- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06566716
A Diagnostic Test to Evaluate Cancer Risk Before Surgery in Women with an Ovarian Mass
Validation of Ovarian Adnexal Mass Assessment Score Test System
Ovarian cancer is a serious health risk with the highest death rate among gynecological cancers. Unfortunately, it's only possible to definitively diagnose ovarian cancer after surgery, as there are no reliable tests to determine if an ovarian abnormality is cancerous or benign before surgery.
Cleo Diagnostics have developed a new test that uses five biomarkers in the blood to better differentiate between benign and malignant ovarian conditions. In initial studies, this test outperformed the current standard test, CA125, in identifying cancer.
This study aims to evaluate the effectiveness of the Cleo Diagnostics (CleoDX) Ovarian Adnexal Mass Score Test System. This test measures five analytes in the blood and provides a score indicating the likelihood of cancer in patients with an adnexal mass requiring surgery. The test is designed to assist doctors in making better-informed decisions about surgery and patient care by providing a more accurate pre-surgical assessment of cancer risk. By doing so, it aims to improve patient outcomes and ensure that those with malignant conditions receive the appropriate specialist care.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Contact
- Name: Trial Coordinator
- Phone Number: 1-855-264-4064
- Email: cleo_csp01001@lindushealth.com
Study Contact Backup
- Name: Assoc. Director of Operations Assoc. Director of Operations
- Phone Number: 1-855-264-4064
- Email: cleo_csp01001@lindushealth.com
Study Locations
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Arizona
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Chandler, Arizona, United States, 85224
- Recruiting
- New Horizons Clinical Trials
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Contact:
- Monte Swarup, MD
- Phone Number: 480 496-2236
- Email: Mswarup@womenshealthaz.com
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Florida
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Panama City, Florida, United States, 32405
- Recruiting
- Emerald Coast Clinical Research
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Contact:
- Samuel Wolf, DO
- Phone Number: 850-250-0194
- Email: swolfdo@gmail.com
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Nevada
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Las Vegas, Nevada, United States, 89106
- Recruiting
- Women's Cancer Center of Nevada
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Contact:
- Nicola M Spirtos
- Phone Number: 702 851 4672
- Email: nmspirtos@wccenter.com
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Tennessee
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Jackson, Tennessee, United States, 38305
- Recruiting
- The Jackson Clinic
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Contact:
- Daniel Fleming, DO
- Phone Number: 731-660-8396
- Email: dfleming@jacksonclinic.com
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Texas
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Houston, Texas, United States, 77008
- Recruiting
- Next Innovative Clinical Research
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Contact:
- Arturo Sandoval, MD
- Phone Number: 312-761-4244
- Email: Arturo.Sandoval@nexticr.com
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Lewisville, Texas, United States, 75067
- Recruiting
- Prime Clinical Research - Lewisville
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Contact:
- Munira Dudhbhai
- Phone Number: 817-907-7330
- Email: mdudhbhai@primeclinicalresearchinc.com
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Mesquite, Texas, United States, 75149
- Recruiting
- Vast Clinical Research-Holy Cross
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Contact:
- Maduka Odogwu, MD
- Phone Number: 469 862 3756
- Email: dr.odogwu@vastclinicalresearch.com
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Virginia
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Annandale, Virginia, United States, 22003
- Recruiting
- Virginia Women's Health Associates
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Contact:
- Camilla Hersh, MD
- Phone Number: 888-407-9881
- Email: chersh@smrdoctors.com
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- female patients => 18 years of age at the time of consent
- Can provide written informed consent
- Have an ovarian cyst or adnexal mass (simple, complex, or solid ovarian/pelvic mass) identified through imaging examination (e.g. transvaginal ultrasound - TVU) that requires surgery, but have not yet undergone this surgery
Exclusion Criteria:
- Any prior confirmed diagnosis of, or treatment for, ovarian cancer
- Any prior surgery resulting in removal of both ovaries
- Prior history of gynecological malignancy (within last 2 years)
- Prior history of melanoma (within last 2 years)
- Prior treatment (within 12 months of sample collection) with chemotherapy, radiotherapy or immunotherapy
- Immune-compromised. Definition: those whose weakened immune system may render them more susceptible to infection, illness, or complications. These may include patients with immune-suppressive conditions (e.g. HIV/AIDS), patients undergoing immuno-, chemo- or radio-therapy (within the last 12 months) for any reason, receiving immune suppressive therapies (e.g. transplant recipients, individuals with known autoimmune disease), or with a primary immunodeficiency disorder (e.g. Lupus).
