TUBectomy With Delayed Oophorectomy in High Risk Women to Assess the Safety of Prevention

NCT ID: NCT04294927

Last Updated: 2025-10-20

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

RECRUITING

Clinical Phase

NA

Total Enrollment

3000 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-03-01

Study Completion Date

2040-02-17

Brief Summary

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The aim of the project is to evaluate the risk-reducing salpingectomy with delayed oophorectomy as an alternative for risk-reducing salpingo-oophorectomy in high risk women with respect to ovarian cancer incidence.

Detailed Description

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In BRCA1/2 gene mutation carriers, a risk-reducing salpingo-oophorectomy (RRSO) is recommended around the age of 40. This recommendation is based on a 10-40% life-time risk of ovarian cancer in this population and disappointing results of ovarian cancer surveillance for early detection. Moreover, the mortality rate of ovarian cancer is high. Effects of RRSO are a decrease in ovarian cancer risk (80-96%) on one hand and immediate onset of menopause and non-cancer related morbidity on the other hand. The fifty percent breast cancer risk reduction after RRSO has become disputable in the last years. Based on multiple studies showing that most high-grade serous ovarian cancers develop at the distal end of the Fallopian tube, an innovative strategy for RRSO has been developed for this study proposal: risk-reducing salpingectomy (RRS) with delayed risk-reducing oophorectomy (RRO). However, the safety of this strategy has not been proven yet. Before implementing this innovative strategy as standard care we need to investigate the long term effects on ovarian cancer incidence.

Conditions

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BRCA1 Gene Mutation BRCA2 Gene Mutation RAD51C Gene Mutation RAD51D Gene Mutation BRIP1 Gene Mutation Ovarian Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Risk-reducing salpingectomy with delayed oophorectomy

Risk-reducing salpingectomy after the completion of childbearing with delayed oophorectomy.

Group Type EXPERIMENTAL

Risk-reducing salpingectomy with delayed oophorectomy

Intervention Type PROCEDURE

* BRCA1: RRS at age 25-40 and RRO at a maximum age of 45 (advised between 35 and 45).
* BRCA2: RRS at age 25-45 and RRO at a maximum age of 50 (advised between age 40 and 50).
* BRIP1, RAD51C, RAD51D: RRS at age 25-50 and RRO at a maximum age of 55 (advised between 45 and 55)

Risk-reducing salpingo-oophorectomy

Risk-reducing salpingo-oophorectomy.

Group Type ACTIVE_COMPARATOR

Risk-reducing salpingo-oophorectomy

Intervention Type PROCEDURE

* BRCA1 at a maximum age of 40 (advised between age 35 and 40)
* BRCA2 at a maximum age of 45 (advised between age 40 and 45)
* BRIP1, RAD51C, RAD51D: at a maximum age of 50 (advised between 45 and 50)

Interventions

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Risk-reducing salpingectomy with delayed oophorectomy

* BRCA1: RRS at age 25-40 and RRO at a maximum age of 45 (advised between 35 and 45).
* BRCA2: RRS at age 25-45 and RRO at a maximum age of 50 (advised between age 40 and 50).
* BRIP1, RAD51C, RAD51D: RRS at age 25-50 and RRO at a maximum age of 55 (advised between 45 and 55)

Intervention Type PROCEDURE

Risk-reducing salpingo-oophorectomy

* BRCA1 at a maximum age of 40 (advised between age 35 and 40)
* BRCA2 at a maximum age of 45 (advised between age 40 and 45)
* BRIP1, RAD51C, RAD51D: at a maximum age of 50 (advised between 45 and 50)

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Women with a class 5 (definitely pathogenic) BRCA1, BRCA2, RAD51C, RAD51D or BRIP1 germline mutation in one of the participating centers.
* Age at inclusion;

* BRCA1: 25-40 years
* BRCA2: 25-45 years
* RAD51C, RAD51D, BRIP1: 25-50 years
* Childbearing completed
* Presence of at least one fallopian tube
* Participants may have a personal history of non-ovarian malignancy
* Informed consent must be obtained and documented according to national and local regulatory requirements and the local rules followed in the institution.

