An Exploratory Study of Detection of Endometrial and Ovarian Cancers in Vaginal Samples Retrieved by the Ellele Sampling Device
An exploratory study of early detection and investigation of gynaecological diseases
Throughout a woman's life, she may need tests that can feel uncomfortable, such as a smear test or a biopsy taken through the vagina. These tests are important for diagnosing and monitoring women's health. Detecting gynaecological cancers - like ovarian and endometrial cancer - can be difficult because symptoms are often vague, and current tests can be invasive and may require multiple hospital visits.
Ellele Health has developed a new medical device called the Ellele Sampling Device. This device is designed to gently collect a sample from the vaginal wall. Early studies have shown it can collect enough cells for laboratory analysis, with the potential to detect gynaecological conditions in a way that is less invasive and more comfortable than existing tests.
In this study, the investigators will use the Ellele Device to collect samples from both cancer patients and patients considered to be comparative controls. Taking part does not mean the patient has cancer or that the patient is being tested for cancer. The sample will only be used for research. The aim is to see whether this new device can pick up biological markers linked to endometrial and ovarian cancer and to assess how easy it is to use in a clinical setting. The findings could help improve early detection and reduce the need for more invasive procedures in the future.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Nagulendram
- Phone Number: 0131 536 1000
- Email: ovia.nagulendram@nhs.net
Study Contact Backup
- Name: Neil Ryan
- Phone Number: 0131 536 1000
- Email: neilryan@nhs.net
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- 18 years old or over at time of consent for study
- Be able to give voluntary, written informed consent to participate in the study
- Attending secondary gynaecology services
- Able to tolerate a vaginal speculum examination or a tampon
Exclusion Criteria:
- Vaginal, vulval or perineal symptoms make vaginal examination inappropriate
- History of allergic reactions to polypropylene and/or nylon and/or nitrile and/or barrier contraception
- Current pregnancy or suspicion of pregnancy
- Known Hepatitis B or C, HIV, HTLV-II or any other similarly classified human pathogen including prion diseases (Creutzfeldt-Jakob disease)
- Undergone pelvic radiotherapy within the last 6 weeks
- Undergone systemic chemotherapy, immunotherapy, or received a novel pharmaceutical agent for malignancy within the last 3 weeks
- Previously undergone hysterectomy or absence of a uterus
- Clinician-determined exclusion for medical or social reasons
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Ellele Sampling Device
|
Participants will undergo vaginal fluid sampling using the Ellele balloon sampling device
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Correlation between vaginal molecular biomarker levels and clinical diagnosis of endometrial or ovarian cancer
Time Frame: 18 months
|
For each participant, predefined molecular biomarkers will be measured from vaginal samples collected using the Ellele Sampling Device.
Biomarkers will be assessed quantitatively, including normalised read counts or variant allele frequency for genomic and transcriptomic biomarkers, methylation percentage at selected CpG loci for epigenomic biomarkers, protein concentration or relative abundance for proteomic biomarkers, and relative microbial abundance (%) and diversity indices for microbiome biomarkers.
Correlations between biomarker measures and clinical diagnosis of endometrial or ovarian cancer will be evaluated.
|
18 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Calculate DNA extraction QC pass/failure rates, as defined in Ellele-01, to verify technology compatibility across disease cohorts (e.g. ovarian cancer, endometrial cancer) and participants where no cancer has been identified
Time Frame: 18 months
|
18 months
|
|
|
By using laboratory and data QC metrics for each 'omic assessed (e.g transcriptomics, methylation analysis etc) to calculate pass/failure rates, for assessment of technology compatibility.
Time Frame: 18 months
|
18 months
|
|
|
Vaginal genomic biomarker variant allele frequency measured from samples collected using the Ellele Sampling Device
Time Frame: 18 months
|
Genomic biomarkers will be measured from vaginal samples collected using the Ellele Sampling Device using sequencing-based assays.
Outcomes will be reported as variant allele frequency (VAF) for predefined cancer-associated variants.
|
18 months
|
|
Vaginal DNA methylation percentage at predefined CpG loci measured from samples collected using the Ellele Sampling Device
Time Frame: 18 months
|
Epigenomic biomarkers will be measured from vaginal samples collected using the Ellele Sampling Device using DNA methylation assays.
