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Study of fertility-sparing management using high-dose oral progestin in young women with stage I endometrial adenocarcinoma with grade 2 differentiation or superficial myometrial invasion

Study of fertility-sparing management using high-dose oral progestin in young women with stage I endometrial adenocarcinoma with grade 2 differentiation or superficial myometrial invasion

Status
Recruiting
Phases
Phase 4
Study type
Interventional
Source
CRIS
Registry ID
KCT0003226
Enrollment
41
Registered
2018-09-28
Start date
2018-08-16
Completion date
Unknown
Last updated
2021-01-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Interventions

Drug : For thse subjects who are eligible for inclusion/exclusion criteria, an oral dose of 500 mg a day, 3-12 months.

Sponsors

Asan Medical Center
Lead Sponsor

Eligibility

Sex/Gender
Female

Inclusion criteria

Inclusion criteria: 1) Only 20-40 year old women 2) a previously untreated, histologically diagnosed endometrial cancer 3) Patients who were diagnosed with endometrioid adenocarcinoma 4) MRI in which the lesion is confined to the uterine corpus only (Stage IA) 5) If one of the following criteria is met: a) when the grade 1, the myometrial invasion by MRI and the depth of invasion is <1/2, or b) If the grade 2 and the myometrial invasion is absent or the myometrial invasion of the uterus is <1/2 6) Patients without evidence of complex ovarian tumors on MRI * 7) Patients without evidence of pelvic lymph node and / or para-aortic lymph node enlargement (short diameter> 1 cm) on MRI * 8) Women who want to preserve ovaries strongly 9) GOG performance status 0-2 patients 10) Appropriate organ function WBC = 3,000/mm3 Platelets = 100,000/mm3 Creatinine = 2 mg/dL Bilirubin = 1.5 x institutional upper limit normal SGOT, SGPT, and ALP = 3 x institutional upper limit normal 11) Patients who voluntarily signed their written consent * If the cell grade is 1 and there is no myometrial invasion by MRI, participation is not possible. * If there is a complex ovarian tumor on the MRI, or if the pelvic or para-aortic lymph node enlargement (short diameter> 1 cm) is present, there is no malignant tumor of the ovary or metastasis or lymph node metastasis in the histological diagnosis by laparoscopic surgery. If so, participation in the test is possible.

Exclusion criteria

Exclusion criteria: 1) Patients with a history of breast cancer or who were diagnosed with breast cancer during the study 2) patients who had other cancer or who were treated for cancer within 5 years except for non-melanoma skin cancer 3) Pregnant or lactating women 4) Patients with a history of thrombophlebitis, thromboembolism, or cerebrovascular disease 5) Patients with severe underlying disease or complications 6) Patients with a history of acute or chronic liver disease 7) Patients with a history of radiation therapy in the peritoneal or pelvic region 8) Patients with a history of chemotherapy for peritoneal or pelvic tumor

Design outcomes

Primary

MeasureTime frame
The presence of endometrial cancer is confirmed by D&C (Dilation and curettage) and the response rate of the treatment is analyzed by the difference of the result;The presence of endometrial cancer is confirmed by MRI(magnetic resonance imaging)and the response rate of the treatment is analyzed by the difference of the result

Secondary

MeasureTime frame
disease -free survival : it analyzes survival outcome using the kaplan-meir method;fertility-outcomes : it analyzes menstruation, pregnancy rate, birth rate, abortion rate, and premature birth rate;Evaluate side effects of high-concentration MPA.;predictive and prognostic biomarker and clincopatholgic factors which can predict response to oral MPA and recurrence : chi-square test and logistic regression;Patient-reported outcomes (PRO) : It analyzed by the EORTC QLQ-C30, EORTC QLQ-CX24)

Countries

Korea, Republic of

Contacts

Public ContactJEONG PARK

Asan Medical Center

Outcome results

None listed

Source: CRIS (via WHO ICTRP) · Data processed: Feb 4, 2026