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Ovarian NeoplasmsOC-LEADNCT07764744

Ovarian Cancer Liquid Biopsy for Early Assessment & Detection in Individuals With BRCA1/2 Pathogenic Variants

A study testing Galleri Multi-Cancer Early Detection (MCED) Blood Test in people with Ovarian Neoplasms and BRCA 1 Gene Mutation, run by Weill Medical College of Cornell University at 2 sites in United States.

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 goal of this clinical study is to evaluate the feasibility and acceptability of the Galleri multi-cancer early detection blood test in people with BRCA1 or BRCA2 gene changes who are at high risk for ovarian cancer. Read more about this study

Who is it for?
Ages 35 years and older, women only
What is being tested?
Galleri Multi-Cancer Early Detection (MCED) Blood Test
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
70 participants
Where
2 sitesUnited States
Study dates
Oct 2026to Oct 2039
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 35 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Cohort A participants must meet all of the following criteria:
  • Age ≥ 35 years (based on current National Comprehensive Cancer Network guidelines35 for risk-reducing gynecologic surgery) with no upper age limit
  • Confirmed germline PV or likely PV in the BRCA1 or BRCA2 genes, documented by CLIA-certified genetic testing.
  • Scheduled to undergo risk-reducing gynecologic surgery (salpingo-oophorectomy or salpingectomy with or without hysterectomy) at the study site.
  • Willing and able to provide informed consent in English This initial phase is limited to English-speaking participants. This limitation is due to feasibility considerations for initial qualitative instrument validation; future phases will incorporate translated materials
  • Cohort B participants must meet all of the following criteria:
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  • Age ≥ 35 years with no upper age limit.
  • STIC lesion previously identified on surgical pathology within the prior 10 years.
  • Willing and able to undergo baseline and annual research blood draws for up to 10 years following STIC lesion diagnosis.
  • Willing and able to provide informed consent in English

Who cannot join

  • Cohort A:
  • Pregnant or breastfeeding at the time of enrollment.
  • Prior removal of bilateral fallopian tubes and/or bilateral ovaries.
  • Active diagnosis of cancer.
  • Prior or active diagnosis of epithelial ovarian, fallopian tube, or primary peritoneal cancer at the time of consent.
  • Patients with a history of cancer are eligible when > 2 years no evidence of disease.
Show all 15Show fewer
  • Inability to provide informed consent.
  • Concurrent participation in another interventional trial that may confound study outcomes.
  • Cohort B:
  • Pregnant or breastfeeding at the time of enrollment.
  • Active diagnosis of cancer.
  • Prior or active diagnosis of epithelial ovarian, fallopian tube, or primary peritoneal cancer at the time of consent (prior STIC lesion is NOT a contraindication to enrollment).
  • Patients with a history of cancer are eligible when > 2 years no evidence of disease.
  • Inability to provide informed consent.
  • Concurrent participation in another interventional trial that may confound study outcomes.

Trial locations and contacts

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

Melissa K Frey, Study Official, MD, MS contact

646-697-6621

mkf2002@med.cornell.edu

United States2 sites
  • MD Anderson Cancer Center

    Houston, Texas, 77030

    Jose A Rauh-Hain, MD, 713-392-6161, JARauh@mdanderson.org

    Jose A Rauh-Hain, MD, MS

  • Weill Cornell Medicine

    New York, New York, 10065

    Melissa K Frey, MD, MS, 646-697-6621, mkf2002@med.cornell.edu

    Melissa K Frey, MD, MS

Other trials in United States

About this study

Official title: Ovarian Cancer Liquid Biopsy for Early Assessment & Detection (OC-LEAD)

The goal of this clinical study is to evaluate the feasibility and acceptability of the Galleri multi-cancer early detection blood test in people with BRCA1 or BRCA2 gene changes who are at high risk for ovarian cancer. The study will also explore how well the test detects ovarian cancer or related precancerous conditions.

The main questions it aims to answer are:

Read more
  • Is it feasible to incorporate the Galleri blood test into the care of people at high * risk for ovarian cancer?
  • Is the Galleri blood test acceptable to participants?
  • How well does the Galleri blood test identify ovarian cancer or related precancerous conditions?

Participants will:

  • Receive the Galleri blood test.
  • Complete questionnaires about their experience with the test.
  • Some participants will also complete an interview about their experiences and preferences.
  • Continue with their planned standard medical care, including surgery or follow-up visits, as appropriate.
Read the detailed description

This is a prospective, multi-center, mixed-methods feasibility study evaluating the integration of the Galleri multi-cancer early detection (MCED) liquid biopsy into hereditary cancer risk management for individuals at increased risk of epithelial ovarian cancer due to pathogenic or likely pathogenic BRCA1 or BRCA2 variants. The study also includes individuals with a prior diagnosis of serous tubal intraepithelial carcinoma (STIC), a precursor lesion associated with an increased risk of subsequent ovarian, fallopian tube, or primary peritoneal cancer.

