OV Precision: Study Examining the Benefit of a Tumor- and Patient-specific Cancer Therapy

NCT ID: NCT06466382

Last Updated: 2026-01-12

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

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-03-31

Study Completion Date

2028-09-30

Brief Summary

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The long-term goal of this research project is to demonstrate whether HRD negative (HPDneg) patients benefit when additional multi-modal biological tumor information is incorporated into the molecular tumor board (mTB) treatment recommendation process.

Detailed Description

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Homologous recombination proficient (HRP) or HRD negative (HRDneg) Ovarian Cancer (OC) patients have a poor outcome equivalent to platinum-resistant patients (PFS 11.5 month). Given standard of care chemotherapy is not ideal for 50% of EOC and this patient population urgently needs alternative treatment options tailored to their individual tumor profile. Treatment options for the heterogeneous HRDneg patient group are scarce and mainly focus on symptom control and palliation, delaying time to symptomatic progression, and improving QoL.

Therefore, trials at initial diagnosis, when the patient can still be cured and is treatment naïve, are urgently needed.

The intervention studied is a personalized treatment recommendation by a specialized molecular tumorboard. This recommendation is based on a molecular summary report (MSR), which is created by multi-modal Tumor Profiling (TP), i.e., molecular analysis of clinical specimens, obtained from the individual participant.

TP, a technology platform of several precision-cancer profiling domains established by the TPC (= Tumor Profiler Center, Switzerland). It combines and rates the most efficient drugs/ experimental treatments for an individual ovarian cancer patient independent of standard of care (SOC).

The usability in clinical practice of this recommendation will be tested. It should support the clinical decision of the treating oncologists and patients to choose the best possible therapy for the individual patient. Treatment recommendations on the most appropriate molecular-based treatment for the individual patient are formulated based on the expertise and experience of the mTB board members. Additionally, a MSR from a validated TP technology platform can serve as further guidance in the tumorboard. However, the final decision on initial treatment remains at the discretion of the treating physician and the patient.

OV Precision is a multicenter randomized (1:1) controlled trial comparing a personalized treatment recommendation at the discretion of the treating physician in agreement with the patient versus SOC without receiving a mTB recommendation.

The study will be divided into two phases: an initial diagnostic phase, in which presumed eligible patients will be recruited into the study, HRD status will be determined, and tumor profiling will be performed in HRDneg patients with a confirmed diagnosis. Eligible patients will be randomized and treated according to their group allocation in the second phase (treatment phase).

The study duration is planned for 3 years including analysis: Two years of recruitment (starting from 09/2024), final analysis of the focal endpoints and end of the study 10 weeks after inclusion of the last patient (12/2026). Study analysis and publication should be completed approximately one year later (12/2027).

Conditions

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Ovarian Neoplasm Epithelial Fallopian Tube Neoplasms Ovarian Endometrioid Carcinoma High-grade Serous Ovarian Carcinoma (HGSOC)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Control Arm

Physicians and patients randomized to the SOC arm will not receive the treatment recommendation of the mTB and thus will undergo the standard treatment consisting of 2 cycles of chemotherapy with carboplatin AUC5 3-weekly and paclitaxel 175 mg/m2 3-weekly or carboplatin AUC2 weekly and Paclitaxel 60-80mg/m2 weekly.

Either q3w regime or q1w regime.

Group Type ACTIVE_COMPARATOR

Carboplatin / Paclitaxel Chemotherapy

Intervention Type DRUG

2 cycles of chemotherapy with carboplatin AUC5 3-weekly and paclitaxel 175 mg/m2 3-weekly or carboplatin AUC2 weekly and Paclitaxel 60-80mg/m2 weekly

Interventional Arm

The intervention studied is a treatment recommendation by a specialized molecular tumorboard. This recommendation is based on an MSR which is created by TP, i.e., molecular analysis of clinical specimens, obtained from the individual participant. TP, a technology platform of several precision-cancer profiling domains, combines and rates the most efficient drugs/ experimental treatments for an individual ovarian cancer patient independent of standard of care. The usability in clinical practice of this recommendation will be tested. It should support the clinical decision of the treating oncologists and patients to choose the best possible therapy for the individual patient.

Group Type EXPERIMENTAL

Treatment recommendation by molecular tumorboard (mTB) based on tumor profiling

Intervention Type OTHER

The intervention studied is a treatment recommendation by a specialized molecular tumorboard (mTB). This recommendation is based on an MSR which is created by TP, i.e., molecular analysis of clinical specimens, obtained from the individual participant. TP, a technology platform of several precision-cancer profiling domains, combines and rates the most efficient drugs/ experimental treatments for an individual ovarian cancer patient independent of standard of care. The usability in clinical practice of this recommendation will be tested. It should support the clinical decision of the treating oncologists and patients to choose the best possible therapy for the individual patient.

