ClinicalTrials.gg
RecruitingNCT07041606IRENUpdated Sep 8, 2026

An Observational Study of Molecular profIling of Advanced and aggRessive ENdometrial Cancer and 1-st Line Treatment Approaches in Russian Federation

An observational study in Endometrial Cancer, sponsored by AstraZeneca. Recruiting at 19 sites in Russia. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-08.

Sponsored by AstraZeneca · Observational

From the registry’s dates

  • Started Jun 2025; still recruiting 1 year 4 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
500
Ages
18 Years and older
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 16 studies in Endometrial Neoplasms by AstraZeneca — 10 open to participants now, 13 under way, 4 of them phase 3. Endometrial Neoplasms · AstraZeneca.

Started
2025
with 6 others
Observational
5 of 16
4 open now
Primary completion
2027-06
later than 2 of 12 live
Registered
14th of 16
by date

Among the 16 studies in Endometrial Neoplasms by AstraZeneca, this one is one of 7 that started in 2025, is one of 5 observational ones, reaches primary completion later than 2 of the 12 other live ones, and was the 14th registered.

By phase

16 studies; the count open now beside each. This study's row is marked.

Observationalthis study5 · 4 open
Phase 34 · 2 open
Phase 1/23 · 2 open
Phase 12 · 1 open
Phase 22 · 1 open

By the year they started

First in 2002; this study’s year is marked. 7 started in 2025.

Size and results

Median enrollment 460 across the 11 interventional studies, 140 across the 5 observational. Of the 3 that completed or were terminated, 1 (33%) have results posted.

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02

Study summary

Multicenter, observational, prospective study of molecular profiling in advanced and aggressive endometrial cancer patients and 1-st line treatment approaches in Russian Federation

Read the detailed description

This study is national, multi-center, prospective, cohort study to collect real world data of endometrial cancer patients with aggressive advanced (stage III-IV) disease, prevalence of POLEm, dMMR/pMMR, p53abn, HER2, PD-L1, demographic and clinical characteristics and 1-st line (postoperative) treatment approaches in Russian Federation. The study will sequentially include only those patients who have signed the informed consent form (ICF). No additional procedures besides those already used in the routine clinical practice will be applied to the patients.

Study population will consist of patients with newly diagnosed aggressive subtypes of advanced (III-IV stages) EC, with available medical history, biopsy or post-operative archival FFPE tumor samples (blocks). It is estimated that approximately 500 patients will be enrolled in about 30 sites.

In the study there will be two visits carried out according to routine clinical practice. At baseline visit (visit 1) demographic and clinical characteristics and treatment approaches from the date of newly diagnosed advanced (III-IV stages) EC of aggressive subtype will be collected based on the patient's medical records. In case of absence of data required to be collected by the protocol, additional data may be obtained during patient's interview directly and recorded in the source documents related to the visit. For POLEm, dMMR/pMMR, p53abn, HER2, PD-L1 testing, biopsy or post-operative archival FFPE tumor sample (block), will be used. Testing will be performed using immunohistochemistry (IHC) (for MMR, p53, HER2, PD-L1) and next-generation sequencing (NGS) or polymerase chain reaction (PCR) (for POLEm) in central laboratories.

Visit 2 (final visit) will be conducted in 6 months after baseline (±6 weeks) or at progression of the disease (whichever comes first) to collect follow-up data on treatment approaches, and progression (if applicable).

All study data will be entered into electronic case report form (eCRF). The study physician will be responsible for ensuring that all required data is collected and entered into the eCRF.

Overall expected duration of the study (from the first patient inclusion to the final database lock) is about 27 months, or until 500 eligible patients are included to the study and data on these patients are collected (including follow-up data), whichever occurs first.

03

Conditions studied

  • Endometrial Cancer
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Study population will consist of patients with newly diagnosed aggressive subtypes of advanced (III-IV stages) EC, with available medical history, biopsy or post-operative archival FFPE tumor samples (blocks). It is estimated that approximately 500 patients will be enrolled in about 30 sites.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Female patients aged ≥ 18 years old;
  2. Signed ICF, including consent for archival FFPE tumor tissue block testing;
  3. Newly diagnosed, confirmed, advanced (III-IV stage) EC, with the date of diagnosis of histologically confirmed disease within 4 months before inclusion;
  4. Endometrioid type G3 or any non-endometrioid histological type of EC (such as serous carcinoma, clear cell carcinoma, mixed carcinoma, undifferentiated and dedifferentiated carcinoma, carcinosarcoma, others);
  5. The presence of or postoperative archival FFPE tumor sample (block);
  6. Availability of source medical documentation.

