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Official Title
A Phase II Study of Tailored Adjuvant Therapy in POLE-Mutated and p53-Wildtype/NSMP Early Stage Endormetrial Cancer (RAINBO BLUE & TAPER)
Phase
Phase 2
Sponsor
Canadian Cancer Trials Group
Enrollment
393
Timeline
Dec 2022 → Jun 2029
About This Study
This protocol tests de-escalated adjuvant treatment in patients with POLE-mutated or p53wt/NSMP (p53 wildtype/no specific molecular profile) early-stage endometrial cancer (EC). Patients may be enrolled in one of two sub-studies * EN10.A/RAINBO BLUE: POLE-mutated EC * EN10.B/TAPER: p53 wildtype / NSMP EC
Eligibility Criteria
Inclusion Criteria
- 1Patients must have had surgery consisting of hysterectomy and bilateral salpingo-oophorectomy. Lymph node dissection can be performed as per institutional standards. There must be no macroscopic residual disease after surgery.
- 2Patients must have histologically confirmed Stage I to III endometrial carcinoma which can be endometrioid, serous, clear cell, un/dedifferentiated, carcinosarcoma or mixed.
- 3Patients' Eastern Cooperative Group (ECOG) performance status must be 0, 1, or 2.
- 4HIV-infected patients on effective anti-retroviral therapy with undetectable viral load within 6 months are eligible for this trial.
- 5Patients' age must be ≥ 18 years.
- 6Patient consent must be appropriately obtained in accordance with applicable local and regulatory requirements.
- 7Patient is able (i.e. sufficiently fluent) and willing to complete the patient-reported outcomes (PRO) questionnaires in either English, French or a validated language
- 8Patients must be accessible for treatment and follow-up. Patients enrolled on this trial must be treated and followed at the participating centre
- 9Protocol treatment is to begin within 10 weeks of hysterectomy/bilateral salpingo-oophorectomy
Exclusion Criteria
- 1Prior Neoadjuvant chemotherapy for current endometrial cancer diagnosis.
- 2Prior pelvic radiation.
- 3Patients with a history of other malignancies, except: carcinoma in-situ without evidence of invasive disease when resected, adequately treated non-melanoma skin cancer, or other tumours curatively treated with no evidence of disease for ≥ 5 years.
- 4Clinical evidence of distant metastasis as determined by pre-surgical or post-surgical imaging (CT scan of chest, abdomen and pelvis or whole-body PET-CT scan)
- 5Patients with a documented positive surgical margin.
- 6Patients with a documented positive peritoneal washings, if performed.
Locations
91 sites participating in this study
Emory University Hospital Midtown
Atlanta, Georgia 30308
Jill Remick
Emory University Hospital Winship Cancer Institute
Atlanta, Georgia 30322
Jill Remick
Emory Saint Josephs Hospital
Atlanta, Georgia 30342
Jill Remick
Data sourced from ClinicalTrials.govView on ClinicalTrials.gov →