MedPath

Incidence of Cancer in Women at Increased Genetic Risk of Ovarian Cancer

Completed
Conditions
Fallopian Tube Carcinoma
Primary Peritoneal Carcinoma
Ovarian Neoplasm
Breast Carcinoma
Interventions
Procedure: Evaluation of Cancer Risk Factors
Other: Quality-of-Life Assessment
Other: Questionnaire Administration
Procedure: Study of High Risk Factors
Registration Number
NCT01139957
Lead Sponsor
Gynecologic Oncology Group
Brief Summary

This clinical trial is studying the incidence of cancer in women at increased genetic risk of ovarian cancer. Gathering information about genetic factors in women with an increased risk of ovarian cancer over time may help doctors learn more about the disease and find better methods of treatment and on-going care.

Detailed Description

PRIMARY OBJECTIVES:

I. To determine the prospective incidence of ovarian cancer, fallopian tube cancer, breast cancer, primary peritoneal cancer, and all cancer among women at increased risk of ovarian cancer, with a special emphasis on women who are known breast cancer susceptibility gene (BRCA)1/2 mutation carriers.

II. To develop precise point estimates of these cancer rates among women who have undergone risk-reducing salpingo-oophorectomy and women who have elected screening.

III. To compare the cancer rates between these two groups of women. IV. To better characterize the similarities and differences in cancer risk between BRCA mutation-positive families and BRCA mutation-negative/family history-positive families.

V. To develop preliminary estimates of overall and cancer-specific mortality, stratified by mutation status (BRCA1-positive, BRCA2-positive, BRCA1/2-negative).

OUTLINE: This is a multicenter study.

Patients complete the Health Update Questionnaire annually for up to 5 years. The questionnaire focuses specifically on cancer risk, incidence, and mortality. Patients also receive ongoing communication (e.g., periodic newsletters, copies of study-related publications, etc.) to keep them informed regarding study-related research results, new research findings, new research opportunities for which patients may be eligible, and evolving clinical recommendations regarding hereditary breast/ovarian cancer.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
1916
Inclusion Criteria
  • Enrolled on GOG-0199

    • Completed the original 5-year follow-up period OR is off-study due to pregnancy or development of a new cancer
    • Completed the Off-Study form (Form Q0-0199 submitted via SEDES)
    • No patients who were off-study before the end of the initial 5-year follow-up period (found to be ineligible or consent withdrawal)
Exclusion Criteria

Not provided

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Ancillary-correlativeEvaluation of Cancer Risk FactorsPatients complete the Health Update Questionnaire annually for up to 5 years. The questionnaire focuses specifically on cancer risk, incidence, and mortality. Patients also receive ongoing communication (e.g., periodic newsletters, copies of study-related publications, etc.) to keep them informed regarding study-related research results, new research findings, new research opportunities for which patients may be eligible, and evolving clinical recommendations regarding hereditary breast/ovarian cancer.
Ancillary-correlativeQuestionnaire AdministrationPatients complete the Health Update Questionnaire annually for up to 5 years. The questionnaire focuses specifically on cancer risk, incidence, and mortality. Patients also receive ongoing communication (e.g., periodic newsletters, copies of study-related publications, etc.) to keep them informed regarding study-related research results, new research findings, new research opportunities for which patients may be eligible, and evolving clinical recommendations regarding hereditary breast/ovarian cancer.
Ancillary-correlativeQuality-of-Life AssessmentPatients complete the Health Update Questionnaire annually for up to 5 years. The questionnaire focuses specifically on cancer risk, incidence, and mortality. Patients also receive ongoing communication (e.g., periodic newsletters, copies of study-related publications, etc.) to keep them informed regarding study-related research results, new research findings, new research opportunities for which patients may be eligible, and evolving clinical recommendations regarding hereditary breast/ovarian cancer.
Ancillary-correlativeStudy of High Risk FactorsPatients complete the Health Update Questionnaire annually for up to 5 years. The questionnaire focuses specifically on cancer risk, incidence, and mortality. Patients also receive ongoing communication (e.g., periodic newsletters, copies of study-related publications, etc.) to keep them informed regarding study-related research results, new research findings, new research opportunities for which patients may be eligible, and evolving clinical recommendations regarding hereditary breast/ovarian cancer.
Primary Outcome Measures
NameTimeMethod
Prospective incidence of ovarian cancer (including fallopian tube cancer), primary peritoneal cancer, breast cancer, and all cancerUp to 5 years
Ovarian cancer mortality ratesUp to 5 years

Cox proportional hazards models will be used to compare the incidence rates between the risk-reducing salpingo-oophorectomy (RRSO) and screening groups, adjusting for appropriate covariates. If necessary, modeling will be carried out in order to use non-proportional hazards models.

Breast cancer mortality ratesUp to 5 years
Quality of lifeUp to 5 years
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (140)

Riverside Methodist Hospital

🇺🇸

Columbus, Ohio, United States

Tufts Medical Center

🇺🇸

Boston, Massachusetts, United States

University of Cincinnati/Barrett Cancer Center

🇺🇸

Cincinnati, Ohio, United States

Good Samaritan Hospital - Cincinnati

🇺🇸

Cincinnati, Ohio, United States

Mayo Clinic in Arizona

🇺🇸

Scottsdale, Arizona, United States

Hartford Hospital

🇺🇸

Hartford, Connecticut, United States

UCLA / Jonsson Comprehensive Cancer Center

🇺🇸

Los Angeles, California, United States

Smilow Cancer Hospital Care Center at Saint Francis

🇺🇸

Hartford, Connecticut, United States

The Hospital of Central Connecticut

🇺🇸

New Britain, Connecticut, United States

Beebe Medical Center

🇺🇸

Lewes, Delaware, United States

Women's Cancer Associates

🇺🇸

Saint Petersburg, Florida, United States

Florida Gynecologic Oncology

🇺🇸

Fort Myers, Florida, United States

Christiana Care Health System-Christiana Hospital

🇺🇸

Newark, Delaware, United States

Sarasota Memorial Hospital

🇺🇸

Sarasota, Florida, United States

Mayo Clinic in Florida

🇺🇸

Jacksonville, Florida, United States

Saint Alphonsus Cancer Care Center-Boise

🇺🇸

Boise, Idaho, United States

Rush University Medical Center

🇺🇸

Chicago, Illinois, United States

Carle Cancer Center

🇺🇸

Urbana, Illinois, United States

University of Chicago Comprehensive Cancer Center

🇺🇸

Chicago, Illinois, United States

NorthShore University HealthSystem-Evanston Hospital

🇺🇸

Evanston, Illinois, United States

Indiana University/Melvin and Bren Simon Cancer Center

🇺🇸

Indianapolis, Indiana, United States

Saint Vincent Hospital and Health Care Center

🇺🇸

Indianapolis, Indiana, United States

University of Kansas Cancer Center

🇺🇸

Kansas City, Kansas, United States

Menorah Medical Center

🇺🇸

Overland Park, Kansas, United States

Saint Luke's South Hospital

🇺🇸

Overland Park, Kansas, United States

Kansas City NCI Community Oncology Research Program

🇺🇸

Prairie Village, Kansas, United States

Saint Elizabeth Medical Center South

🇺🇸

Edgewood, Kentucky, United States

Maine Medical Center-Bramhall Campus

🇺🇸

Portland, Maine, United States

Greater Baltimore Medical Center

🇺🇸

Baltimore, Maryland, United States

MedStar Franklin Square Medical Center/Weinberg Cancer Institute

🇺🇸

Baltimore, Maryland, United States

Union Hospital of Cecil County

🇺🇸

Elkton, Maryland, United States

UMass Memorial Medical Center - Memorial Division

🇺🇸

Worcester, Massachusetts, United States

Bronson Battle Creek

🇺🇸

Battle Creek, Michigan, United States

Spectrum Health Big Rapids Hospital

🇺🇸

Big Rapids, Michigan, United States

Beaumont Hospital - Dearborn

🇺🇸

Dearborn, Michigan, United States

Ascension Saint John Hospital

🇺🇸

Detroit, Michigan, United States

Hurley Medical Center

🇺🇸

Flint, Michigan, United States

Genesys Regional Medical Center-West Flint Campus

🇺🇸

Flint, Michigan, United States

Cancer Research Consortium of West Michigan NCORP

🇺🇸

Grand Rapids, Michigan, United States

Mercy Health Saint Mary's

🇺🇸

Grand Rapids, Michigan, United States

Spectrum Health at Butterworth Campus

🇺🇸

Grand Rapids, Michigan, United States

Sparrow Hospital

🇺🇸

Lansing, Michigan, United States

Saint Mary Mercy Hospital

🇺🇸

Livonia, Michigan, United States

Mercy Health Mercy Campus

🇺🇸

Muskegon, Michigan, United States

Saint Joseph Mercy Oakland

🇺🇸

Pontiac, Michigan, United States

Lake Huron Medical Center

🇺🇸

Port Huron, Michigan, United States

Ascension Saint Mary's Hospital

🇺🇸

Rhinelander, Wisconsin, United States

Munson Medical Center

🇺🇸

Traverse City, Michigan, United States

William Beaumont Hospital-Royal Oak

🇺🇸

Royal Oak, Michigan, United States

Saint John Macomb-Oakland Hospital

🇺🇸

Warren, Michigan, United States

Metro Health Hospital

🇺🇸

Wyoming, Michigan, United States

Fairview Ridges Hospital

🇺🇸

Burnsville, Minnesota, United States

Mercy Hospital

🇺🇸

Coon Rapids, Minnesota, United States

Unity Hospital

🇺🇸

Fridley, Minnesota, United States

Fairview Southdale Hospital

🇺🇸

Edina, Minnesota, United States

Saint John's Hospital - Healtheast

🇺🇸

Maplewood, Minnesota, United States

Hutchinson Area Health Care

🇺🇸

Hutchinson, Minnesota, United States

Minnesota Oncology Hematology PA-Maplewood

🇺🇸

Maplewood, Minnesota, United States

Abbott-Northwestern Hospital

🇺🇸

Minneapolis, Minnesota, United States

New Ulm Medical Center

🇺🇸

New Ulm, Minnesota, United States

Metro Minnesota Community Oncology Research Consortium

🇺🇸

Saint Louis Park, Minnesota, United States

North Memorial Medical Health Center

🇺🇸

Robbinsdale, Minnesota, United States

Regions Hospital

🇺🇸

Saint Paul, Minnesota, United States

Park Nicollet Clinic - Saint Louis Park

🇺🇸

Saint Louis Park, Minnesota, United States

United Hospital

🇺🇸

Saint Paul, Minnesota, United States

Saint Francis Regional Medical Center

🇺🇸

Shakopee, Minnesota, United States

Minnesota Oncology Hematology PA-Woodbury

🇺🇸

Woodbury, Minnesota, United States

Ridgeview Medical Center

🇺🇸

Waconia, Minnesota, United States

Rice Memorial Hospital

🇺🇸

Willmar, Minnesota, United States

University of Missouri - Ellis Fischel

🇺🇸

Columbia, Missouri, United States

Saint Luke's East - Lee's Summit

🇺🇸

Lee's Summit, Missouri, United States

Heartland Regional Medical Center

🇺🇸

Saint Joseph, Missouri, United States

Liberty Radiation Oncology Center

🇺🇸

Liberty, Missouri, United States

Saint Joseph Oncology Inc

🇺🇸

Saint Joseph, Missouri, United States

Washington University School of Medicine

🇺🇸

Saint Louis, Missouri, United States

Nebraska Cancer Research Center

🇺🇸

Lincoln, Nebraska, United States

Dartmouth Hitchcock Medical Center

🇺🇸

Lebanon, New Hampshire, United States

Roswell Park Cancer Institute

🇺🇸

Buffalo, New York, United States

NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center

🇺🇸

New York, New York, United States

Laura and Isaac Perlmutter Cancer Center at NYU Langone

🇺🇸

New York, New York, United States

Memorial Sloan Kettering Cancer Center

🇺🇸

New York, New York, United States

Carolinas Medical Center/Levine Cancer Institute

🇺🇸

Charlotte, North Carolina, United States

FirstHealth of the Carolinas-Moore Regional Hospital

🇺🇸

Pinehurst, North Carolina, United States

Aultman Health Foundation

🇺🇸

Canton, Ohio, United States

Case Western Reserve University

🇺🇸

Cleveland, Ohio, United States

Cleveland Clinic Cancer Center/Fairview Hospital

🇺🇸

Cleveland, Ohio, United States

Cleveland Clinic Foundation

🇺🇸

Cleveland, Ohio, United States

Ohio State University Comprehensive Cancer Center

🇺🇸

Columbus, Ohio, United States

UH Seidman Cancer Center at Lake Health Mentor Campus

🇺🇸

Mentor, Ohio, United States

Bryn Mawr Hospital

🇺🇸

Bryn Mawr, Pennsylvania, United States

Hillcrest Hospital Cancer Center

🇺🇸

Mayfield Heights, Ohio, United States

Oklahoma Cancer Specialists and Research Institute-Tulsa

🇺🇸

Tulsa, Oklahoma, United States

Lankenau Medical Center

🇺🇸

Wynnewood, Pennsylvania, United States

Paoli Memorial Hospital

🇺🇸

Paoli, Pennsylvania, United States

Main Line Health NCORP

🇺🇸

Wynnewood, Pennsylvania, United States

Sanford Cancer Center Oncology Clinic

🇺🇸

Sioux Falls, South Dakota, United States

Women and Infants Hospital

🇺🇸

Providence, Rhode Island, United States

Brooke Army Medical Center

🇺🇸

Fort Sam Houston, Texas, United States

Wilford Hall Medical Center

🇺🇸

Lackland Air Force Base, Texas, United States

University of Vermont Medical Center

🇺🇸

Burlington, Vermont, United States

University of Virginia Cancer Center

🇺🇸

Charlottesville, Virginia, United States

Carilion Clinic Gynecological Oncology

🇺🇸

Roanoke, Virginia, United States

Marshfield Clinic-Chippewa Center

🇺🇸

Chippewa Falls, Wisconsin, United States

Marshfield Clinic Cancer Center at Sacred Heart

🇺🇸

Eau Claire, Wisconsin, United States

Marshfield Clinic-Minocqua Center

🇺🇸

Minocqua, Wisconsin, United States

Marshfield Medical Center-Marshfield

🇺🇸

Marshfield, Wisconsin, United States

Marshfield Medical Center-Rice Lake

🇺🇸

Rice Lake, Wisconsin, United States

Marshfield Clinic - Weston Center

🇺🇸

Weston, Wisconsin, United States

Marshfield Clinic - Wisconsin Rapids Center

🇺🇸

Wisconsin Rapids, Wisconsin, United States

Hennepin County Medical Center

🇺🇸

Minneapolis, Minnesota, United States

University of Minnesota/Masonic Cancer Center

🇺🇸

Minneapolis, Minnesota, United States

Gynecologic Oncology Group of Arizona

🇺🇸

Phoenix, Arizona, United States

University of Alabama at Birmingham Cancer Center

🇺🇸

Birmingham, Alabama, United States

Wayne State University/Karmanos Cancer Institute

🇺🇸

Detroit, Michigan, United States

Mayo Clinic in Rochester

🇺🇸

Rochester, Minnesota, United States

University of Oklahoma Health Sciences Center

🇺🇸

Oklahoma City, Oklahoma, United States

Missouri Valley Cancer Consortium

🇺🇸

Omaha, Nebraska, United States

Creighton University Medical Center

🇺🇸

Omaha, Nebraska, United States

Nebraska Methodist Hospital

🇺🇸

Omaha, Nebraska, United States

Alegent Health Immanuel Medical Center

🇺🇸

Omaha, Nebraska, United States

Alegent Health Bergan Mercy Medical Center

🇺🇸

Omaha, Nebraska, United States

Lakeview Hospital

🇺🇸

Stillwater, Minnesota, United States

Allegiance Health

🇺🇸

Jackson, Michigan, United States

University of Colorado Hospital

🇺🇸

Aurora, Colorado, United States

Walter Reed National Military Medical Center

🇺🇸

Bethesda, Maryland, United States

National Institutes of Health Clinical Center

🇺🇸

Bethesda, Maryland, United States

Michigan Cancer Research Consortium NCORP

🇺🇸

Ann Arbor, Michigan, United States

Saint Joseph Mercy Hospital

🇺🇸

Ann Arbor, Michigan, United States

Yale University

🇺🇸

New Haven, Connecticut, United States

Saint Luke's Hospital of Kansas City

🇺🇸

Kansas City, Missouri, United States

Norton Hospital Pavilion and Medical Campus

🇺🇸

Louisville, Kentucky, United States

North Kansas City Hospital

🇺🇸

Kansas City, Missouri, United States

Heartland Hematology and Oncology Associates Incorporated

🇺🇸

Kansas City, Missouri, United States

Research Medical Center

🇺🇸

Kansas City, Missouri, United States

UNC Lineberger Comprehensive Cancer Center

🇺🇸

Chapel Hill, North Carolina, United States

Virginia Commonwealth University/Massey Cancer Center

🇺🇸

Richmond, Virginia, United States

Tripler Army Medical Center

🇺🇸

Honolulu, Hawaii, United States

University of New Mexico Cancer Center

🇺🇸

Albuquerque, New Mexico, United States

University of Wisconsin Hospital and Clinics

🇺🇸

Madison, Wisconsin, United States

Sanford USD Medical Center - Sioux Falls

🇺🇸

Sioux Falls, South Dakota, United States

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