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NCT Number: NCT07807683

Circulating Endothelial Cells (CECs) as Potential Predictive/Prognostic Biomarkers in Ovarian Cancer

Anti-angiogenic agents, such as Bevacizumab, have demonstrated survival benefits in ovarian cancer, particularly in patients at high risk of disease progression. However, these therapies are costly, associated with potential side effects, and may negatively impact quality of life, benefiting only specific patient subgroups. Therefore, identifying reliable, predictive, and prognostic biomarkers that can be seamlessly integrated into clinical practice is essential to optimize patient selection.

Circulating endothelial cells (CECs)-mature endothelial cells shed from vascular walls following blood vessel damage-represent a promising biomarker for monitoring vascular injury, treatment response, and disease recurrence. While flow cytometry offers a rapid, cost-effective, and standardized approach for CEC enumeration, methodological variability across laboratories has historically limited its clinical utility. To overcome this, this study utilizes a standardized flow cytometry protocol (developed by Beckton Dickinson and the SCENIC consortium) combining DNA staining with a dried, pre-titrated 5-antibody panel to ensure consistent and reproducible CEC quantification.

Additionally, emerging evidence suggests that specific microRNA (miRNA) expression profiles in primary tumor tissue and plasma reflect vascular damage and response to anti-angiogenic therapy.

This study aims to evaluate the predictive and prognostic role of CEC counts (at baseline and post-treatment) in ovarian cancer patients receiving standard chemotherapy with or without Bevacizumab. Furthermore, it seeks to explore the correlation between baseline CEC levels and the expression of selected miRNAs in plasma and primary tumors.

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Key information

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

for Healthy Donors:

  • Healthy adults caucasian female
  • Non-smoker
  • Normal blood pressure values
  • Normal complete blood count (CBC)
  • Normal blood chemistry values

Inclusion criteria

for Cancer Patients:

  • Caucasian
  • Patients with confirmed histological diagnosis of ovarian carcinoma (all histotypes)
  • Treatment-naive or with disease recurrence occurring more than 12 months after the start of therapy
  • Normal systolic and diastolic blood pressure values, no cardiovascular comorbidities
  • Written informed consent

Exclusion criteria

Exclusion criteria

for Healthy Donors:

  • Diabetes
  • Hypertension
  • Active infectious states or chronic inflammatory diseases
  • Active or previous malignancies
  • Pharmacological treatment completed less than 48 hours prior
  • Statin treatment
  • Endometriosis
  • Cardiovascular disease / Heart disease
  • End of menstrual cycle less than 15 days prior
  • Non-fasting subjects
  • Obesity
  • Hypercholesterolemia
  • Active gastric or duodenal ulcer
  • Positive serology for HIV, Hepatitis A, B, or C infection

Treatment and study plan

Primary outcomes

  1. Optimization of CEC assessment in patients with ovarian cancer and description of baseline CECs

    Time frame: 4 years

    Description of baseline CECs with descriptive statistics

Secondary outcomes

  1. Evaluation of changes in CEC counts following therapy (with or without Bevacizumab) in patients with ovarian cancer

    Time frame: 4 years

    Fold change of CEC counts between different assessments: baseline, at the end of chemotherapy, at progression

  2. Assessment of the prognostic role of changes in CECs levels over time in patients with ovarian cancer in terms of Progression-Free Survival (PFS)

    Time frame: 4 years

    Difference in PFS between subgroups of patients will be evaluated with log-rank test

  3. Assessment of the prognostic role of changes in CECs levels over time in patients with ovarian cancer in terms of Overall Survival (OS)

    Time frame: 8 years

    Difference in OS between subgroups of patients will be evaluated with log-rank test

  4. Evaluation of changes in selected microRNA (miR) level following therapy (with or without Bevacizumab) in patients with ovarian cancer

    Time frame: 4 years

    Fold change of selected microRNA level between different assessments: baseline, at the end of chemotherapy, at progression

  5. Assessment of the prognostic role of changes in selected microRNA levels over time in patients with ovarian cancer in terms of PFS and OS

    Time frame: 4 years

    Difference in PFS between subgroups of patients will be evaluated with Kaplan-Meier method and log-rank test

  6. Assessment of the prognostic role of selected microRNA in patients with ovarian cancer in terms of PFS and OS

    Time frame: 8 years

    Difference in OS between subgroups of patients with different microRNA level will be evaluated with Kaplan-Meier method and log-rank test. OS will be defined as time from the beginning of second line platinum based therapy and death or end of follow-up whichever comes first

  7. Correlation between CEC counts at diagnosis and expression of selected microRNA in serum and primary tumors

    Time frame: 4 years

    correlation between CEC baseline counts and selected microRNA level

Sponsors and collaborators

Lead sponsor

Centro di Riferimento Oncologico - Aviano

Other

Registry information

Official study title

Flow Cytometric Evaluation of the Role of Circulating Endothelial Cells (CECs) as Potential Predictive/Prognostic Biomarkers in Ovarian Cancer

Important dates

Study start
2014
Primary completion
2018
Study completion
2024
First posted
Sep 8, 2026
Registry last updated
Sep 8, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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