The primary objective is to evaluate the feasibility of incorporating liquid biopsy testing into clinical care. Secondary objectives include evaluating participant acceptability, identifying barriers and facilitators to implementation, and generating preliminary data to inform a future large-scale validation study. Exploratory analyses will evaluate the relationship between liquid biopsy results and surgical pathology findings, including estimates of sensitivity, specificity, positive predictive value, negative predictive value, and concordance when feasible.

The study consists of two cohorts:

Cohort A (Surgical Feasibility Cohort):

Approximately 50 adults with BRCA1 or BRCA2 pathogenic variants who are undergoing planned risk-reducing gynecologic surgery at Weill Cornell Medicine or MD Anderson Cancer Center will receive the Galleri blood test within 7 days before surgery. Liquid biopsy results will be compared with surgical pathology findings to evaluate the feasibility of integrating blood-based cancer detection into hereditary cancer prevention. Participants will remain on their planned standard-of-care clinical pathway, and no additional surgical procedures will be performed for research purposes.

Cohort B (Exploratory STIC Cohort):

Up to 20 adults with a previous diagnosis of STIC will undergo baseline and annual Galleri blood testing for up to 10 years. The study will evaluate the feasibility and acceptability of long-term blood-based surveillance and descriptively characterize longitudinal liquid biopsy findings and clinical outcomes.

A subset of approximately 20-30 participants from Cohort A will complete semi-structured interviews or focus groups within six months of surgery. Interviews will be guided by Levesque's Healthcare Access Framework to explore participant perceptions, trust, barriers, facilitators, and implementation considerations related to liquid biopsy testing. Findings will help inform equitable implementation of future ovarian cancer early detection strategies.

The Galleri test used in this study is an investigational in vitro diagnostic device performed in a CLIA-certified laboratory. It is not approved by the U.S. Food and Drug Administration for ovarian cancer screening or this specific indication and is being evaluated for research purposes only.

Results from this feasibility study are intended to support the development of a future multi-site validation study evaluating the diagnostic performance of liquid biopsy for early detection of epithelial ovarian cancer in individuals with hereditary cancer susceptibility.

Being tested
Galleri Multi-Cancer Early Detection (MCED) Blood Test
Keywords
Ovarian cancer, Liquid biopsy, Galleri, Multi-cancer early detection, BRCA1, BRCA2, Hereditary breast and ovarian cancer syndrome, Serous tubal intraepithelial carcinoma (STIC), Risk-reducing salpingo-oophorectomy, Early cancer detection, Hereditary cancer, Cancer screening, Implementation science
Medical subject headings
Ovarian Neoplasms, Hereditary Breast and Ovarian Cancer Syndrome

What participants receive

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

  • Galleri Multi-Cancer Early Detection (MCED) Blood TestDevice

    Participants will undergo blood collection for the Galleri multi-cancer early detection (MCED) test, an investigational in vitro diagnostic device performed in a CLIA-certified laboratory. Results will be evaluated for feasibility, acceptability, and exploratory diagnostic performance for early detection of epithelial ovarian cancer in high-risk individuals.

Study groups in NCT07764744
Study groupRoleWhat they receive
Cohort A: BRCA1/2 Surgical Feasibility CohortExperimentalCohort A: Participants with pathogenic or likely pathogenic BRCA1/2 variants undergoing planned risk-reducing gynecologic surgery who receive the Galleri multi-cancer early detection blood test within 7 days before surgery. Liquid biopsy results will be correlated with surgical pathology findings.
Receives: Device: Galleri Multi-Cancer Early Detection (MCED) Blood Test
Cohort B: STIC Longitudinal Surveillance CohortExperimentalCohort B: Participants with a prior diagnosis of serous tubal intraepithelial carcinoma (STIC) who receive the Galleri multi-cancer early detection blood test at baseline and annually for up to 10 years as part of longitudinal surveillance.
Receives: Device: Galleri Multi-Cancer Early Detection (MCED) Blood Test

What is being measured

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

  1. Feasibility of Galleri testing in BRCA1/2 surgical cohort A

    Proportion of eligible BRCA1/2 PV patients in Cohort A who successfully complete liquid biopsy testing within 7 days before risk-reducing gynecologic surgery, with corresponding surgical pathology available for correlation.

