Stage IV Ovarian Cancer Clinical Trial
Official title:
A Prospective, Longitudinal Study of YKL-40 in Patients With FIGO Stage III or IV Invasive Epithelial Ovarian, Primary Peritoneal or Fallopian Tube Cancer Undergoing Primary Chemotherapy
This research trial studies chitinase 3-like 1 (cartilage glycoprotein-39) (YKL-40) in serum samples from patients with newly diagnosed stage III-IV ovarian epithelial, primary peritoneal cavity, or fallopian tube cancer receiving chemotherapy. Studying samples of serum in the laboratory from patients receiving chemotherapy may help doctors learn more about the effects of chemotherapy on cells. It may also help doctors understand how well patients respond to treatment.
PRIMARY OBJECTIVES:
I. To assess the ability of the YKL-40 serum marker to detect response or lack of response to
primary chemotherapy in International Federation of Gynecology and Obstetrics (FIGO) stage
III or IV invasive epithelial ovarian, primary peritoneal, or fallopian tube cancer.
II. To compare the predictive accuracy of YKL-40 with cancer antigen 125 (CA125).
SECONDARY OBJECTIVES:
I. To test the ability of the YKL-40 serum marker to detect recurrence of ovarian, primary
peritoneal, or fallopian tube cancer in patients who are in first remission following primary
chemotherapy.
II. To test the ability of the YKL-40 serum marker to predict poor risk patients with FIGO
stage III or IV invasive epithelial ovarian, primary peritoneal, or fallopian tube cancer.
TERTIARY OBJECTIVES:
I. To explore alternative cut-off values for YKL-40 elevation in this large patient
population.
II. To describe the variability of YKL-40 and CA125 measurements in patients receiving
primary chemotherapy and in primary remission in a large patient population.
III. To describe the accuracy of YKL-40 coupled with CA125 measurements in predicting
chemotherapy response, progression-free survival and overall survival.
OUTLINE:
Patients undergo collection of serum samples for analysis of YKL-40 via enzyme-linked
immunosorbent assay (ELISA) and CA125 via chemiluminometric sandwich immunoassay at the
following time-points: at baseline; prior to beginning each course of chemotherapy (courses
1-6); at completion of chemotherapy; every 3 months during years 1-2 post-chemotherapy; every
6 months during years 3-5 post-chemotherapy; every year during years 6-10 post-chemotherapy;
and at time of disease recurrence or progression.
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