PanCareLife fertility study of female childhood cancer survivors v2

  • Research type

    Research Study

  • Full title

    Fertility impairment in a Pan-European cohort of female 5-year survivors of childhood cancer: PanCareLife study

  • IRAS ID

    161089

  • Contact name

    Victoria Grandage

  • Contact email

    victoria.grandage@uclh.nhs.uk

  • Sponsor organisation

    PanCareLife

  • Clinicaltrials.gov Identifier

    602030, PanCareLife (Health 2013 FP7) Grant agreement number; DP9-GOSH/UCLH- UK, Dataprovider reference number

  • Duration of Study in the UK

    3 years, 6 months, 7 days

  • Research summary

    Fertility Impairment in a pan-European cohort of female 5-year survivors of childhood cancer

    The occurrence of fertility impairment following treatment for cancer during childhood has been known for at least 25 years. Overall, pregnancy rates have shown to be reduced by 20-35% in female survivors compared to siblings and the risk of early menopause is increased 13-fold. A significant number of studies relating to female fertility following childhood and adolescent cancer have failed to establish precise estimates of treatment-related risk. The contribution of genetic factors and effects of newer agents are also still lacking and many questions remain unanswered. The aim of the current cohort study is to generate evidence-based information concerning the risk factors and fertility status of adult female cancer survivors treated in childhood, adolescence and young adulthood,throughout Europe, on which evidence-based recommendations for counselling will be developed.
    The study is set up as a retrospective cohort study (Part A) coordinated by the EU funded project PanCareLIfe and performed in collaboration with 11 European institutes. The cohort consists of over 13,000 5-year female survivors of childhood, adolescent and young adult cancer, currently >18 years of age. The main outcome of the study is fertility impairment. This outcome will be measured by means of self-reported data (questionnaires), completed for some survivors with clinical data that is to be collected during visits to outpatient clinics for late effects screening. The use of relatively new clinical markers of risk for fertility impairment, such as anti-Mullerian hormone (AMH), should provide more precise estimates of the risk of future (premature) loss of ovarian reserve.
    From the nested case-control study (Part B) drawn from the cohort in Part A ,it will be investigated to what degree fertility impairment is related to the type of diagnosis and treatment, and age at time of treatment and treatment era.

  • REC name

    Wales REC 7

  • REC reference

    15/WA/0152

  • Date of REC Opinion

    30 Apr 2015

  • REC opinion

    Favourable Opinion