Clinical trial Recruiting at 2 sites Observational Ages 18 and up Women only

Biomarker panel to tell BOT from stage I ovarian cancer

Official title: Discriminating Borderline From Stage I Invasive Ovarian Cancer (BIOC): a Prospective Multicenter Diagnostic Biomarker Study

Run by KU Leuven · NCT06709872 · Data updated 2026-11-12

Doctors are testing a panel of nine biomarkers to see if it can tell borderline ovarian tumors apart from early-stage invasive ovarian cancer before surgery.

Quick facts

Study typeObservational
Ages18 Years and up
SexWomen only
Enrollment400 (estimated)
SponsorKU Leuven
Academic / other
Locations4 sites (Leuven, Flemish Brabant and 3 other locations)
StatusRecruiting
StartedJune 3, 2025
Main results expectedSeptember 3, 2029
Study endsSeptember 3, 2029
Registry record updatedMay 22, 2026
Trial IDNCT06709872 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (18+) with an ultrasound-detected ovarian cyst suspected to be BOT or stage I cancer, able to provide informed consent.

Probably not a fit

Patients with cysts that are clearly benign or clearly malignant may not benefit from this biomarker panel.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a prospective, multicenter observational study aiming to improve preoperative discrimination between borderline ovarian tumors and stage I invasive ovarian cancer. Building on prior work, it expands a biomarker panel to nine proteins, including CA125, HE4, CA72.4, and CCL11, to identify a signature that works with or without ultrasound data. The goal is to guide surgical planning and treatment decisions and to create a robust BOT versus stage I cancer database across Europe. Participants are adults with ultrasound-detected ovarian cysts suspicious for BOT or stage I cancer, undergoing preoperative assessment and blood sampling. The study does not specify an intervention beyond biomarker testing and data collection.

Why it matters

Potential benefit: A diagnostic biomarker signature could improve preoperative accuracy, leading to better treatment choices and potentially fertility-preserving options for younger patients.

How similar studies have gone: The prior TRANS-IOTA study suggested multiple biomarkers could help distinguish BOT from early cancer, and BIOC seeks to validate and expand on those findings.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Participants eligible for inclusion in this study must meet all of the following criteria:

  1. Voluntary written informed consent of the participant or their legally authorized representative has been obtained prior to any screening procedures
  2. At least 18 years of age at the time of signing the Informed Consent Form (ICF)
  3. Ultrasound discovery of a cyst on the ovary, suspicious for BOT or stage I invasive tumor (subjective assessment)

Exclusion Criteria:

* Participants eligible for this Study must not meet any of the following criteria:

  1. Participants younger than 18 years old,
  2. Female who is pregnant, breast-feeding or intends to become pregnant or is of child-bearing potential and not using an adequate, highly effective contraceptive
  3. Participants who refuse the preoperative transvaginal ultrasonography and/or blood sample
  4. Participants with known simultaneous and/or previous malignancies within five years prior to BIOC participation
  5. Participants with infectious serology (i.e. HIV, Hepatitis B, Hepatitis C)
  6. Participants who deny or withdraw the written informed consent

Where it's running

  • UZ Leuven
    Leuven, Flemish Brabant, Belgium
    Recruiting
  • General Faculty Hospital of the Charles University
    Prague, Czechia
    Recruiting
  • Istituto Nazionale dei Tumore
    Milan, Italy
    Not yet recruiting
  • Università Cattolica del Sacro Cuore
    Rome, Italy
    Not yet recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.