New Two-Step surgery could spare High-Risk women from early menopause
NCT ID NCT06726330
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests a new two-step preventive surgery for women with gene mutations (like BRCA1) that raise their risk of ovarian cancer. Instead of removing both ovaries and fallopian tubes at once, the first step removes only the fimbria (the end of the fallopian tube), and the ovaries are removed later, around menopause. The goal is to reduce cancer risk while delaying menopause and its side effects. About 1,100 women in France will choose either this new approach or the standard surgery, and they will be followed until age 70.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Fimbriectomy followed by delayed oophorectomy (F-DO) surgical procedure
- What this could lead to
- If successful, this could offer a less drastic preventive option for women at high genetic risk of ovarian cancer, preserving ovarian function longer and delaying menopause.
- What could go wrong
- This is a non-randomized study, so results may be less definitive. The procedure is still being tested for effectiveness, and there is a small risk that cancer could still develop before the delayed ovary removal.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 1,100 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Mar 2027
An estimate. Start dates often move.
- Expected to finish
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Mar 2071
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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35 to 50 years
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Woman between 35 to 50 years 2. Addressed to or followed in an oncogenetic counselling 3. Identified risk of tubo-ovarian or primary peritoneal carcinoma based on mutational status (BRCA1, BRCA 2, RAD51C, RAD51D, PALB2). The list of considered mutations may be extended during the study. 4. Written informed consent 5. Patient covered by the French "Social Security" Exclusion Criteria: 1. Prior bilateral oophorectomy and/or bilateral salpingectomy for any reason (prophylactic surgery or other) 2. Personal history of ovarian, fallopian tube or primary peritoneal cancer 3. Menopause defined by • In women without prior chemotherapy If no prior hysterectomy: the absence of menses for at least 12 months, or FSH \> 20 UI/L with low estrogen level with no identified gynecological or endocrine explanation. Amenorrhea related to an intrauterine device, vaginal ring or estrogen-progestin pill will not be considered as menopause. If prior hysterectomy: FSH \>20 UI/L with low estrogen level (with or without vasomotor symptoms, genitourinary symptoms) * In women with prior chemotherapy: the absence of menses for at least 24 months * In all women with progesterone-loaded intra-uterine device (IUD): FSH \> 20 UI/L with low estrogen level 4. Inability to comply with medical follow-up of the trial (geographical, social or psychological reasons) 5. Patient under guardianship or curatorship
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
23 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Centre Antoine Lacassagne
Nice, France
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Centre François Baclesse
Caen, France
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Centre Henri Becquerel
Rouen, France
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Centre Hospitalier Universitaire Dijon Bourgogne
Dijon, France
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Centre Hospitalier Universitaire de Lille
Lille, France
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Centre Hospitalier de Valenciennes
Valenciennes, France, France
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Centre Jean Perrin
Clermont-Ferrand, France
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Centre Léon Bérard
Lyon, France, France
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Centre Oscar Lambret
Lille, France
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Centre hospitalier universitaire Grenoble-Alpes
Grenoble, France
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Clinique du Bois
Lille, France
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Gustave Roussy
Paris, France
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Hôpital Institut CURIE
Paris, France
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Hôpital Simone Veil - CH de Troyes
Troyes, France
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Hôpital Tenon AP-HP
Paris, France
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Hôpital de Saint-Cloud
Saint-Cloud, France
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Hôpital de la Pitié Salpêtrière - AP-HP
Paris, France
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Hôpitaux Privés Rouennais
Rouen, France
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Institut Bergonié
Bordeaux, France
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Institut Godinot
Reims, France
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Institut Paoli-Calmettes
Marseille, France
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Institut de cancérologie de l'Ouest Centre René GAUDUCHEAU
Nantes, France
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Institut universitaire du cancer de Toulouse
Toulouse, France, France
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