Diagnosing Ovarian & Endometrial Cancer Early (DOvEE) by Targeting Symptomatic Women
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Ovarian Neoplasms
- Sponsor
- McGill University
- Enrollment
- 13600
- Locations
- 8
- Primary Endpoint
- Proportion of diagnoses in early, curable stage.
- Status
- Recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
This study hopes to improve early detection of ovarian and endometrial cancers. It will determine if women with bloating, abdominal distension, abdominal/pelvic pain, increased urinary frequency and/or early satiety, benefit from earlier surgery after screening by CA-125 ovarian cancer biomarker and transvaginal ultrasound.
Investigators
Dr. Lucy Gilbert
Professor, Department of Obstetrics and Gynecology
McGill University
Eligibility Criteria
Inclusion Criteria
- •Sign an approved informed consent form (ICF).
- •Be ≥ 45 years of age.
- •Have at least one symptom outlined in below for a period of ≥2 weeks but ≤ 1 year:
- •Feeling full after eating only a few bites, loss of appetite
- •Diarrhea, constipation, bowel or rectum feels full, change in bowel habits, constant urge to have a bowel movement, painful or burning bowel movements, rectal pain, painful defecation
- •Bloating, distension of abdomen, clothes around the waist feel too tight, feel an abdominal mass
- •Weight loss not because of dieting
- •Nausea, vomiting, heartburn, gas, burping, indigestion
- •Increased urinary frequency, need to urinate urgently, pressure on the bladder, leaking urine, burning sensation when urinating, need to urinate but unable to do so, unable to empty bladder completely, feeling full after urinating
- •Vaginal discharge, bleeding, spotting, deep pain on intercourse
Exclusion Criteria
- •Previous bilateral salpingo-oophorectomy (BSO)
- •Previous diagnosis of cancer in the ovaries, fallopian tubes, or peritoneum
- •Current bleeding per rectum, not due to haemorrhoids
- •Current frank haematuria
- •Symptoms that suggest the need for urgent clinical evaluation outside of a research protocol
Outcomes
Primary Outcomes
Proportion of diagnoses in early, curable stage.
Time Frame: Up to 3 years
To determine whether the provision of fast-track diagnostic evaluation of symptomatic women ≥50 years will result in a higher proportion of ovarian cancer, including high-grade serous cancers (HGSCs), diagnosed in low-volume, completely resectable stage.
Secondary Outcomes
- Number of participants with physical morbidity related to the program as a measure of safety and tolerability(Up to 6 weeks)