Blood Spot Self-administered Test and Assay

NCT ID: NCT03840824

Last Updated: 2020-02-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

80 participants

Study Classification

OBSERVATIONAL

Study Start Date

2010-10-31

Study Completion Date

2016-08-31

Brief Summary

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The current study will compare hormone levels of AMH, FSH and inhibin B in blood specimens collected by venipuncture and fingerstick in a sample of pre-menopausal women ages 18-45 years with normal menstrual cycles.

Detailed Description

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Recent advances in cancer diagnosis and treatment have led to greater survival rates in patients with malignancies. However, these life-saving treatments, especially alkylating agents, often lead to premature ovarian failure, infertility and related long-term health problems. It is difficult to predict whether, and the extent to which, patients will experience these problems. There are no early clinical signs of decreased fertility potential; even young women who maintain cyclic menses after therapy are at high risk of infertility, early menopause and related health problems. Preliminary studies suggest that several surrogate measures of fertility potential are different in cancer survivors compared with controls. These include follicle stimulating hormone (FSH), estradiol, anti-mullerian hormone (AMH) and inhibin B. Large longitudinal studies are needed to validate these measures with gold standard outcomes such as pregnancy rates, pregnancy outcomes and time to menopause. The main impediment to assessing the value of these markers and generating data that is useful to cancer survivors is the need for frequent and timed blood samples.

Daily or frequent trips to the clinical center are not practical and reduce the compliance of even the most motivated patients. The hypothesis that will be tested by this study is that blood spot assays can be developed that provide robust, personalized data for surrogate markers of reproductive function which can be used to assess reproductive potential in women; furthermore, bloodspots collected at home are an acceptable method for reproductive hormone measurement in women with and without a history of cancer. The current study will compare hormone levels of AMH, FSH and inhibin B in blood specimens collected by venipuncture and fingerstick in a sample of subjects.

Conditions

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Dysfunction; Endocrine Effects of Chemotherapy Premature Ovarian Failure

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Cancer Survivor

Pre-menopausal women who are cancer survivors ages 18-45 years with normal menstrual cycles.

No interventions assigned to this group

Similar aged healthy controls

Pre-menopausal, healthy women ages 18-45 years with normal menstrual cycles

No interventions assigned to this group

Late Reproductive Age

Pre-menopausal, healthy women of late reproductive age

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Adult females
* Age between 18-45 years
* Premenopausal (defined as menses in the past 12 months)
* Postmenarchal
* Presence of an intact uterus and two ovaries
* Ability and willingness to comply with study protocol

Exclusion Criteria

* Pregnancy within the previous 3 months
* Lactation within the previous 3 months
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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University of Pennsylvania

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clarisa Gracia, MD, MSCE

Role: PRINCIPAL_INVESTIGATOR

University of Pennsylvania

Locations

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University of Pennsylvania, Reproductive Research Unit

Philadelphia, Pennsylvania, United States

Site Status

Countries

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United States

References

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McDade TW, Woodruff TK, Huang YY, Funk WE, Prewitt M, Kondapalli L, Gracia CR. Quantification of anti-Mullerian hormone (AMH) in dried blood spots: validation of a minimally invasive method for assessing ovarian reserve. Hum Reprod. 2012 Aug;27(8):2503-8. doi: 10.1093/humrep/des194. Epub 2012 Jun 6.

Reference Type BACKGROUND
PMID: 22674205 (View on PubMed)

Other Identifiers

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812735

Identifier Type: -

Identifier Source: org_study_id

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