Outcomes will be reported as methylation percentage (%) at predefined CpG loci.
|
18 months
|
|
Vaginal transcriptomic biomarker expression levels measured from samples collected using the Ellele Sampling Device
Time Frame: 18 months
|
Transcriptomic biomarkers will be measured from vaginal samples collected using the Ellele Sampling Device using RNA sequencing-based assays.
Outcomes will be reported as normalised gene expression values for predefined transcriptomic biomarkers.
|
18 months
|
|
Vaginal proteomic biomarker concentration or relative abundance measured from samples collected using the Ellele Sampling Device
Time Frame: 18 months
|
Proteomic biomarkers will be measured from vaginal samples collected using the Ellele Sampling Device using proteomic assays (e.g., multiplex protein panels or mass spectrometry-based methods).
Outcomes will be reported as protein concentration (e.g., ng/mL) or relative abundance for predefined protein biomarkers.
|
18 months
|
|
Vaginal microbiome relative abundance and diversity indices measured from samples collected using the Ellele Sampling Device
Time Frame: 18 months
|
Microbiome biomarkers will be measured from vaginal samples collected using the Ellele Sampling Device using sequencing-based microbiome profiling methods.
Outcomes will be reported as relative microbial abundance (%) of predefined taxa and microbiome diversity indices (e.g.
Shannon diversity index).
|
18 months
|
|
Use pairwise concordance analysis of 'omic signatures between vaginal mucus samples and appropriate available matched samples (e.g. ascitic fluid, tumour blocks) where feasible.
Time Frame: 18 months
|
18 months
|
|
|
Correlation between vaginal sample quality metrics and participant clinical characteristics
Time Frame: 18 months
|
Sample quality metrics will be assessed for vaginal samples collected using the Ellele Sampling Device.
Sample quality measures will include total nucleic acid yield (ng), nucleic acid integrity metrics (e.g., RNA integrity number or DNA fragment size), and sequencing library quality metrics (e.g., read depth and mapping rate).
Clinical characteristics will include participant age (years), body mass index (BMI, kg/m²), and disease stage as recorded in the medical record.
Correlations between sample quality metrics and clinical characteristics will be evaluated.
|
18 months
|
|
Correlation between vaginal sample quality metrics and sample collection and processing time variables
Time Frame: 18 months
|
Sample quality metrics will be assessed for vaginal samples collected using the Ellele Sampling Device.
Sample quality measures will include total nucleic acid yield (ng), nucleic acid integrity metrics (e.g., RNA integrity number or DNA fragment size), and sequencing library quality metrics (e.g., read depth and mapping rate).
Logistical variables will include time from sample collection to laboratory processing (hours) and time of day of sample collection (clock time).
Correlations between sample quality metrics and logistical variables will be evaluated.
|
18 months
|
|
Calculate enrolment metrics, including numbers of participants given a Patient information sheet, consented and retained.
Time Frame: 18 months
|
18 months
|
|
|
Acceptability of the Ellele Sampling Device measured using a Visual Analogue Scale measured after use (only on patients who are not undergoing the procedure during surgery).
Time Frame: 18 months
|
Acceptability of the Ellele Sampling Device will be assessed in participants who are not undergoing the sampling procedure during surgery.
Acceptability will be measured using a Visual Analogue Scale (VAS) ranging from 0 to 10, where 0 indicates "not painful at all" and 10 indicates "worst pain imaginable."
Higher scores indicate greater pain associated with use of the device.
The VAS will be completed by participants immediately after use of the device.
|
18 months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: James May, Royal Infirmary of Edinburgh
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Urogenital Diseases
- Genital Diseases
- Endocrine System Diseases
- Urogenital Neoplasms
- Neoplasms by Site
- Neoplasms
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Uterine Diseases
- Genital Diseases, Female
- Endocrine Gland Neoplasms
- Ovarian Diseases
- Adnexal Diseases
- Genital Neoplasms, Female
- Gonadal Disorders
- Uterine Neoplasms
- Ovarian Neoplasms
- Endometrial Neoplasms
Other Study ID Numbers
Other Study ID Numbers
- 349070
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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