Exclusion Criteria

* Postmenopausal status (natural menopause or due to treatment)
* Wish for second stage RRO within two years after RRS
* Legally incapable
* Prior bilateral salpingectomy
* A personal history of ovarian, fallopian tube or peritoneal cancer
* Current diagnosis or treatment for malignant disease
Minimum Eligible Age

25 Years

Maximum Eligible Age

50 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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University Medical Center Nijmegen

OTHER

Sponsor Role lead

Responsible Party

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Joanne A. de Hullu, MD, PhD

Dr. J.A. de Hullu, MD, PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Joanne A. de Hullu, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Radboud University Medical Center

Karen H. Lu, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

M.D. Anderson Cancer Center

Rosella P.M.G. Hermens, MD,PhD

Role: PRINCIPAL_INVESTIGATOR

Radboud University Medical Center

Elizabeth M. Swisher, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Washington

Locations

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Dana Farber Cancer Institute

Boston, Massachusetts, United States

Site Status RECRUITING

Mayo Clinic

Rochester, Minnesota, United States

Site Status RECRUITING

MD Anderson Cancer Centre

Houston, Texas, United States

Site Status RECRUITING

University of Washington

Seattle, Washington, United States

Site Status RECRUITING

Chris O'Brien Lifehouse

Sydney, New South Wales, Australia

Site Status RECRUITING

Westmead hospital

Sydney, New South Wales, Australia

Site Status RECRUITING

St Andrew War Memorial Hospital

Brisbane, Queensland, Australia

Site Status RECRUITING

Royal Brisbane Hospital

Brisbane, Queensland, Australia

Site Status RECRUITING

Greenslopes Private Hospital

Brisbane, Queensland, Australia

Site Status RECRUITING

Royal Adelaide Hospital

Adelaide, South Australia, Australia

Site Status RECRUITING

Frances Perry House

Melbourne, Victoria, Australia

Site Status RECRUITING

Mercy Hospital

Melbourne, Victoria, Australia

Site Status RECRUITING

Epworth Hospital

Richmon, Victoria, Australia

Site Status RECRUITING

Western Health

St Albans, Victoria, Australia

Site Status RECRUITING

King Edward Memorial Hospital

Perth, Western Australia, Australia

Site Status RECRUITING

Monash Health

Melbourne, , Australia

Site Status RECRUITING

Peter MacCallum Centre

Melbourne, , Australia

Site Status RECRUITING

Royal Womens Hospital

Melbourne, , Australia

Site Status RECRUITING

Hopital Universitaire Bruxelles

Brussels, , Belgium

Site Status RECRUITING

Universitair Ziekenhuis Leuven

Leuven, , Belgium

Site Status RECRUITING

AC Camargo Cancer Centre

São Paulo, , Brazil

Site Status RECRUITING

Universita di Bologna

Bologna, , Italy

Site Status RECRUITING

San Gerardo Hospital

Monza, , Italy

Site Status RECRUITING

Gemelli Hospital

Rome, , Italy

Site Status RECRUITING

Instituto Nacional de Cancerología

Mexico City, , Mexico

Site Status RECRUITING

Radboudumc

Nijmegen, Gelderland, Netherlands

Site Status RECRUITING

Maastricht University Medical Center

Maastricht, Limburg, Netherlands

Site Status RECRUITING

Catharina Ziekenhuis

Eindhoven, North Brabant, Netherlands

Site Status RECRUITING

Elisabeth-TweeSteden Ziekenhuis

Tilburg, North Brabant, Netherlands

Site Status RECRUITING

Amsterdam University Medical Center

Amsterdam, , Netherlands

Site Status RECRUITING

Antoni van Leeuwenhoek

Amsterdam, , Netherlands

Site Status RECRUITING

Medisch Spectrum Twente

Enschede, , Netherlands

Site Status RECRUITING

University Medical Center Groningen

Groningen, , Netherlands

Site Status RECRUITING

Medical Center Leeuwarden

Leeuwarden, , Netherlands

Site Status RECRUITING

Leiden University Medical Center

Leiden, , Netherlands

Site Status RECRUITING

Erasmus Medical Center

Rotterdam, , Netherlands

Site Status RECRUITING

University Medical Center Utrecht

Utrecht, , Netherlands

Site Status RECRUITING

Maxima Medical Center

Veldhoven, , Netherlands

Site Status RECRUITING

Isala Klinieken

Zwolle, , Netherlands

Site Status RECRUITING

Akershus University Hospital

Nordbyhagen, , Norway

Site Status ACTIVE_NOT_RECRUITING

Oslo University Hospital

Oslo, , Norway

Site Status RECRUITING

Stavanger Uniersity Hospital

Stavanger, , Norway

Site Status RECRUITING

Gdynia Oncology Centre

Gdynia, , Poland

Site Status RECRUITING

Bonifraterskie Centrum Medyczne

Katowice, , Poland

Site Status RECRUITING

Medical University of Silesia

Katowice, , Poland

Site Status RECRUITING

National Cancer Institute Warsaw

Warsaw, , Poland

Site Status RECRUITING

Karolinksa Institutet

Stockholm, , Sweden

Site Status RECRUITING

Hospital Británico

Montevideo, , Uruguay

Site Status RECRUITING

Countries

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United States Australia Belgium Brazil Italy Mexico Netherlands Norway Poland Sweden Uruguay