    Measured: Within 7 days before surgery

  2. Feasibility of annual Galleri testing in STIC cohort B

    Proportion of Cohort B patients who continue with annual liquid biopsy following diagnosis of STIC lesion for 10 years following STIC lesion diagnosis

    Measured: Up to 10 years

Secondary outcomes (24)
  1. Participant-Reported Perceptions Regarding Liquid Biopsy

    This portion of the semi-structured participant interviews and focus groups will explore perceptions regarding liquid biopsy for early detection of epithelial ovarian cancer, guided by Levesque's Healthcare Access Framework. Participants will complete semi-structured interviews or focus groups. Qualitative thematic analysis will be conducted. The identified themes will be reported, and the outcome measure will be the number of participants who endorsed each identified theme.

    Measured: One 45-60-minute interview or focus group conducted within 6 months following the participant's surgery.

  2. Participant-Reported Barriers Regarding Liquid Biopsy

    This portion of the semi-structured participant interviews and focus groups will explore barriers regarding liquid biopsy for early detection of epithelial ovarian cancer, guided by Levesque's Healthcare Access Framework. Participants will complete semi-structured interviews or focus groups. Qualitative thematic analysis will be conducted. The identified themes will be reported, and the outcome measure will be the number of participants who endorsed each identified theme.

    Measured: One 45-60-minute interview or focus group conducted within 6 months following the participant's surgery.

  3. Participant-Reported Facilitators Regarding Liquid Biopsy

    This portion of the semi-structured participant interviews and focus groups will explore facilitators regarding liquid biopsy for early detection of epithelial ovarian cancer, guided by Levesque's Healthcare Access Framework. Participants will complete semi-structured interviews or focus groups. Qualitative thematic analysis will be conducted. The identified themes will be reported, and the outcome measure will be the number of participants who endorsed each identified theme.

    Measured: One 45-60-minute interview or focus group conducted within 6 months following the participant's surgery.

  4. Participant-Reported Acceptability Regarding Liquid Biopsy

    This portion of the semi-structured participant interviews and focus groups will explore acceptability regarding liquid biopsy for early detection of epithelial ovarian cancer, guided by Levesque's Healthcare Access Framework. Participants will complete semi-structured interviews or focus groups. Qualitative thematic analysis will be conducted. The identified themes will be reported, and the outcome measure will be the number of participants who endorsed each identified theme.

    Measured: One 45-60-minute interview or focus group conducted within 6 months following the participant's surgery.

  5. Participant-Reported Trust Regarding Liquid Biopsy

    This portion of the semi-structured participant interviews and focus groups will explore trust regarding liquid biopsy for early detection of epithelial ovarian cancer, guided by Levesque's Healthcare Access Framework. Participants will complete semi-structured interviews or focus groups. Qualitative thematic analysis will be conducted. The identified themes will be reported, and the outcome measure will be the number of participants who endorsed each identified theme.

    Measured: One 45-60-minute interview or focus group conducted within 6 months following the participant's surgery.

  6. Detection of non-ovarian cancer signals via liquid biopsy in Cohort A

    Rates of detection of non-ovarian cancer signals via liquid biopsy in cohort A.

    Measured: Up to 10 years

  7. Sensitivity of liquid biopsy for the detection of epithelial ovarian cancer (EOC) based on surgical pathology results for Cohort A

    Sensitivity will be reported as the proportion of Cohort A participants with a positive surgical pathology result who have a positive liquid biopsy result. Liquid biopsy results will be compared with final surgical pathology findings.

    Measured: At the time of surgical pathology review (approximately 6 months).

  8. Specificity of liquid biopsy for the detection of epithelial ovarian cancer (EOC) based on surgical pathology results for Cohort A

    Specificity will be reported as the proportion of Cohort A participants with a negative surgical pathology result who have a negative liquid biopsy result. Liquid biopsy results will be compared with final surgical pathology findings.

    Measured: At the time of surgical pathology review (approximately 6 months).

  9. PPV of diagnostic performance in Cohort A

    Positive predictive value (NPV) of liquid biopsy for the detection of epithelial ovarian cancer (EOC) based on surgical pathology results for Cohort A.

    Measured: At the time of surgical pathology review (approximately 6 months).

  10. NPV of diagnostic performance in Cohort A

    Negative predictive value (NPV) of liquid biopsy for the detection of epithelial ovarian cancer (EOC) based on surgical pathology results for Cohort A.

    Measured: At the time of surgical pathology review (approximately 6 months).

  11. Identified source of non-ovarian cancer signal following diagnostic evaluation in Cohort A

    The identified source of the non-ovarian cancer signal in Cohort A participants, when determined through subsequent standard-of-care diagnostic evaluation (e.g., findings from physical examinations, imaging, laboratory testing, and other clinically indicated evaluations).