- Pregnant currently or within the last 3 months based on participant self-report
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
|---|---|
|
Malignant
Patients with an adnexal mass that is surgically diagnosed as malignant
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A diagnostic test to assist in predicting risk of malignancy prior to surgery for patients with an adnexal mass.
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Non-Malignant
Patients with an adnexal mass that is surgically diagnosed as benign
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A diagnostic test to assist in predicting risk of malignancy prior to surgery for patients with an adnexal mass.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Calculation of the CleoDX adnexal mass score
Time Frame: Outcomes will be assessed during an analysis phase, which will commence after completion of patient recruitment and continue for up to 12 months or the end of the study period is reached (August 2026), whichever occurs first.
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Determine the Cleo Diagnostics (CleoDX) adnexal mass score in patients identified with an adnexal mass requiring surgery, but who have not yet undergone this surgery.
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Outcomes will be assessed during an analysis phase, which will commence after completion of patient recruitment and continue for up to 12 months or the end of the study period is reached (August 2026), whichever occurs first.
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Compare CleoDX adnexal mass score with pre- and post-surgical clinicopathologic information
Time Frame: Outcomes will be assessed during an analysis phase, which will commence after completion of patient recruitment and continue for up to 12 months or the end of the study period is reached (August 2026), whichever occurs first.
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Correlate post-surgical pathology findings with the CleoDX adnexal mass score, and evaluate the performance metrics (including sensitivity, specificity, Negative Predictive Value and Positive Predictive Value) of the CleoDX adnexal mass assessment scoring system.
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Outcomes will be assessed during an analysis phase, which will commence after completion of patient recruitment and continue for up to 12 months or the end of the study period is reached (August 2026), whichever occurs first.
|
|
Determine performance and accuracy of the CleoDX test against post-surgical pathology findings
Time Frame: Outcomes will be assessed during an analysis phase, which will commence after completion of patient recruitment and continue for up to 12 months or the end of the study period is reached (August 2026), whichever occurs first.
|
Correlate post-surgical pathology findings with the CleoDX adnexal mass score, and evaluate the performance metrics (including sensitivity, specificity, Negative Predictive Value and Positive Predictive Value) of the CleoDX adnexal mass assessment scoring system.
|
Outcomes will be assessed during an analysis phase, which will commence after completion of patient recruitment and continue for up to 12 months or the end of the study period is reached (August 2026), whichever occurs first.
|
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Identify rate of accurately predicted diagnoses by CleoDX compared to that of standard clinical workflow
Time Frame: Outcomes will be assessed during an analysis phase, which will commence after completion of patient recruitment and continue for up to 12 months or the end of the study period is reached (August 2026), whichever occurs first.
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Demonstrate superiority of the CleoDX adnexal mass scoring system compared to standard clinical workflows including CA125 and Risk of Malignancy Index (RMI) measurements.
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Outcomes will be assessed during an analysis phase, which will commence after completion of patient recruitment and continue for up to 12 months or the end of the study period is reached (August 2026), whichever occurs first.
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Study Director: Chief Scientific Officer, Cleo Diagnostics Ltd
Publications and helpful links
General Publications
- Stephens AN, Hobbs SJ, Kang SW, Bilandzic M, Rainczuk A, Oehler MK, Jobling TW, Plebanski M, Allman R. A Novel Predictive Multi-Marker Test for the Pre-Surgical Identification of Ovarian Cancer. Cancers (Basel). 2023 Nov 2;15(21):5267. doi: 10.3390/cancers15215267.
- Stephens AN, Hobbs SJ, Kang SW, Oehler MK, Jobling TW, Allman R. Utility of a Multi-Marker Panel with Ultrasound for Enhanced Classification of Adnexal Mass. Cancers (Basel). 2024 May 28;16(11):2048. doi: 10.3390/cancers16112048.
- Stephens AN, Hobbs SJ, Kang SW, Oehler MK, Jobling TW, Allman R. ReClassification of Patients with Ambiguous CA125 for Optimised Pre-Surgical Triage. Diagnostics (Basel). 2024 Mar 22;14(7):671. doi: 10.3390/diagnostics14070671.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
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
- Genital Diseases, Female
- Endocrine Gland Neoplasms
- Ovarian Diseases
- Adnexal Diseases
- Genital Neoplasms, Female
- Gonadal Disorders
- Ovarian Neoplasms
Other Study ID Numbers
- CSP-01-001
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
product manufactured in and exported from the U.S.
