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Trial Title: Early Assessment of Ovarian Cancer Aggressiveness by Metabolic Imaging

NCT ID: NCT05866679

Condition: Ovarian Cancer

Conditions: Official terms:
Ovarian Neoplasms
Carcinoma, Ovarian Epithelial
Aggression

Study type: Interventional

Study phase: Phase 1

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Diagnostic

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Hyperpolarized 13-C-pyruvate
Description: Given by PO
Arm group label: Hyperpolarized 13-C-pyruvate

Summary: To learn if an MRSI can be performed on a 3T scanner using an investigational contrast drug called hyperpolarized 13-C pyruvate. 3T refers to the "strength" of the MRI machine.

Detailed description: Primary Objective: 1. To assess if increased lactate production measured by HP 13C MRI occurs in suspected ovarian cancer patients who will undergo surgery 2. To evaluate the proportion of increased lactate production in the ovaries measured by HP 13C MRI in low/high ovarian cancer risk patients. Secondary Objectives: 1. Correlate HP-MR findings to metabolomics, immune profiles, and blood biomarkers of patients undergoing surgical resection. 2. Demonstrate the feasibility and utility of metabolic imaging with HP 13C pyruvate MR in patients with suspected ovarian cancer 3. Correlating imaging findings such as enhancement pattern, ADC values, and advanced image analytics such as texture with pathology and genetic analysis for patients who will undergo surgical resection.

Criteria for eligibility:
Criteria:
Inclusion Criteria: For the first cohort, the following selection criteria will be applied who are undergoing a screening exam at MD Anderson: 1. Patients with a first degree relative (mother, sister, or daughter) with ovarian cancer or 2. A personal history of breast cancer before age 40 or 3. A personal history of breast cancer diagnosed before age 50, and one or more close relatives diagnosed with breast or ovarian cancer at any age. Two or more close relatives diagnosed with breast cancer before age 50 or with ovarian cancer diagnosed at any age or 4. Ashkenazi Jewish heritage and a personal history of breast cancer before age 50 or 5. Ashkenazi Jewish heritage and a first- or second-degree relative diagnosed with breast cancer before age 50 or with ovarian cancer at any age or 6. Presence of a BRCA1 or BRCA2 mutation or 7. Presence of a mismatch repair gene mutation associated with a hereditary cancer syndrome known as Hereditary Non-Polyposis Colon Cancer (HNPCC)/Lynch syndrome. For the second cohort- 10 Patients will be enrolled who present to MD Anderson for a pelvic ultrasound or have an outside ultrasound or imaging study without a mass or have an adnexal mass (benign) on outside imaging and do not have a high risk for ovarian cancer. For the third cohort of patients: 10 patients who have suspicion of ovarian malignancy on conventional imaging and will be undergoing surgical resection will be included. Exclusion Criteria: (all cohorts) 1. Children, pregnant women, cognitively impaired adults, or prisoners will be excluded from participation.

Gender: Female

Minimum age: 18 Months

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: M D Anderson Cancer Center

Address:
City: Houston
Zip: 77030
Country: United States

Status: Recruiting

Contact:
Last name: Priya Bhosale, MD

Phone: 713-792-0221
Email: priya.bhosale@mdanderson.org

Investigator:
Last name: Priya Bhosale, Bhosale
Email: Principal Investigator

Start date: April 12, 2024

Completion date: August 31, 2028

Lead sponsor:
Agency: M.D. Anderson Cancer Center
Agency class: Other

Source: M.D. Anderson Cancer Center

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05866679
http://www.mdanderson.org

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