AzTrials
AzTrials

BRCA1 Gene MutationTUBA-WISP-IINCT04294927

TUBectomy With Delayed Oophorectomy in High Risk Women to Assess the Safety of Prevention

A study testing Risk-reducing salpingectomy with delayed oophorectomy and Risk-reducing salpingo-oophorectomy in people with BRCA1 Gene Mutation and BRCA2 Gene Mutation, run by University Medical Center Nijmegen at 66 sites in 16 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The aim of the project is to evaluate the risk-reducing salpingectomy with delayed oophorectomy as an alternative for risk-reducing salpingo-oophorectomy in high risk women with respect to ovarian cancer incidence. Read more about this study

Who is it for?
Ages 25 to 50 years, women only
What is being tested?
Risk-reducing salpingectomy with delayed oophorectomy and Risk-reducing salpingo-oophorectomy
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
3,000 participants
Where
66 sitesin 16 countries
Study dates
1 Mar 2020to 17 Feb 2040
Phase
Interventional
Are there results?
Not yet: the study is under way

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 25 to 50 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • Women with a class 5 (definitely pathogenic) BRCA1, BRCA2, RAD51C, RAD51D or BRIP1 germline mutation in one of the participating centers.
  • Age at inclusion;
  • BRCA1: 25-40 years
  • BRCA2: 25-45 years
  • RAD51C, RAD51D, BRIP1: 25-50 years
  • Childbearing completed
Show all 9Show fewer
  • Presence of at least one fallopian tube
  • Participants may have a personal history of non-ovarian malignancy
  • Informed consent must be obtained and documented according to national and local regulatory requirements and the local rules followed in the institution.

Who cannot join

  • Postmenopausal status (natural menopause or due to treatment)
  • Wish for second stage RRO within two years after RRS
  • Legally incapable
  • Prior bilateral salpingectomy
  • A personal history of ovarian, fallopian tube or peritoneal cancer
  • Current diagnosis or treatment for malignant disease

Trial locations and contacts

66 sites in 16 countries. Contact the study team or a site near you to ask about taking part.

