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To assess the impact of comprehensive staging surgery with no lymphadenectomy on survival and quality of life in patients with early-stage ovarian cancer.
OBJECTIVES: Compare the efficacy and safety in patients with International Federation of Gynecology and Obstetrics (FIGO) stage IA -IIA epithelial ovarian cancer, undergo completion staging surgery including systematic pelvic and para-aortic lymphadenectomy versus comprehensive staging surgery without lymphadenectomy.
OUTLINE: This is a randomized phase III multicenter study. Patients will receive comprehensive staging surgery without Lymphadenectomy or completion staging surgery including systematic pelvic and para-aortic lymphadenectomy, and the adjuvant chemotherapy will accord to National Comprehensive Cancer Network (NCCN) guidelines. Patients are followed up every 3 months within the first 2 years, and then every 6 months.
PROJECTED ACCRUAL: A total of 656 patients will be recruited for this study within 5 years.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| No Lymphadenectomy | Experimental | Comprehensive staging surgery with no Lymphadenectomy |
|
| Lymphadenectomy | Active Comparator | Completion staging surgery including systematic pelvic and para-aortic lymphadenectomy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Completion staging surgery including systematic pelvic and para-aortic lymphadenectomy | Procedure |
|
| Measure | Description | Time Frame |
|---|---|---|
| PFS(Progression-free survival) | From date of randomization until the date of first documented progression or date of death from any cause, whichever came first | From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 100 months |
| Measure | Description | Time Frame |
|---|---|---|
| OS(Overall Survival) | From date of randomization until the date of death from any cause or date of last follow up, whichever came first | From date of randomization until the date of death from any cause or date of last follow up, up to 100 mons |
| Recurrence rate of lymph node |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jihong Liu, Ph.D. | Contact | 86-20-87343102 | liujih@mail.sysu.edu.cn | |
| Ting Deng, Ph.D. | Contact | 86-20-87343105 | dengting@sysucc.org.cn |
| Name | Affiliation | Role |
|---|---|---|
| Jihong Liu, Ph.D. | Sun Yat-sen University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Gynecologic Oncology, Sun Yat-sen University Cancer Center | Recruiting | Guangzhou | Guangdong | 510060 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37116952 | Derived | Deng T, Liu K, Chen L, Chen X, Li HW, Guo H, Zhang H, Xiang L, Feng X, Wang X, Ngan HY, Zhao J, Zou D, Liu Q, Liu J. A prospective randomized multicenter trial for lymphadenectomy in early-stage ovarian cancer: LOVE study. J Gynecol Oncol. 2023 May;34(3):e52. doi: 10.3802/jgo.2023.34.e52. Epub 2023 Apr 10. |
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| ID | Term |
|---|---|
| D010051 | Ovarian Neoplasms |
| ID | Term |
|---|---|
| D004701 | Endocrine Gland Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D010049 | Ovarian Diseases |
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comprehensive staging surgery with or without lymphadenectomy
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|
| Comprehensive staging surgery with no Lymphadenectomy | Procedure |
|
|
The recurrence rate in the retroperitoneal lymph nodes after primary surgery |
| 3 years |
| QoL(Quality of life) | Quality of life before surgery, and at 6 months and 1 year after surgery in both groups will be evaluated using European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire | Baseline, 6 months and 1 year after surgery |
| Postoperative complications | The difference of the rate of Postoperative complications between two groups | 3 years |
| D000291 |
| Adnexal Diseases |
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D005833 | Genital Neoplasms, Female |
| D014565 | Urogenital Neoplasms |
| D000091662 | Genital Diseases |
| D004700 | Endocrine System Diseases |
| D006058 | Gonadal Disorders |