Endometrial carcinoma or hyperplasia MedDRA version: 14.0 Level: PT Classification code 10014733 Term: Endometrial cancer System Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Biopsy-proven endometrial cancer or hyperplasia (precancer) 2. Scheduled for surgical treatment (hysterectomy and removal of both ovaries) in 2 or more weeks time 3. Written informed consent to participate in the trial 4. Aged over 18 years old Are the trial subjects under 18? no Number of subjects for this age range: 0 F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 0 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 0
Exclusion criteria
Exclusion criteria: 1. Already receiving metformin treatment 2. Type 1 or type 2 diabetes mellitus 3. Renal or hepatic impairment 4. Unable to comply with treatment protocol
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To determine whether metformin exerts any effect in endometrial cancer.; Secondary Objective: To evaluate the biological mechanisms of metformin treatment in endometrial cancer. ;Primary end point(s): Ki-67 expression by the tumour (a proliferation marker);Timepoint(s) of evaluation of this end point: Laboratory analyses will be completed following collection of endometrial tissue samples. Tissue will be processed, stored and analysed on an ongoing basis throughout the trial. | — |
Secondary
| Measure | Time frame |
|---|---|
| Timepoint(s) of evaluation of this end point: Laboratory analyses will be completed following collection of endometrial tissue samples. Tissue will be processed, stored and analysed on an ongoing basis throughout the trial.; Secondary end point(s): Tumour analyses: Cleaved caspase3 and cleaved PARP (apoptosis markers); PTEN, AMPK, phosphoAMPK, mTOR and S6 phosphorylation (signal transduction pathways) Physiological analyses: Fasting serum glucose, insulin, IGFBP1 and Cpeptide levels IR and phosphorylated IR expression Tolerability of metformin treatment | — |
Countries
United Kingdom
Contacts
Central Manchester University Hospitals NHS Foundation Trust