Joanne A. de Hullu, MD, PhD contact

+31 (0) 24 36 16683

Joanne.deHullu@radboudumc.nl

Karen H. Lu, MD, PhD contact

(713) 745-8902

khlu@mdanderson.org

66 sites in 16 countries

Australia15 sites, 15 recruiting
  • Royal Adelaide Hospital

    Adelaide, South Australia, 5000

    Ngaire Latch, +61870740000, ngaire.latch@unimelb.edu.au

    Recruiting
  • St Andrew War Memorial Hospital

    Brisbane, Queensland, 4001

    Ngaire Latch, +61738344444, ngaire.latch@unimelb.edu.au

    Recruiting
  • Royal Brisbane Hospital

    Brisbane, Queensland, 4006

    Ngaire Latch, +61736468111, ngaire.latch@unimelb.edu.au

    Recruiting
  • Greenslopes Private Hospital

    Brisbane, Queensland, 4120

    Ngaire Latch, +61733947111, ngaire.latch@unimelb.edu.au

    Recruiting
  • The Mater Hospital

    Brisbane

    Ngaire Latch, +61394266666, ngaire.latch@unimelb.edu.au

    Recruiting
  • Frances Perry House

    Melbourne, Victoria, 3050

    Ngaire Latch, +61393445000, ngaire.latch@unimelb.edu.au

    Recruiting
  • Mercy Hospital

    Melbourne, Victoria, 3084

    Ngaire Latch, +61 3 8458 4444, ngaire.latch@unimelb.edu.au

    Recruiting
  • Monash Health

    Melbourne

    Martha Hickey

    Recruiting
  • Peter MacCallum Centre

    Melbourne

    Martha Hickey

    Recruiting
  • Royal Womens Hospital

    Melbourne

    Martha Hickey

    Recruiting
  • King Edward Memorial Hospital

    Perth, Western Australia, 6008

    Ngaire Latch, +61864582222, ngaire.latch@unimelb.edu.au

    Recruiting
  • Epworth Hospital

    Richmon, Victoria, 3121

    Ngaire Latch, +61394266666, ngaire.latch@unimelb.edu.au

    Recruiting
  • Western Health

    St Albans, Victoria, 3021

    Ngaire Latch, 03 8345 1333, ngaire.latch@unimelb.edu.au

    Recruiting
  • Chris O'Brien Lifehouse

    Sydney, New South Wales, 2050

    Ngaire Latch, +61285140000, ngaire.latch@unimelb.edu.au

    Recruiting
  • Westmead hospital

    Sydney, New South Wales, 2145

    Ngaire Latch, +61288905555, ngaire.latch@unimelb.edu.au

    Recruiting

Other trials in Australia

Netherlands15 sites, 15 recruiting
  • Amsterdam University Medical Center

    Amsterdam

    Luc van Lonkhuijzen, MD, PhD

    Recruiting
  • Antoni van Leeuwenhoek

    Amsterdam

    Teska Schuurman, MD, PhD

    Recruiting
  • Amphia

    Breda

    Janneke Hoogstad, MD, PhD

    Recruiting
  • Catharina Ziekenhuis

    Eindhoven, North Brabant, 5623 EJ

    Jurgen M.J. Piek, MD, PhD, jurgen.piek@catharinaziekenhuis.nl

    Recruiting
  • Medisch Spectrum Twente

    Enschede

    Nathalie Reesink-Peters, MD, PhD

    Recruiting
  • University Medical Center Groningen

    Groningen

    Marise Wagener, MD, PhD

    Recruiting
  • Medical Center Leeuwarden

    Leeuwarden

    Mirjam Apperloo, MD, PhD

    Recruiting
  • Leiden University Medical Center

    Leiden

    Katja Gaarenstroom, MD, PhD

    Recruiting
  • Maastricht University Medical Center

    Maastricht, Limburg

    Brigitte Slangen, MD, PhD

    Recruiting
  • Radboudumc

    Nijmegen, Gelderland

    Joanne A. de Hullu, MD, PhD, +31 (0) 24 36 16683, Joanne.deHullu@radboudumc.nl

    Recruiting
  • Erasmus Medical Center

    Rotterdam

    Eva Roes, MD, PhD

    Recruiting
  • Elisabeth-TweeSteden Ziekenhuis

    Tilburg, North Brabant

    Caroline Vos, MD

    Recruiting
  • University Medical Center Utrecht

    Utrecht

    Ronald Zweemer, Prof, MD, PhD

    Recruiting
  • Maxima Medical Center

    Veldhoven

    Sjors Coppus, MD, PhD

    Recruiting
  • Isala Klinieken

    Zwolle

    Arnold-Jan Kruse, MD, PhD

    Recruiting

Other trials in Netherlands

United States11 sites, 11 recruiting
  • Dana Farber Cancer Institute

    Boston, Massachusetts, 02215

    Karen Lu

    Recruiting
  • UChicago Medicine

    Chicago, Illinois, 60637

    Kathryn Mills

    Recruiting
  • Duke University Hospital

    Durham, North Carolina, 27705

    Haley Moss

    Recruiting
  • Harris Health Lyndon B. Johnson Hospital

    Houston, Texas, 77026

    Michaela Onstad-Grinsfelder

    Recruiting
  • MD Anderson Cancer Centre

    Houston, Texas, 77030-4009

    Karen Lu

    Recruiting
  • Mount Sinai Hospital

    New York, New York, 10029

    Stephanie Blank

    Recruiting
  • Memorial Sloan Kettering Cancer Center

    New York, New York, 10065

    Kara Long Roche

    Recruiting
  • Hospital of the University of Pennsylvania

    Philadelphia, Pennsylvania, 19104

    Sarah Kim

    Recruiting
  • Mayo Clinic

    Rochester, Minnesota, 55905