Interventions

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Treatment recommendation by molecular tumorboard (mTB) based on tumor profiling

The intervention studied is a treatment recommendation by a specialized molecular tumorboard (mTB). This recommendation is based on an MSR which is created by TP, i.e., molecular analysis of clinical specimens, obtained from the individual participant. TP, a technology platform of several precision-cancer profiling domains, combines and rates the most efficient drugs/ experimental treatments for an individual ovarian cancer patient independent of standard of care. The usability in clinical practice of this recommendation will be tested. It should support the clinical decision of the treating oncologists and patients to choose the best possible therapy for the individual patient.

Intervention Type OTHER

Carboplatin / Paclitaxel Chemotherapy

2 cycles of chemotherapy with carboplatin AUC5 3-weekly and paclitaxel 175 mg/m2 3-weekly or carboplatin AUC2 weekly and Paclitaxel 60-80mg/m2 weekly

Intervention Type DRUG

Other Intervention Names

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Standard of care chemotherapy regime

Eligibility Criteria

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Inclusion Criteria

* Newly diagnosed EOC (adenocarcinoma of the ovary, peritoneum, and fallopian tube) and carcinosarcoma patients with a suspected FIGO Stage III and IV
* No immediate need of systemic or surgical treatment at time of and until 2 weeks after diagnosis
* Envisaged surgical candidate for interval debulking after 2 cycles of treatment
* Willing and able to attend the visits, to understand the purpose of the trial and all trial-related procedures
* ECOG 0-2
* Written informed consent according to national legal and regulatory requirements prior to any project specific procedures

Exclusion Criteria

* Elevated liver enzymes (double of normal range: ASAT \> 68 U/l; ALAT \> 82 U/l; GGT \> 80 U/l)
* Elevated creatinine (double of normal range: \>120 mmol/l))
* ECOG ≥3
* Pregnant or lactating women
* Any other malignancy within the last 5 years which has an impact on the prognosis of the patient
* Inability to swallow tablets
* Concurrent participation in another clinical trial on the same indication
* Any other serious underlying medical, psychiatric, psychological, familial, or geographical condition, which in the judgment of the sponsor-project leader may interfere with the project or affect patient compliance
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Tumor Profiler Center Switzerland

UNKNOWN

Sponsor Role collaborator

Swiss GO Trial Group

NETWORK

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Viola Heinzelmann-Schwarz, Prof.

Role: PRINCIPAL_INVESTIGATOR

University Hospital Basel, Head Women's Hospital

Locations

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Kantonsspital Baden AG

Baden, Canton of Aargau, Switzerland

Site Status NOT_YET_RECRUITING

Universitätsspital Basel

Basel, Canton of Basel-City, Switzerland

Site Status RECRUITING

HOCH Health Ostschweiz Kantonsspital St.Gallen

Sankt Gallen, Canton of St. Gallen, Switzerland

Site Status RECRUITING

Thurgau AG Frauenfeld / Münsterlingen

Frauenfeld, Thurgau, Switzerland

Site Status RECRUITING

Inselspital Bern (University Hospital for Medical Oncology)

Bern, , Switzerland

Site Status RECRUITING

HFR-Fribourg- Hopital Cantonal

Fribourg, , Switzerland

Site Status RECRUITING

University Hospital Zurich

Zurich, , Switzerland

Site Status RECRUITING

Countries

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Switzerland

Central Contacts

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Maren S Vogel, PhD

Role: CONTACT

+41 61 3284203

Team Swiss GO Trial Group

Role: CONTACT

+41 61 3284203

Facility Contacts

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Martin Heubner, Prof

Role: primary

+ 41 56 486 35 02

Carina Rofner

Role: backup

+41 56 486 36 32

Viola Heinzelmann-Schwarz, Prof

Role: primary

+41 (0)61 265 58 83

Antje Michel, PhD

Role: backup

+41 61 32 84214

Jens Huober, Prof

Role: primary

+41 494 11 11

Julia Kern

Role: backup

+41 71 494 64 52

Mathias Fehr, Prof

Role: primary

+41 (0) 58 144 7255

Daniela Berner

Role: backup

+41 58 144 1729

Julian Wampfler

Role: primary

+41 (0)31 632 5059

Anke Klingenberg-Rettich

Role: backup

+41 (0)31 632 19 28

Vérène Dougoud-Chauvin, Dr. med.

Role: primary

+41(0)26 306.22 60

Mirelle Maître

Role: backup

+41(0)26 306 22 75

Eleftherios Pierre Samartzis, Dr . med.

Role: primary

+41 (0) 43 253 09 62

Isabel Breyer, PhD

Role: backup

+41 44 255 56 29

Other Identifiers

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Swiss-GO-08/ OV Precision

Identifier Type: -

Identifier Source: org_study_id

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