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Endometrial Cancer Stage IPROBEATNCT05179447

PROfiling Based Endometrial Cancer Adjuvant Therapy

A study testing Vaginal brachytherapy, External beam radiotherapy and Observation in people with Endometrial Cancer Stage I and Endometrial Cancer Stage II, run by Women's Hospital School Of Medicine Zhejiang University at 10 sites in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This is a prospective, multicenter, randomized phase III trial among women with endometrioid adenocarcinoma with high-intermediate and intermediate risk features to investigate the role of integrated genomic-pathologic classification to determine if participants should receive no adjuvant therapy, vaginal… Read more about this study

Who is it for?
Ages 18 to 75 years, women only
What is being tested?
Vaginal brachytherapy, External beam radiotherapy and Observation
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
590 participants
Where
10 sitesChina
Study dates
24 Jan 2022to 1 Jan 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Surgery consisting of a total abdominal or laparoscopic hysterectomy, bilateral salpingectomy, pelvic lymphadenectomy or sentinel lymph node mapping and dissection, with or without para-aortic lymphadenectomy, oophorectomy
  • Histologically confirmed endometrioid type endometrial carcinoma, International Federation of Gynecology and Obstetrics (FIGO) 2009 stage I, with one of the following combinations of stage and grade:
  • Stage I A, grade 3 Stage I B, grade 1 or 2 Stage I B, grade 3 Stage II
  • World Health Organization (WHO)-performance status 0-2
  • Written informed consent

Who cannot join

  • With residual disease
  • Any other stage and type of endometrial carcinoma
  • Histological types serous carcinoma or clear cell carcinoma (at least 10% if mixed type), or undifferentiated or neuroendocrine carcinoma
  • Uterine sarcoma (including carcinosarcoma)
  • Previous malignancy (except for non-melanomatous skin cancer)
  • Previous pelvic radiotherapy
  • Expected interval between the operation and start of radiotherapy exceeding 8 weeks

Trial locations and contacts

10 sites in 1 country. Contact the study team or a site near you to ask about taking part.

10 sites in 1 country

China10 sites, 10 recruiting
  • Peking University Peoples Hospital

    Beijing

    Zhiqi Wang

    Zhiqi Wang

    Not yet recruiting
  • Xiangya Hospital of Central South University

    Changsha

    Yu Zhang, MD

    Recruiting
  • Sun Yat-Sen University Cancer Hospital

    Guangzhou

    Yanling Feng

    Jihong Liu

    Not yet recruiting
  • Women's Hospital School of Medicine Zhejiang University

    Hangzhou, Zhejiang, 310000

    Xinyu Wang, MD, +86-571-87061501, wangxinyu@zju.edu.cn

    Yang Li, +86-571-87061501, li_yang@zju.edu.cn

    Recruiting
  • Qilu Hospital of Shandong University

    Jinan, Shandong

    Jie Jiang, qljiangjie@aliyun.com

    Beihua Kong

    Recruiting
  • Ningbo First Hospital

    Ningbo

    Yutao Guan

    Recruiting
  • Ningbo Women and Children's Hospital

    Ningbo

    Lingjun Zhao

    Recruiting
  • Obstetrics & Gynecology Hospital of Fudan University

    Shanghai

    Xiaojun Chen, cxjlhjj@163.com

    Xiaojun Chen

    Not yet recruiting
  • Shanghai First Maternity and Infant Hospital

    Shanghai

    Xiaoping Wan

    Xiaoping Wan

    Not yet recruiting
  • Tongji Hospital, Huazhong University of Science and Technology

    Wuhan, Hubei

    Gang Chen, gumpc@126.com

    Ding Ma

    Recruiting

Other trials in China

About this study

Official title: Randomized Phase III Trial of Molecular Profile-based Versus Standard Recommendations for Adjuvant Therapy for Women With Early Stage Endometrioid Adenocarcinoma

This is a prospective, multicenter, randomized phase III trial among women with endometrioid adenocarcinoma with high-intermediate and intermediate risk features to investigate the role of integrated genomic-pathologic classification to determine if participants should receive no adjuvant therapy, vaginal brachytherapy, external beam radiotherapy or chemo-radiation therapy based on molecular features as compared to standard radiation therapy.

