AzTrials
AzTrials

Leiomyoma, UterineMYOSARCIINCT04935333

Accuracy of the Preoperative Molecular Diagnosis of Uterine Tumors by Liquid Biopsy

An observational study of Leiomyoma, Uterine and Leiomyosarcoma Uterus, run by Igenomix at 21 sites in Spain.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
Search all trials

Trial summary

The development of precise and non-invasive diagnostic methods is a priority in areas such as gynaecology and oncology, and above all in improving the health of those patients with a surgical indication for hysterectomy, laparoscopic or laparotomic myomectomy for diagnosis of uterine tumours. Read more about this study

Who is it for?
Ages 18 to 80 years, women onlyHealthy volunteers can take part
Conditions the study is for
Leiomyoma, Uterine, Leiomyosarcoma Uterus
What is being tested?
Collection of Leiomyoma samples and Collection of Leiomyosarcoma samples
Type of treatment
Surgery or procedure
How many people
600 participants
Where
21 sitesSpain
Study dates
Sep 2021to May 2023
Phase
Observational
Are there results?
None posted in the registry

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 18 to 80 years
  • Women only
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: Women between 18 and 80 years old and with a body mass index (BMI) of 18.5-40.0 kg / m2, with suspected myometrial tumour (leiomyoma / leiomyosarcoma) based on clinical symptoms and imaging diagnosis, will be evaluated in their referral centre, verifying that they meet the inclusion / exclusion criteria to participate in the study. Women with the same age and BMI but without a uterine tumour will be used as control patients.

Who may be able to join

  • Patients who voluntarily sign the informed consent approved by the Research Ethics Committee (CEI) after having been duly informed of the nature of the study, before carrying out any test related to it, knowing the potential risks, benefits and discomforts derived from their participation. Participants should be informed that they may leave the study at any time, without this entailing any consequence for their subsequent medical care.
  • BMI = 18.5-40 kg / m2
  • Age = 18-80 years
  • Surgical indication according to usual clinical practice, due to suspicion of a tumour mass in the uterus, either primary (stages I-IV) or recurrence, but without prior chemotherapy or radiotherapy (at the time of primary diagnosis or prior to recurrence) .
  • Note: Control patients will have the same inclusion criteria for BMI and age but without uterine tumour pathology.

Who cannot join

  • Patients who have participated in a clinical trial during the last 30 days unless it is approved by the sponsor as it does not interfere with the current study.
  • Patients who have received chemotherapy or radiotherapy before taking the sample (in case of recurrence).
  • Pregnant patients before or during the duration of the study.
  • Existence of serious or uncontrolled bacterial, fungal, or viral infections (type HPV, HIV, hepatitis) that, in the opinion of the principal investigator, could interfere with the participation of the patient in the study or in the evaluation of the study results.
  • Any disease or medical condition that is unstable or may jeopardize patient safety and compliance in the study. For example: patients with an active history of other malignant tumours.
  • Psychological, family, sociological or geographical situations that do not allow compliance with the protocol or the signing of informed consent.
  • Patients vaccinated with mRNA vaccines in the week before surgery.
  • Note: Control patients will have the same exclusion criteria as patients with tumour pathology

Trial locations and contacts

21 sites in 1 country.