    Karen Lu

    Recruiting
  • University of Washington

    Seattle, Washington, 98195

    Elizabeth Swisher

    Recruiting
  • Washington University Medical Center

    St Louis, Missouri, 63110

    Andrea Hagemann

    Recruiting

Other trials in United States

Germany4 sites, 4 recruiting
  • Klinikum St. Marien Amberg

    Amberg

    Thomas Papathemelis

    Not yet recruiting
  • Evangelische Waldkrankenhaus Spandau Berlin

    Berlin-Spandau

    Katharina Carrizo

    Recruiting
  • Klinikum Lippe Detmold

    Detmold

    Beyhan Ataseven

    Not yet recruiting
  • Evang. Kliniken Essen-Mitte

    Essen

    Philipp Harter

    Recruiting

Other trials in Germany

Italy4 sites, 4 recruiting
  • Universita di Bologna

    Bologna

    Myriam Perrone

    Recruiting
  • Humanitas San Pio X

    Milan

    Fabio Martinelli

    Recruiting
  • San Gerardo Hospital

    Monza

    Robert Fruscio

    Recruiting
  • Gemelli Hospital

    Rome

    Claudia Marchetti

    Recruiting

Other trials in Italy

Poland4 sites, 4 recruiting
  • Gdynia Oncology Centre

    Gdynia

    Maciej Stukan

    Recruiting
  • Bonifraterskie Centrum Medyczne

    Katowice

    Monika Bodjys-Szyndlar

    Recruiting
  • Medical University of Silesia

    Katowice

    Krzysztof Nowosielski

    Recruiting
  • National Cancer Institute Warsaw

    Warsaw

    Agnieszka Rychlik

    Recruiting

Other trials in Poland

Norway3 sites, 2 recruiting
  • Akershus University Hospital

    Nordbyhagen

    Active, not recruiting
  • Oslo University Hospital

    Oslo

    Anne Dorum

    Recruiting
  • Stavanger Uniersity Hospital

    Stavanger

    Anne Dorum

    Recruiting

Other trials in Norway

Belgium2 sites, 2 recruiting
  • Hopital Universitaire Bruxelles

    Brussels

    Maxime Fastrez

    Recruiting
  • Universitair Ziekenhuis Leuven

    Leuven

    Susanne Housmans

    Recruiting

Other trials in Belgium

Austria1 site, 1 recruiting
  • Medical University of Graz

    Graz

    Karl Tamussino

    Recruiting

Other trials in Austria

Brazil1 site, 1 recruiting
  • AC Camargo Cancer Centre

    São Paulo

    Glauco Baiocchi

    Recruiting

Other trials in Brazil

Canada1 site, 1 recruiting
  • Vancouver General Hospital

    Vancouver

    Janice Kwon

    Recruiting

Other trials in Canada

Ireland1 site, 1 recruiting
  • Cork University Hospital

    Cork

    Zibi Marchoki

    Recruiting

Other trials in Ireland

Mexico1 site, 1 recruiting
  • Instituto Nacional de Cancerología

    Mexico City

    David Cantu

    Recruiting

Other trials in Mexico

Spain1 site, 1 recruiting
  • Vall D'Hebron Barcelona

    Barcelona

    Judith Balmana

    Recruiting

Other trials in Spain

Sweden1 site, 1 recruiting
  • Karolinksa Institutet

    Stockholm

    Angelique Flöter-Radestad

    Recruiting

Other trials in Sweden

Uruguay1 site, 1 recruiting
  • Hospital Británico

    Montevideo

    Santiago Scasso

    Recruiting

Other trials in Uruguay

About this study

Official title: TUBectomy With Delayed Oophorectomy as Alternative for Risk-reducing Salpingo-oophorectomy in High Risk Women to Assess the Safety of Prevention: TUBA-WISP II Study.

The aim of the project is to evaluate the risk-reducing salpingectomy with delayed oophorectomy as an alternative for risk-reducing salpingo-oophorectomy in high risk women with respect to ovarian cancer incidence.

Read the detailed description

In BRCA1/2 gene mutation carriers, a risk-reducing salpingo-oophorectomy (RRSO) is recommended around the age of 40. This recommendation is based on a 10-40% life-time risk of ovarian cancer in this population and disappointing results of ovarian cancer surveillance for early detection. Moreover, the mortality rate of ovarian cancer is high. Effects of RRSO are a decrease in ovarian cancer risk (80-96%) on one hand and immediate onset of menopause and non-cancer related morbidity on the other hand. The fifty percent breast cancer risk reduction after RRSO has become disputable in the last years. Based on multiple studies showing that most high-grade serous ovarian cancers develop at the distal end of the Fallopian tube, an innovative strategy for RRSO has been developed for this study proposal: risk-reducing salpingectomy (RRS) with delayed risk-reducing oophorectomy (RRO). However, the safety of this strategy has not been proven yet. Before implementing this innovative strategy as standard care we need to investigate the long term effects on ovarian cancer incidence.