Exclusion criteria

Exclusion Criteria:

1. Patients participating in clinical (interventional) studies since the diagnosis of confirmed, advanced EC.

Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
500 participants (estimated)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. The rate of POLEm positive status

    The rate of Mutation in the exonuclease domain of the Deoxyribonucleic Acid polymerase epsilon (POLE) gene positive status (i.e. detection of pathological variant(s) by Next-Generation Sequencing /Polymerase Chain Reaction), overall and by each variant;

    Time frame: 24 months

  2. The rate of dMMR status and pMMR status detected by IHC and by combined approach of molecular classification

    The rate of Mismatch Repair Deficiency status and Mismatch Repair Proficiency status detected by Immunohistochemistry and by combined approach of molecular classification;

    Time frame: 24 months

  3. The rate of p53abn positive status detected by IHC and by combined approach of molecular classification

    The rate of Abnormal expression of p53 protein positive status detected by Immunohistochemistry and by combined approach of molecular classification;

    Time frame: 24 months

  4. The rate of PD-L1 positive status detected by IHC

    The rate of Programmed Cell Death Ligand 1 positive status (Tumor Area Positivity ≥1%) detected by Immunohistochemistry;

    Time frame: 24 months

  5. The rate of HER2 expression 3+ detected by IHC

    The rate of HER2 expression 3+ detected by Immunohistochemistry according to American Society of Clinical Oncology College of American Pathologists (ASCO CAP) gastric cancer and ASCO CAP guidelines for HER2 testing in Endometrial cancer, and proportion of patients with each result of Immunohistochemistry score (0, 1+, 2+, 3+) on each of the two criteria of evaluation and relationship between them.

    Time frame: 24 months

Secondary outcomes

  1. Proportion of patients received any 1st line systemic (postoperative) chemotherapy

    Proportion of patients received any 1st line systemic (postoperative) chemotherapy, overall and by each regimen/drug;

    Time frame: 33 months

  2. Duration of the 1st line systemic chemotherapy

    Duration of the 1st line systemic (postoperative) chemotherapy (months), No. of cycles of chemotherapy;

    Time frame: 33 months

  3. Proportion of patients with progression

    Proportion of patients with progression according to RECIST 1.1 criteria;

    Time frame: 33 months

  4. Median time from advanced EC diagnosis to progression

    Median time from advanced EC diagnosis to progression (calculated between the date of histologically confirmed advanced EC diagnosis and the date of EC progression according to RECIST 1.1 criteria);

    Time frame: 33 months

  5. Age at the histologically confirmed diagnosis of aggressive advanced EC

    Age at the histologically confirmed diagnosis of aggressive advanced Endometrial cancer

    Time frame: 24 months

  6. Proportion of patients of different races and ethnicities

    Proportion of patients of different races and ethnicities

    Time frame: 24 months

  7. Proportion of patients with presence of a family oncology history

    Proportion of patients with presence of a family oncology history (in first-degree relatives) overall and by each disease;

    Time frame: 24 months

  8. Proportion of patients with a personal oncology history

    Proportion of patients with a personal oncology history overall and by each disease;

    Time frame: 24 months

  9. Proportion of patients with presence of EC development risk factors

    Proportion of patients with presence of EC development risk factors: * Obesity (physician-diagnosed or based on BMI\>30 kg/m2), current of in the past * Smoking status * Early menarche (before 12 years) * Late menopause (after 55 years) * Endometrial hyperplasia * Nulliparity

    Time frame: 24 months

  10. Proportion of patients with each category by ECOG assessment

    Proportion of patients with each category by Eastern Cooperative Oncology Group assessment at the inclusion, grades from 0 (Fully active, able to carry on all pre-disease performance without restriction) to 5 (Dead)

    Time frame: 24 months

  11. Proportion of patients with concomitant diseases

    Proportion of patients with concomitant diseases overall and by each disease;

    Time frame: 24 months

  12. Proportion of patients receiving concomitant therapies

    Proportion of patients receiving concomitant therapies overall and by each medicine (by ATC);

    Time frame: 24 months

  13. Proportion of patients with each clinical stage

    Proportion of patients with each clinical stage by TNM (a standard method for classifying the extent of malignant tumors) classification. The size and extent of the primary tumor (T), whether the cancer has spread to nearby lymph nodes (N), and whether the cancer has metastasized to distant parts of the body (M).