Carlos Gómez, BSc, MSc contact

+34 963905310

carlos.gomez@igenomix.com

21 sites in 1 country

Spain21 sites, 21 recruiting
  • Hospital General de Alicante

    Alicante

    Maria José Román, MD, +34 965 93 30 00, mjromangine@gmail.com

    Not yet recruiting
  • Hospital Clinic de Barcelona

    Barcelona

    Berta Díaz, MD, +34 932 27 54 00, bertadiazfeijoo@gmail.com

    Recruiting
  • Hospital del Mar Parc Salut

    Barcelona

    Gemma Mancebo, MD, +34 932 48 30 00, gemmamancebom@gmail.com

    Not yet recruiting
  • Complejo Hospitalario de Cartagena

    Cartagena, Murcia

    Sebastián Ortiz, MD, +34 968 12 86 00, sortizreina@yahoo.es

    Not yet recruiting
  • Hospital Universitario de Getafe

    Getafe, Madrid

    Belén Martín, MD, +34 916 83 93 60, belenmsalamanca@yahoo.com

    Not yet recruiting
  • Hospital Universitari de Bellvitge

    L'Hospitalet de Llobregat, Barcelona

    Jose Manuel Martínez, MD, +34 932 60 75 00, jmartinezgar@bellvitgehospital.cat

    Sergi Fernández, MD, +34 932 60 75 00, sergi.sfg@gmail.com

    Not yet recruiting
  • Complejo Hospitalario Universitario Insular de Las Palmas

    Las Palmas de Gran Canaria, Las Palmas

    Miguel Andújar, MD, +34 928 44 40 00, mandsan@gobiernodecanarias.org

    Octavio Arencibia, MD, +34 928 44 40 00, octavaren@hotmail.com

    Not yet recruiting
  • Hospital Universitario de León

    León

    Tatiana Cuesta, MD, +34 987 23 74 00, tguardio@hotmail.com

    Not yet recruiting
  • Hospital MD Anderson Cancer Center Madrid

    Madrid

    Javier De Santiago, MD, +34 912 77 72 20, jsantiagog@hotmail.es

    Not yet recruiting
  • Hospital Quirón Madrid

    Madrid

    Sara Iacoponi, MD, +34 914 52 19 00, saraiacoponi@hotmail.com

    Not yet recruiting
  • Hospital Universitario 12 de Octubre de Madrid

    Madrid

    Blanca Gil, MD, +34 913 90 80 00, blancalabacin@hotmail.com

    Alvaro Tejerizo, MD, +34 913 90 80 00, tejerizo@hotmail.com

    Not yet recruiting
  • Hospital Universitario Puerta de Hierro Majadahonda

    Majadahonda, Madrid

    Tirso Pérez, MD, +34 911 91 60 00, tirsoperezmedina@gmail.com

    Augusto Pereira, MD, +34 911 91 60 00, augusto.pereira@salud.madrid.org

    Not yet recruiting
  • Hospital Regional Universitario de Málaga

    Málaga

    Jesús Jimenez, MD, +34 951 29 00 00, jjimenezme35426@hotmail.com

    Not yet recruiting
  • Hospital Clínico Universitario Virgen de la Arrixaca de Murcia

    Murcia

    Aníbal Nieto, MD, +34 968 36 95 00, anibal.nieto@um.es

    Recruiting
  • Hospital Universitario de Son LLàtzer de Mallorca

    Palma de Mallorca, Balearic Islands

    Albert Reyes, MD, +34 871 20 20 00, areyes1@hsll.es

    Cristina Martínez, MD, +34 871 20 20 00, mcmartinez@hsll.es

    Not yet recruiting
  • Complejo Hospitalario de Navarra

    Pamplona, Navarre

    Juan Carlos Muruzabal, MD, +34 848 42 22 22 ext. 59958, jc.muruzabal.torquemada@navarra.es

    Not yet recruiting
  • Hospital Virgen de la Macarena

    Seville

    Francisco Márquez, MD, +34 955 00 80 00, fmarquezma@gmail.com

    Not yet recruiting
  • Hospital Virgen de la Salud de Toledo

    Toledo

    Sara Rojas, MD, +34 925 26 61 00, sararjsrz@gmail.com

    Recruiting
  • Hospital Clínico Universitario de Valencia

    Valencia

    Aymara Mas, PhD, +34 961 97 35 00, amas@incliva.es

    Octavio Burgues, MD, +34 961 97 35 00, octavioburgues@gmail.com

    Not yet recruiting
  • Hospital General Universitario de Valencia

    Valencia

    Juan Gilabert, MD, +34 963 13 18 00, juangilaeste@yahoo.es

    Kristina Aghababyan, MD, +34 963 13 18 00, dra.kristina.agababyan@gmail.com

    Not yet recruiting
  • Hospital Universitario y Politécnico La Fe de Valencia

    Valencia

    Santiago Domingo, MD, +34 961 24 43 50, santiago.domingo.delpozo@gmail.com

    Javier Monleón, MD, +34 961 24 43 50, monlesancho@gmail.com

    Recruiting

Other trials in Spain

About this study

Official title: Prospective, Observational and Multicenter Case-control Study to Evaluate the Precision of the Preoperative Molecular Diagnosis of Uterine Tumors by Liquid Biopsy

