DISCOVAR: Diffusion-weighted Imaging Study in Cancer of the Ovary
Study Details
Study Description
Brief Summary
This project seeks to develop a quantitative imaging biomarker for evaluating and monitoring treatment response in ovarian cancer metastases and assess its potential in monitoring treatment response. This will involve standardising DW-MRI for the abdomen and pelvis across multiple centres and platforms, assessing reproducibility of the measurement in patients planned for neoadjuvant chemotherapy and assessing its utility as an early response biomarker in patients with platinum-sensitive relapse due to receive therapy with carboplatin. Scanning measurements will be correlated with histopathological markers in tumour samples in order to link the biomarker with response mechanisms.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Biological validation cohort 1
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Response assessment cohort 2
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Outcome Measures
Primary Outcome Measures
- Development of a Quantitative Imaging Biomarker for Evaluating Ovarian Cancer Metastases and Assessment of its Potential in Monitoring Treatment Response. [4.0 years]
Diffusion-weighted magnetic resonance imaging (DW-MRI) for visualising peritoneal metastases will be developed.Reproducibility will be assessed in a multi-centre setting across multiple vendor platforms and field strengths by comparing 2 baseline scans per person and plotting absolute difference in ADC against mean of the 2 measurements.Biological validation will be achieved by correlating scan data (ADC change) following chemotherapy with histology of the tumour(amount of cell death) at surgery.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Histologically confirmed ovarian, primary peritoneal or fallopian tube cancer stage III or IV
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Scheduled to receive neoadjuvant chemotherapy (carboplatin/cisplatin)with planned debulking surgery.
Exclusion Criteria:
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Life expectancy of less than 6 months
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MRI contraindications
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Low grade or heavily calcified disease
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Addenbrookes Hospital, Cambridge University Hospitals NHS Foundation Trust | Cambridge | Cambridgeshire | United Kingdom | CB2 0QQ |
2 | Queen Elizabeth Hospital | Newcastle | Gateshead | United Kingdom | NE9 6SX |
3 | Mount Vernon Cancer Centre | Northwood | Middlesex | United Kingdom | HA6 2RN |
4 | The Institute of Cancer Research and Royal Marsden NHS Foundation Trust | Sutton | Surrey | United Kingdom | SM2 5PT |
5 | Singleton Hospital | Swansea | Wales | United Kingdom | SA2 8QA |
6 | Imperial College Healthcare NHS Trust | London | United Kingdom | W6 8RF |
Sponsors and Collaborators
- Institute of Cancer Research, United Kingdom
- Cancer Research UK
- Royal Marsden NHS Foundation Trust
- Cambridge University Hospitals NHS Foundation Trust
- Imperial College Healthcare NHS Trust
- Northumbria Healthcare NHS Foundation Trust
- East and North Hertfordshire NHS Trust
Investigators
- Principal Investigator: Nandita deSouza, Professor, ICR
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 11/LO/1598 CCR3694
- C1353/A12762