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LeukemiaNCT00402935

Ovarian Damage in Young Premenopausal Women Undergoing Chemotherapy for Cancer

An observational study of Leukemia and Long-term Effects Secondary to Cancer Therapy in Adults, run by Case Comprehensive Cancer Center at 1 site in United States.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record

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Trial summary

RATIONALE: Comparing results of diagnostic procedures, such as ultrasound, done before, during, and after chemotherapy may help doctors learn about the side effects of chemotherapy and help plan the best treatment. Read more about this study

Who is it for?
Ages 14 to 35 years, women only
What is being tested?
laboratory biomarker analysis, fertility assessment and management and management of therapy complications
Type of treatment
Surgery or procedure
How many people
0 participants
Where
1 siteUnited States
Study dates
Feb 2004to May 2007
Phase
Observational

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 14 to 35 years
  • Women only
  • No healthy volunteers
  • Child, Adult

Study population: premenopausal women undergoing chemotherapy for cancer

DISEASE CHARACTERISTICS:

  • Diagnosis of cancer, including, but not limited to, any of the following:
  • Acute lymphocytic leukemia
  • Acute myeloid leukemia
  • Hodgkin's lymphoma
  • Must have primary disease with significant chance for long-term survival after therapy
  • Scheduled to receive chemotherapeutic agents known to be associated with ovarian failure, including any of the following:
  • Cyclophosphamide
  • Mechlorethamine hydrochloride
  • Busulfan
  • Procarbazine hydrochloride
  • Chlorambucil
  • Melphalan
  • Ifosfamide
  • Cisplatin
  • Carboplatin
  • Postmenarchal and premenopausal

PATIENT CHARACTERISTICS:

  • Female
  • Weight ≤ 250 pounds
  • Not pregnant

PRIOR CONCURRENT THERAPY:

  • No prior or concurrent total-body irradiation or radiotherapy to the pelvis
  • Concurrent bone marrow transplantation allowed
  • Concurrent oral contraception and/or gonadotropin releasing-hormone analogue allowed

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Ireland Cancer Center at University Hospitals Case Medical Center, Case Comprehensive Cancer Center

    Cleveland, Ohio, 44106

Other trials in United States

About this study

Official title: Effects of Cytotoxic Chemotherapy on Ovarian Structure and Function

RATIONALE: Comparing results of diagnostic procedures, such as ultrasound, done before, during, and after chemotherapy may help doctors learn about the side effects of chemotherapy and help plan the best treatment.

PURPOSE: This clinical trial is studying ovarian damage in young premenopausal women undergoing chemotherapy for cancer.

Read the detailed description

OBJECTIVES:

  • Determine the incidence and timing of ovarian dysfunction/damage in younger premenopausal women undergoing cytotoxic chemotherapy for cancer.
  • Determine the feasibility of a prospective, randomized study to assess if gonadotropin analogues can protect the ovary from the cytotoxic effects of chemotherapy.
  • Determine the number of patients required for adequate power to test the hypothesis.

OUTLINE: This is a pilot, prospective study.

Patients undergo a transvaginal or transabdominal ultrasound to measure the ovarian volume and count the number of antral follicles at baseline, 3 months after beginning cytotoxic chemotherapy, and at 6 months after completion of treatment. Patients undergo blood collection at the same time points for follicle-stimulating hormone, estradiol, and inhibin B levels. Patients are also asked to fill out questionnaires on estrogen-depletion symptoms at those times. Patients also keep a calendar of menstrual bleeding and hormonal medications.

PROJECTED ACCRUAL: A total of 22 patients will be accrued for this study.

Being tested
laboratory biomarker analysis, fertility assessment and management, management of therapy complications, ultrasound imaging
Keywords
long-term effects secondary to cancer therapy in adults, long-term effects secondary to cancer therapy in children, sexual dysfunction and infertility, sexuality and reproductive issues, adult acute lymphoblastic leukemia in remission, childhood acute lymphoblastic leukemia in remission, recurrent adult acute lymphoblastic leukemia, recurrent childhood acute lymphoblastic leukemia, untreated adult acute lymphoblastic leukemia, untreated childhood acute lymphoblastic leukemia, adult acute myeloid leukemia in remission, recurrent adult acute myeloid leukemia, recurrent childhood acute myeloid leukemia, untreated adult acute myeloid leukemia, untreated childhood acute myeloid leukemia and other myeloid malignancies, secondary acute myeloid leukemia, stage I adult Hodgkin lymphoma, stage I childhood Hodgkin lymphoma, stage II adult Hodgkin lymphoma, stage II childhood Hodgkin lymphoma
Medical subject headings
Leukemia, Lymphoma, Sexual Dysfunction, Physiological, Infertility, Sexuality, Precursor Cell Lymphoblastic Leukemia-Lymphoma, Leukemia, Myeloid, Acute, Hodgkin Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • laboratory biomarker analysisOther

    Patients undergo blood collection at the same time points for follicle-stimulating hormone, estradiol, and inhibin B levels.

  • fertility assessment and managementProcedure or surgery

    Patients undergo a transvaginal or transabdominal ultrasound to measure the ovarian volume and count the number of antral follicles.

  • management of therapy complicationsProcedure or surgery

    Patients are also asked to fill out questionnaires on estrogen-depletion symptoms at those times. Patients also keep a calendar of menstrual bleeding and hormonal medications.

  • ultrasound imagingProcedure or surgery

    Patients undergo a transvaginal or transabdominal ultrasound to measure the ovarian volume and count the number of antral follicles.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Incidence of ovarian damage after cytotoxic chemotherapy as determined by changes in ovarian volume, antral follicle count, and follicle-stimulating hormone, estradiol, and inhibin B levels

    Measured: Ultrasound to measure the ovarian volume and count the number of antral follicles at baseline, 3 months after beginning cytotoxic chemotherapy, and at 6 months after completion of treatment. Patients undergo blood collection at the same time points.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Nov 2006 (estimated)
  2. Study startFeb 2004
  3. Study completionMay 2007

Why it stopped: slow accrual

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00402935
Sponsor's protocol ID
CWRU3803
Other IDs
P30CA043703, CASE-CWRU-3803, CASE-01-04-15
Status last verified
Mar 2012
First submitted
21 Nov 2006
Last updated
20 Mar 2012
Results posted
No
Data monitoring committee
Yes

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