    Time frame: 24 months

  14. Proportion of patients with each clinical stage by FIGO classification

    Proportion of patients with each clinical stage by FIGO (The International Federation of Gynecology and Obstetrics (Fédération Internationale de Gynécologie et d'Obstétrique)) classification. FIGO stages are from I (Tumor confined to the corpus uteri) to IVB (Distant metastases, including intra-abdominal metastases and/or inguinal lymph nodes)

    Time frame: 24 months

  15. Proportion of patients with each histological type of tumour

    Proportion of patients with each histological type of tumour

    Time frame: 24 months

  16. Proportion of patients with each category by grade of differentiation

    Proportion of patients with each category by grade of tumor differentiation from G1 (high grade) - highly differentiated) to G3 (low grade) - poorly differentiated;

    Time frame: 24 months

  17. The rate of each diagnostic methods used in a routine practice in the diagnostics process of EC

    The rate of each diagnostic methods used in a routine practice in the diagnostics process of Endometrial cancer

    Time frame: 24 months

Other outcomes

  1. Proportion of patients underwent surgery

    Proportion of patients underwent surgery overall and by each type (if applicable);

    Time frame: 33 months

  2. Proportion of patients received any radiation therapy

    Proportion of patients received any radiation therapy (RT) overall and by each type (if applicable);

    Time frame: 33 months

  3. Proportion of patients with each radiation area

    Proportion of patients with each radiation area (if applicable) (to be calculated in patients who received any RT);

    Time frame: 33 months

  4. Total RT dose (Gy) by each radiation area

    Total radiation therapy (RT) dose (Gray) by each radiation area (to be calculated in patients who received any RT).

    Time frame: 33 months

  5. Proportion of patients with several biomarkers present at the same time

    Proportion of patients with several biomarkers present at the same time, for example, two, three, four, etc. including positive status for POLEm / dMMR/pMMR / p53abn / PD-L1 and positive HER2 expression.

    Time frame: 24 months

07

Study locations

16 of 19 sites recruiting
  • Research Site
    Arkhangelsk, Russia
    Recruiting
  • Research Site
    Barnaul, Russia
    Recruiting
  • Research Site
    Chelyabinsk, Russia
    Recruiting
  • Research Site
    Irkutsk, Russia
    Recruiting
  • Research Site
    Izhevsk, Russia
    Recruiting
  • Research Site
    Krasnodar, Russia
    Recruiting
  • Research Site
    Krasnoyarsk, Russia
    Recruiting
  • Research Site
    Moscow, Russia
    Recruiting
  • Research Site
    Murmansk, Russia
    Recruiting
  • Research Site
    Obninsk, Russia
    Not yet recruiting
  • Research Site
    Saint Petersburg, Russia
    Recruiting
  • Research Site
    Severodvinsk, Russia
    Not yet recruiting
  • Research Site
    Sochi, Russia
    Recruiting
  • Research Site
    Tomsk, Russia
    Recruiting
  • Research Site
    Tver', Russia
    Recruiting
  • Research Site
    Ufa, Russia
    Recruiting
  • Research Site
    Vladivostok, Russia
    Withdrawn

    Not enrolling at this site.

  • Research Site
    Yaroslavl, Russia
    Recruiting
  • Research Site
    Yekaterinburg, Russia
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Supporting information: Clinical study report

Time frame: AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA PhRMA Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.

Access criteria: When a request has been approved AstraZeneca will provide access to the anonymized individual patient-level data via secure research environment Vivli.org. Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.

Data sharing details ↗ · vivli.org.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jun 2025 (actual). Primary completion is estimated for Jun 2027, 24 months after the start.

Of 150 observational studies under Endometrial Neoplasms, half reached primary completion within 105 months of starting (the median), counting those still running; a quarter within 32 and three quarters within 207. This study's planned 24 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 6, 2025
First posted
Jun 27, 2025
StartActual
Jun 24, 2025
Primary completionEst.
Jun 30, 2027
CompletionEst.
Jun 30, 2027
Last update
Sep 8, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07041606
Lead sponsor
AstraZeneca
Responsible party
Sponsor
First posted
Jun 27, 2025
Start date
Jun 24, 2025
Primary completion
Jun 30, 2027 (estimated)
Completion
Jun 30, 2027 (estimated)
Last update
Sep 8, 2026

Study contacts

AstraZeneca Clinical Study Information Center
Contact
information.center@astrazeneca.com
1-877-240-9479
View the source record on ClinicalTrials.gov ↗

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