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United Kingdom Collaborative Trial Of Ovarian Cancer Screening


N/A
50 Years
74 Years
Open (Enrolling)
Female
Ovarian Cancer

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Trial Information

United Kingdom Collaborative Trial Of Ovarian Cancer Screening


OBJECTIVES:

- Determine the impact of preclinical detection of ovarian cancer by screening on ovarian
cancer mortality in postmenopausal women.

- Determine the physical morbidity of ovarian cancer screening in this population.

- Determine the psychological consequences of screening results (true negative, true
positive, false negative, and false positive) in this population.

- Compare the interventions that result from screening for ovarian cancer using CA 125
monitoring and ultrasound in this population.

- Compare the feasibility of population screening, in terms of compliance rates with
annual screening for ovarian cancer with these strategies.

- Compare the performance of these screening strategies in this population.

OUTLINE: This is a randomized, multicenter study. Participants are randomized to 1 of 3
screening arms.

- Arm I: Participants do not undergo screening.

- Arm II: Participants undergo screening with an annual CA 125 level. Depending on the
results of the test, some patients may undergo additional screening.

- Arm III: Participants undergo screening with an annual transvaginal or transabdominal
ultrasound. Depending on the results of the test, some patients may undergo additional
screening.

Participants in all arms complete a health questionnaire at 3.5 and 7 years after study
entry.

PROJECTED ACCRUAL: A total of 200,000 participants (100,000 for arm I and 50,000 each for
arms II and III) will be accrued for this study within 3 years.

Inclusion Criteria


DISEASE CHARACTERISTICS:

- Postmenopausal, as defined by meeting 1 of the following criteria:

- More than 12 months of amenorrhea after natural menopause or hysterectomy

- Received more than 12 months of hormone replacement therapy for menopausal
symptoms

- No prior ovarian malignancy

- No prior bilateral oophorectomy

- Not at high risk for ovarian cancer due to familial predisposition as defined by the
UKCCCR Familial Ovarian Cancer Screening Study

PATIENT CHARACTERISTICS:

Age

- 50 to 74

Performance status

- Not specified

Life expectancy

- Not specified

Hematopoietic

- Not specified

Hepatic

- Not specified

Renal

- Not specified

Other

- No active non-ovarian malignancy

- Prior malignancy allowed provided there is no documented persistent or recurrent
disease and patient has not received treatment for more than 1 year

PRIOR CONCURRENT THERAPY:

Biologic therapy

- Not specified

Chemotherapy

- Not specified

Endocrine therapy

- See Disease Characteristics

Radiotherapy

- Not specified

Surgery

- See Disease Characteristics

Other

- No concurrent participation in any other ovarian cancer screening study

Type of Study:

Interventional

Study Design:

Allocation: Randomized, Primary Purpose: Screening

Outcome Measure:

Ovarian cancer mortality at 7 years post-randomization

Safety Issue:

No

Principal Investigator

Usha Menon, MBBS, MRCOG

Investigator Role:

Study Chair

Investigator Affiliation:

St. Bartholomew's Hospital

Authority:

United States: Federal Government

Study ID:

CDR0000285690

NCT ID:

NCT00058032

Start Date:

February 2003

Completion Date:

Related Keywords:

  • Ovarian Cancer
  • ovarian epithelial cancer
  • Ovarian Neoplasms

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