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Gynecologic CancerG-AYANCT06594471

Comprehensive Assessment of Clinical Characteristics and Outcomes of Gemelli Adolescents and Young Adults

An observational study of Gynecologic Cancer, run by Fondazione Policlinico Universitario Agostino Gemelli IRCCS at 1 site in Italy.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

The Adolescent and Young Adults cancer population encompass patients diagnosed with oncological disease at the age of 15-39 years. Although 86% of these patients become long-term cancer survivors, studies have shown that these survival rates lag behind to those of younger and older patients. Read more about this study

Who is it for?
Ages 15 to 49 years, women only
Conditions the study is for
Gynecologic Cancer
What is being tested?
Questionnaire on late-term physical effects, Questionnaire on sexual and reproductive health outcomes and Questionnaire on psychological outcomes
Type of treatment
Pill or oral medicine
How many people
500 participants
Where
1 siteItaly
Study dates
9 Sep 2024to 31 Mar 2040
Phase
Observational
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 15 to 49 years
  • Women only
  • No healthy volunteers
  • Child, Adult

Study population: Patients will be included who are diagnosed with gynecological cancer of any tumor type at the age of 15-39 years and have been treated at the Fondazione Policlinico Universitario Agostino Gemelli IRCCS hospital in Rome, Italy.

Who may be able to join

  • Gynecological cancer types include but are not limited to the following:
  • Ovarian cancer - borderline tumors with invasive peritoneal implants, epithelial carcinoma (endometrioid, clear cell, high-grade serous, low-grade serous, mucinous, undifferentiated), germ cell tumor (dysgerminoma, immature teratomas, yolk sac tumors, embryonal carcinomas, carcinoid tumors), sex cord stromal tumor (gynandroblastoma, granulosa cell tumor, Sertoli-Leydig cell tumor, steroid cell tumor)
  • Cervical cancer - squamous cell carcinoma, adenocarcinoma, adenosquamous cell carcinoma, carcinoma in situ with stromal microinvasion (to be considered as microinvasive carcinoma), other
  • Endometrial cancer - endometrioid, papillary serous, clear cell, carcinosarcoma
  • Sarcoma - uterine sarcoma (incl. leiomyosarcoma, endometrial stromal sarcoma, adenosarcoma)
  • Gestational trophoblastic neoplasms - invasive mole, choriosarcoma, placental site trophoblastic tumor, epithelioid trophoblastic tumor, other
  • Vulvar-vaginal cancer - squamous cell carcinoma, M. Paget, other

Who cannot join

  • Mentally disabled or patients with significantly altered mental status that would prohibit understanding and giving informed consent
  • Patients who do not provide informed consent on data collection and storage for scientific purposes

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Italy1 site
  • Fondazione Policlinico Universitario A. Gemelli IRCCS, UOC GINECOLOGIA ONCOLOGICA

    Roma, 00168

    Giovanni Scambia, +3930155701, giovanni.scambia@policlinicogemelli.it

    Inge Peters, ingetheodoraanne.peters@guest.policlinicogemelli.it

Other trials in Italy

About this study

Official title: Comprehensive Assessment of Characteristics and Outcomes of Gemelli Adolescents and Young Adults Diagnosed With Gynecological Cancer

The Adolescent and Young Adults cancer population encompass patients diagnosed with oncological disease at the age of 15-39 years. Although 86% of these patients become long-term cancer survivors, studies have shown that these survival rates lag behind to those of younger and older patients. The underlying reason for this discrepancy is, however, yet poorly understood. Furthermore, these patients may be more often confronted with late effects due to their disease and/or anticancer treatment. Knowledge on Adolescent and Young Adults diagnosed with gynecological cancer at the Fondazione Policlinico Universitario Agostino Gemelli IRCCS hospital in Rome, Italy, is currently lacking and is needed to deliver these patients the best possible care, tailored to their disease characteristics and specific needs.

The primary objective of this monocenter observational study is to determine the number of Gemelli Adolescent and Young Adults diagnosed with gynecological cancer and their clinical characteristics. Secondary objectives will be to determine their oncological, late-term physical effects, sexual and reproductive health, psychological and social outcomes. Tertiary outcomes will be to compare the clinical characteristics and oncological outcomes of Gemelli Adolescents and Young Adults to patients beyond this age-specific cohort who have been treated during the same study period.