Read the detailed description

Adjuvant therapy for women with endometrial cancer has increasingly been tailored to prognostic factors to prevent overtreatment and select those women for adjuvant treatment who will have a clinically relevant reduction of the risk of relapse by the adjuvant treatment. Risk profiles have traditionally been based on clinicopathological factors such as age, stage, grade, Lymph-Vascular Space Invasion (LVSI) and depth of invasion. Newer, both molecular-genetic (the cancer genome atlas subgroups) have become available which are strongly related to outcomes and risk of cancer spread. Based on 2022 National Comprehensive Cancer Network (NCCN) guideline and the ongoing "Portec-4a" trial, this randomized trial using integrated genomic-pathologic classification to assign adjuvant treatment for women with stage I-II high-intermediate and intermediate risk endometrioid adenocarcinoma.

Being tested
Vaginal brachytherapy, External beam radiotherapy, Observation, Chemoradiation therapy
Medical subject headings
Endometrial Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Vaginal brachytherapyRadiation

    Internal radiation of the vaginal vault using a vaginal cylinder. For brachytherapy administered alone it is recommended: suggested dose is either 3 fractions of 7 Gy or 5 fractions of 6 Gy.

    For brachytherapy administered after completion of External beam radiotherapy (EBRT):

    Total dose should aim to be 65 Gy, and suggested dose is 2-3 fractions of 5-6 Gy

  • External beam radiotherapyRadiation

    External beam pelvic radiotherapy on a linear accelerator, 45-50 Gy in 25-28 out-patients sessions

  • ObservationOther

    No adjuvant therapy, but active follow-up and quality of life questionnaires as in the groups who have adjuvant treatment

  • Chemoradiation therapyCombination product

    4 adjuvant cycles carboplatin and paclitaxel followed by External beam pelvic radiotherapy (45-50 Gy )

Study groups in NCT05179447
Study groupRoleWhat they receive
Molecular profile based treatmentExperimentalDetermination of the integrated genomic-pathologic profile to determine adjuvant treatment: observation for POLE-mutated profile; vaginal brachytherapy for intermediate profile; chemo-radiotherapy for p53-abnormal profile.
Receives: Radiation: Vaginal brachytherapy; Other: Observation; Combination Product: Chemoradiation therapy
RadiotherapyActive comparatorAdjuvant vaginal brachytherapy for intermediate risk (stage I A with G3 or stage I B with G1-2) and external beam pelvic radiotherapy for high-intermediate risk (stage I B with G3, or stage II) (standard treatment)
Receives: Radiation: Vaginal brachytherapy; Radiation: External beam radiotherapy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Total recurrence

    Vaginal, pelvic or distant recurrence as first failure

    Measured: 3 years

Secondary outcomes (5)
  1. Relapse-free survival

    Relapse-free survival (survival without relapse)

    Measured: 3 years, 5 years

  2. Survival

    Overall survival (all-cause death)

    Measured: 3 years, 5 years

  3. Adverse events

    Treatment-related symptoms according to CTCAE v 5.0

    Measured: 3 years, 5 years

  4. Health-related cancer-specific quality of life

    Quality of Life Core Questionnaire (QLQC-30) - clinically relevant changes on Quality of Life Core Questionnaire-30 functioning scales, general quality of life and general cancer symptoms, quite a bit/very much vs no or mild symptoms

    Measured: 3 years, 5 years

  5. Endometrial cancer related health care costs

    All hospital based health care costs used with primary treatment or during followup for treatment of adverse events and/or treatment for relapse

    Measured: 3 years, 5 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Jan 2022
  2. Study start24 Jan 2022
  3. Primary completion31 Dec 2026 (estimated)
  4. Study completion1 Jan 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
590 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05179447
Sponsor's protocol ID
IRB-20210340-R
Acronym
PROBEAT
Status last verified
Mar 2025
First submitted
16 Dec 2021
Last updated
1 Apr 2025
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Concin N, Matias-Guiu X, Vergote I, Cibula D, Mirza MR, Marnitz S, Ledermann J, Bosse T, Chargari C, Fagotti A, Fotopoulou C, Gonzalez Martin A, Lax S, Lorusso D, Marth C, Morice P, Nout RA, O'Donnell D, Querleu D, Raspollini MR, Sehouli J, Sturdza A, Taylor A, Westermann A, Wimberger P, Colombo N, Planchamp F, Creutzberg CL. ESGO/ESTRO/ESP guidelines for the management of patients with endometrial carcinoma. Int J Gynecol Cancer. 2021 Jan;31(1):12-39. doi: 10.1136/ijgc-2020-002230. Epub 2020 Dec 18.

