Fertility-sparing Management Using High-dose Oral Progestin in Young Women With Endometrial Cancer

NCT ID: NCT03567655

Last Updated: 2018-06-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

41 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-07-15

Study Completion Date

2022-11-30

Brief Summary

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This registry aims to evaluate the efficacy of using high-dose oral progestin in young women with stage I endometrial adenocarcinoma with grade 2 differentiation or superficial myometrial invasion as a fertility-sparing management.

Detailed Description

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The standard treatment for endometrial cancer is total hysterectomy and bilateral salpingo-oophorectomy, peritoneal cytology, and lymph node dissection. However, young patients who desire to preserve their potential for fertility may find this standard treatment difficult to accept. Therefore, the conservative treatment for these patients has remained a challenge. A number of studies have reported the effectiveness of hormonal therapy using systemic progestin in women clinically diagnosed with early endometrial adenocarcinoma at stage IA, grade 1, who want to maintain reproductive potential. However, there have been few prospective studies about hormonal therapy in young women with stage I endometrial adenocarcinoma with grade 2 differentiation or superficial myometrial invasion as a fertility-sparing management.

\[Primary endpoint\]: To evaluate the complete response rate \[Sencondary endpoint\]: To evaluate of disease-free survival rate, fertility outcomes and side effects of high-dose oral progestin.

To analyze predictive and prognostic biomarkers and clinicopathologic factors about response and recurrence after therapy, To analyze patient-reported outcomes.

\[TREATMENT METHODS\] Patients with histologically confirmed grade 1 endometrioid adenocarcinoma with superficial myometrial invasion or patients with histologically confirmed grade 2 endometrioid adenocarcinoma that is presumably confined to the endometrium or patients with histologically confirmed grade 2 endometrioid adenocarcinoma with superficial myometrial invasion are administered medroxyprogesterone Acetate(MPA) at a dosage of 500 mg/day for 12 months.

Follow-up and treatment response assessment were implemented at a 3-month interval with MRI and dilatation and curettage (D\&C) procedure. The biopsy findings are compared.

\[INVESTIGATIONAL PRODUCT\] General Name/Brand name:Farlutal tab. 500mg/ Pfizer

Conditions

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Endometrial Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

This study is a single arm, prospective multi-institutional study.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Single group

Farlutal tab. 500mg/ Pfizer to be administered

Group Type EXPERIMENTAL

Farlutal tab. 500mg/ Pfizer

Intervention Type DRUG

Medroxyprogesterone Acetate

Interventions

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Farlutal tab. 500mg/ Pfizer

Medroxyprogesterone Acetate

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients with histologically confirmed grade 1 endometrioid adenocarcinoma with superficial myometrial invasion based on Magnetic resonance image(MRI)
* Patients with histologically confirmed grade 2 endometrioid adenocarcinoma that is presumably confined to the endometrium based on MRI
* Patients with histologically confirmed grade 2 endometrioid adenocarcinoma with superficial myometrial invasion based on MRI
* Patients who desire to preserve fertility potential
* Patients signed the written informed consent voluntarily

Exclusion Criteria

* Patients who have severe underlying disease or complication
* Under treatment of metastatic cancer from other organs or less than 5 years after previous cancer therapy
* Acute liver disease or kidney disease
* Thrombosis or phlebothrombosis requiring treatment, Hyperlipidemia, Smoker
Minimum Eligible Age

20 Years

Maximum Eligible Age

40 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Korean Gynecologic Oncology Group

OTHER

Sponsor Role collaborator

Asan Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Jeong-Yeol Park

Clinical associate professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Yong-Man Kim, MD Ph.D.

Role: STUDY_CHAIR

Korean Gynecologic Oncologic Group

Locations

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Department of Obstetrics and Gynecology, University of Ulsan College of Medicine, Asan Medical Center

Seoul, , South Korea

Site Status

Countries

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South Korea

Central Contacts

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Jeong-yeol Park, MD Ph.D.

Role: CONTACT

82-2-3010-3646

Dae-Yeon Kim, MD Ph.D.

Role: CONTACT

82-2-3010-3748

References

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Park JY, Nam JH. Progestins in the fertility-sparing treatment and retreatment of patients with primary and recurrent endometrial cancer. Oncologist. 2015 Mar;20(3):270-8. doi: 10.1634/theoncologist.2013-0445. Epub 2015 Feb 11.

Reference Type BACKGROUND
PMID: 25673106 (View on PubMed)

Bokhman JV, Chepick OF, Volkova AT, Vishnevsky AS. Can primary endometrial carcinoma stage I be cured without surgery and radiation therapy? Gynecol Oncol. 1985 Feb;20(2):139-55. doi: 10.1016/0090-8258(85)90135-0.

Reference Type BACKGROUND
PMID: 3972284 (View on PubMed)

Kempson RL, Pokorny GE. Adenocarcinoma of the endometrium in women aged forty and younger. Cancer. 1968 Apr;21(4):650-62. doi: 10.1002/1097-0142(196804)21:43.0.co;2-p. No abstract available.

Reference Type BACKGROUND
PMID: 5643760 (View on PubMed)

Skouby SO. The rationale for a wider range of progestogens. Climacteric. 2000 Dec;3 Suppl 2:14-20.

Reference Type BACKGROUND
PMID: 11379382 (View on PubMed)

Other Identifiers

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KGOG 2020

Identifier Type: -

Identifier Source: org_study_id

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