Official Title
Effect of Fertility-sparing Therapy of Early Endometrial Cancer
Phase
N/ALead Sponsor
Peking UniversityStudy Type
InterventionalStatus
Unknown statusIndication/Condition
Endometrial Cancer FertilityIntervention/Treatment
MetforminStudy Participants
80The purpose of this study is to investigate the effect of Fertility-sparing Therapy of Early Endometrial Cancer.
This is a prospective, multi center, open, randomized, controlled clinical trial. All endometrial cancer (EC) or atypical hyperplasia (AH) patients who met the fertility-sparing indications in the hospitals involved in this study were recruited. Then the investigators conducted assessment, treatment and follow up according to the standard procedure. General information, therapeutic regimen, side effects, oncological and pregnant results were collected for risk factors analysis.
Metformin is given to patients 1-1.5g/d.
Patients with BMI≥25kg/m2 in the experimental group are treated with medroxyprogesterone acetate (MPA) 0.25g/d plus metformin and are followed-up of baseline data, hormone levels,
Patients with BMI≥25kg/m2 in the none intervention group are treated with MPA 0.25g/d alone and are followed-up of baseline data, hormone levels, and endometrial pathology every 3 months until 12 months.
Inclusion Criteria: ages of no more than 40 with a strong desire of fertility preservation International Federation of Gynecology and Obstetrics (FIGO) 2009 stage Ⅰa grade 1~2 with lesion confined in endometrium pathology expression of progestin receptors (PRs) and estrogen receptors Exclusion Criteria: not eligible for pregnancy or delivery evidence of suspected extrauterine or distant metastasis complicated with any other malignancy severe medical complications contraindication of oral progestin uncontrolled epilepsy, central nervous system disease or mental disorder history in patients which Influence clinical research compliance judging by the researcher.