CClinicalTrials.gg
RecruitingNCT07107334Updated Jun 8, 2026

A Study to Estimate Early Clinical Efficacy Signals of GLP-1 Agonist Administration in Conjunction With Levonorgestrel Intrauterine Device in Obese Patients With Endometrioid Intraepithelial Neoplasia

A Phase 2 interventional study of Glucagon-like peptide 1 receptor agonist in Endometrioid Endometrial Adenocarcinoma, sponsored by University of Florida. Recruiting at 1 site in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-08.

Sponsored by University of Florida · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Apr 2026; still recruiting 6 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
18 Years and older
Sex
Female
01

Study summary

This study will explore the use of glucagon-like peptide 1 receptor agonist (GLP-1RA) used concurrently with levonorgestrel intrauterine device in patients with poor surgical candidacy for a hysterectomy or patients who are pursuing fertility sparing. GLP-1RA are a class of medications that mimic the natural hormone glucagon-like peptide-1. These medications trigger the pancreas to release insulin which can help lower blood sugar levels and delay gastric emptying. The recent FDA approval of GLP-1RAs has changed the landscape for pharmacotherapy for weight loss. These hormone-based obesity medications are novel and revolutionary in obesity medicine. Liraglutine, semaglutide, and tirzepatide have become exceedingly popular for their effects on weight loss and obesity-related comorbidities. More recently, GLP-1RAs have exhibited risk reduction of various obesity associated cancers, including endometrial cancer but their exact role in prevention and treatment has yet to be measured.

02

Conditions studied

  • Endometrioid Endometrial Adenocarcinoma

Keywords

  • Endometrial cancer
  • endometrial intraepithelial neoplasia
  • endometrial adenocarcinoma
  • Levonorgestrel IUD
03

In context

Endometrial Neoplasms

1,325 studies on the registry are indexed under Endometrial Neoplasms; 447 are open to participants now.

This study's planned enrollment of 20 is below the median of 70 across 941 interventional studies indexed under Endometrial Neoplasms.

Browse Endometrial Neoplasms studies →

Lead sponsor

University of Florida is the lead sponsor of 1,254 studies on the registry; 201 are open to participants now.

Of its 170 completed or terminated interventional studies of FDA-regulated products, 136 (80%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Adults ≥ 18 years old
  • A pathological diagnosis with in the past 4 months consistent with grade 1 endometrioid endometrial adenocarcinoma or EIN
  • For subjects with a diagnosis of endometrial intraepithelial neoplasia/grade 1 endometrioid endometrial adenocarcinoma prior to enrollment in the study, and with a diagnosis made outside this institution, the diagnostic material originating from outside the study site will undergo in-house pathology review before enrollment acceptance.
  • ECOG Performance Status of 0 to 3
  • For those with endometrial cancer, no extrauterine involvement or myometrial invasion by MRI (preferred) or transvaginal ultrasound
  • BMI ≥ 30 kg/m2 and one of the following (per medical record or self-report):

    1. Multiple medical co-morbidities (defined as American Society of Anesthesiologists [ASA] score ≥ 3) at physician discretion
    2. Fertility desire
  • Subject has had appropriate age-related breast examinations and imagining prior to study enrollment, as documented in the medical record or via investigator confirmation.
  • Written informed consent obtained from the subject and the subject agrees to comply with all the study-related procedures.

Exclusion criteria

Exclusion Criteria:

