IMPROCAS - Improved Prediction of Ovarian Cancer Surgery

2023-503398-39-00 Therapeutic exploratory (Phase II) Ongoing, recruiting

Start 1 Mar 2024 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruiting
Participants planned 40
Countries 1
Sites 1

Ovarian cancer

The aim of this project is to investigate nuclear magnetic resonance (NMR)-derived metabolomics from blood samples, functional and metabolic MRI techniques and their ability to improve ovarian cancer diagnostics. Based on the above, a model able to identify ovarian cancer and improve the accuracy of correct diagnosis …

Key facts

Sponsor
Aarhus University
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Female
Therapeutic area
Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Investigative Techniques [E05], Diseases [C] - Neoplasms [C04], Diseases [C] - Female Urogenital Diseases and Pregnancy Complications [C13]
Trial duration
1 Mar 2024 → ongoing
Decision date (initial)
2023-12-04
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
Novo Nordic Foundation

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Diagnosis

The aim of this project is to investigate nuclear magnetic resonance (NMR)-derived metabolomics from blood samples, functional and metabolic MRI techniques and their ability to improve ovarian cancer diagnostics.
Based on the above, a model able to identify ovarian cancer and improve the accuracy of correct diagnosis and disease severity will be proposed.

Conditions and MedDRA coding

Ovarian cancer

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. - Suspected epithelial ovarian cancer (and referred to dept. of Gynaecology and Obstetrics, AUH)
  2. - Understanding Danish
  3. - Age 18 – 85 years

Exclusion criteria 6

  1. Contraindications for MRI with contrast: - eGFR less than 30 ml/min/1.73m2 - Severe unstable asthma - Pacemaker, implantable cardiac defibrillator, neurostimulator or cochlear implant - Metal foreign bodies such as fragments and irremovable piercings - Unsafe medical implants (safety of heart valves, hips and the like must be confirmed) - Claustrophobia - Largest circumference including arms > 160 cm
  2. Substantial cognitive disability that would influence the patients’ ability to either give truly informed consent or listen to / comply with safety-related instructions.
  3. Severe renovascular disease
  4. Any other malign disease or recidiv of a former malign disease present within the last 3-5 years (except benign basal basocelluar carcinoma (BBC))
  5. Pregnancy
  6. Allergy to pyruvate

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 6

  1. - to evaluate the diagnostic performance of DCE MRI, DKI and 31P MRS
  2. - to create a diagnostic algorithm that can help the clinician to classify correct diagnosis and FIGO-staging of ovarian cancer.
  3. - to assess if the HP 13C MRI contributes to correct histopathological diagnosis.
  4. - to assess if the HP 13C MRI contributes to staging of ovarian cancer.
  5. - For the NMR-derived analyses from the blood samples: the ability to distinguish patients with cancer from those without cancer.
  6. For the NMR-derived analyses from the blood samples: the prediction of correct histopathological diagnosis

Secondary endpoints 2

  1. - To assess the repeatability and reproducibility of multiparametric pelvic MRI in patients suspected with ovarian cancer
  2. For the NMR-derived analyses from the blood samples: - the prediction of surgical resectability

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Hyperpolarized [1-13C]pyruvate

PRD10284730 · Product

Active substance
Pyruvic Acid
Pharmaceutical form
INJECTION
Route of administration
INTRAVENOUS ADMINISTRATION
Max daily dose
0.43 millilitre(s)/kilogram
Max total dose
0.43 millilitre(s)/kilogram
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
AARHUS UNIVERSITY
Paediatric formulation
No
Orphan designation
No

Auxiliary 1

Dotarem, injektionsvæske, opløsning i enkeltdosisbeholder. i.v.

PRD354058 · Product

Active substance
Gadoteric Acid
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS ADMINISTRATION
Max daily dose
0.1 mmol/kg millimole(s)/kilogram
Max total dose
0.1 mmol/kg millimole(s)/kilogram
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
V08CA02 — GADOTERIC ACID
Marketing authorisation
17091
MA holder
GUERBET
MA country
Denmark
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Aarhus University

Sponsor organisation
Aarhus University
Address
Palle Juul-Jensens Boulevard 82
City
Aarhus N
Postcode
8200
Country
Denmark

Scientific contact point

Organisation
Aarhus University
Contact name
Malene Aastrup

Public contact point

Organisation
Aarhus University
Contact name
Malene Aastrup

Third parties 1

OrganisationCity, countryDuties
Aarhus University
ORG-100028380
Aarhus N, Denmark On site monitoring

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Denmark Ongoing, recruiting 40 1
Rest of world 0

Investigational sites

Denmark

1 site · Ongoing, recruiting
Aarhus Universitet
Dept. of Gynaecology and Obstetrics, Division of Gynaecological Cancer Surgery, Palle Juul-Jensens Boulevard 82, 8200, Aarhus N

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Denmark 2024-03-01 2024-03-01

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 6 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) IMPROCAS protocol 1.3
Recruitment arrangements (for publication) Recruitment improcas 1.1
Subject information and informed consent form (for publication) Deltagerinformation improcas 1.2
Subject information and informed consent form (for publication) Dine rettigheder som forsgsperson i forsg med medicin 1
Subject information and informed consent form (for publication) samtykkeerklring IMPROCAS 1
Synopsis of the protocol (for publication) Protocol synopsis 1

Application history

3 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-07-13 Denmark Acceptable
2023-10-04
2023-12-04
2 NON SUBSTANTIAL MODIFICATION NSM-1 2025-03-07 Denmark Acceptable
2023-10-04
2025-03-07
3 SUBSTANTIAL MODIFICATION SM-2 2025-04-22 Denmark Acceptable
2025-05-28
2025-05-30