Read the detailed description

Clinical, diagnosis and treatment characteristics will be determined. In addition, oncological (e.g., disease-free and overall survival), late-term physical (e.g., cardiovascular, second primary tumor), sexual and reproductive health (e.g., body image, sexual functioning, fertility preservation, pregnancy rate, premature ovarian insufficiency), psychological (e.g., anxiety and depression) and social (e.g. (un)employment, financial toxicity) outcomes will be determined.

Being tested
Questionnaire on late-term physical effects, Questionnaire on sexual and reproductive health outcomes, Questionnaire on psychological outcomes, Questionnaire on social outcomes

What participants receive

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

  • Questionnaire on late-term physical effectsOther

    Patients will be asked to indicate any potential late-term physical effects following cancer treatment: neurocognitive, auditory, ocular, oral/dental, dermatologic, cardiovascular, pulmonary, gastro-intestinal, urinary tract, genital, endocrine/metabolic, musculoskeletal, neurological, immune disorders and occurrence of any subsequent malignant neoplasms.

  • Questionnaire on sexual and reproductive health outcomesOther

    Patients will be asked to complete the following questionnaires: Body Appreciation Scale-2 (BAS-2), Body Image Scale (BIS), EORTC QLQ-SH22, Body Image Scale in Gynecological Cancer (SABIS-G). Patients who underwent a fertility-sparing procedure will be asked to fill out the Reproductive Concerns after Cancer (RCAC) and Decision Regret Scale (DRS), whereas those who experienced iatrogenic menopause will complete the MENQOL questionnaire to assess menopause-related quality of life.

  • Questionnaire on psychological outcomesOther

    Patients will be asked to complete the following questionaires: EORTC QLQ-C30, Clinical outcomes in Routine Evaluation (CORE-OM), Ten Item Personality Inventory (TIPI), Hospital Anxiety and Depression Scale (HADS), General Self-Efficacy (GSE) Scale, Mini-Mental Adjustment to Cancer (Mini-MAC), Cancer Worry Scale (CWS), Multidimensional Scale of Perceived Social Support (MSPSS), the Patient Health Engagement scale and the Supportive Care Needs Survey-Short Form (SCNS-SF34).

  • Questionnaire on social outcomesOther

    Patients will be asked to complete the following questionaires: Medical Consumption Questionnaire (iMCQ), Productivity Cost Questionnaire (iPCQ) and the Comprehensive Score for Financial Toxicity - Functional Assessment of Chronic Illness Therapy (COST-FACIT) questionnaire.

What is being measured

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

  1. Clinical outcomes

    The number of Adolescents and Young Adults diagnosed with gynecological cancer who receive treatment at the Fondazione Policlinico Universitario Agostino Gemelli IRCCS hospital during a five-year period and their clinical characteristics, i.e., demographics, diagnosis, imaging, treatment and clinical trial participation.

    Measured: 10 years

Secondary outcomes (39)
  1. Survival outcomes

    Oncological outcomes, i.e., progression-free survival, disease-specific and overall survival