Being tested
Risk-reducing salpingectomy with delayed oophorectomy, Risk-reducing salpingo-oophorectomy
Medical subject headings
Ovarian Neoplasms

What participants receive

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

  • Risk-reducing salpingectomy with delayed oophorectomyProcedure or surgery

    • BRCA1: RRS at age 25-40 and RRO at a maximum age of 45 (advised between 35 and 45).
    • BRCA2: RRS at age 25-45 and RRO at a maximum age of 50 (advised between age 40 and 50).
    • BRIP1, RAD51C, RAD51D: RRS at age 25-50 and RRO at a maximum age of 55 (advised between 45 and 55)
  • Risk-reducing salpingo-oophorectomyProcedure or surgery

    • BRCA1 at a maximum age of 40 (advised between age 35 and 40)
    • BRCA2 at a maximum age of 45 (advised between age 40 and 45)
    • BRIP1, RAD51C, RAD51D: at a maximum age of 50 (advised between 45 and 50)
Study groups in NCT04294927
Study groupRoleWhat they receive
Risk-reducing salpingectomy with delayed oophorectomyExperimentalRisk-reducing salpingectomy after the completion of childbearing with delayed oophorectomy.
Receives: Procedure: Risk-reducing salpingectomy with delayed oophorectomy
Risk-reducing salpingo-oophorectomyActive comparatorRisk-reducing salpingo-oophorectomy.
Receives: Procedure: Risk-reducing salpingo-oophorectomy

What is being measured

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

  1. High grade serous (ovarian) cancer incidence

    High grade serous (ovarian) cancer incidence

    Measured: Until the age of 45 for BRCA1 and 50 for BRCA2 germline mutation carriers

Secondary outcomes (5)
  1. Incidence of (pre)malignant findings in tubes/ovaries

    Incidence of (pre)malignant findings in tubes/ovaries at risk-reducing salpingectomy, oophorectomy and salpingo-oophorectomy.

    Measured: 6 weeks after each surgery

  2. Peri-operative morbidity and mortality

    Peri-operative morbidity and mortality

    Measured: 6 weeks after each surgery

  3. Incidence of pelvic cancer (other than ovarian cancer)

    Incidence of pelvic cancer (other than ovarian cancer)

    Measured: Up to the age of 70

  4. Incidence of breast cancer

    Incidence of breast cancer

    Measured: Up to the age of 70

  5. Uptake of risk reducing oophorectomy

    Uptake of risk reducing oophorectomy after risk reducing salpingectomy

    Measured: Up to the age of 70

Timeline

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

  1. First posted4 Mar 2020
  2. Study start1 Mar 2020
  3. Primary completion17 Feb 2040 (estimated)
  4. Study completion17 Feb 2040 (estimated)

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
3,000 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04294927
Sponsor's protocol ID
NL 70691.091.19
Acronym
TUBA-WISP-II
Status last verified
Oct 2025
First submitted
1 Mar 2020
Last updated
6 Apr 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Pennington KP, Pugh SL, Huh W, Walker JL, Jewell E, Havrilesky LJ, Carter J, Muller CY, Drapkin R, Lankes HA, Castellano T, Zamorano AS, Blank SV, Kachnic LA. Optimization of Timing for Risk-Reducing Salpingectomy and Oophorectomy. Obstet Gynecol. 2025 Jan 1;145(1):21-30. doi: 10.1097/AOG.0000000000005781. Epub 2024 Nov 7.

    PubMed 39509704
  • Steenbeek MP, van Bommel MHD, intHout J, Peterson CB, Simons M, Roes KCB, Kets M, Norquist BM, Swisher EM, Hermens RPMG; TUBA-WISP II consortium; Lu KH, de Hullu JA. TUBectomy with delayed oophorectomy as an alternative to risk-reducing salpingo-oophorectomy in high-risk women to assess the safety of prevention: the TUBA-WISP II study protocol. Int J Gynecol Cancer. 2023 Jun 5;33(6):982-987. doi: 10.1136/ijgc-2023-004377.

    PubMed 37045546

Questions about this trial

What is this clinical trial studying?

A study testing Risk-reducing salpingectomy with delayed oophorectomy and Risk-reducing salpingo-oophorectomy in people with BRCA1 Gene Mutation and BRCA2 Gene Mutation, run by University Medical Center Nijmegen at 66 sites in 16 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 6 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 66 sites in Australia, Netherlands, United States, Germany, Italy and 11 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Joanne A. de Hullu, MD, PhD (+31 (0) 24 36 16683, Joanne.deHullu@radboudumc.nl), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

High grade serous (ovarian) cancer incidence (time frame: Until the age of 45 for BRCA1 and 50 for BRCA2 germline mutation carriers). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04294927, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Apr 2026.

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