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Trial Title: Individualized Precision Treatment Based on Ovarian Cancer Organoid Model

NCT ID: NCT05813509

Condition: Ovarian Cancer

Conditions: Official terms:
Ovarian Neoplasms
Carcinoma, Ovarian Epithelial

Conditions: Keywords:
Ovarian cancer;Platinum-resistant;chemosensitivity

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Device
Intervention name: Organoid culture
Description: Tumor like organ is a kind of organ cultured from tissues of tumor patients, which is a small tumor growing in a culture dish. Compared with the traditional two-dimensional culture system, the most important feature of this technological innovation is that it can directly use the patient's own tissue to culture organ like cells. At the same time, these organ like cells can well replicate some key characteristics of the primary tumor and retain the pathological form and biological mechanism of the patient's tissue
Arm group label: Platinum resistant ovarian cancer

Summary: The research purpose of this study is to use organoid cultured from patients' own ovarian cancer tissues as models, screen potential clinical therapeutic drugs (such as paclitaxel, gemcitabine, etc.) in vitro, formulate individualized drug treatment plans for individual patient, and evaluate the clinical application value of organ like drug sensitivity technology.

Detailed description: Under the guidance of ultrasound, the lesions were punctured to obtain tumor cells; The cells were amplified and cultured by organ like culture method to establish ovarian cancer like organoid. The drug sensitivity tests of different drugs were carried out on similar organs. Number of drugs tested: 10 (paclitaxel, carboplatin, lobaplatin, doxorubicin, etc.); After the test is completed, sufficient chemotherapy for full course of treatment shall be carried out according to the drug sensitivity results; After chemotherapy, blood and imaging evaluation were performed; Collect the information of patients from initial treatment to the end of chemotherapy; Matching the corresponding number of patients with platinum resistant relapse who did not undergo organ like culture; At each end point, the evaluation and comparison were carried out and the research conclusions were drawn.

Criteria for eligibility:
Criteria:
Inclusion criteria 1. Patients diagnosed as primary nonmucous epithelial ovarian cancer with stage III or above by previous pathological diagnosis; 2. According to the relevant standards formulated by the World Health Organization (WHO) in 2014, measurable or assessable lesions are determined; 3. platinum-resistant epithelial ovarian cancer that has received more than 2 lines of chemotherapy; 4. There is no serious disease of important organs, and the patient can tolerate chemotherapy. Karnofsky score more than 60, and the expected survival period is more than half a year; 5. The liver, kidney and bone marrow functions were good. Exclusion criteria 1. Patients with other malignant tumors; 2. Patients with nervous system diseases; 3. Hepatitis B virus and human papilloma virus infection; 4. Immune function defect or serious infection; 5. Patients who cannot communicate effectively, disagree with the research requirements, and do not understand the research purpose.

Gender: Female

Minimum age: 20 Years

Maximum age: 70 Years

Healthy volunteers: No

Locations:

Facility:
Name: First Affiliated Hospital of Xiamen University

Address:
City: Xiamen
Zip: 361000
Country: China

Status: Recruiting

Contact:
Last name: Zhengyi Chen, doctor

Phone: 18810535290
Email: 407136123@qq.com

Start date: December 1, 2022

Completion date: February 1, 2025

Lead sponsor:
Agency: The First Affiliated Hospital of Xiamen University
Agency class: Other

Source: The First Affiliated Hospital of Xiamen University

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05813509

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