- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02829437
Observational Study on Endometrial Stromal Tumors (EST)
Endometrial Stromal Tumors: an Observational Study
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Observational, retrospective and prospective study on EST aimed to understand more about its biology, natural history and antitumor activity of different treatment options.
This study will collect data in prospective and retrospective way of patients affected by EST and treated according disease guidelines and local practices.
The study will also review the diagnosis by a central expert pathologist in order to its confirmation
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Contact
- Name: Gianluca Ignazzi, PhD
- Phone Number: +393335359192
- Email: gianluca.ignazzi@italiansarcomagroup.org
Study Locations
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Bologna, Italy, 40138
- Not yet recruiting
- Policlinico S.Orsola Malpighi - Unit of Medical Oncology
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Principal Investigator:
- Maria Abbondanza Pantaleo, MD
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Firenze, Italy, 50100
- Not yet recruiting
- Azienda Ospedaliera Universitaria Careggi
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Contact:
- Silvia Gasperoni, MD
- Phone Number: 39 055 7949648
- Email: gasperoni.silvia@gmail.com
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Principal Investigator:
- Silvia Gasperoni, MD
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Firenze, Italy, 50100
- Not yet recruiting
- Azienda Ospedaliero-Universitaria Careggi
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Contact:
- Daniela Greto, MD
- Phone Number: 111 + 39055794
- Email: daniela.greto@gmail.com
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Principal Investigator:
- Daniela Greto, MD
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Prato, Italy, 59100
- Not yet recruiting
- Ospedale Misericordia e Dolce Ist. Toscano Tumori, Az. USL4
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Principal Investigator:
- Giacomo G Baldi, MD
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Roma, Italy, 00100
- Not yet recruiting
- Campus Biomedico
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Contact:
- Bruno Vincenzi, MD
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Principal Investigator:
- Bruno Vincenzi, MD
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Roma, Italy, 00100
- Not yet recruiting
- Istituti Fisioterapici Ospitalieri di Roma
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Contact:
- Virginia Ferraresi, MD
- Email: virginia.ferraresi@ifo.gov.it
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Principal Investigator:
- Virginia Ferraresi, MD
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FC
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Meldola, FC, Italy
- Not yet recruiting
- Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori - IRST
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Principal Investigator:
- Toni Ibrahim, MD
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MI
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Milano, MI, Italy, 20133
- Recruiting
- Fondazione Irccs Istituto Nazionale Dei Tumori
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Contact:
- Paolo G. Casali, MD
- Email: paolo.casali@istitutotumori.mi.it
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Principal Investigator:
- Paolo G. Casali, MD
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Milano, MI, Italy, 20141
- Not yet recruiting
- Istituto Europeo Di Oncologia
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Principal Investigator:
- Tommaso M. De Pas, MD
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PA
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Palermo, PA, Italy, 90127
- Not yet recruiting
- Azienda ospedaliera universitaria paolo giaccone
-
Principal Investigator:
- Antonio Russo, MD
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Contact:
- Antonio Russo, MD
- Phone Number: +39 091 6552534
- Email: antonio.russo@usa.net
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PD
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Aviano, PD, Italy, 33081
- Not yet recruiting
- Centro di Riferimento Oncologico di Aviano
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Contact:
- Angela Buonadonna, MD
- Phone Number: +390434659190
- Email: abuonadonna@cro.it
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Principal Investigator:
- Angela Buonadonna, MD
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Padova, PD, Italy, 35128
- Not yet recruiting
- Istituto Oncologico Veneto
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Principal Investigator:
- Antonella Brunello, MD
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Torino
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Candiolo, Torino, Italy, 10060
- Not yet recruiting
- Fondazione Del Piemonte Per L'Oncologia Ircc Candiolo
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Contact:
- Giovanni Grignani, MD
- Phone Number: +390119933623
- Email: enrico.grignani@ircc.it
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Principal Investigator:
- Giovanni Grignani, MD
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- patients with a diagnosis of Endometrial Stromal Tumor (EST) according to the World Health Organization (WHO) classification 2003 or 2014
- Informed consent signature
Exclusion Criteria:
- patients with different diagnosis from EST
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Retrospective Observational Group
Patients who received treatment for EST Patients with EST diagnosis prior August 2016
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Surgery and/or Chemotherapy and or/radiotherapy for EST treatment according to disease guidelines: no specific treatment is imposed by protocol (observational study)
|
Prospective Observational Group
Patients who will receive treatment for EST Patients with EST diagnosis after August 2016
|
Surgery and/or Chemotherapy and or/radiotherapy for EST treatment according to disease guidelines: no specific treatment is imposed by protocol (observational study)
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Disease natural history
Time Frame: Through survival, an average of 5 years
|
Collection of data on the natural history of endometrial stromal tumors
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Through survival, an average of 5 years
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Disease diagnosis and classification
Time Frame: At the time of diagnosis, an average of 1 month
|
Highlight some main issues in pathologic diagnosis of these tumors and their classification
|
At the time of diagnosis, an average of 1 month
|
Chemotherapy received treatment
Time Frame: Through treatment completion, an average of 24 month
|
Number and type of chemotherapy agents received for EST treatment
|
Through treatment completion, an average of 24 month
|
Collaborators and Investigators
Sponsor
Investigators
- Study Chair: Paolo G Casali, MD, Italian Sarcoma Group
Publications and helpful links
General Publications
- Toro JR, Travis LB, Wu HJ, Zhu K, Fletcher CD, Devesa SS. Incidence patterns of soft tissue sarcomas, regardless of primary site, in the surveillance, epidemiology and end results program, 1978-2001: An analysis of 26,758 cases. Int J Cancer. 2006 Dec 15;119(12):2922-30. doi: 10.1002/ijc.22239.
