Outcomes of Low-Risk Endometrial Cancer With Isolated Tumor Cells in the Sentinel Lymph Nodes: A Prospective, Multicenter, Single-Arm Observational Study

NCT ID: NCT06689956

Last Updated: 2025-10-01

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

RECRUITING

Total Enrollment

212 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-12-04

Study Completion Date

2029-10-31

Brief Summary

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This study evaluates whether isolated tumor cells in the first lymph nodes near the tumor can tell researchers something important about the future of patients with a certain type of endometrial (uterine) cancer.

Detailed Description

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PRIMARY OBJECTIVE:

I. To evaluate whether the likelihood of disease recurrence differs between a prospective cohort of patients with low-risk endometrial cancer with ITC and an historical cohort with negative SLNs.

OUTLINE: This is an observational study.

Patients undergo tissue sample collection and have their medical records reviewed on study.

Conditions

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FIGO Grade 1 Endometrial Endometrioid Adenocarcinoma FIGO Grade 2 Endometrial Endometrioid Adenocarcinoma Stage IA1 Endometrial Cancer FIGO 2023 Stage IA2 Endometrial Cancer FIGO 2023

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Observational

Patients undergo tissue sample collection and have their medical records reviewed on study.

Non-Interventional Study

Intervention Type OTHER

Non-Interventional Study

Interventions

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Non-Interventional Study

Non-Interventional Study

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Low-risk endometrial cancer, defined as endometrioid, grade 1 or 2, International Federation of Gynecology and Obstetrics (FIGO) 2009 stage IA (FIGO 2023 stages IA1 and IA2), without substantial/extensive LVSI (≥ 5 vessels involved) at final pathology. Patients with focal LVSI (\< 5 vessels involved) will be included.

* Complete surgical staging, including pelvic sentinel lymph node (SLN) biopsy per National Comprehensive Cancer Network (NCCN) guidelines and ultrastaging.
* Extent of disease in SLN: ITC (defined as tumor cell aggregates ≤ 0.2 mm or \< 200 cells)
* No adjuvant treatment after surgery
* Research consent provided.

Exclusion Criteria

* Prior neoadjuvant chemotherapy.

* Planning to receive adjuvant treatment.
* Presence of synchronous cancer (excluding non-melanoma skin cancer).
* Extent of disease in SLN: micrometastasis (\> 0.2 to ≤ 2.0 mm) or macrometastasis (\> 2.0 mm).
* Presence of substantial/extensive LVSI (≥ 5 vessels involved) at final pathology.
* Prior invasive cancer diagnosis within 5 years of study entry (excluding non-melanoma skin cancer).
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mayo Clinic

