The New Option
More than the conventional pap test, DOvEEgene is the new genomic uterine pap test that was developed by a team of McGill researchers. Whereas the conventional pap test screens for cervical cancer by finding abnormal cells under a microscope , the DOvEEgene genomic uterine pap test is developed to screen for both ovarian and endometrial cancers.
It uses technology which can find one abnormal cell in a 1000 normal cells. These differences and changes in DNA in the cell are analyzed by an AI algorithm which identifies whether or not the abnormal cells picked up are cancerous or not.
The DOvEEgene test is the only test capable of making the distinction between cancer and non-cancer cells in pre- and post-menopausal individuals.
MEET OUR COLLABORATORS
The team of collaborators who was able to make the dream of early detection of ovarian and endometrial cancers into a reality is a multi-disciplinary team headed by Dr. Lucy Gilbert. She is the Director of Gynecologic Oncology and the Women’s Health Research Unit at the McGill University Health Center and Professor at McGill University in the departments of Obstetrics and Gynecology and Oncology.
For this complex clinical issue to be solved, the minds and expertise of many different experts needed to be brought together. We would like to acknowledge the nominated investigators for each field who were instrumental in the creation of the DOvEEgene test.
The History
The development of the DOvEEgene test started in 2008. The study at this time was called DOvE: Diagnosing Ovarian cancers Early. The team was trying to see if rapid access to the currently available test of ovarian cancer would be able to detect ovarian cancers in earlier stages . The individuals participating in this study presented with vague symptoms of ovarian cancer and had the tests done. As the project progressed, we noticed that we were also able to detect endometrial cancers, therefore the name was changed to DOvEE: Diagnosis Ovarian and Endometrial cancers Early.
In 2012, the results of this study were published. They showed that fast-tracked access to this screening test for symptomatic Canadians resulted in lower tumor burden compared to those who did not have access . However, the cancers were still mainly diagnosed in stage III when there was disease located outside of the primary organ. As the goal is the catch these cancers while they are in stage I/II and have a much better prognosis, the team began to look in a different direction.
In 2014, we started the DOvEEgene study which stands for Detecting Ovarian and Endometrial cancers early using genomics. By using genomics, we are able to look at the very beginning of these cancers since the cancers start with uncontrolled changes in DNA (genes). All participating in this study were scheduled to have an operation to remove their uterus, fallopian tubes and ovaries for suspected cancer or for benign gynecological disease. Using these samples, we were able to come up with the DOvEEgene test, which is able to detect 70% of cancers of the ovaries, fallopian tubes and endometrium with 100% accuracy. The test is now ready to move into its next phase and be used in asymptomatic individuals as a screening test to change the statistics for ovarian and endometrial cancers for the better.