neoplasms, FemaleUrogenital NeoplasmsEndocrine System DiseasesGonadal Disorders

Study Officials

  • Claudia Marchetti, Professor

    Policlinico Universitario Fondazione Agostino Gemelli, IRCCS, Rome, Italy

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
PREVENTION
Intervention Model
SINGLE GROUP
Model Details: PILOT study
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor, MD PhD

Study Record Dates

First Submitted

June 26, 2024

First Posted

July 11, 2024

Study Start

October 10, 2024

Primary Completion (Estimated)

June 1, 2026

Study Completion (Estimated)

June 1, 2027

Last Updated

October 23, 2024

Record last verified: 2024-10

Data Sharing

IPD Sharing
Will not share

Locations