Signal TrAnsduction Pathway Activity Analysis in OVarian cancER

Trial statusRecruiting
Trial phasePhase 2, Phase 3
Trial typeInterventional
Biological sexFemale
Age18+
SponsorGynaecologisch Oncologisch Centrum Zuid

About this trial

The purpose of this prospective, parallel-group, cohort study is to implement phenotype-guided targeted therapy based on functional signal transduction pathway (STP) activity in recurrent ovarian cancer patients using a novel mRNA-based assay. Existing targeted drugs with tolerable toxicity profiles are used to investigate the therapeutic value beyond their approved indication, which are deemed beneficial in the select group of patients with a relevant predominantly active functional STP, in order to improve survival and maintain quality of life.

Eligibility criteria

Qualifiers

Female, age > 18 years

Platinum-resistant disease, defined as disease recurrence or progression within six months of last platinum-based chemotherapy or;

Patient refrains from standard therapy or;

Asymptomatic patient who is not yet eligible for standard palliative chemotherapy but has an increase of CA125 tumour marker at two consecutive time points 28 days apart with a value of two times nadir above 35 U/ml.

Disqualifiers

Age < 18 years.

Patient is receiving any other anti-cancer therapy (e.g. cytotoxic or targeted drug or radiation) or is chemotherapy naïve. The required wash out period prior to start of matched targeted therapy is at least three weeks.

Patient is diagnosed with or treated for a second primary tumour (except non-melanoma skin tumour) one year prior to study inclusion.

Inability to obtain (sufficient) tumour material.

Trial design

Treatments tested in this trial

  • Letrozole Oral Product
  • Bicalutamide Oral Product
  • Everolimus Oral Product
  • Itraconazole Oral Product

Treatment groups

148 Participants
are divided into 4 treatment groups

Sponsors and collaborators

Gynaecologisch Oncologisch Centrum Zuid

Lead sponsor

Catharina Ziekenhuis Eindhoven

Sponsor institution

Radboud University Medical Center

Collaborator

Erasmus Medical Center

Collaborator

Maastricht University Medical Center

Collaborator

InnoSIGN

Collaborator

Eurofins

Collaborator