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CompletedNCT01793233Updated Aug 26, 2024

Blood Sample Markers of Reproductive Hormones in Assessing Ovarian Reserve in Younger Patients With Newly Diagnosed Lymphomas

An observational study in Anaplastic Large Cell Lymphoma, Burkitt Lymphoma and Diffuse Large B-Cell Lymphoma, sponsored by Children's Oncology Group. Completed at 107 sites in 2 countries. Open to female participants aged Up to 29 Years. Per ClinicalTrials.gov, last updated 2024-08-26.

Sponsored by Children's Oncology Group · Observational

Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
203
Ages
Up to 29 Years
Sex
Female
01

Study summary

This clinical trial studies blood sample markers of reproductive hormones in assessing ovarian reserve in younger patients with newly diagnosed lymphomas. Studying samples of blood from patients with cancer in the laboratory may help measure the effect of curative therapy for lymphoma on ovarian failure.

Read the detailed description

PRIMARY OBJECTIVES:

I. Compare anti mullerian hormone (AMH), follicle stimulating hormone (FSH), and estradiol (E2) between patients at baseline and cross section of controls and again between patients at 12 months off therapy and cross section of controls.

II. Describe the trajectory of AMH, FSH, and E2 from baseline to 12 months after completion of gonadotoxic cancer treatment.

III. Evaluate degree of change of AMH/FSH/E2 from baseline to end of therapy in patients.

IV. Evaluate degree of recovery of AMH/FSH/E2 from end of therapy to 12 months off therapy.

SECONDARY OBJECTIVES:

I. Describe acute ovarian failure (AOF) prevalence 12 months post-therapy. II. Collect blood samples for future evaluation of drug metabolizing enzyme polymorphisms.

OUTLINE:

Patients complete a menstrual diary to document vaginal bleeding and undergo blood sample collection at baseline, the 3rd course of chemotherapy, at the end of chemotherapy, and at 6 and 12 months post-treatment.

02

Conditions studied

  • Anaplastic Large Cell Lymphoma
  • Burkitt Lymphoma
  • Diffuse Large B-Cell Lymphoma
  • Hodgkin Lymphoma
  • Lymphoma
03

In context

Lymphoma, Large-Cell, Anaplastic

228 studies on the registry are indexed under Lymphoma, Large-Cell, Anaplastic; 27 are open to participants now.

This study's enrollment of 203 is close to the median of 202 across 18 observational studies indexed under Lymphoma, Large-Cell, Anaplastic.

Browse Lymphoma, Large-Cell, Anaplastic studies →

Lead sponsor

Children's Oncology Group is the lead sponsor of 447 studies on the registry; 35 are open to participants now.

Of its 12 completed or terminated interventional studies of FDA-regulated products, 11 (92%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Up to 29 Years
Sexes eligible
Female
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with newly diagnosed lymphoma at Children's Oncology Group

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients must have had first menses >= 6 months prior to enrollment
  • Patients must be newly diagnosed with lymphoma; this includes but is not limited to Hodgkin lymphoma, Burkitts lymphoma, diffuse large B cell lymphoma, and anaplastic large cell lymphoma
  • Planned cancer treatment must include an alkylating agent: i.e. procarbazine, cyclophosphamide, ifosphamide; planned cancer treatment must be less than one year
  • Patients with any performance status are eligible for enrollment
  • Patients may take hormone medications excluding gonadotropin-releasing hormone (GnRH) analogues
  • All patients and/or their parents or legal guardians must sign a written informed consent
  • All institutional, Food and Drug Administration (FDA), and National Cancer Institute (NCI) requirements for human studies must be met

Exclusion criteria

Exclusion Criteria:

