E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
COMPLEX ADNEXAL MASS IN PELVIS |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Level | SOC |
E.1.2 | Classification code | 10029104 |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The purpose of this study is to test prospectively the CnTI (Contrast Tuned Imaging) technology applied to an endovaginal probe after intravenous injection of the contrast agent SonoVue® in order: - to define the benign and malignant pattern of microcirculation in adnexal masses, and - to determine if this technique can contribute to a correct classification (benign or malignant) of adnexal masses with complex ultrasound morphology. The ultrasound diagnostic information obtained will be correlated with pathology.
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E.2.2 | Secondary objectives of the trial |
To obtain time-intensity curves on the microcirculation of adnexal masses with complex ultrasound morphology in order to define parameters which help in characterize the mass as benign or malignant. the ultrasound diagnostic information obtained will be correlated with pathology |
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E.2.3 | Trial contains a sub-study | Information not present in EudraCT |
E.3 | Principal inclusion criteria |
• Pelvic masses with presumed presence of solid tissue (vascularized or not at Power Doppler examination) within the mass (unilocular-solid, multilocular-solid or solid adnexal masses) and multilocular masses with a number of septae greater than 10. The largest diameter must be less than 15 cm. • In case of multiple masses only one mass will be examined with SonoVue. The most complex one will be chosen; in case of similar ultrasound morphology the largest one or the one most easily accessible for CnTI will be selected. • 18 years of age or older (pre- and postmenopausal patients, Hormone Replacement Therapy and contraceptive therapy users will be included) • Written informed consent given to participate in the study • Patients should undergo surgery within three months from the ultrasound examination
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E.4 | Principal exclusion criteria |
• Adnexal mass with sonographic features of dermoid cysts • Previous chemotherapy • Patients with any known allergy to one or more of the ingredients of the study agent • Patients with: evolving or ongoing myocardial infarction/ typical angina at rest within the previous 7 days/significant worsening of cardiac symptoms within the previous 7 days/ recent coronary artery intervention or other factors suggesting clinical instability (e.g., recent deterioration of ECG, laboratory or clinical findings)/ acute cardiac failure, class III/IV cardiac failure/ severe cardiac rhythm disorders. • Patients with any medical condition or other circumstances which would significantly decrease the chances of obtaining reliable data or of achieving the study objectives, Subjects previously entered in this study or having received an investigational drug within 30 days prior to admission to this study, • Medical condition, associated illness, or extenuating circumstances that make it highly unlikely that the 2 hour follow-up will be completed; • Pregnant or lactating female. Exclude the possibility of pregnancy: by testing on site at the institution (serum or urine βHCG) within 24 hours prior to the start of study agent administration, by history (eg, tubal ligation or hysterectomy), post menopausal with a minimum 1 year without menses
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E.5 End points |
E.5.1 | Primary end point(s) |
The primary endpoint of the study is, through the qualitative and quantitative assessment of haemodynamic behavior of SonoVue in the microcirculation of different adnexal masses and normal parenchyma to characterize the adnexal mass as benign or malignant in comparison with pathology. |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | Yes |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | Information not present in EudraCT |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | Information not present in EudraCT |
E.7.1.1 | First administration to humans | Information not present in EudraCT |
E.7.1.2 | Bioequivalence study | Information not present in EudraCT |
E.7.1.3 | Other | Information not present in EudraCT |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Information not present in EudraCT |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | Information not present in EudraCT |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Information not present in EudraCT |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | Information not present in EudraCT |
E.8.1.4 | Double blind | Information not present in EudraCT |
E.8.1.5 | Parallel group | Information not present in EudraCT |
E.8.1.6 | Cross over | Information not present in EudraCT |
E.8.1.7 | Other | Information not present in EudraCT |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | Information not present in EudraCT |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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Last visit of the last subject undergoing the trial |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 5 |
E.8.9.1 | In the Member State concerned months | 1 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 4 |
E.8.9.2 | In all countries concerned by the trial months | 12 |