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.
Clinical Trials on Ovarian Neoplasms
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Roswell Park Cancer InstituteCompletedFallopian Tube Carcinoma | Primary Peritoneal Carcinoma | Stage IIA Ovarian Cancer | Stage IIB Ovarian Cancer | Stage IIC Ovarian Cancer | Stage IIIA Ovarian Cancer | Stage IIIB Ovarian Cancer | Stage IIIC Ovarian Cancer | Stage IV Ovarian Cancer | Stage IA Ovarian Cancer | Stage IB Ovarian Cancer | Stage IC... and other conditionsUnited States
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Barbara Ann Karmanos Cancer InstituteNational Cancer Institute (NCI)CompletedRecurrent Ovarian Carcinoma | Ovarian Neoplasm | Ovarian Clear Cell Tumor | Adnexal Mass | Ovarian Endometrioid Tumor | Ovarian Serous Tumor | Borderline Ovarian Epithelial TumorUnited States
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Centre Leon BerardCancer Côte d'or registry; Cancer Calvados registryUnknownOvarian Epithelial CancerFrance
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Gynecologic Oncology GroupNational Cancer Institute (NCI)RecruitingStage IIIA Ovarian Cancer | Stage IIIB Ovarian Cancer | Stage IIIC Ovarian Cancer | Stage IV Ovarian CancerUnited States
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Health Science Center of Xi'an Jiaotong UniversityRecruitingOvarian Cancer | Cancer of the Ovary | Ovarian Neoplasm | Ovary Cancer | Neoplasms, Ovarian | Ovary Neoplasms | Ovary Neoplasm | Cancer of Ovary | Cancer, Ovarian | Ovarian Cancers | Neoplasm, Ovarian | Neoplasm, Ovary | Neoplasms, Ovary | Cancer, Ovarian Stromal | Cancers, Ovary | Ovary Cancers | Cancers, OvarianChina
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City of Hope Medical CenterNational Cancer Institute (NCI)CompletedCancer Survivor | Stage IIIA Ovarian Epithelial Cancer | Stage IIIB Ovarian Epithelial Cancer | Stage IIIC Ovarian Epithelial Cancer | Stage IIA Ovarian Epithelial Cancer | Stage IIB Ovarian Epithelial Cancer | Stage IIC Ovarian Epithelial Cancer | Stage IA Ovarian Epithelial Cancer | Stage IB Ovarian... and other conditionsUnited States
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University of WashingtonNational Cancer Institute (NCI)CompletedCaregiver | Stage IIIA Ovarian Cancer | Stage IIIB Ovarian Cancer | Stage IIIC Ovarian Cancer | Stage IV Ovarian CancerUnited States
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Memorial Sloan Kettering Cancer CenterNational Institutes of Health (NIH)RecruitingOvarian Cancer | Epithelial Ovarian Cancer | Serous Ovarian TumorUnited States
Clinical Trials on CleoDX ovarian cancer test
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Azienda Ospedaliera San Giovanni BattistaHumanitas Hospital, ItalyUnknown
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Tongji HospitalThe Affiliated Hospital of Qingdao University; The First Affiliated Hospital... and other collaboratorsNot yet recruitingOvarian Neoplasms | Ovarian Cancer | Early Detection of CancerChina
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Peking Union Medical College HospitalNot yet recruitingEndometriosis | Endometriosis-Associated Ovarian CarcinomaChina
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University of UdineRecruitingOvarian Cancer Stage IV | Ovarian Cancer Stage IIIItaly
-
Azienda Ospedaliera di PadovaUniversity of PadovaRecruiting
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Lei LiUnknownOvarian High Grade Serous Carcinoma | Immune Repertoire | T Lymphocyte Receptor | B Lymphocyte ReceptorChina
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Centre Leon BerardCancer Côte d'or registry; Cancer Calvados registryUnknownOvarian Epithelial CancerFrance
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Stiftung Swiss Tumor InstituteKlinik Hirslanden, Zurich; Manja Gideon FoundationTerminatedOvarian Neoplasms | Patient Reported Outcome MeasuresSwitzerland
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IRCCS Azienda Ospedaliero-Universitaria di BolognaRecruiting
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Pharmicell Co., Ltd.TerminatedOvarian CancerKorea, Republic of