The development of precise and non-invasive diagnostic methods is a priority in areas such as gynaecology and oncology, and above all in improving the health of those patients with a surgical indication for hysterectomy, laparoscopic or laparotomic myomectomy for diagnosis of uterine tumours. Indeed, in the absence of an accurate and objective preoperative diagnostic option, all patients with suspected benign tumours should be considered at risk for occult leiomyosarcoma.

Recently, the concept of "liquid biopsy" has emerged as a minimally invasive alternative to surgical biopsies for solid tumours with highly recurrent mutations, avoiding the sampling of tumour tissue before and after treatment. Generally, the liquid biopsy is obtained by taking a sample of blood or other body fluids, to provide tumour-specific information.

Read more

Based on these premises, a prospective, observational and multicentre case-control study is proposed, the objective of which is to evaluate the diagnostic precision (sensitivity, specificity, negative predictive value and positive predictive value) in the detection of molecular differences by liquid biopsy in patients with suspected myometrial tumour (leiomyoma / leiomyosarcoma).

Depending on the results of these analysis, the application of this technology could allow the differential diagnosis of the tumour in a non-invasive and objective way, as well as the development of biomarkers and effective targeted therapies in the treatment of leiomyosarcomas. Consequently, we would also be increasing our knowledge of tumour biology and associated pathologies in a clinical and therapeutic context.

Read the detailed description

Recently, the concept of "liquid biopsy" has emerged as a minimally invasive alternative to surgical biopsies. Generally, the liquid biopsy is obtained by taking a sample of blood or other body fluids, to provide tumour-specific information.

The use of technologies such as high-throughput sequencing or Next Generation Sequencing (NGS) could be an effective method for the detection of molecular differences from circulating genetic material in peripheral blood of patients with suspected myometrial tumour (leiomyoma / leiomyosarcoma), versus patients without tumour pathologies.

This is a prospective, multicentre, national biomedical case-control study aimed at patients with a surgical indication for hysterectomy or myomectomy due to the diagnosis of myometrial tumours (leiomyoma / leiomyosarcoma) according to standard clinical practice.

Once the study is approved by the Research Ethics Committee (CEI) of the Hospital, we will proceed to the recruitment and selection of those patients who meet the inclusion criteria.

After obtaining informed consent, peripheral blood will be collected from the candidate patient, prior to the surgery that the patient had already planned for medical indication in accordance with the usual clinical practice or, in the case of control patients, during an analysis or gynaecological consultation that was already planned to be performed by routine clinical practice. These samples will be sent to the Igenomix Foundation laboratories for molecular study.

Finally, and once both molecular and histological results are obtained, the precision of the determination of the molecular results will be compared with the "gold standard" in the diagnosis of myometrial tumours through two expert evaluators in pathological anatomy.

In this way, if the hypothesis raised is confirmed and the proposed objectives are achieved, we would be demonstrating the viability of a minimally invasive and precise preoperative diagnostic approach, based on the molecular characterization of leiomyoma and leiomyosarcoma.

When calculating the sample size for our study, we have considered the main objective, which is the validation of the test, comparing it with the "gold standard" of pathological anatomy. To calculate the sensitivity and specificity of the test, we would need a minimum of 200 LMS samples, 200 LM samples, and 200 control patient samples for validation.

It is intended to establish a cut-off point with a preliminary analysis in the first 30 patients (10 first patients from each group), in which the laboratory data are combined with those derived from the Pathological Anatomy (Gold Standard).