    Measured: 10 years

  2. Late-term physical effects - neurocognitive disorders

    Number of patients who developed neurocognitive disorders

    Measured: 10 years

  3. Late-term physical effects - auditory disorders

    Number of patients who developed auditory disorders

    Measured: 10 years

  4. Late-term physical effects - ocular disorders

    Number of patients who developed ocular disorders

    Measured: 10 years

  5. Late-term physical effects - oral/dental disorders

    Number of patients who developed oral/dental disorders

    Measured: 10 years

  6. Late-term physical effects - dermatological disorders

    Number of patients who developed dermatological disorders

    Measured: 10 years

  7. Late-term physical effects - cardiovascular disorders

    Number of patients who developed cardiovascular disorders

    Measured: 10 years

  8. Late-term physical effects - pulmonary disorders

    Number of patients who developed pulmonary disorders

    Measured: 10 years

  9. Late-term physical effects - gastro-intestinal disorders

    Number of patients who developed gastro-intestinal disorders

    Measured: 10 years

  10. Late-term physical effects - urinary tract disorders

    Number of patients who developed urinary tract disorders

    Measured: 10 years

  11. Late-term physical effects - genital disorders

    Number of patients who developed genital disorders

    Measured: 10 years

  12. Late-term physical effects - endocrine/metabolic disorders

    Number of patients who developed endocrine/metabolic disorders

    Measured: 10 years

  13. Late-term physical effects - musculoskeletal disorders

    Number of patients who developed musculoskeletal disorders

    Measured: 10 years

  14. Late-term physical effects - neurological disorders

    Number of patients who developed neurological disorders

    Measured: 10 years

  15. Late-term physical effects - immune disorders

    Number of patients who developed immune disorders

    Measured: 10 years

  16. Late-term physical effects - subsequent malignant neoplasms

    Number of patients who developed subsequent malignant neoplasms

    Measured: 10 years

  17. Sexual outcomes - Body Appreciation Scale-2

    The 10-item BAS-2 uses a 5-point Likert scale with responses ranging from 1 (never) to 5 (always) and has demonstrated positive ties between body appreciation and one's psychological well-being (e.g., self-esteem, optimism, positive affect, and negative links with body surveillance, body shame, and body dissatisfaction)

    Measured: 10 years

  18. Sexual outcomes - Sexual Adjustment and Body Image Scale in Gynecological cancer (SABIS-G)

    The Sexuality and Body Image Scale for women with Gynecological cancer (SABIS-G) consists of a 7-item measure with 3 items related to body image and 4 related to sexual adjustment. To score the SABIS-G each variable is scored from 1 to 5, with 5 as the best outcome. The body image subscale sum ranges from 3 to 15 and the sexual adjustment subscale sum ranges from 4 to 20.

    Measured: 10 years

  19. Sexual outcomes - Female Sexual Function Index (FSFI)

    The Female Sexual Function Index (FSFI) is a survey measuring the sexual functioning of women in six different domains: desire, arousal, lubrication, orgasm, satisfaction and pain over the past 30 days. Each domain is scored from 0 to 5 with 5 as the best outcome.

    Measured: 10 years

  20. Sexual outcomes - EORTC Sexual Health (SH-22) questionnaire

    The 22-item EORTC sexual health questionnaire developed to assess sexual health in male and female cancer patients and cancer survivors and ranges from 1 to 4 with 4 as the best outcome.

    Measured: 10 years

  21. Reproductive outcomes - fertility preservation

    Number of patients who underwent fertility preservation, number of pregnancies achieved, number of live births achieved

    Measured: 10 years

  22. Reproductive outcomes - Decision Regret Scale (DRS)

    The Decision Regret Scale (DRS) measures distress or 'remorse' after a health care decision and ranges from 1 to 5 with 5 as the worst outcome

    Measured: 10 years

  23. Reproductive outcomes - Reproductive Concerns After Cancer (RCAC) scale

    The Reproductive Concerns After Cancer (RCAC) scale is a multidimensional measure of possible reproductive concerns of women following cancer diagnosis and treatment, yielding six subscale scores: fertility potential, partner disclosure of fertility status, child's health, personal health, acceptance of possible infertility, and becoming pregnant. The scale ranges from 1 to 5 with 5 as the worst outcome.

    Measured: 10 years

  24. Reproductive outcomes - Iatrogenic menopause

    Type of treatments received related to iatrogenic menopause

    Measured: 10 years

  25. Reproductive outcomes - Menopause Quality of Life (MenQoL) questionnaire

    The extent of menopause-related disturbances patients experienced, ranging from 0 to 6 with 6 as the worst outcome.

    Measured: 10 years

  26. Psychological outcomes - EORTC-C30 general quality of life questionnaire

    This is a 30-item HRQoL questionnaire consisting of five functional scales (physical, role, cognitive, emotional, and social), a global quality-of-life scale, three symptom scales (fatigue, pain, nausea and vomiting) and a number of single items assessing common symptoms (dyspnea, loss of appetite, sleep disturbance, constipation, and diarrhea) and the perceived financial impact of the disease. It has 28 items ranging from 1 to 4 with 4 as the worst outcome and two items ranging from 0 to 7 with 7 as the best outcome.

    Measured: 10 years

  27. Psychological outcomes - Clinical outcomes in Routine Evaluation (CORE-OM)

    Clinical outcomes in Routine Evaluation (CORE-OM) is a 34-item evaluation covering four domains: wellbeing, problems, functioning and risk. The score ranges from 0 to 4 with 4 as the worst outcome.

