AzTrials
AzTrials

Ovarian Cancer With Peritoneal CarcinosisSOPHIE IINCT07509814

Extended Versus Short Prehabilitation Programme for Patients With Advanced Ovarian Cancer Undergoing Major Surgery

A study testing Extended (Long)-Prehabilitation and Standard (Short)-Prehabilitation in people with Ovarian Cancer With Peritoneal Carcinosis, run by Hospital Clinic of Barcelona at 5 sites in Spain.

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
Search all trials

Trial summary

Standard treatment for advanced ovarian cancer includes a combination of cytotoxic chemotherapy and citorreductive surgery. During neo-adjuvant administration of chemotherapy, many patients experience a decline in their functional capacity, leading to an increased risk of postoperative complication as a combination of… Read more about this study

Who is it for?
Ages 18 years and older, women only
What is being tested?
Extended (Long)-Prehabilitation and Standard (Short)-Prehabilitation
Could I receive a placebo?
No, everyone receives an active treatment
How many people
225 participants
Where
5 sitesSpain
Study dates
1 Apr 2026to 31 Dec 2028
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 18 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients diagnosed with advanced ovarian cancer (FIGO III and IV)
  • Clinical indication of neoadjuvant chemotherapy followed by cytoreductive surgery
  • No contraindications for exercise training
  • Give written consent to participate

Who cannot join

  • Patients diagnosed with advanced ovarian cancer scheduled for cytoredutive surgery followed by chemotherapy (no neoadjuvant)
  • Patients with deteriorated functional state (ECOG ≥2) or those with contraindication to exercise training (severe or unstable cardiorespiratory, metabolic, musculoskeletal or neurological conditions)

Trial locations and contacts

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

Berta Díaz Feijoo, PhD contact

0034 932275400

bdiazfe@clinic.cat

Raquel Sebio Garcia, PhD contact

0034 634787194

sebio@clinic.cat

5 sites in 1 country

Spain5 sites
  • Hospital Universitario Germans Trias i Pujol

    Badalona, Barcelona, 08916

    Enrique Moret, PhD, 0034 934651200, emoret.germanstrias@gencat.cat

    Enrique Moret, PhD

  • Hospital Clinic of Barcelona

    Barcelona, Barcelona, 08036

    Raquel Sebio Garcia, PhD, 0034 634787194, sebio@clinic.cat

    Berta Díaz Feijoo, PhD

  • Hospital Universitario 12 de Octubre

    Madrid, Madrid, 28041

    Álvaro Tejerizo, PhD, 0034 913908000, alvaro.tejerizo@salud.madrid.org

    Álvaro Tejerizo, PhD

  • Hospital Universitario Navarra

    Pamplona, Navarre, 31008

    Juan Carlos Muruzabal, PhD, 0034 848422222, jc.muruzabal.torquemada@navarra.es

    Juan Carlos Muruzabal, PhD

  • Hospital Universitario y Politécnico La Fe

    Valencia, Valencia, 46026

    Santiago Domingo Del Pozo, PhD, 0034 961244000, santiago.domingo.delpozo@gmail.com

    Santiago Domingo Del Pozo, PhD

Other trials in Spain

About this study

Official title: Efficacy of an Extended Prehabilitation Program Versus Standard in Patients With Advanced Ovarian Cancer Within ERAS Protocols

Standard treatment for advanced ovarian cancer includes a combination of cytotoxic chemotherapy and citorreductive surgery. During neo-adjuvant administration of chemotherapy, many patients experience a decline in their functional capacity, leading to an increased risk of postoperative complication as a combination of potential malnutrition, decreased physical activity levels and increased anxiety. Prehabilitation programs conducted within Enhanced Rescovery After Surgery (ERAS) pathways have shown to reduce postoperative complications and length of hospital stay in a diverse group of cancer surgeries and, according to some preliminary evidence, can also increase tumour response in patients receiving neoadjuvant chemotherapy. The aim of this study is to compare two modalities of prehabilitation (extended versus estandard) on postoperative complications and response to neoadjuvant chemotherapy. A total of 225 patients will be randomized in a 2:1 ratio to extended prehabilitation (initiated at the onset of neoadjuvant therapy) or standard prehabilitation (initiated after the course of neoadjuvant therapy is completed). In both groups the prehabilitation program will be delivered in the same manner, including supervised (virtual or facility-based) exercise training, nutritional optimization and psychological support and will be supported by a digital platform.

Being tested
Extended (Long)-Prehabilitation, Standard (Short)-Prehabilitation
Keywords
Prehabilitation, Neoadjuvant Therapy, Interval surgery, Postoperative Complications, Treatment response
Medical subject headings
Postoperative Complications

What participants receive

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

  • Extended (Long)-PrehabilitationBehavioural

    Also called Nutritional optimization, Psychological Support, Perioperative care, Exercise Therapy

    In this study, multimodal prehabilitation will be delivered throughout the course of neoadjuvant therapy and until surgery in the Extended-Prehabilitation arm, while the control group will only receive the intervention once neoadjuvant therapy is completed and the indication for surgery has been confirmed by the multidisciplinary tumour board.

