Prognostic and Predictive Value of HE4 Biomarker in Metastatic Ovarian Cancer

Study Overview
=================
Brief Summary
-----------------
HE4 is a new marker that could improve the detection of ovarian cancer. The HE4 assay may have an advantage over the CA-125 assay in that it is less frequently positive in patients with non malignant disease. Since the evaluation of HE4 for detection and diagnosis of ovarian cancer is well known, the behaviour of the marker during chemotherapy and follow-up period after treatment in metastatic ovarian cancer should be studied. It could be used in patient with non CA-125 secretary tumors. Prognosis and predictive value of HE4 should be compared with information provided by CA-125. The kinetics of HE4 values after treatment should be also analysed to determine the role that HE4 could play in the detection of recurrences during the follow-up of metastatic patients.

Official Title
-----------------
Determination of the Prognostic and Predictive Value of the New Marker HE4 in Metastatic Ovarian Cancer Monitoring

Conditions
-----------------
Metastatic Ovarian Cancer

Intervention / Treatment
-----------------
* Other: Experimental arm


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Histologically proved epithelial ovarian cancer (serous, mucinous, clear cell, endometrioid, undifferentiated type) Recurrence of anytime necessitating a new line of chemotherapy Patient having received adjuvant chemotherapy Informed consent signed prior any study specific procedures Exclusion Criteria: More than 3 lines of chemotherapy Pregnancy or breastfeeding History of other cancers within the past 5 years (except curatively treated non-melanoma skin cancer and in situ cervical cancer) Psychological, social, geographical disorders or any other condition that would preclude study compliance (treatment modalities and study follow-up).

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
Female

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Diagnostic
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Study arm<br> | Other: Experimental arm<br>* Serum samples are collected: at time of diagnosis of recurrence (before 1st chemotherapy) during each cycle of chemotherapy after the end of chemotherapy every 3 month until treatment failure (3-6 samples) stop at the progression or after 18 months post chemotherapy<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| To evaluate the predictive and prognostic value of HE4 marker |  | 18 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Determine the rate of patients without elevation of CA-125 presenting an elevation of HE4 that could be used for monitoring the disease. |  | 18 months | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
ovarian cancer, biomarker, metastatic