Central Contacts

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Joanne A. de Hullu, MD, PhD

Role: CONTACT

+31 (0) 24 36 16683

Karen H. Lu, MD, PhD

Role: CONTACT

(713) 745-8902

Facility Contacts

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Karen Lu

Role: primary

Karen Lu

Role: primary

Karen Lu

Role: primary

Elizabeth Swisher

Role: primary

Ngaire Latch

Role: primary

+61285140000

Ngaire Latch

Role: primary

+61288905555

Ngaire Latch

Role: primary

+61738344444

Ngaire Latch

Role: primary

+61736468111

Ngaire Latch

Role: primary

+61733947111

Ngaire Latch

Role: primary

+61870740000

Ngaire Latch

Role: primary

+61393445000

Ngaire Latch

Role: primary

+61 3 8458 4444

Ngaire Latch

Role: primary

+61394266666

Ngaire Latch

Role: primary

03 8345 1333

Ngaire Latch

Role: primary

+61864582222

Martha Hickey

Role: primary

Martha Hickey

Role: primary

Martha Hickey

Role: primary

Maxime Fastrez

Role: primary

Susanne Housmans

Role: primary

Glauco Baiocchi

Role: primary

Myriam Perrone

Role: primary

Robert Fruscio

Role: primary

Claudia Marchetti

Role: primary

David Cantu

Role: primary

Joanne A. de Hullu, MD, PhD

Role: primary

+31 (0) 24 36 16683

Brigitte Slangen, MD, PhD

Role: primary

Jurgen M.J. Piek, MD, PhD

Role: primary

Caroline Vos, MD

Role: primary

Luc van Lonkhuijzen, MD, PhD

Role: primary

Marc van Beurden, MD, PhD

Role: primary

Nathalie Reesink-Peters, MD, PhD

Role: primary

Marian Mourits, MD, PhD

Role: primary

Mirjam Apperloo, MD, PhD

Role: primary

Katja Gaarenstroom, MD, PhD

Role: primary

Marta Piso-Jozwiak, MD, PhD

Role: primary

Ronald Zweemer, Prof, MD, PhD

Role: primary

Sjors Coppus, MD, PhD

Role: primary

Arnold-Jan Kruse, MD, PhD

Role: primary

Anne Dorum

Role: primary

Anne Dorum

Role: primary

Maciej Stukan

Role: primary

Monika Bodjys-Szyndlar

Role: primary

Krzysztof Nowosielski

Role: primary

Agnieszka Rychlik

Role: primary

Angelique Flöter-Radestad

Role: primary

Santiago Scasso

Role: primary

References

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Pennington KP, Pugh SL, Huh W, Walker JL, Jewell E, Havrilesky LJ, Carter J, Muller CY, Drapkin R, Lankes HA, Castellano T, Zamorano AS, Blank SV, Kachnic LA. Optimization of Timing for Risk-Reducing Salpingectomy and Oophorectomy. Obstet Gynecol. 2025 Jan 1;145(1):21-30. doi: 10.1097/AOG.0000000000005781. Epub 2024 Nov 7.

Reference Type DERIVED
PMID: 39509704 (View on PubMed)

Steenbeek MP, van Bommel MHD, intHout J, Peterson CB, Simons M, Roes KCB, Kets M, Norquist BM, Swisher EM, Hermens RPMG; TUBA-WISP II consortium; Lu KH, de Hullu JA. TUBectomy with delayed oophorectomy as an alternative to risk-reducing salpingo-oophorectomy in high-risk women to assess the safety of prevention: the TUBA-WISP II study protocol. Int J Gynecol Cancer. 2023 Jun 5;33(6):982-987. doi: 10.1136/ijgc-2023-004377.

Reference Type DERIVED
PMID: 37045546 (View on PubMed)

Other Identifiers

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NL 70691.091.19

Identifier Type: -

Identifier Source: org_study_id

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