MedPath

Prospective evaluation of Human Epididymal protein 4 (HE4) as predictor of malignancy in patients with a ovarian mass.

Completed
Conditions
Ovarian cancer
10038594
Registration Number
NL-OMON47242
Lead Sponsor
Antoni van Leeuwenhoek Ziekenhuis
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
300
Inclusion Criteria

1. Age >=18 years
2. Presence of a complex ovarian mass
3. Understanding of Dutch or English language
4. Risk of malignancy score determined in referral hospital
5. General criteria:
a. Fit for laparotomy or laparoscopy to obtain a histologic diagnosis
b. Written informed consent
c. Normal Glomerular Filtration Rate (GFR): >60 ml/min/1,73 m2

Exclusion Criteria

1. Age <18 years
2. Benign aspect of cyst including simple unilocular cyst for which RMI score is not calculated
3. Multiple malignancies at the same time
4. WHO performance status >= 3
5. Cancer already confirm in biopsy or ascites
6. Suspicion of extra-abdominal metastases

Study & Design

Study Type
Observational invasive
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<p>The sensitivity and specificity with the addition of serum HE4 measurement, as<br /><br>2nd step after calculation of the RMI score, for triage of patients with an<br /><br>ovarian mass.</p><br>
Secondary Outcome Measures
NameTimeMethod
<p>Calculation of cost-effectiveness of addition of serum HE4 measurement.<br /><br>Evaluation of impact of referral to an oncology center. Residual blood will be<br /><br>storred for future research. Possible implication will be the predictive value<br /><br>of cell-free tumor DNA (ctDNA).</p><br>
© Copyright 2025. All Rights Reserved by MedPath