Development of a Molecular Diagnostic Tool for Endometrial Cancer.

NCT ID: NCT06192017

Last Updated: 2025-08-28

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

COMPLETED

Total Enrollment

1950 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-10-18

Study Completion Date

2025-07-31

Brief Summary

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WomEC is an in vitro diagnostic test for Endometrial Cancer (EC) based on the detection of the expression level of a combination of 5 proteins in the soluble fraction of a pipelle biopsy specimen. The aim of the study consists in validating WomEC's ELISA test, creating and freezing an algorithm to rule out EC in post-menopausal women with abnormal uterine bleeding (AUB).

Detailed Description

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Conditions

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Endometrium Cancer

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Post-menopausal women with AUB

The patients will be divided into different study groups: "Control" and cases or "EC", the latter could be subdivided and analyzed in separate groups related to their prognosis. The "Control" patients are those patients with symptoms compatible with endometrial cancer but who are diagnosed with benign and / or healthy pathology; while "EC" patients present associated symptoms and are diagnosed with endometrial cancer.

WomEC

Intervention Type DIAGNOSTIC_TEST

The study will collect pipelle biopsies from post-menopausal women presenting with AUB entering to the EC diagnostic process at the clinical consultancy or emergency room. In the study an endometrial biopsy by aspiration will be collected (i.e., pipelle biopsy) and it will be used for (1) diagnostic purposes following current procedures (i.e., pathological examination and diagnosis); (2) placed in a collection tube for WomEC test.

Interventions

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WomEC

The study will collect pipelle biopsies from post-menopausal women presenting with AUB entering to the EC diagnostic process at the clinical consultancy or emergency room. In the study an endometrial biopsy by aspiration will be collected (i.e., pipelle biopsy) and it will be used for (1) diagnostic purposes following current procedures (i.e., pathological examination and diagnosis); (2) placed in a collection tube for WomEC test.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Post-menopausal women (≥1 year without menstruation) with AUB who present with:

1. Endometrium \> 3mm by transvaginal ultrasound, OR
2. Endometrium ≤ 3mm who meet at least one of the following criteria:

i. Persistent symptoms (more than one episode of metrorrhagia) ii. Heterogenous endometrium on transvaginal ultrasonography iii. Risk factors (BMI ≥ 30, use of tamoxifen, hormone replacement therapy (HRT), Lynch syndrome, BRCA mutation.
* Obtaining written informed consent

Exclusion Criteria

* Women with an active pelvic infection.
* Women who have had viral infections with evidence of active and latent disease such as Hepatitis B, Hepatitis C, and HIV infection. Patients who have had Hepatitis C in the past but who have been successfully treated and in whom viral replication has not been observed in the last year will be included.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Hospital Vall d'Hebron

OTHER

Sponsor Role collaborator

MiMARK Diagnostics, S.L.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Antonio Gil-Moreno, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Hospital Universitari Campus Vall d'Hebron

Locations

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Hospital Universitario de Torrevieja

Torrevieja, Alicante, Spain

Site Status

Hospital Universitari Son Espases

Palma de Mallorca, Balearic Islands, Spain

Site Status

Hospital Universitari Germans Trias i Pujol

Badalona, Barcelona, Spain

Site Status

Hospital Dexeus - Quirón de Barcelona

Barcelona, Barcelona, Spain

Site Status

Hospital Universitari Campus Vall d'Hebron

Barcelona, Barcelona, Spain

Site Status

Hospital Clinic

Barcelona, Barcelona, Spain

Site Status

Hospital Universitario de Igualada

Igualada, Barcelona, Spain

Site Status

Hospital Universitari de Bellvitge - Hospital Duran i Reynals

L'Hospitalet de Llobregat, Barcelona, Spain

Site Status

Hospital Universitario Marqués de Valdecilla

Santander, Cantabria, Spain

Site Status

Hospital Universitario de la Plana

Villarreal, Castellon, Spain

Site Status

Hospital Clínico de Santiago

A Coruña, Galicia, Spain

Site Status

Hospital Virgen de las Nieves

Granada, Granada, Spain

Site Status

Hospital Universitario de Donostia

Donostia / San Sebastian, Guipuzcoa, Spain

Site Status

Hospital Materno Infantil de Gran Canaria

Las Palmas de Gran Canaria, Las Palmas, Spain

Site Status

Hospital Universitario de Getafe

Getafe, Madrid, Spain

Site Status

Hospital Clinico San Carlos

Madrid, Madrid, Spain

Site Status

Hospital Universitario 12 de Octubre

Madrid, Madrid, Spain

Site Status

Hospital Universitario La Paz

Madrid, Madrid, Spain

Site Status

Hospital Universitario Quirónsalud Madrid

Madrid, Madrid, Spain

Site Status

Hospital Clínico Universitario Virgen de la Arrixaca

El Palmar, Murcia, Spain

Site Status

Hospital General Universitari de València

Valencia, Valencia, Spain

Site Status

Hospital Universitario y Politécnico de La Fe

Valencia, Valencia, Spain

Site Status

Hospital Universitario de Puerto Real

Cadiz, , Spain

Site Status

Hospital General Universitari de Castelló

Castellon, , Spain

Site Status

Hospital Universitario de León

León, , Spain

Site Status

Hospital Miguel Servet

Zaragoza, , Spain

Site Status

Countries

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Spain

References

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Dueholm M, Hjorth IMD, Dahl K, Hansen ES, Ortoft G. Ultrasound Scoring of Endometrial Pattern for Fast-track Identification or Exclusion of Endometrial Cancer in Women with Postmenopausal Bleeding. J Minim Invasive Gynecol. 2019 Mar-Apr;26(3):516-525. doi: 10.1016/j.jmig.2018.06.010. Epub 2018 Jun 23.

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Martinez-Garcia E, Lopez-Gil C, Campoy I, Vallve J, Coll E, Cabrera S, Ramon Y Cajal S, Matias-Guiu X, Van Oostrum J, Reventos J, Gil-Moreno A, Colas E. Advances in endometrial cancer protein biomarkers for use in the clinic. Expert Rev Proteomics. 2018 Jan;15(1):81-99. doi: 10.1080/14789450.2018.1410061. Epub 2017 Nov 30.

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Other Identifiers

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WomEC SEGO

Identifier Type: -

Identifier Source: org_study_id

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