  • Subjects with grade 2 or 3 endometroid or any non-endometrioid histology (i.e., clear cell, carcinoma, serous)
  • Clinical suspicion of metastatic disease as assessed by the treating physician or confirmed metastatic disease based on imaging
  • Subjects with abnormal cervical cytology
  • Subjects who are diagnosed with thyroid cancer, pancreatitis, or multiple endocrine neoplasia syndrome type 2
  • Subjects who are confirmed to be pregnant or breastfeeding
  • History of medullary thyroid cancer
  • Subjects with known current or history of hormonally- sensitive carcinoma (e.g., breast, melanoma)
  • Subjects actively taking GLP-1RA for more than 14 days at time of consent.
  • Subjects with levonorgestrel-releasing intrauterine system placed >45 days prior to study enrollment.
  • Subjects must not have more than one active malignancy at the time of enrollment (Subjects with prior or concurrent malignancy whose natural history or treatment does not have the potential to interfere with safety or efficacy assessment of the study [as determined by the treating physician or approved by the PI] may be included).
  • History of any other disease, metabolic dysfunction, clinical examination finding, or clinical laboratory finding giving reasonable suspicion of a disease or condition that contraindicates the use of protocol therapy or that might affect the interpretation of the results of the study or that puts the subject at high risk for treatment complications, in the opinion of the treating physician. This includes, but is not limited to, conditions such as New York Heart Association (NYHA) Class IV heart failure.
  • Prisoners or subjects who are involuntarily incarcerated, or subjects who are compulsorily detained for treatment of either a psychiatric or physical illness.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    Glucagon-like peptide 1 receptor agonist

    Drug: Glucagon-like peptide 1 receptor agonist

Interventions

  • DrugGlucagon-like peptide 1 receptor agonist

    Subjects will receive a glucagon-like peptide 1 receptor agonist (either semaglutide, tirzepatide or liraglutide) by self-injection or orally (semaglutide or orforglipron) for as clinically indicated by the treating physician or until the subject receives clearance for staging hysterectomy or for pregnancy pursuit. The choice of glucagon-like peptide 1 receptor agonist for each subject will be at the treating physician's discretion. Subjects will discontinue the glucagon-like peptide 1 receptor agonist 2 weeks before any elective surgical procedure.

06

What researchers measure

Primary outcomes

  1. Time from start of GLP-1RA to clearance of staging hysterectomy

    Determine the time from start of GLP-1RA treatment to clearance for staging hysterectomy in patients with poor surgical candidacy for a hysterectomy.

    Time frame: 12 months

  2. Time from start of GLP-1RA to clearance for pregnancy pursuit

    Determine the time from start of GLP-1RA treatment to clearance for pregnancy pursuit in patients pursuing fertility sparing.

    Time frame: 12 months

  3. Endometrial pathologic response

    Determine the endometrial pathologic response 6 months after beginning GLP-1RA treatment

    Time frame: 6 months after beginning GLP-1RA treatment

  4. Endometrial pathologic response

    Determine the endometrial pathologic response 12 months after beginning GLP-1RA treatment

    Time frame: 12 months after beginning GLP-1RA treatment

Secondary outcomes

  1. Length of surgery

    Determine the length of staging hysterectomy surgery

    Time frame: Intraoperative

  2. Number of nights in hospital

    Determine the number of nights spent in the hospital for staging hysterectomy

    Time frame: 12 months

  3. Postoperative complications

    Determine the postoperative complications following staging hysterectomy

    Time frame: 12 months

  4. Patient-reported quality of life

    Compare patient-reported quality of life, as measured by the EORTC QLQ-C30, v3.0 between baseline and at 6 months after beginning GLP-1RA treatment

    Time frame: 6 months

  5. Patient-reported quality of life

    Compare patient-reported quality of life, as measured by the EORTC QLQ-C30, v3.0 between baseline and at 12 months after beginning GLP-1RA treatment

    Time frame: 12 months

  6. Patient-reported quality of life

    Compare patient-reported quality of life, as measured by the EORTC QLQ-C30, v3.0 between baseline and at end of GLP-1RA treatment

    Time frame: at either clearance for pregnancy pursuit or staging hysterectomy, which will ideally occur by 12 months after beginning study treatment

07

Study locations

1 of 1 sites recruiting
  • University of Florida
    Gainesville, Florida 32608, United States
    • Stephanie Portillo · Contact · portillos@ufl.edu · 352-273-3650
    • Kaitlin Nicholson, MD · Principal investigator
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07107334
Lead sponsor
University of Florida
Responsible party
Sponsor
First posted
Aug 6, 2025
Start date
Apr 7, 2026
Primary completion
Nov 2028 (estimated)
Completion
Nov 2029 (estimated)
Last update
Jun 8, 2026

Study contacts

Stephanie Portillo
Contact
portillos@ufl.edu
352-273-3650
Kaitlin Nicholson, MD
principal investigator · University of Florida

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion