Longitudinal Follow-up in Women With Endometrial Hyperplasia Without Atypia
MicroRNAs as Biomarkers of Predicting Future Endometrial Malignancy and Longitudinal Follow-up With Randomized Intervention in Women With Endometrial Hyperplasia Without Atypia
1 other identifier
interventional
1,000
1 country
1
Brief Summary
This study will prospectively enroll a total of 1000 patients (200 per year) simple hyperplasia/complex hyperplasia (SH/CH) without atypia. All subjects will receive education for exercise and weight control and be randomized 1:1 to with or without metformin intervention. At the end of this 3-year project, an interim analysis will be performed. Since long-term follow-up is intended, therefore for the 4th to 6th year a new grant support will be looked for. The long-term occurrence of endometrial cancer (up to15 years) data will be acquired from national cancer registry, which permission is addressed in the informed sent.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Aug 2018
Longer than P75 for phase_3
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2018
CompletedFirst Submitted
Initial submission to the registry
August 4, 2021
CompletedFirst Posted
Study publicly available on registry
March 23, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
January 29, 2026
CompletedMarch 23, 2022
July 1, 2021
4.2 years
August 4, 2021
March 14, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
The area under the receiver operating characteristic curve (ROC curve) (AUC) of the prediction miR panel of the 3 miRs.
The primary endpoint of the randomized prospective study is to evaluate the ROC of the prediction miR panel of the 3 miRs.
5 years
Secondary Outcomes (2)
Time to progression among groups
3 years
Subgroup analysis in body-weight control
3 years
Study Arms (2)
metformin group
EXPERIMENTAL1. During the intervention period, metformin is given 500 mg tablet b.i.d. 2. We will deliver education for exercise and weight control to all eligible participants
Observation group
NO INTERVENTIONonly exercise and weight control to all eligible participants
Interventions
During the intervention period, metformin is given 500 mg tablet b.i.d. Those who stopped taking metformin will remain in the study not counting as protocol violation.
Eligibility Criteria
You may qualify if:
- Women aged ≧ 20 years
- Histological diagnosis of SH/CH without atypia
- Not taking Metformin for diabetes mellitus currently
- Adequate kidney function
- Provided informed consent within 3 months of diagnosis
- No previous history of breast cancer with tamoxifen use
- Willing to be followed for 5 years
You may not qualify if:
- Atypical hyperplasia or EC found within 3 months after enrollment
- History or concurrent gynecologic cancers or cervical intraepithelial neoplasia
- Pregnancy test positive
- History of intolerance to Metformin
- Family history of HNPCC
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Chang Gung Memorial Hospital, Linkou Branch
Taoyuan District, 333, Taiwan
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 4, 2021
First Posted
March 23, 2022
Study Start
August 1, 2018
Primary Completion
October 1, 2022
Study Completion
January 29, 2026
Last Updated
March 23, 2022
Record last verified: 2021-07