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OncoMatch/Clinical Trials/NCT04575935

Minimally Invasive Surgery After Neoadjuvant Chemotherapy for the Treatment of Stage IIIC-IV Ovarian, Primary Peritoneal, or Fallopian Tube Cancer, LANCE Trial

Is NCT04575935 recruiting? Yes, currently enrolling (Jun 2026). This Phase 3 trial studies Chemotherapy for advanced ovarian carcinoma.

Phase 3RecruitingM.D. Anderson Cancer CenterNCT04575935Data as of Jun 2026Location: International · 5 countries

Treatment: ChemotherapyThis phase III trial compares minimally invasive surgery (MIS) to laparotomy in treating patients with stage IIIC-IV ovarian, primary peritoneal, or fallopian tube cancer who are receiving chemotherapy before and after surgery (neoadjuvant chemotherapy). MIS is a surgical procedure that uses small incision(s) and is intended to produce minimal blood loss and pain for the patient. Laparotomy is a surgical procedure which allows the doctors to remove some or all of the tumor and check if the disease has spread to other organs in the body. MIS may work the same or better than standard laparotomy after chemotherapy in prolonging the return of the disease and/or improving quality of life after surgery.

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Extracted eligibility criteria

Treatments studied

Other

Chemotherapy

Cancer type

Ovarian Cancer

Biomarker criteria

Required: CA-125 normalization or ≤500 U/mL (normalization per center reference range, or ≤500 U/mL)

Normalization of CA-125 according to individual participating center reference range ... or has a CA-125 value ≤500 and is scheduled to undergo a diagnostic laparoscopy prior to debulking surgery.

Disease stage

Required: Stage IIIC, IV

Grade: high-grade

Stage IIIC or IV, high-grade (serous, endometrioid, clear-cell, transitional carcinomas), invasive epithelial ovarian carcinoma, primary peritoneal carcinoma, or fallopian-tube carcinoma or pathology consistent with high-grade mullerian carcinoma.

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Demographics

Female only

Prior therapy

Must have received: platinum-based chemotherapy — neoadjuvant

completion of 3 to 4 cycles of platinum-based chemotherapy, or an investigational neoadjuvant regimen given according to protocol

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • University of Miami Miller School of Medicine-Sylvester Cancer Center · Miami, Florida
  • Cleveland Clinic Foundation - Florida · Weston, Florida
  • Massachusetts General Hospital · Boston, Massachusetts
  • Dana Farber Cancer Institute · Boston, Massachusetts
  • NYU Langone Health · Mineola, New York

Showing up to 5 US sites.

See all sites on ClinicalTrials.gov →

Frequently asked questions

Is NCT04575935 currently recruiting?

Yes, this trial is currently recruiting patients.

Is prior treatment required for enrollment?

Yes. Patients must have previously received platinum-based chemotherapy.

Does this trial require CA-125?

Yes, CA-125 normalization or ≤500 U/mL is a required biomarker for enrollment.

What disease stage is eligible?

Stage IIIC or IV is required.

Is this trial open to male patients?

No. This trial enrolls female patients only.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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