Outcomes of Low-Risk Endometrial Cancer With Isolated Tumor Cells in the Sentinel Lymph Nodes: A Prospective, Multicenter, Single-Arm Observational Study
2 other identifiers
observational
212
10 countries
20
Brief Summary
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Dec 2024
Longer than P75 for all trials
20 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 13, 2024
CompletedFirst Posted
Study publicly available on registry
November 15, 2024
CompletedStudy Start
First participant enrolled
December 4, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 31, 2029
ExpectedStudy Completion
Last participant's last visit for all outcomes
October 31, 2029
February 19, 2026
February 1, 2026
4.9 years
November 13, 2024
February 17, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Recurrence-free survival (RFS)
RFS is defined as the length of time after primary treatment that the patient survives without any signs or symptoms of that cancer. (Recurrence may be vaginal, hematogenous, lymphatic, or peritoneal.) RFS will be measured from the date of surgery to the date of recurrence, death, or last disease evaluation.
Up to 5 years
Secondary Outcomes (2)
Non-vaginal RFS
Up to 5 years
Overall Survival (OS)
Up to 5 years
Study Arms (1)
Observational
Patients undergo tissue sample collection and have their medical records reviewed on study.
Interventions
Eligibility Criteria
Patients diagnosed with low-risk endometrial cancer.
You may qualify if:
- 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.
You may not qualify if:
- 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).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Mayo Cliniclead
Study Sites (20)
Mayo Clinic in Rochester
Rochester, Minnesota, 55905, United States
Memorial Sloan Kettering Cancer Center
New York, New York, 10065, United States
Houston Methodist Hospital
Houston, Texas, 77030, United States
Medical University of Vienna
Vienna, Austria
AC Camargo Cancer Center
São Paulo, Brazil
Sunnybrook Health Sciences, University of Toronto
Toronto, Ontario, M4N 3M5, Canada
Hopital Maisonneuve Rosemont
Montreal, Quebec, H1T 2M4, Canada
Institut Universitaire du Cancer Toulouse Oncopole
Toulouse, 31100, France
University Hospital Essen
Essen, 45147, Germany
Meir Medical Center, Faculty of Medicine - Tel-Aviv University
Kefar Sava, Israel
Ospedale Michele e Pietro Ferrero
Verduno, CN, 12060, Italy
IRCCS Fondazione San Gerardo dei Tintori
Monza, MB, 20900, Italy
Fondazione IRCCS Istituto Nazionale Tumori
Milan, MI, 20133, Italy
European Institute of Oncology
Milan, MI, 20141, Italy
Policlinico Universitario Fondazione Agostino Gemelli
Roma, RM, 00168, Italy
University of Udine
Udine, UD, 33100, Italy
Istituto Nazionale Tumori, IRCCS, Fondazione G. Pascale
Naples, 80131, Italy
Hospital Materno Infantil Las Palmas
Las Palmas, 35016, Spain
Hospital Universitario La Paz
Madrid, 28029, Spain
Ospedale Regionale di Lugano, Civico
Lugano, 6900, Switzerland
Related Publications (1)
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.
PMID: 40148176DERIVED
Related Links
Biospecimen
Tissue samples will be collected from sentinel lymph nodes (SLN) biopsy and uterine tumor removed during planned surgery that are not needed for clinical care.
Study Officials
- PRINCIPAL INVESTIGATOR
Gretchen E. Glaser, MD
Mayo Clinic in Rochester
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 13, 2024
First Posted
November 15, 2024
Study Start
December 4, 2024
Primary Completion (Estimated)
October 31, 2029
Study Completion (Estimated)
October 31, 2029
Last Updated
February 19, 2026
Record last verified: 2026-02