Clinical trial Recruiting at 1 site Observational

Real-world use of molecular classification for endometrial cancer

Official title: REal Word aPpLicAtion of Molecular Based Endometrial Cancer Classification: a Focus on POLE Evaluation in Clinical Practice

Run by Fondazione Policlinico Universitario Agostino Gemelli IRCCS · NCT07555665 · Data updated 2026-11-12

This project will try using molecular tests (POLE, p53, and mismatch-repair markers) in Italian hospitals to classify early-stage endometrial cancer and help guide adjuvant treatment decisions.

Quick facts

Study typeObservational
SexAll
Enrollment264 (estimated)
SponsorFondazione Policlinico Universitario Agostino Gemelli IRCCS
Academic / other
Locations1 site (Roma, Roma)
StatusRecruiting
StartedNovember 7, 2025
Main results expectedJune 1, 2026
Study endsDecember 1, 2026
Registry record updatedApril 29, 2026
Trial IDNCT07555665 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

The focus is on patients with newly diagnosed, uterine‑confined (FIGO 2009/2023 stage I–II) endometrial cancer treated at participating Italian surgical centers.

Probably not a fit

Patients with advanced (stage III–IV) disease, those treated outside participating centers, or patients at sites that do not perform molecular testing are unlikely to benefit directly from this project's findings.

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

What this trial studies

This observational project collects questionnaire and clinical data from Italian hospitals that treat and surgically manage endometrial cancer to document real-world implementation of molecular classification. Sites will report use of surrogate immunohistochemistry markers (p53, MLH1, MSH2, MSH6, PMS2) and POLE testing where available to assign tumors to POLEmut, MMRd/MSI‑H, p53mut, or NSMP groups. The dataset will link molecular subgrouping with staging, adjuvant treatment choices, and early outcome measures to describe practice patterns. The goal is to characterize how molecular data are being used in routine care and where gaps or inconsistencies remain.

Why it matters

Potential benefit: If successful, this could reduce unnecessary adjuvant treatment for low‑risk molecular groups (especially POLE‑mutated tumors) and better target therapy to higher‑risk molecular profiles.

How similar studies have gone: Large genomic efforts (TCGA) and numerous validation cohorts and prospective trials have consistently shown that molecular classification (POLE, MMRd/MSI, p53, NSMP) provides strong prognostic information.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. be Italian healthcare hospitals that are involved in the treatment of endometrial carcinoma,
2. involved in the surgical management of EC.

Exclusion Criteria:

a) declining to participate.

Where it's running

  • Fondazione Policlinico Universitario Agostino Gemelli, IRCCS
    Roma, 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.