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gretchen E. Glaser, MD

Role: PRINCIPAL_INVESTIGATOR

Mayo Clinic in Rochester

Locations

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Mayo Clinic in Rochester

Rochester, Minnesota, United States

Site Status RECRUITING

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status NOT_YET_RECRUITING

Houston Methodist Hospital

Houston, Texas, United States

Site Status NOT_YET_RECRUITING

Medical University of Vienna

Vienna, , Austria

Site Status RECRUITING

AC Camargo Cancer Center

São Paulo, , Brazil

Site Status NOT_YET_RECRUITING

Sunnybrook Health Sciences, University of Toronto

Toronto, Ontario, Canada

Site Status NOT_YET_RECRUITING

Hopital Maisonneuve Rosemont

Montreal, Quebec, Canada

Site Status NOT_YET_RECRUITING

Institut Universitaire du Cancer Toulouse Oncopole

Toulouse, , France

Site Status NOT_YET_RECRUITING

University Hospital Essen

Essen, , Germany

Site Status NOT_YET_RECRUITING

Meir Medical Center, Faculty of Medicine - Tel-Aviv University

Kefar Sava, , Israel

Site Status NOT_YET_RECRUITING

Ospedale Michele e Pietro Ferrero

Verduno, CN, Italy

Site Status NOT_YET_RECRUITING

IRCCS Fondazione San Gerardo dei Tintori

Monza, MB, Italy

Site Status NOT_YET_RECRUITING

Fondazione IRCCS Istituto Nazionale Tumori

Milan, MI, Italy

Site Status NOT_YET_RECRUITING

European Institute of Oncology

Milan, MI, Italy

Site Status NOT_YET_RECRUITING

Policlinico Universitario Fondazione Agostino Gemelli

Roma, RM, Italy

Site Status NOT_YET_RECRUITING

University of Udine

Udine, UD, Italy

Site Status NOT_YET_RECRUITING

Istituto Nazionale Tumori, IRCCS, Fondazione G. Pascale

Naples, , Italy

Site Status NOT_YET_RECRUITING

Hospital Materno of Las Palmas

Las Palmas, , Spain

Site Status RECRUITING

Hospital Universitario La Paz

Madrid, , Spain

Site Status RECRUITING

Ospedale Regionale di Lugano, Civico

Lugano, , Switzerland

Site Status RECRUITING

Countries

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United States Austria Brazil Canada France Germany Israel Italy Spain Switzerland

Central Contacts

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Clinical Trials Referral Office

Role: CONTACT

855-776-0015

Facility Contacts

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Clinical Trials Referral Office

Role: primary

855-776-0015

Christian Dagher

Role: primary

347-798-9213

Behrouz Zand

Role: primary

713-790-3311

Stephan Polterauer

Role: primary

+43 1 401600

Louise De Brot

Role: primary

+55 11 2189-5000

Stephanie Gill

Role: primary

+1 416-480-6100

Lara DeGuerke

Role: primary

+1 514-252-3400

Alejandra Martinez

Role: primary

+33 5 31 15 50 50

Rainer Kimmig

Role: primary

+49 201 7230

Yfat Kadan

Role: primary

+972 9-747-2555

Jessica Mauro

Role: primary

+39 0173 316111

Tommaso Grassi

Role: primary

Giorgio Bogani

Role: primary

+39 02 23901

Gabriella Schivardi

Role: primary

+39 02 574891

Ilaria Capasso

Role: primary

+39 06 30151

Tommaso Occhiali

Role: primary

+39 0432 556111

Giuseppe Cucinella

Role: primary

+39 081 590 3111

Beatriz Navarro

Role: primary

+34 928 44 45 00

Alicia Hernandez

Role: primary

+34 917 27 75 76

Andrea Papadia, MD, PhD

Role: primary

091 811 61 58

References

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De Vitis LA, Bogani G, Raspagliesi F, Arencibia Sanchez O, Navarro B, Multinu F, Zanagnolo V, Baiocchi G, De Brot L, Fanfani F, Capasso I, Piedimonte S, DeGuerke L, Buda A, Mauro J, Alessio M, Filipello F, Beiner M, Kadan Y, Papadia A, Vizzielli G, Restaino S, Grassi T, Landoni F, Bianchi T, Grimm C, Polterauer S, Ricotta G, Martinez A, Buderath P, Kimmig R, Chiantera V, Zand B, Zapardiel I, Hernandez A, Gill S, Covens A, Dagher C, Meschini T, Cucinella G, Schivardi G, Occhiali T, Lembo A, Palmieri E, Shahi M, Fought AJ, McGree ME, Suman VJ, Abu-Rustum NR, Ramirez PT, Mariani A, Glaser GE; Low Volume Metastasis in Endometrial Cancer Consortium. Outcomes of low-risk endometrial cancer with isolated tumor cells in the sentinel lymph nodes: a prospective, multi-center, single-arm, observational study (ENDO-ITC study). Int J Gynecol Cancer. 2025 Aug;35(8):101764. doi: 10.1016/j.ijgc.2025.101764. Epub 2025 Mar 7.

Reference Type DERIVED
PMID: 40148176 (View on PubMed)

Related Links

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Other Identifiers

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NCI-2024-09016

Identifier Type: REGISTRY

Identifier Source: secondary_id

23-008963

Identifier Type: OTHER

Identifier Source: secondary_id

23-008963

Identifier Type: -

Identifier Source: org_study_id

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