- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02677311
GnRHA Therapy and Ovarian Preservation in Pediatric Cancer Patient
Gonadotropin Releasing Hormone Agonist (GnRHa) Therapy and Ovarian Preservation in Pediatric and Adolescent Subject Receiving Chemoradiation Therap
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This study will not utilize a survey or questionnaire. Data will be collected via chart review and direct subject and/or guardian interviews.
Electronic medical records will be accessed only by approved clinical and research personnel to retrieve clinical and laboratory data.
At the initial visit, the following will be performed and collected on all subjects: Body Mass Index; age at thelarche; age at menarche; Tanner staging for breast and pubic hair; oncologic diagnosis; date of oncologic diagnosis; chemoradiation therapy treatment regimen; date of initiation of chemoradiation therapy; pre-treatment ovarian function blood tests; date GnRHa therapy initiated; a pelvic ultrasound will be performed to assess ovarian volumes and antral follicle count.
The subject will receive GnRHa 11.25 mg every 2 months until completion of chemotherapy, which is consistent with current clinical care at the University of Kentucky Medical Center (UKMC).
Study blood tests to evaluate ovarian function and pelvic ultrasound will be performed at three time points: immediately prior to initiation of GnRHa therapy and 6 and 12 months after chemoradiation therapy is completed.
The subject/guardian will be contacted by the study team at regular intervals to assess her progress and plan timing of study visits.
At subsequent visits, the investigator will record the date chemoradiation therapy treatment ended; date and reason GnRHa therapy discontinued; presence of breakthrough bleeding (BTB); timing of BTB in relation to most recent GnRHa injection. In order to document bleeding patterns, subjects will be asked to fill out the pictorial assessment of bleeding chart every month that they are in the study.
Six months after completion of chemoradiation therapy, the investigator will assess post-treatment ovarian function blood test levels and performed a pelvic U/S to assess ovarian volumes and antral follicle count. Investigator will as assess the resumption of spontaneous menses, parity, date of subject demise, if applicable.
Twelve months after completion of chemotherapy, we will assess post-treatment ovarian function blood test levels; and performed a pelvic U/S to assess ovarian volumes and antral follicle count. Investigator will as assess the resumption of spontaneous menses, parity, date of subject demise, if applicable.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Receiving chemoradiation therapy
- Documented ovarian function
- Require menstrual suppression with GnRHa during chemoradiation therapy
- Patients at the University of Kentucky, Norton Healthcare or Cincinnati Children's Hospital Medical Center
Exclusion Criteria:
- Under 8 years of age and older than 19 years of age
- Male
- Unable to provide consent or assent
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Other: Cases
Participants who will receive gonadotoxic chemoradiation therapies to include the alkylating agents, heavy metals and plant alkaloids as a standard part of their cancer treatment.
Participants will also receive the GnRHa for menstrual suppression as part of standard of care.
Baseline blood draws and pelvic ultrasound will be the intervention.
Repeat blood draws and pelvic ultrasound at 6 and 12 months will also be interventions.
|
Blood draws will be performed immediately prior to GnRHa treatment and at 6 and 12 months following treatment completion
Pelvic ultrasound will be performed immediately prior to GnRHa treatment and at 6 and 12 months following treatment completion
|
Other: Controls
Participants who will receive chemoradiation therapies presumed to be low risk for gonadotoxicity as determined by the literature and the patient's oncolologist as a standard part of their cancer treatment.
Participants will also receive the GnRHa for menstrual suppression as part of standard of care.
Baseline blood draws and pelvic ultrasound will be the intervention.
Repeat blood draws and pelvic ultrasound at 6 and 12 months will also be interventions.
|
Blood draws will be performed immediately prior to GnRHa treatment and at 6 and 12 months following treatment completion
Pelvic ultrasound will be performed immediately prior to GnRHa treatment and at 6 and 12 months following treatment completion
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Ovarian Reserve - AMH
Time Frame: 6 months post completion of chemotherapy
|
Assess AMH change from baseline to 6 months.
|
6 months post completion of chemotherapy
|
Ovarian Reserve - AMH
Time Frame: 12 months post completion of chemotherapy
|
Assess AMH change from baseline to 12 months.
|
12 months post completion of chemotherapy
|
Ovarian Reserve - Menstrual function
Time Frame: 12 months post completion of chemotherapy
|
Assess menstrual function change from baseline to 12 year.
|
12 months post completion of chemotherapy
|
Ovarian Reserve - FSH
Time Frame: 6 months post completion of chemotherapy
|
Assess FSH change from baseline to 6 months.
|
6 months post completion of chemotherapy
|
Ovarian Reserve - FSH
Time Frame: 12 months post completion of chemotherapy
|
Assess FSH change from baseline to 12 months.
|
12 months post completion of chemotherapy
|
Ovarian Reserve - Menstrual function
Time Frame: 6 months post completion of chemotherapy
|
Assess menstrual function change from baseline to 6 months.
|
6 months post completion of chemotherapy
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Ovarian Reserve - Agreement of AMH and AFC
Time Frame: Pre-GnRHa therapy, 6 months post and 12 post completion of chemotherapy
|
To assess the agreement of AMH (< or equal to 0.5 vs. > 0.5) and AFC (<16 follicles vs 16+ follicles) as indicators of ovarian reserve after chemoradiation and GnRHa therapy
|
Pre-GnRHa therapy, 6 months post and 12 post completion of chemotherapy
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- 15-0596-F2L
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
- UK IRB/Office of Research Integrity
- Law enforcement agencies when required by law
- University of Kentucky representatives
- UK Hospital
- ACOG
- Representatives of the National Cancer Institute (NCI), FDA, and other U.S. and international governmental regulatory agencies involved in overseeing research
- Authorized representatives at the University of Cincinnati who are collaborating on this research.
- Every research site of the study (including UK Healthcare and Cincinnati Children's and each site's research staff and medical staff)
- Every health care provider who provides services to you in connection with the study
- Any laboratories and other individuals and organizations that analyze your PHI in connection with the study
- The Sponsor and the people and companies they use to oversee, administer and/or conduct the study
- Kentucky Cancer Registry (KCR) to all follow-up assistance
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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