ClinicalTrials.gg
RecruitingNCT07838207MyoNoneUpdated Sep 24, 2026

Prognosis and Therapeutic Implications in Molecular High-Risk Non-Myoinvasive Endometrial Cancer

An observational study in Endometrial Cancer, Endometrial Carcinoma (EC) and p53abn, sponsored by Hospital Universitari Vall d'Hebron Research Institute. Recruiting at 1 site in Spain. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-24.

Sponsored by Hospital Universitari Vall d'Hebron Research Institute · Observational

From the registry’s dates

  • Started May 2026; still recruiting 6 months later.
Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
350
Ages
18 Years and older
Sex
Female
01

Study summary

This multicenter retrospective observational cohort study aims to evaluate the prognosis of patients with non-myoinvasive endometrial cancer harbouring high-risk molecular features by determining the rate of lymph node involvement (assessed by sentinel lymph node biopsy and/or lymphadenectomy), evaluating recurrence rates, progression-free survival (PFS) and overall survival (OS), and comparing oncological outcomes according to different adjuvant treatments.

The study will include patients with the following molecular subgroups of non-myoinvasive endometrial cancer:

  • p53-abnormal tumours without myometrial invasion.
  • High-grade NSMP tumours without myometrial invasion.
  • ER-negative NSMP tumours without myometrial invasion.

Participating centres will be invited to retrospectively identify eligible patients diagnosed between 2010 and 2025 and enter anonymised data into a standardised REDCap database. Given the rarity of these clinical scenarios, international collaboration is essential to generate robust evidence that may help inform future clinical guidelines and optimize patient management.

02

Conditions studied

  • Endometrial Cancer
  • Endometrial Carcinoma (EC)
  • p53abn

Keywords

  • MyoNone
  • Endometrial cancer
  • Molecular profile
  • Endometrial Carcinoma
  • Non Myoinvasive Endometrial Carcinoma
  • Recurrence
  • Lymph Node Involvement
  • p53-abnormal
  • ER-negative NSMP
  • High-grade NSMP
  • p53abn
  • NSMP
03

In context

Endometrial Neoplasms

1,425 studies on the registry are indexed under Endometrial Neoplasms; 473 are open to participants now.

This study's planned enrollment of 350 is above the median of 179 across 331 observational studies indexed under Endometrial Neoplasms.

Browse Endometrial Neoplasms studies →

Lead sponsor

Hospital Universitari Vall d'Hebron Research Institute is the lead sponsor of 276 studies on the registry; 64 are open to participants now.

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
Sampling method
Non-probability sample

Study population

Patients diagnosed with EC between 2010 and 2025 with:

  • p53-abnormal (p53-abn) endometrial cancer without myometrial invasion
  • ER-negative NSMP tumours without myometrial invasion
  • High-grade NSMP tumours without myometrial invasion

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. Patients over 18 years old.
  2. Patients with:

    2.1. p53-abnormal (p53-abn) endometrial carcinoma. 2.2. ER-negative NSMP tumours. 2.3. High-grade NSMP tumours. POLE mutations assessment is not mandatory. MMR and p53 status is mandatory, according to ESGO criteria.

    In whom:

    • No myometrial invasion is present in the final surgical specimen (nor cervical or adnexal invasion).
    • Tumours are identified by endometrial or hysteroscopic polypectomy with no residual tumour in the final surgical specimen (these cases will also be considered tumours without myometrial invasion).
  3. Patients who underwent nodal staging, either with pelvic sentinel lymph node biopsy, associated with pelvic and/or para-aortic lymphadenectomy, or staged by lymphadenectomy alone.

3.1. To assess the rate of lymph node involvement, we will analyze tumors with the previous molecular characteristics mentioned and no myometrial invasion, regardless of whether lymph node involvement is present. Stage IIIC tumours will not be excluded; cases will be selected based on the absence of myometrial infiltration in the final pathology specimen. 3.2. On the other hand, for the survival statistical analyses, only patients with a final stage IC (FIGO 2023) will be included.

Exclusion criteria

Exclusion Criteria:

Patients who do not meet the above inclusion criteria and who additionally present with the following conditions will be excluded:

  1. Molecular profile not available.
  2. Absence of nodal staging (sentinel lymph node or lymphadenectomy)
  3. Inadequate follow-up.
  4. Mismatch repair-deficient tumors.
  5. POLE-ultramutated tumors, when identified.
  6. Incomplete information regarding treatment.
  7. Presence of myometrial invasion.
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.

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.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
350 participants (estimated)
Patient registry
No

Groups and cohorts

  • p53-abnormal tumours without myometrial invasion
  • High-grade NSMP tumours without myometrial invasion.
  • ER-negative NSMP tumours without myometrial invasion.
06

What researchers measure

Primary outcomes

  1. Rate of lymph node involvement

    Assessed by sentinel lymph node biopsy and/or lymphadenectomy in patients with p53abn tumours, ER-negative NSMP tumours, or high-grade NSMP tumours without myometrial invasion.

    Time frame: At primary surgery

Secondary outcomes

  1. Pattern of recurrence

    Number and anatomical location of recurrence in patients with p53abn tumours, ER-negative NSMP tumours, or high-grade NSMP tumours without myometrial invasion

    Time frame: Up to 10 years

  2. Progression-free survival (PFS)

    In patients with p53abn tumours, ER-negative NSMP tumours, or high-grade NSMP tumours without myometrial invasion

    Time frame: Up to 10 years

  3. Overall survival (OS)

    In patients with p53abn tumours, ER-negative NSMP tumours, or high-grade NSMP tumours without myometrial invasion

    Time frame: Up to 10 years

  4. OS according to adjuvant treatment

    OS according to adjuvant treatment received in patients with p53abn tumours, ER-negative NSMP tumours, or high-grade NSMP tumours without myometrial invasion, comparing: * No adjuvant treatment * Radiotherapy or brachytherapy * Chemotherapy ± radiotherapy or brachytherapy.

    Time frame: Up to 10 years

  5. PFS according to adjuvant treatment

    PFS according to adjuvant treatment received in patients with p53abn tumours, ER-negative NSMP tumours, or high-grade NSMP tumours without myometrial invasion, comparing: * No adjuvant treatment, * Radiotherapy or brachytherapy * Chemotherapy ± radiotherapy or brachytherapy.

    Time frame: Up to 10 years

07

Study locations

1 of 1 sites recruiting
08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07838207
Responsible party
Sponsor
First posted
Sep 24, 2026
Start date
May 1, 2026
Primary completion
Nov 1, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Sep 24, 2026

Study contacts

Ana A Luzarraga Aznar, MD, PhD
Contact
ana.luzarraga@vallhebron.cat
+34665644810
Eloi E Sirvent Mestres, MD
Contact
eloi.sirvent@vallhebron.cat
+34646785650
Ana A Luzarraga Aznar, MD PhD
study chair · Hospital Universitari Vall d'Hebron Research Institute
Ana A Luzarraga Aznar, MD PhD
principal investigator · Hospital Universitari Vall d'Hebron Research Institute
Antonio A Gil Moreno, MD, PhD
study director · Hospital Universitari Vall d'Hebron Research Institute
Eloi E Sirvent Mestres, MD
principal investigator · Hospital Universitari Vall d'Hebron Research Institute

Oversight

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

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