MedPath

The PROOF trial: PROtecting Ovaries and Fertility during chemotherapy

Not Applicable
Completed
Conditions
Fertility preservation in female oncology patients
Pregnancy and Childbirth
Fertility preservation
Registration Number
ISRCTN96797814
Lead Sponsor
Ottawa Hospital Research Institute (OHRI) (Canada) - formerly Ottawa Health Research Institute
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Female
Target Recruitment
30
Inclusion Criteria

Women who are:
1. Between ages 18 to 38
2. Who will be undergoing gonadotoxic (sterilising) curative/adjuvant chemotherapy for early stage disease; and
3. Have provided informed consent

All subjects will be enrolled from the Ottawa Hospital Regional Cancer Institute (OHRCC) and the Cancer Center of South Eastern Ontario at Kingston General Hospital (CCSEO).

Exclusion Criteria

Women who:
1. Have advanced stage disease and/or whose median survival is expected to be less than 6 months
2. Have cancer of the ovaries, uterus, or fallopian tubes
3. Have clinical or biochemical evidence of diminished ovarian reserve (recent shortening of cycles less than 24 days between menses, age greater than 38, elevated serum follicular stimulating hormone (FSH) greater than 15 IU/L, or low antral follicle count (AFC - number of follicles less than 10 mm on day 2 or 3 of natural menses) on baseline pelvic ultrasound (less than 5) or elevated day 2 or 3 estradiol (greater than 280 pmol/ml)
4. Have previously received chemotherapy or abdominal/pelvic radiation or have planned to receive abdomino/pelvic radiation
5. Are pregnant
6. Have contraindications to intramuscular injections; or
7. Have a history of fractures secondary to/or documented osteoporosis

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Protection against ovarian failure measured at 12 months post cessation of chemotherapy.
Secondary Outcome Measures
NameTimeMethod
<br> Sonographic (biophysical) and biochemical markers of ovarian reserve:<br> 1. Sonographic: pelvic ultrasound for ovarian volume and antral follicle count<br> 2. Biochemical markers: FSH, oestradiol (E2), progesterone, luteinising hormone (LH), Inhibin A & B<br><br> The hormonal and ultrasound assessments will be done at 0, 3, 6, 9 and 12 months, in both study arms, post cessation.<br>
© Copyright 2025. All Rights Reserved by MedPath