Lavage of the Uterine Cavity for Diagnosis of Ovarian Cancer

NCT03606486 — Not applicable, Terminated, 52 participants, University of Washington

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Lavage of the Uterine Cavity for Diagnosis of Ovarian Carcinomas

RegistryNCT03606486
StatusTerminated - Terminated due to low accrual
PhaseNot applicable
Study typeInterventional; na, single group, masking: none, diagnostic
Enrollment52 (Actual)
SponsorUniversity of Washington (Other); collaborators: Minnesota Ovarian Cancer Alliance
ConditionsHigh Grade Ovarian Serous Adenocarcinoma, Stage III Ovarian Cancer AJCC v8, Stage IIIA Ovarian Cancer AJCC v8, Stage IIIA1 Ovarian Cancer AJCC v8, Stage IIIA2 Ovarian Cancer AJCC v8, Stage IIIB Ovarian Cancer AJCC v8, Stage IIIC Ovarian Cancer AJCC v8, Stage IV Ovarian Cancer AJCC v8, Stage IVA Ovarian Cancer AJCC v8, Stage IVB Ovarian Cancer AJCC v8
InterventionsBiospecimen Collection, Laboratory Biomarker Analysis, Lavage, Pap Smear (Other, device)
Datesstart 2018-11-16, primary completion 2022-12-09, completion 2022-12-09, first posted 2018-07-30, last updated 2024-01-17
Locations1 site in United States

Related Papers Related Patents Related Grants Related Experts
All trials for High Grade Ovarian Serous Adenocarcinoma All trials for Stage III Ovarian Cancer AJCC v8 All trials of Biospecimen Collection All trials of Laboratory Biomarker Analysis

-Summary

The goal of this project is to develop a minimally invasive test to detect ovarian cancer, by searching for mutations from the tumor in samples obtained from the cervix (Pap smears), and from the uterus (uterine lavage) in participants with advanced ovarian cancer and in participants with increased risk of ovarian cancer due to inherited mutations, such as BRCA or BRCA2 (among others).

Pap smear and uterine lavage samples will be collected while the participant is under anesthesia for planned debulking surgery. A novel, highly sensitive and accurate technique, Crispr-Duplex sequencing, will be used to detect tumor associated mutations in TP53 (the most commonly mutated gene in ovarian cancer) within these samples. These results will be compared to sequencing results in the tumor itself for comparison, and Pap and uterine lavage will be compared to each other to determine the optimal test. Ultimately, the goal is to use the results of this study to plan a larger study including women without cancer who are at either increased risk or normal risk of ovarian cancer, for use in early detection.

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+Detailed description

OUTLINE:

Participants undergo pap smear, uterine lavage, and collection of tumor sample during a planned surgery. DNA is then extracted from the samples and sequenced for TP53 mutations using Crispr-Duplex sequencing.

+Arms and interventions

ArmTypeInterventionsDescription
Diagnostic (pap smear, uterine lavage, tumor sample)ExperimentalOther: Biospecimen Collection; Other: Laboratory Biomarker Analysis; Device: Lavage; Other: Pap SmearParticipants undergo pap smear, uterine lavage, and collection of tumor sample during a planned surgery. DNA is then extracted from the samples and sequenced for TP53 mutations using Crispr-Duplex sequencing.
  • Biospecimen Collection (Other): Undergo collection of tumor sample and blood draw
  • Laboratory Biomarker Analysis (Other): Correlative studies
  • Lavage (Device), also known as Irrigation: Undergo uterine lavage
  • Pap Smear (Other), also known as Cervical Smear Preparation, Cervical Smear Procedure, Pap Smear Procedure, Pap Test, Papanicolaou Smear Procedure, Papanicolaou Test, Vaginal Smears: Undergo pap smear

+Outcome measures

Primary outcomes

  • 20 Ovarian Cancer Participants With Detection of Associated TP53 Mutation in Uterine Lavage [A single point in time after sample collection, no follow-up of participants is done]: In participants with ovarian cancer, we compared the detection of TP53 mutations in the uterine lavage specimen compared to the ovarian cancer.

+Eligibility

Sex: Female, ages: 18 Years to any

Inclusion Criteria:

* With suspected advanced ovarian cancer or genetic predisposition to malignant neoplasm of the ovary
* Planned surgery
* Have a uterus and no history of tubal occlusion

Exclusion Criteria:

* Unable to speak English
* Unable to provide informed consent
* Prior hysterectomy

+Posted results

Participant flow

MilestoneDiagnostic (Pap Smear, Uterine Lavage, Tumor Sample)
Started52
Completed47
Not completed5

Outcome results

  • 20 Ovarian Cancer Participants With Detection of Associated TP53 Mutation in Uterine Lavage (Primary), Count of participants, Participants: Diagnostic (Pap Smear, Uterine Lavage, Tumor Sample) 13

Adverse events

Time frame: At the time of sample collection (during surgery).

ArmDeathsSerious adverse eventsOther adverse events
Diagnostic (Pap Smear, Uterine Lavage, Tumor Sample)0/52 (0.0%)0/52 (0.0%)0/52 (0.0%)

+Locations (1)

FacilityCityCountryStatus
Fred Hutch/University of Washington Cancer ConsortiumSeattle, WashingtonUnited States

+Study documents

+Investigators

  • Barbara S. Norquist, Principal investigator, Fred Hutch/University of Washington Cancer Consortium
  • Rosana Risques, Principal investigator, Fred Hutch/University of Washington Cancer Consortium