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Trial Title: The Immune Landscape of Epithelial Ovarian Cancer

NCT ID: NCT05984875

Condition: Epithelial Ovarian Cancer

Conditions: Official terms:
Ovarian Neoplasms
Carcinoma, Ovarian Epithelial

Study type: Observational

Overall status: Recruiting

Study design:

Time perspective: Prospective

Intervention:

Intervention type: Other
Intervention name: Collection of tumor samples, blood and vaginal and rectal swabs
Description: The following biological samples will be collected at different time points, according to the specified cohort and after signing the inform consent form: tumor tissue (fresh and archival) or normal tissue (cohort E), ascites (when present), peripheral blood, rectal swab, vaginal swab.
Arm group label: A
Arm group label: B
Arm group label: C
Arm group label: D

Summary: This is a single center prospective observational study to characterize the immune landscape of newly diagnosed epithelial ovarian cancer (OC). Patients with newly diagnosed epithelial OC will be enrolled in 4 different cohorts: A) Newly diagnosed high grade serous or endometroid OC undergoing primary debulking surgery; B) Newly diagnosed high grade serous or endometroid OC undergoing neoadjuvant chemotherapy (NACT) followed by interval debulking surgery; C) Rare subtypes of epithelial OC (low grade serous, low grade endometrioid, clear cell, mucinous or carcinosarcoma) undergoing primary debulking surgery; D) Rare subtypes of epithelial OC (low grade serous, low grade endometrioid, clear cell, mucinous or carcinosarcoma) undergoing NACT followed by interval debulking surgery. A cohort of women undergoing adnexectomy for benign pathology will be enrolled (cohort E) for comparative analysis. Enrolled patients will be asked to provide the following biological samples at specified time points: archival and fresh tumor tissue, peripheral blood samples, rectal and vaginal swabs, ascites (when present). The main aim of the study is to characterize the immune landscape of epithelial OC in tumor tissue and peripheral blood and correlate the presence of myeloid-derived suppressive cells (MDSCs) and other immune infiltrates and of the systemic immune response with progression free interval (PFI) in epithelial OC.

Criteria for eligibility:

Study pop:
Patients with newly diagnosed epithelial ovarian cancer and subjects with bening gynecological conditions requiring surgery

Sampling method: Non-Probability Sample
Criteria:
Inclusion criteria cohort A-D: - Suspicious diagnosis of epithelial ovarian cancer (subsequent histologically confirmation required) - Plan to undergo a surgical procedure for the management of epithelial ovarian cancer or recurrent ovarian cancer previously treated with conventional treatment and involved in the trial as group A-D - ≥18 years old - ECOG Performance Status ≤ 2 - Written informed consent Inclusion criteria cohort E: - Indication for adnexectomy for a benign gynecological condition - ≥18 years old - ECOG Performance Status ≤ 2 - Written informed consent Exclusion criteria cohort A-E: - Other active concomitant neoplasms that might confound the results of the planned analysis. - Ongoing active autoimmune disease requiring treatment or condition of immune deficiency - Ongoing chronic treatment with steroids or other immune suppressive agents at the time of study entry

Gender: Female

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: Accepts Healthy Volunteers

Locations:

Facility:
Name: Oncology Institute of Southern Switzerland

Address:
City: Bellinzona
Zip: 6500
Country: Switzerland

Status: Recruiting

Contact:
Last name: Ilaria Colombo, MD

Phone: +41764528823
Email: ilaria.colombo@eoc.ch

Start date: December 20, 2022

Completion date: December 2026

Lead sponsor:
Agency: Oncology Institute of Southern Switzerland
Agency class: Other

Collaborator:
Agency: Institute of Oncology Research
Agency class: Other

Source: Oncology Institute of Southern Switzerland

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05984875

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