    The intervention will consist of three major pillars: a) supervised (virtual or facility-based) exercise training twice a week; b) individual nutritional counselling and supplementation; c) individual or group-based support based on the needs and preferences of the patients. Additional interventions according to the centre standard of care such as iron optimization and smoking cessation will be provided if needed.

  • Standard (Short)-PrehabilitationBehavioural

    Also called Perioperative Care, Preoperative Exercise, Nutritional Optimization, Psychological Support

    Standard (short) prehabilitation will include the same three pillars (exercise training twice weekly, individual nutritional counselling and supplementation and psychological support delivered only at the end of neoadjuvant therapy and until surgery (approximately 3-4 weeks). Additional interventions such as smoking cessation and iron optimization will also be included if deemed neccessary in accordance with hospitals' standard of care

Study groups in NCT07509814
Study groupRoleWhat they receive
Extended (Long)-PrehabilitationExperimentalPatients allocated to the extended prehabilitation will constitute the experimental group. These patients will receive multimodal prehabilitation including but not limtied to exercise training, nutritional optimization and psychological support from start of neoadjuvant therapy until surgery
Receives: Behavioral: Extended (Long)-Prehabilitation
Standard (Short)-PrehabilitationActive comparatorPatients allocated to the standard prehabilitation will act as active comparator. In this group, patients will receive only general recommendations and tips during neoadjuvant therapy followed by standard prehabilitation until surgery.
Receives: Behavioral: Standard (Short)-Prehabilitation

What is being measured

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

  1. Comprehensive Complication Index (CCI)

    Aggregate score including all postoperative complications and their severity

    Measured: Post-surgery within 30 days

  2. CA-125 Elimination Rate Constant K (KELIM)

    Changes in tumour antigen CA-125 over time (KELIM) will be recorded as a proxy to assess response to neoadjuvant cytotoxic therapy in both arms

    Measured: Before surgery

Secondary outcomes (8)
  1. Treatment-related toxicities

    Number and severity (CTCAE v5) of treatment-related toxicities during neoadjuvant therapy will be retrieved in both groups from medical records.

    Measured: Post-neoadjuvant therapy within three weeks after last cycle

  2. Response to neoadjuvant therapy

    Chemotherapy Response Score (CRS) at pathological analysis will be assessed to globally ascertain the response of neoadjuvant chemotherapy in both groups

    Measured: Post-surgery within two weeks

  3. Rate of Complete tumour resection surgeries

    The number of complete tumour resection surgeries (R0) achieved in each group will be recorded at the time of surgery

    Measured: Intraoperatively at the end of surgery

  4. Postoperative Functional Recovery

    Length of hospital stay, Days Out of Hospital at 30 Days (DAOH30) and time to start adjuvant chemotherapy after surgery will be measured to determine the functional recovery of patient after interval surgery

    Measured: 30 days after surgery

  5. Overall Health-Related Quality of Life

    Overall health-Related Quality of Life measured with a general (EORTC QLQ C30) will be captured at baseline (T0) and after neoadjuvant therapy (T1)

    Measured: After neoadjuvant therapy within two weeks after last cycle

  6. Disease-specific Health Related Quality of Life

    Disease-specific health related quality of life will be measured with the EORTC QLQ OV28 at baseline (T0) and after neoadjuvant therapy (T1)

    Measured: After neoadjuvant therapy within two weeks of the last cycle

  7. Overall survival

    Overall survival (OS) will be recorded in both groups up to 36 months after surgery.

    Measured: 36 months after surgery

  8. Disease-free Survival (DFS)

    Disease-Free Survival (DFS) will be recorded in both groups up to 36 months after surgery.

    Measured: 36 months after surgery

Timeline

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

  1. First posted3 Apr 2026
  2. Study start1 Apr 2026 (estimated)
  3. Primary completion30 Mar 2028 (estimated)
  4. Study completion31 Dec 2028 (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
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
225 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07509814
Sponsor's protocol ID
HCB-2025-0370
Acronym
SOPHIE II
Status last verified
Mar 2026
First submitted
5 Mar 2026
Last updated
3 Apr 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: IPD might be shared if considered of interest for future research studies and/or individual metaanalyses.

Publications

  • Mayer A, Cibula D. Optimizing prehabilitation in gynecologic malignancies: Improving acceptance, overcoming barriers, and managing program complexity. Eur J Surg Oncol. 2024 Dec;50(12):108739. doi: 10.1016/j.ejso.2024.108739. Epub 2024 Oct 2.

    PubMed 39418833
  • Garrone O, Paccagnella M, Abbona A, Ruatta F, Vanella P, Denaro N, Tomasello G, Croce N, Barbin F, Rossino MG, La Porta CAM, Sapino A, Torri V, Albini A, Merlano MC. Moderate physical activity during neoadjuvant chemotherapy in breast cancer patients: effect on cancer-related inflammation and pathological complete response-the Neo-Runner study. ESMO Open. 2024 Aug;9(8):103665. doi: 10.1016/j.esmoop.2024.103665. Epub 2024 Aug 8.