  • Patients who have previously received chemotherapy other than steroids and intrathecal chemotherapy are not eligible
  • Patients who have a secondary malignancy are not eligible
  • Patients with known history of ovarian disease: e.g. Turner syndrome or polycystic ovarian syndrome are not eligible
  • Patients in whom planned therapy includes: removal or uterus or ovary(ies), pelvic irradiation, cranial irradiation or hematopoietic stem cell transplantation are not eligible
  • Patients who previously have had their uterus or ovary(ies) removed are not eligible
  • Patients who have received gonadotropin release hormone agonist or antagonist (e.g. Lupron) prior to study entry are not eligible
  • Patients who are pregnant or breast feeding are not eligible
  • Patients who have undergone or are planning to undergo ovarian tissue, oocyte or embryo cryopreservation prior to treatment are not eligible
05

Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
203 participants (actual)
Biospecimen retention
Samples with dna

Groups and cohorts

  • Ancillary-Correlative (menstrual diary, biomarker analysis)

    Patients complete a menstrual diary to document vaginal bleeding and undergo blood sample collections at baseline, the 3rd course of chemotherapy, at the end of chemotherapy, and at 6 and 12 months post-treatment.

    Other: Laboratory Biomarker Analysis · Other: Questionnaire Administration

Interventions

  • OtherLaboratory Biomarker Analysis

    Correlative studies

  • OtherQuestionnaire Administration

    Ancillary studies

06

What researchers measure

Primary outcomes

  1. Comparison of the measures of ovarian reserve (AMH, FSH and E2) to that of health controls

    Compared using the Wilcoxon rank-sum test or the two sample t-test after appropriate transformation. Analysis of covariance will be used to adjust these comparisons for covariates including age, race, dose of alkylating agent and use of hormone medications.

    Time frame: Up to 12 months

  2. Degree of change in AMH, FSH, and E2 defined as the ratio of baseline minus end of therapy (EOT) measurement over baseline

    Evaluated using Wilcoxon signed rank test or a paired t-test after appropriate normalizing transformation.

    Time frame: Baseline up to end of chemotherapy

  3. Degree of recovery of AMH, FSH, and E2 in the post-therapy phase

    Generalized estimating equation (GEE) will be used to model the change as a function of time.

    Time frame: Up to 12 months

Secondary outcomes

  1. Rate of AOF

    Describe the number of patients with AOF as measured at 12 months by an FSH \> 40 divided by the total population.

    Time frame: Up to 12 months

  2. Collect blood samples for future evaluation of drug metabolizing Describe number of samples enzyme polymorphisms

    Describe the number of samples collected.

    Time frame: At enrollment (or diagnosis) and Day 5 post enrollment

07

Study locations

107 sites
  • Children's Hospital of Alabama
    Birmingham, Alabama 35233, United States
  • Arkansas Children's Hospital
    Little Rock, Arkansas 72202-3591, United States
  • Kaiser Permanente Downey Medical Center
    Downey, California 90242, United States
  • City of Hope Comprehensive Cancer Center
    Duarte, California 91010, United States
  • Loma Linda University Medical Center
    Loma Linda, California 92354, United States
  • Miller Children's and Women's Hospital Long Beach
    Long Beach, California 90806, United States
  • Children's Hospital of Orange County
    Orange, California 92868, United States
  • Lucile Packard Children's Hospital Stanford University
    Palo Alto, California 94304, United States
  • Rady Children's Hospital - San Diego
    San Diego, California 92123, United States
  • UCSF Medical Center-Parnassus
    San Francisco, California 94143, United States
  • UCSF Medical Center-Mission Bay
    San Francisco, California 94158, United States
  • Connecticut Children's Medical Center
    Hartford, Connecticut 06106, United States
  • Alfred I duPont Hospital for Children
    Wilmington, Delaware 19803, United States
  • Children's National Medical Center
    Washington D.C., District of Columbia 20010, United States
  • Golisano Children's Hospital of Southwest Florida
    Fort Myers, Florida 33908, United States
  • Memorial Regional Hospital/Joe DiMaggio Children's Hospital
    Hollywood, Florida 33021, United States
  • Nemours Children's Clinic-Jacksonville
    Jacksonville, Florida 32207, United States
  • Miami Cancer Institute
    Miami, Florida 33176, United States
  • Nemours Children's Hospital
    Orlando, Florida 32827, United States
  • Nemours Children's Clinic - Pensacola
    Pensacola, Florida 32504, United States
  • Johns Hopkins All Children's Hospital
    St. Petersburg, Florida 33701, United States
  • Tampa General Hospital
    Tampa, Florida 33606, United States
  • Saint Joseph's Hospital/Children's Hospital-Tampa
    Tampa, Florida 33607, United States
  • Saint Mary's Hospital
    West Palm Beach, Florida 33407, United States
  • Children's Healthcare of Atlanta - Egleston
    Atlanta, Georgia 30322, United States
  • University of Hawaii Cancer Center
    Honolulu, Hawaii 96813, United States
  • Kapiolani Medical Center for Women and Children
    Honolulu, Hawaii 96826, United States
  • Saint Luke's Cancer Institute - Boise
    Boise, Idaho 83712, United States
  • Lurie Children's Hospital-Chicago
    Chicago, Illinois 60611, United States
  • University of Chicago Comprehensive Cancer Center
    Chicago, Illinois 60637, United States
  • Riley Hospital for Children
    Indianapolis, Indiana 46202, United States
  • Blank Children's Hospital
    Des Moines, Iowa 50309, United States
  • University of Iowa/Holden Comprehensive Cancer Center
    Iowa City, Iowa 52242, United States
  • University of Kentucky/Markey Cancer Center
    Lexington, Kentucky 40536, United States
  • Ochsner Medical Center Jefferson
    New Orleans, Louisiana 70121, United States
  • Sinai Hospital of Baltimore
    Baltimore, Maryland 21215, United States
  • Johns Hopkins University/Sidney Kimmel Cancer Center
    Baltimore, Maryland 21287, United States
  • Massachusetts General Hospital Cancer Center
    Boston, Massachusetts 02114, United States
  • Dana-Farber Cancer Institute
    Boston, Massachusetts 02215, United States
  • C S Mott Children's Hospital
    Ann Arbor, Michigan 48109, United States
  • Wayne State University/Karmanos Cancer Institute
    Detroit, Michigan 48201, United States
  • Corewell Health Grand Rapids Hospitals - Helen DeVos Children's Hospital
    Grand Rapids, Michigan 49503, United States
  • Children's Hospitals and Clinics of Minnesota - Minneapolis
    Minneapolis, Minnesota 55404, United States
  • University of Mississippi Medical Center
    Jackson, Mississippi 39216, United States
  • University of Missouri Children's Hospital
    Columbia, Missouri 65212, United States
  • Children's Mercy Hospitals and Clinics
    Kansas City, Missouri 64108, United States
  • University Medical Center of Southern Nevada
    Las Vegas, Nevada 89102, United States
  • Sunrise Hospital and Medical Center
    Las Vegas, Nevada 89109, United States
  • Alliance for Childhood Diseases/Cure 4 the Kids Foundation
    Las Vegas, Nevada 89135, United States
  • Summerlin Hospital Medical Center
    Las Vegas, Nevada 89144, United States
  • Nevada Cancer Research Foundation NCORP
    Las Vegas, Nevada 89169, United States
  • Hackensack University Medical Center
    Hackensack, New Jersey 07601, United States
  • Saint Barnabas Medical Center
    Livingston, New Jersey 07039, United States
  • Morristown Medical Center
    Morristown, New Jersey 07960, United States
  • Newark Beth Israel Medical Center
    Newark, New Jersey 07112, United States
  • University of New Mexico Cancer Center
    Albuquerque, New Mexico 87106, United States
  • Albany Medical Center
    Albany, New York 12208, United States
  • Roswell Park Cancer Institute
    Buffalo, New York 14263, United States
  • NYU Langone Hospital - Long Island
    Mineola, New York 11501, United States
  • NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center
    New York, New York 10032, United States
  • NYP/Weill Cornell Medical Center
    New York, New York 10065, United States
  • Stony Brook University Medical Center
    Stony Brook, New York 11794, United States
  • State University of New York Upstate Medical University
    Syracuse, New York 13210, United States
  • Montefiore Medical Center - Moses Campus
    The Bronx, New York 10467, United States
  • New York Medical College
    Valhalla, New York 10595, United States
  • Mission Hospital
    Asheville, North Carolina 28801, United States
  • East Carolina University
    Greenville, North Carolina 27834, United States
  • Wake Forest University Health Sciences
    Winston-Salem, North Carolina 27157, United States
  • Sanford Broadway Medical Center
    Fargo, North Dakota 58122, United States
  • Rainbow Babies and Childrens Hospital
    Cleveland, Ohio 44106, United States
  • Cleveland Clinic Foundation
    Cleveland, Ohio 44195, United States
  • Nationwide Children's Hospital
    Columbus, Ohio 43205, United States
  • ProMedica Toledo Hospital/Russell J Ebeid Children's Hospital
    Toledo, Ohio 43606, United States
  • University of Oklahoma Health Sciences Center
    Oklahoma City, Oklahoma 73104, United States
  • Legacy Emanuel Children's Hospital
    Portland, Oregon 97227, United States
  • Oregon Health and Science University
    Portland, Oregon 97239, United States
  • Geisinger Medical Center
    Danville, Pennsylvania 17822, United States
  • Children's Hospital of Philadelphia
    Philadelphia, Pennsylvania 19104, United States
  • Saint Christopher's Hospital for Children
    Philadelphia, Pennsylvania 19134, United States
  • Children's Hospital of Pittsburgh of UPMC
    Pittsburgh, Pennsylvania 15224, United States
  • BI-LO Charities Children's Cancer Center
    Greenville, South Carolina 29605, United States
  • T C Thompson Children's Hospital
    Chattanooga, Tennessee 37403, United States
  • East Tennessee Childrens Hospital
    Knoxville, Tennessee 37916, United States
  • Saint Jude Children's Research Hospital
    Memphis, Tennessee 38105, United States
  • The Children's Hospital at TriStar Centennial
    Nashville, Tennessee 37203, United States
  • Vanderbilt University/Ingram Cancer Center
    Nashville, Tennessee 37232, United States
  • Dell Children's Medical Center of Central Texas
    Austin, Texas 78723, United States
  • UT Southwestern/Simmons Cancer Center-Dallas
    Dallas, Texas 75390, United States
  • Cook Children's Medical Center
    Fort Worth, Texas 76104, United States
  • Methodist Children's Hospital of South Texas
    San Antonio, Texas 78229, United States
  • University of Texas Health Science Center at San Antonio
    San Antonio, Texas 78229, United States
  • Children's Hospital of The King's Daughters
    Norfolk, Virginia 23507, United States
  • Virginia Commonwealth University/Massey Cancer Center
    Richmond, Virginia 23298, United States
  • Seattle Children's Hospital
    Seattle, Washington 98105, United States
  • Providence Sacred Heart Medical Center and Children's Hospital
    Spokane, Washington 99204, United States
  • University of Wisconsin Carbone Cancer Center - University Hospital
    Madison, Wisconsin 53792, United States
  • Children's Hospital of Wisconsin
    Milwaukee, Wisconsin 53226, United States
  • CancerCare Manitoba
    Winnipeg, Manitoba R3E 0V9, Canada
  • IWK Health Centre
    Halifax, Nova Scotia B3K 6R8, Canada
  • McMaster Children's Hospital at Hamilton Health Sciences
    Hamilton, Ontario L8N 3Z5, Canada

Showing the first 100 of 107 sites across 2 countries.

08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jun 2013 to primary completion in Dec 2022, 114 months.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 13, 2013
First posted
Feb 15, 2013
StartActual
Jun 17, 2013
Primary completionActual
Dec 31, 2022
CompletionActual
Jun 30, 2024
Last update
Aug 26, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 26, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01793233
Responsible party
Sponsor
First posted
Feb 15, 2013
Start date
Jun 17, 2013
Primary completion
Dec 31, 2022
Completion
Jun 30, 2024
Last update
Aug 26, 2024

Study contacts

Jennifer M Levine
principal investigator · Children's Oncology Group

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Aug 2024. You cannot join it, but the record below documents what was studied.

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