Being tested
Collection of Leiomyoma samples, Collection of Leiomyosarcoma samples, Collection of control samples
Keywords
Leiomyoma (LM), Leiomyosarcoma (LMS), Sarcoma, Next Generation Sequencing, Circulating tumour cells (CTC), Plasma cell-free RNA (cfRNA)
Medical subject headings
Leiomyoma, Leiomyosarcoma, Sarcoma

What participants receive

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

  • Collection of Leiomyoma samplesProcedure or surgery

    Also called Obtainment of blood sample (peripheral blood) and tumour tissue sample

    Peripheral blood will be collected from the candidate patient with suspected myometrial tumours, prior to the surgery already planned form medical indication in accordance with routine clinical practice.

    A sample of tumour tissue will be collected during surgery and sent to pathologists for diagnosis in accordance with the usual clinical practice. The tumour paraffin block/sections will be requested for the study only after the diagnosis.

  • Collection of Leiomyosarcoma samplesProcedure or surgery

    Also called Obtainment of blood sample (peripheral blood) and tumour tissue sample

    Peripheral blood will be collected from the candidate patient with suspected myometrial tumours, prior to the surgery already planned form medical indication in accordance with routine clinical practice.

    A sample of tumour tissue will be collected during surgery and sent to pathologists for diagnosis in accordance with the usual clinical practice. The tumour paraffin block/sections will be requested for the study only after the diagnosis.

  • Collection of control samplesProcedure or surgery

    Also called Obtainment of blood sample (peripheral blood)

    Peripheral blood will be collected during an analysis or gynaecological consultation already planned by routine clinical practice. The sample will be sent to Igenomix for molecular analysis.

Study groups in NCT04935333
Study groupRoleWhat they receive
Leiomyoma samplesLeiomyoma samples and peripheral blood samples obtained from women between 18 and 80 years with suspected myometrial tumour
Receives: Procedure: Collection of Leiomyoma samples
Leiomyosarcoma samplesLeiomyosarcoma samples and peripheral blood samples obtained from women between 18 and 80 years with suspected myometrial tumour
Receives: Procedure: Collection of Leiomyosarcoma samples
Control samplesPeripheral blood samples obtained from women between 18 and 80 years without suspected myometrial tumour
Receives: Procedure: Collection of control samples

What is being measured

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

  1. Diagnostic precision of uterine tumours at molecular level

    Sensitivity, specificity, negative predictive value and positive predictive value of the molecular diagnosis of uterine tumours by liquid biopsy as a preoperative diagnosis, using pathological diagnosis as a "gold standard" to validate the molecular diagnosis.

    Measured: 25 months

Secondary outcomes (3)
  1. Concordance of Circulating tumour DNA / RNA versus DNA / RNA in tumour

    Determine the concordance of circulating tumour DNA / RNA in plasma (ctRNA / ctDNA) versus the contribution of tumour tissue DNA / RNA in determining the diagnosis and histological subtype

    Measured: 25 months

  2. Inter-observer variability

    Inter-observer variability in determining the histological diagnosis of uterine tumours in the analysis performed by pathologists

    Measured: 25 months

  3. Evaluation of Circulating tumour DNA / RNA profile for oncological outcome

    Contribution of the plasma circulating tumour DNA / RNA profile (ctRNA / ctDNA) in determining the oncological outcome (survival, disease-free interval)

    Measured: 25 months

Timeline

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

  1. First posted23 Jun 2021
  2. Study startSep 2021 (estimated)
  3. Primary completionMay 2023 (estimated)
  4. Study completionMay 2023 (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
Case-control
Time perspective
Prospective
Enrolment
600 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04935333
Sponsor's protocol ID
IGX1-DTU-AM-21-03
Acronym
MYOSARCII
Status last verified
Sep 2021
First submitted
21 Jun 2021
Last updated
10 Sep 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Leiomyoma, Uterine and Leiomyosarcoma Uterus, run by Igenomix at 21 sites in Spain.

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 5 inclusion and 8 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: status not confirmed, as of the sponsor's last update on 10 Sep 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 21 sites in Spain. 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?

Results are not available in the source record.

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

Contact Carlos Gómez, BSc, MSc (+34 963905310, carlos.gomez@igenomix.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Diagnostic precision of uterine tumours at molecular level (time frame: 25 months). 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 10 Sep 2021.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in