    PubMed 39121813
  • Chen Y, Sebio-Garcia R, Iglesias-Garcia E, Reguart N, Martinez-Palli G, Bello I. Prehabilitation for patients undergoing neoadjuvant therapy prior to cancer resection: a systematic review and meta-analysis. Support Care Cancer. 2024 Oct 28;32(11):749. doi: 10.1007/s00520-024-08941-1.

    PubMed 39466349
  • Sebio-Garcia R, Celada-Castro C, Arguis MJ, Siso M, Torne A, Tena B, Diaz-Feijoo B, Martinez-Palli G. Multimodal prehabilitation improves functional capacity in patients with advanced ovarian cancer undergoing cytoreductive surgery. Int J Gynecol Cancer. 2026 Jan;36(1):101858. doi: 10.1136/ijgc-2024-005686. Epub 2025 Apr 19.

    PubMed 39375165
  • Diaz-Feijoo B, Agusti-Garcia N, Sebio R, Lopez-Hernandez A, Siso M, Glickman A, Carreras-Dieguez N, Fuste P, Marina T, Martinez-Egea J, Aguilera L, Perdomo J, Pelaez A, Lopez-Baamonde M, Navarro-Ripoll R, Gimeno E, Campero B, Torne A, Martinez-Palli G, Arguis MJ. Feasibility of a Multimodal Prehabilitation Programme in Patients Undergoing Cytoreductive Surgery for Advanced Ovarian Cancer: A Pilot Study. Cancers (Basel). 2022 Mar 23;14(7):1635. doi: 10.3390/cancers14071635.

    PubMed 35406407
  • Diaz-Feijoo B, Agusti N, Sebio R, Siso M, Carreras-Dieguez N, Domingo S, Diaz-Cambronero O, Torne A, Martinez-Palli G, Arguis MJ. A multimodal prehabilitation program for the reduction of post-operative complications after surgery in advanced ovarian cancer under an ERAS pathway: a randomized multicenter trial (SOPHIE). Int J Gynecol Cancer. 2022 Nov 7;32(11):1463-1468. doi: 10.1136/ijgc-2022-003652.

    PubMed 35793862
  • Nelson G, Fotopoulou C, Taylor J, Glaser G, Bakkum-Gamez J, Meyer LA, Stone R, Mena G, Elias KM, Altman AD, Bisch SP, Ramirez PT, Dowdy SC. Enhanced recovery after surgery (ERAS(R)) society guidelines for gynecologic oncology: Addressing implementation challenges - 2023 update. Gynecol Oncol. 2023 Jun;173:58-67. doi: 10.1016/j.ygyno.2023.04.009. Epub 2023 Apr 21.

    PubMed 37086524
  • Querleu D, Planchamp F, Chiva L, Fotopoulou C, Barton D, Cibula D, Aletti G, Carinelli S, Creutzberg C, Davidson B, Harter P, Lundvall L, Marth C, Morice P, Rafii A, Ray-Coquard I, Rockall A, Sessa C, van der Zee A, Vergote I, duBois A. European Society of Gynaecological Oncology (ESGO) Guidelines for Ovarian Cancer Surgery. Int J Gynecol Cancer. 2017 Sep;27(7):1534-1542. doi: 10.1097/IGC.0000000000001041.

    PubMed 30814245
  • Colombo N, Sessa C, Bois AD, Ledermann J, McCluggage WG, McNeish I, Morice P, Pignata S, Ray-Coquard I, Vergote I, Baert T, Belaroussi I, Dashora A, Olbrecht S, Planchamp F, Querleu D; ESMO-ESGO Ovarian Cancer Consensus Conference Working Group. ESMO-ESGO consensus conference recommendations on ovarian cancer: pathology and molecular biology, early and advanced stages, borderline tumours and recurrent disease. Int J Gynecol Cancer. 2019 May 7;29(4):728-760. doi: 10.1136/ijgc-2019-000308.

    PubMed 31048403
  • Renz M, Friedlander M, Berek JS. Cancer of the ovary, fallopian tube, and peritoneum: 2025 update. Int J Gynaecol Obstet. 2025 Sep;171 Suppl 1(Suppl 1):6-35. doi: 10.1002/ijgo.70282.

    PubMed 40908761

Questions about this trial

What is this clinical trial studying?

A study testing Extended (Long)-Prehabilitation and Standard (Short)-Prehabilitation in people with Ovarian Cancer With Peritoneal Carcinosis, run by Hospital Clinic of Barcelona at 5 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 4 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 3 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 5 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?

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 Berta Díaz Feijoo, PhD (0034 932275400, bdiazfe@clinic.cat), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Comprehensive Complication Index (CCI) (time frame: Post-surgery within 30 days). The study lists 2 primary outcomes in all. 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 NCT07509814, which also lists 10 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 3 Apr 2026.

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