Clinical trial Recruiting at 1 site Interventional Ages 18 and up Women only

Minimally invasive simple hysterectomy for low-risk cervical cancer

Official title: Minimally Invasive Simple Hysterectomy in Low Risk Cervical Cancer

Run by Fondazione Policlinico Universitario Agostino Gemelli IRCCS · NCT06416748 · Data updated 2026-11-12

This study is testing if a less invasive surgery called a simple hysterectomy is safe for women with low-risk early-stage cervical cancer.

More Cervical Cancer trials

Quick facts

Study typeInterventional
Ages18 Years and up
SexWomen only
Enrollment974 (estimated)
SponsorFondazione Policlinico Universitario Agostino Gemelli IRCCS
Academic / other
Drugs / interventionschemotherapy
Locations1 site (Roma)
StatusRecruiting
StartedOctober 27, 2024
Main results expectedJuly 1, 2027
Study endsJuly 1, 2030
Registry record updatedOctober 29, 2024
Trial IDNCT06416748 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include women aged 18 and older with low-risk cervical cancer (FIGO stage IA2-IB1) who meet specific criteria regarding tumor size and depth of infiltration.

Probably not a fit

Patients with higher-risk cervical cancer, those requiring radical hysterectomy, or those with contraindications to surgery may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study evaluates the safety of performing a minimally invasive simple hysterectomy in patients with low-risk early-stage cervical cancer, specifically those meeting the inclusion criteria of the SHAPE trial. The SHAPE trial indicated that simple hysterectomy could be a viable alternative to radical hysterectomy without compromising oncological outcomes. The current trial aims to further investigate the safety of this surgical approach, given the favorable outcomes observed in previous studies. Participants will undergo laparoscopic surgery to assess the effectiveness and safety of this method.

Why it matters

Potential benefit: If successful, this approach could provide a safer and less invasive surgical option for patients with low-risk cervical cancer, potentially improving recovery times and quality of life.

How similar studies have gone: Previous studies, such as the SHAPE trial, have shown promising results for simple hysterectomy in low-risk cervical cancer, but the specific minimally invasive approach is still being evaluated.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Squamous cell carcinoma, adenocarcinoma, adenosquamous carcinoma of uterine cervix
* FIGO 2018 stage IA2-IB1 (≤2cm) with depth of infiltration ≤10mm on conization specimen
* FIGO 2018 stage IA2-IB1 (≤2cm) with depth of infiltration ≤50% at pre-conization MRI-scan or "expert" US-scan.
* Age ≥18 years

Exclusion Criteria:

* Neuroendocrine, clear cell, serous carcinoma
* Depth of infiltration \>10 mm on conization specimen
* Depth of infiltration \>50% at pre-conization imaging
* Cervical tumor \>2 cm
* Diagnosis on inadvertent hysterectomy
* Neoadjuvant chemotherapy
* Previous pelvic radiotherapy
* Pregnant women
* Contraindications to surgery
* Lymph nodes \>15 mm short axis
* Fertility sparing treatment or desire
* Recurrent cervical cancer
* Time between cervical cancer diagnosis and hysterectomy \>4 months if conization with tumor negative margins
* Time between cervical cancer diagnosis and hysterectomy \>3 months if conization with invasive tumor positive margins

Where it's running

  • Fondazione Policlinico Universitario A. Gemelli IRCCS
    Roma, Italy
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.