    Measured: Approximately 6 months after enrollment.

  12. Findings of diagnostic evaluations following detection of a non-ovarian cancer signal in Cohort A

    Findings from subsequent standard-of-care diagnostic evaluations performed in Cohort A participants following detection of a non-ovarian cancer signal by liquid biopsy, including findings from physical examinations, imaging, laboratory testing, and other clinically indicated evaluations.

    Measured: Approximately 6 months after enrollment.

  13. Liquid biopsy completion in STIC cohort B at baseline

    For Cohort B, the proportion of participants completing the baseline liquid biopsy at study enrollment.

    Measured: Baseline (study enrollment)

  14. Change from baseline in liquid biopsy completion in STIC Cohort B at 1 year

    For Cohort B, the proportion of participants completing the baseline liquid biopsy at 1 year.

    Measured: 1 year after enrollment

  15. Change from baseline in liquid biopsy completion in STIC Cohort B at 2 years

    For Cohort B, the proportion of participants completing the baseline liquid biopsy at 2 years.

    Measured: 2 years after enrollment

  16. Change from baseline in liquid biopsy completion in STIC Cohort B at 3 years

    For Cohort B, the proportion of participants completing the baseline liquid biopsy at 3 years.

    Measured: 3 years after enrollment

  17. Change from baseline in liquid biopsy completion in STIC Cohort B at 4 years

    For Cohort B, the proportion of participants completing the baseline liquid biopsy at 4 years.

    Measured: 4 years after enrollment

  18. Change from baseline in liquid biopsy completion in STIC Cohort B at 5 years

    For Cohort B, the proportion of participants completing the baseline liquid biopsy at 5 years.

    Measured: 5 years after enrollment

  19. Change from baseline in liquid biopsy completion in STIC Cohort B at 6 years

    For Cohort B, the proportion of participants completing the baseline liquid biopsy at 6 years.

    Measured: 6 years after enrollment

  20. Change from baseline in liquid biopsy completion in STIC Cohort B at 7 years

    For Cohort B, the proportion of participants completing the baseline liquid biopsy at 7 years.

    Measured: 7 years after enrollment

  21. Change from baseline in liquid biopsy completion in STIC Cohort B at 8 years

    For Cohort B, the proportion of participants completing the baseline liquid biopsy at 8 years.

    Measured: 8 years after enrollment

  22. Change from baseline in liquid biopsy completion in STIC Cohort B at 9 years

    For Cohort B, the proportion of participants completing the baseline liquid biopsy at 9 years.

    Measured: 9 years after enrollment

  23. Change from baseline in liquid biopsy completion in STIC Cohort B at 10 years

    For Cohort B, the proportion of participants completing the baseline liquid biopsy at 10 years.

    Measured: 10 years after enrollment

  24. Overall participant retention over the 10-year follow-up period in STIC Cohort B

    Proportion of Cohort B participants remaining in the study over the 10-year follow-up period.

    Measured: Up to 10 years after enrollment.

Timeline

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

  1. First posted14 Aug 2026
  2. Study startOct 2026 (estimated)
  3. Primary completionOct 2039 (estimated)
  4. Study completionOct 2039 (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
Diagnosis
Allocation
Non-randomised
Intervention model
Single group
Model description
This is a single-group, prospective, multi-center study in which all participants receive the Galleri multi-cancer early detection blood test. Participants are enrolled into one of two predefined cohorts based on clinical characteristics: (1) BRCA1/2 pathogenic variant carriers undergoing risk-reducing gynecologic surgery or (2) individuals with a prior diagnosis of serous tubal intraepithelial carcinoma (STIC) undergoing longitudinal surveillance. There is no randomization or comparator arm. Liquid biopsy results will be correlated with surgical pathology and/or longitudinal clinical outcomes, and a subset of participants will complete qualitative interviews.
Masking
None (open label)
Enrolment
70 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07764744
Sponsor's protocol ID
26-02029818
Acronym
OC-LEAD
Status last verified
Oct 2026
First submitted
10 Aug 2026
Last updated
16 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Galleri Multi-Cancer Early Detection (MCED) Blood Test in people with Ovarian Neoplasms and BRCA 1 Gene Mutation, run by Weill Medical College of Cornell University at 2 sites in United States.

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 10 inclusion and 15 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 16 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. 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 Melissa K Frey, Study Official, MD, MS (646-697-6621, mkf2002@med.cornell.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Feasibility of Galleri testing in BRCA1/2 surgical cohort A (time frame: Within 7 days before surgery). 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?
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 16 Oct 2026.

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