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出境医 / 临床实验 / The Role of Cytomegalovirus and Inflammation on Patient Symptoms and Outcomes in Ovarian Cancer

The Role of Cytomegalovirus and Inflammation on Patient Symptoms and Outcomes in Ovarian Cancer

Study Description
Brief Summary:

Cytomegalovirus (CMV), a widely prevalent virus in the general US population, has been shown to be associated with increased inflammation and mortality. Previous small pilot studies have demonstrated that latent CMV may be reactivated during chemotherapy in cancer patients, and may be associated with unfavorable cancer outcomes such as fatigue and increased mortality.

The central research idea for this study, supported by previous preliminary data, is that CMV reactivation is an unrecognized complicating factor in the treatment of ovarian cancer that impacts patient outcomes. The overarching goals of this observational study are:

  • To assess how CMV infection is associated with ovarian cancer symptoms over the course of the disease and its treatment.
  • To describe the relationship between CMV reactivation in ovarian cancer patients, survival, fatigue, and other QOL outcomes, both cross-sectionally and longitudinally.

Condition or disease
Ovarian Cancer Fallopian Tube Cancer Primary Peritoneal Carcinoma

Study Design
Layout table for study information
Study Type : Observational
Estimated Enrollment : 350 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: The Role of Cytomegalovirus and Inflammation on Patient Symptoms and Outcomes in Ovarian Cancer
Actual Study Start Date : October 22, 2019
Estimated Primary Completion Date : October 31, 2022
Estimated Study Completion Date : October 31, 2023
Arms and Interventions
Group/Cohort
Cohort 1 - Cross-sectional (within 2 years of diagnosis)
Individuals diagnosed and treated for ovarian cancer in past two years, will complete 1 study measure
Cohort 2- Prospective (from diagnosis)
Individuals newly diagnosed with ovarian cancer, will complete 3 study measures (baseline/diagnosis, completion of chemotherapy, one year post-diagnosis)
Outcome Measures
Primary Outcome Measures :
  1. Cohort 1 - Cancer-related fatigue [ Time Frame: post treatment ]
    Cancer-related fatigue will be measured using the Fatigue Symptom Inventory. The scale is composed of 14 items (one is not scored). A total Disruption Index is calculated by summing items 5-11 (each item ranges from 0-10). A lower score indicates lower fatigue. Possible range is 0-70.

  2. Cohort 2 - Recurrence-free survival [ Time Frame: 3 years ]
    Time from diagnosis to first known recurrence or death, censored at least follow-up if recurrence free and alive


Biospecimen Retention:   Samples With DNA
Blood samples at up to 3 time points

Eligibility Criteria
Layout table for eligibility information
Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Individuals diagnosed and/or treated for ovarian/Fallopian tube/primary peritoneal cancer by physicians in the Gynecologic Oncology Clinic at the University of Minnesota
Criteria

Inclusion Criteria:

  • Age ≥18
  • Ability to read and write in English
  • women with newly diagnosed with ovarian, primary peritoneal, or fallopian tube cancer
  • Treatment plan includes chemotherapy
  • Able to provide written voluntary consent before performance of any study related procedure.
  • Cohort 1 only: within 2 years of completing initial chemotherapy treatment
  • Cohort 2 only: prior to starting chemotherapy

Exclusion Criteria:

  • Inability to provide informed written consent
  • Previous exposure to chemotherapy
  • Life expectancy < 3 months or in hospice care or nursing home
Contacts and Locations

