Centralization of Epithelial Ovarian Cancer Care and Outcomes in Italy
Official title: Centralization and Oncologic Outcomes in Ovarian Cancer: A Multicenter Retrospective and Prospective Observational Study Within the REMO Network (COOC-REMO)
Run by Azienda USL Reggio Emilia - IRCCS · NCT07075939 · Data updated 2026-11-12
This study tests how concentrating ovarian cancer treatment in high-volume centers during 2018–2023 affected patient outcomes.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 99 Years |
| Sex | Women only |
| Enrollment | 200 (estimated) |
| Sponsor | Azienda USL Reggio Emilia - IRCCS Government |
| Drugs / interventions | Bevacizumab, chemotherapy |
| Locations | 7 sites (Carpi, Modena and 6 other locations) |
| Status | Recruiting |
| Started | June 27, 2025 |
| Main results expected | June 2030 |
| Study ends | June 2031 |
| Registry record updated | July 24, 2026 |
| Trial ID | NCT07075939 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Women aged 18–99 with epithelial ovarian cancer treated within the AUSL-IRCCS Reggio Emilia network between 2018 and 2023.
✕Probably not a fit
Patients without available outcome data or who did not undergo centralized care may not show improved outcomes in analyses.
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 multicenter observational study conducted in the Emilia-Romagna region of Italy. It analyzes both retrospective and prospective data from patients with epithelial ovarian cancer treated from 2018 to 2023, focusing on the impact of centralized care and COVID-19–related treatment changes on oncologic outcomes. The primary aim is to compare progression-free survival and overall survival across three periods: before centralization, during the pandemic peak, and during pandemic control. The study also notes shifts toward neoadjuvant chemotherapy, multidisciplinary evaluation, BRCA testing, and interval debulking surgery as part of the care pathways. No experimental interventions are being tested; the study observes real-world practices and outcomes.
Why it matters
Potential benefit: If centralized care and optimized treatment pathways improve outcomes, patients may experience longer survival and better disease control.
How similar studies have gone: Other regions have reported advantages from centralized high-volume center care for gynecologic cancers, but this study adds pandemic-era context.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Female patients aged between 18 and 99 years * Histological and/or cytological diagnosis of epithelial ovarian cancer * Patients evaluated by the Multidisciplinary Tumor Board (MTB) of the AUSL-IRCCS of Reggio Emilia * Patients treated between January 1, 2018, and December 31, 2023 * Availability of clinical records and outcome data * Signed informed consent where possible, in accordance with GDPR and Italian regulations Exclusion Criteria: * Patients without histological or cytological confirmation of epithelial ovarian cancer * Incomplete or missing data for key clinical indicators * Patients unable to provide informed consent and for whom recontact is not possible * Patients deemed unable to understand and provide consent (e.g., severe cognitive impairment)
Where it's running
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Azienda Unità - Sanitaria locale di Modena - Ospedale Razzini Carpi
Carpi, Modena, Italy Recruiting -
Azienda Unità - Sanitaria locale di Modena - Ospedale di Mirandola
Mirandola, Modena, Italy Recruiting -
Azienda Unità - Sanitaria locale di Modena - Ospedale Civile Sassuolo
Sassuolo, Modena, Italy Recruiting -
Azienda USL IRCCS di Reggio Emilia
Reggio Emilia, Re, Italy Recruiting -
Azienda Ospedaliero - Universitario di Modena
Modena, Italy Recruiting -
Azienda Unità - Sanitaria locale di Modena - Ospedale Pavullo nel Frignano
Pavullo nel Frignano, Modena, Italy Not yet recruiting
Show 1 more location
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Azienda Unità - Sanitaria locale di Modena - Ospedale di Vignola
Vignola, Modena, Italy Not yet recruiting
Study contacts
- Principal investigator: Vincenzo Dario Mandato, MD — Azienda USL Reggio Emilia - IRCCS
- Study coordinator: Vincenzo Dario Mandato, MD - Principal Investigator
- Email: vincenzodario.mandato@ausl.re.it
- Phone: +39 0522 295467
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.