    PubMed 33397713
  • Leon-Castillo A, de Boer SM, Powell ME, Mileshkin LR, Mackay HJ, Leary A, Nijman HW, Singh N, Pollock PM, Bessette P, Fyles A, Haie-Meder C, Smit VTHBM, Edmondson RJ, Putter H, Kitchener HC, Crosbie EJ, de Bruyn M, Nout RA, Horeweg N, Creutzberg CL, Bosse T; TransPORTEC consortium. Molecular Classification of the PORTEC-3 Trial for High-Risk Endometrial Cancer: Impact on Prognosis and Benefit From Adjuvant Therapy. J Clin Oncol. 2020 Oct 10;38(29):3388-3397. doi: 10.1200/JCO.20.00549. Epub 2020 Aug 4.

    PubMed 32749941
  • Wortman BG, Bosse T, Nout RA, Lutgens LCHW, van der Steen-Banasik EM, Westerveld H, van den Berg H, Slot A, De Winter KAJ, Verhoeven-Adema KW, Smit VTHBM, Creutzberg CL; PORTEC Study Group. Molecular-integrated risk profile to determine adjuvant radiotherapy in endometrial cancer: Evaluation of the pilot phase of the PORTEC-4a trial. Gynecol Oncol. 2018 Oct;151(1):69-75. doi: 10.1016/j.ygyno.2018.07.020. Epub 2018 Aug 3.

    PubMed 30078506
  • de Boer SM, Powell ME, Mileshkin L, Katsaros D, Bessette P, Haie-Meder C, Ottevanger PB, Ledermann JA, Khaw P, Colombo A, Fyles A, Baron MH, Jurgenliemk-Schulz IM, Kitchener HC, Nijman HW, Wilson G, Brooks S, Carinelli S, Provencher D, Hanzen C, Lutgens LCHW, Smit VTHBM, Singh N, Do V, D'Amico R, Nout RA, Feeney A, Verhoeven-Adema KW, Putter H, Creutzberg CL; PORTEC study group. Adjuvant chemoradiotherapy versus radiotherapy alone for women with high-risk endometrial cancer (PORTEC-3): final results of an international, open-label, multicentre, randomised, phase 3 trial. Lancet Oncol. 2018 Mar;19(3):295-309. doi: 10.1016/S1470-2045(18)30079-2. Epub 2018 Feb 12.

    PubMed 29449189
  • Leon-Castillo A, Britton H, McConechy MK, McAlpine JN, Nout R, Kommoss S, Brucker SY, Carlson JW, Epstein E, Rau TT, Bosse T, Church DN, Gilks CB. Interpretation of somatic POLE mutations in endometrial carcinoma. J Pathol. 2020 Mar;250(3):323-335. doi: 10.1002/path.5372. Epub 2020 Jan 29.

    PubMed 31829442
  • Li Y, Zhu C, Xie H, Chen Y, Lv W, Xie X, Wang X. Molecular profile-based recommendations for postoperative adjuvant therapy in early endometrial cancer with high-intermediate or intermediate risk: a Chinese randomized phase III trial (PROBEAT). J Gynecol Oncol. 2023 Mar;34(2):e37. doi: 10.3802/jgo.2023.34.e37. Epub 2023 Jan 10.

    PubMed 36659832

Questions about this trial

What is this clinical trial studying?

A study testing Vaginal brachytherapy, External beam radiotherapy and Observation in people with Endometrial Cancer Stage I and Endometrial Cancer Stage II, run by Women's Hospital School Of Medicine Zhejiang University at 10 sites in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 1 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Xinyu Wang, MD (+86-571-87061501, wangxinyu@zju.edu.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Total recurrence (time frame: 3 years). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05179447, which also lists 6 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Apr 2025.

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