Locations
Layout table for location information
United States, Minnesota
University of Minnesota Recruiting
Minneapolis, Minnesota, United States, 55455
Contact: Rachel I Vogel, PhD    612-624-6928    isak0023@umn.edu   
Principal Investigator: Rachel I Vogel, PhD         
Sponsors and Collaborators
University of Minnesota
United States Department of Defense
Tracking Information
First Submitted Date April 16, 2019
First Posted Date April 19, 2019
Last Update Posted Date September 4, 2020
Actual Study Start Date October 22, 2019
Estimated Primary Completion Date October 31, 2022   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: April 23, 2019)
  • Cohort 1 - Cancer-related fatigue [ Time Frame: post treatment ]
    Cancer-related fatigue will be measured using the Fatigue Symptom Inventory. The scale is composed of 14 items (one is not scored). A total Disruption Index is calculated by summing items 5-11 (each item ranges from 0-10). A lower score indicates lower fatigue. Possible range is 0-70.
  • Cohort 2 - Recurrence-free survival [ Time Frame: 3 years ]
    Time from diagnosis to first known recurrence or death, censored at least follow-up if recurrence free and alive
Original Primary Outcome Measures
 (submitted: April 16, 2019)
  • Cohort 1 - Cancer-related fatigue [ Time Frame: post treatment ]
    Fatigue Symptom Inventory
  • Cohort 2 - Recurrence-free survival [ Time Frame: 3 years ]
    Time from diagnosis to first known recurrence or death, censored at least follow-up if recurrence free and alive
Change History
Current Secondary Outcome Measures Not Provided
Original Secondary Outcome Measures Not Provided
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title The Role of Cytomegalovirus and Inflammation on Patient Symptoms and Outcomes in Ovarian Cancer
Official Title The Role of Cytomegalovirus and Inflammation on Patient Symptoms and Outcomes in Ovarian Cancer
Brief Summary

Cytomegalovirus (CMV), a widely prevalent virus in the general US population, has been shown to be associated with increased inflammation and mortality. Previous small pilot studies have demonstrated that latent CMV may be reactivated during chemotherapy in cancer patients, and may be associated with unfavorable cancer outcomes such as fatigue and increased mortality.

The central research idea for this study, supported by previous preliminary data, is that CMV reactivation is an unrecognized complicating factor in the treatment of ovarian cancer that impacts patient outcomes. The overarching goals of this observational study are:

  • To assess how CMV infection is associated with ovarian cancer symptoms over the course of the disease and its treatment.
  • To describe the relationship between CMV reactivation in ovarian cancer patients, survival, fatigue, and other QOL outcomes, both cross-sectionally and longitudinally.
Detailed Description Not Provided
Study Type Observational
Study Design Observational Model: Cohort
Time Perspective: Prospective
Target Follow-Up Duration Not Provided
Biospecimen Retention:   Samples With DNA
Description:
Blood samples at up to 3 time points
Sampling Method Non-Probability Sample
Study Population Individuals diagnosed and/or treated for ovarian/Fallopian tube/primary peritoneal cancer by physicians in the Gynecologic Oncology Clinic at the University of Minnesota
Condition
  • Ovarian Cancer
  • Fallopian Tube Cancer
  • Primary Peritoneal Carcinoma
Intervention Not Provided
Study Groups/Cohorts
  • Cohort 1 - Cross-sectional (within 2 years of diagnosis)
    Individuals diagnosed and treated for ovarian cancer in past two years, will complete 1 study measure
  • Cohort 2- Prospective (from diagnosis)
    Individuals newly diagnosed with ovarian cancer, will complete 3 study measures (baseline/diagnosis, completion of chemotherapy, one year post-diagnosis)
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Recruiting
Estimated Enrollment
 (submitted: April 16, 2019)
350
Original Estimated Enrollment Same as current
Estimated Study Completion Date October 31, 2023
Estimated Primary Completion Date October 31, 2022   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion Criteria:

  • Age ≥18
  • Ability to read and write in English
  • women with newly diagnosed with ovarian, primary peritoneal, or fallopian tube cancer
  • Treatment plan includes chemotherapy
  • Able to provide written voluntary consent before performance of any study related procedure.
  • Cohort 1 only: within 2 years of completing initial chemotherapy treatment
  • Cohort 2 only: prior to starting chemotherapy

Exclusion Criteria:

  • Inability to provide informed written consent
  • Previous exposure to chemotherapy
  • Life expectancy < 3 months or in hospice care or nursing home
Sex/Gender
Sexes Eligible for Study: Female
Ages 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers No
Contacts
Listed Location Countries United States
Removed Location Countries  
 
Administrative Information
NCT Number NCT03921658
Other Study ID Numbers 2019NTLS030
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement
Plan to Share IPD: No
Responsible Party University of Minnesota
Study Sponsor University of Minnesota
Collaborators United States Department of Defense
Investigators Not Provided
PRS Account University of Minnesota
Verification Date September 2020

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