    Measured: 10 years

  28. Psychological outcomes - Ten Item Personality Inventory (TIPI)

    Ten Item Personality Inventory (TIPI) is a 10-item measure of the Big-Five dimensions (extraversion, agreeableness, conscientiousness, emotional stability, openness).

    Measured: 10 years

  29. Psychological outcomes - Hospital Anxiety and Depression Scale (HADS)

    The Hospital Anxiety and Depression Scale (HADS) is a 14-item scale with 7 items each for assessing symptoms of anxiety and depression, each item ranging from 0 to 3. Summing up this items a final assesment is obtained: 0-7 = Normal, 8-10 = Borderline abnormal (borderline case),11-21 = Abnormal (case).

    Measured: 10 years

  30. Psychological outcomes - Distress thermometer

    The distress thermometer is one-item measure that assesses the level of distress patients have experienced in the preceding week and uses a 0-10 rating scale.

    Measured: 10 years

  31. Psychological outcomes - General Self-Efficacy (GSE) Scale

    The General Self-Efficacy (GSE) Scale consists of ten items to examine the patient's problem-solving abilities. The scale ranges from 1 to 4 with 4 as the best outcome.

    Measured: 10 years

  32. Psychological outcomes - Mini-Mental Adjustment to Cancer (Mini-MAC)

    The Mini-Mental Adjustment to Cancer (Mini-MAC) scale examines the patients' attitudes towards cancer using a 4-point Likert scale.

    Measured: 10 years

  33. Psychological outcomes - Cancer Worry Scale (CWS)

    The 8-item Cancer Worry Scale (CWS) assesses concerns regarding cancer diagnosis using a 4-point Likert scale with 4 as the worst outcome.

    Measured: 10 years

  34. Psychological outcomes - Multidimensional Scale of Perceived Social Support (MSPSS)

    The 12-item Multidimensional Scale of Perceived Social Support (MSPSS) examines to what extent the patient has received support from family members, relatives and friends, ranging from 1 to 7 with 7 as the best outcome.

    Measured: 10 years

  35. Psychological outcomes - Patient Health Engagement scale

    The 5-item Patient Health Engagement scale examines to what extent the patient is able to manage her disease ranging from 0-7 with 7 as the best outcome.

    Measured: 10 years

  36. Psychological outcomes - Supportive Care Needs Survey-Short Form (SCNS-SF34)

    The Supportive Care Needs Survey-Short Form (SCNS-SF34) is a 34-item, validated measure of cancer-specific perceived needs across five domains: psychological, health systems and information, physical and daily living, patient care and support, and sexuality. Patients rate their level of need for help in the past month, scale ranges from 1 (no need/not applicable) to 5 (high need).

    Measured: 10 years

  37. Social outcomes - Medical Consumption Questionnaire (iMCQ)

    Number of occurring contacts with health care providers and time off from work for doctors' visits.

    Measured: 10 years

  38. Social outcomes - Productivity Cost Questionnaire (iPCQ)

    Productivity Cost Questionnaire (iPCQ) will be used to evaluate the impact of disease on the productivity of a person

    Measured: 10 years

  39. Social outcomes - Comprehensive Score for Financial Toxicity - Functional Assessment of Chronic Illness Therapy (COST-FACIT) tool

    The Comprehensive Score for Financial Toxicity - Functional Assessment of Chronic Illness Therapy (COST-FACIT) tool represents a patient-reported outcome measure that describes the financial distress experienced by cancer patients using a 5-point Likert scale ranging from 0 to 4 with 4 as the worst outcome.

    Measured: 10 years

Timeline

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

  1. First posted19 Sep 2024
  2. Study start9 Sep 2024 (estimated)
  3. Primary completion30 Sep 2039 (estimated)
  4. Study completion31 Mar 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
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
500 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06594471
Sponsor's protocol ID
ID 6432
Acronym
G-AYA
Status last verified
Sep 2024
First submitted
5 Sep 2024
Last updated
19 Sep 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

An observational study of Gynecologic Cancer, run by Fondazione Policlinico Universitario Agostino Gemelli IRCCS at 1 site in Italy.

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 7 inclusion and 2 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: opening soon, as of the sponsor's last update on 19 Sep 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Italy. 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 Giovanni Scambia (+390630155701, giovanni.scambia@policlinicogemelli.it), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Clinical outcomes (time frame: 10 years). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 19 Sep 2024.

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