- Brooks SE, Zhan M, Cote T, Baquet CR. Surveillance, epidemiology, and end results analysis of 2677 cases of uterine sarcoma 1989-1999. Gynecol Oncol. 2004 Apr;93(1):204-8. doi: 10.1016/j.ygyno.2003.12.029.
- Ali RH, Rouzbahman M. Endometrial stromal tumours revisited: an update based on the 2014 WHO classification. J Clin Pathol. 2015 May;68(5):325-32. doi: 10.1136/jclinpath-2014-202829. Epub 2015 Jan 16.
- Tavassoli FA, Norris HJ. Mesenchymal tumours of the uterus. VII. A clinicopathological study of 60 endometrial stromal nodules. Histopathology. 1981 Jan;5(1):1-10. doi: 10.1111/j.1365-2559.1981.tb01761.x.
- Dionigi A, Oliva E, Clement PB, Young RH. Endometrial stromal nodules and endometrial stromal tumors with limited infiltration: a clinicopathologic study of 50 cases. Am J Surg Pathol. 2002 May;26(5):567-81. doi: 10.1097/00000478-200205000-00003.
- Su TF, Chao TK, Lee HS, Perng CL, Nieh S. Malignant potential of endometrial stromal tumor with limited infiltration: a case report. Int J Surg Pathol. 2014 Sep;22(6):559-63. doi: 10.1177/1066896913506934. Epub 2013 Oct 23. Erratum In: Int J Surg Pathol. 2015 May;23(3):257.
- Dong R, Pang Y, Mao H, Yang N, Liu P. Successful pregnancy following conservative management of low-grade endometrial stromal sarcoma: A case report. Oncol Lett. 2014 Apr;7(4):1039-1042. doi: 10.3892/ol.2014.1858. Epub 2014 Feb 7.
- Choi MC, Kim G, Hwang YY. Fertility-sparing management combined with photodynamic therapy for endometrial stromal sarcoma: a case report. Photodiagnosis Photodyn Ther. 2014 Dec;11(4):533-6. doi: 10.1016/j.pdpdt.2014.07.007. Epub 2014 Aug 11.
- Della Badia C, Karini H. Endometrial stromal sarcoma diagnosed after uterine morcellation in laparoscopic supracervical hysterectomy. J Minim Invasive Gynecol. 2010 Nov-Dec;17(6):791-3. doi: 10.1016/j.jmig.2010.07.001.
- Park JY, Kim DY, Kim JH, Kim YM, Kim YT, Nam JH. The impact of tumor morcellation during surgery on the outcomes of patients with apparently early low-grade endometrial stromal sarcoma of the uterus. Ann Surg Oncol. 2011 Nov;18(12):3453-61. doi: 10.1245/s10434-011-1751-y. Epub 2011 May 4.
- Shah JP, Bryant CS, Kumar S, Ali-Fehmi R, Malone JM Jr, Morris RT. Lymphadenectomy and ovarian preservation in low-grade endometrial stromal sarcoma. Obstet Gynecol. 2008 Nov;112(5):1102-8. doi: 10.1097/AOG.0b013e31818aa89a.
- Dos Santos LA, Garg K, Diaz JP, Soslow RA, Hensley ML, Alektiar KM, Barakat RR, Leitao MM Jr. Incidence of lymph node and adnexal metastasis in endometrial stromal sarcoma. Gynecol Oncol. 2011 May 1;121(2):319-22. doi: 10.1016/j.ygyno.2010.12.363. Epub 2011 Jan 26.
- Amant F, De Knijf A, Van Calster B, Leunen K, Neven P, Berteloot P, Vergote I, Van Huffel S, Moerman P. Clinical study investigating the role of lymphadenectomy, surgical castration and adjuvant hormonal treatment in endometrial stromal sarcoma. Br J Cancer. 2007 Nov 5;97(9):1194-9. doi: 10.1038/sj.bjc.6603986. Epub 2007 Sep 25.
- Amant F, Coosemans A, Debiec-Rychter M, Timmerman D, Vergote I. Clinical management of uterine sarcomas. Lancet Oncol. 2009 Dec;10(12):1188-98. doi: 10.1016/S1470-2045(09)70226-8.
- Rauh-Hain JA, del Carmen MG. Endometrial stromal sarcoma: a systematic review. Obstet Gynecol. 2013 Sep;122(3):676-83. doi: 10.1097/AOG.0b013e3182a189ac.
- Gadducci A, Sartori E, Landoni F, Zola P, Maggino T, Urgesi A, Lissoni A, Losa G, Fanucchi A. Endometrial stromal sarcoma: analysis of treatment failures and survival. Gynecol Oncol. 1996 Nov;63(2):247-53. doi: 10.1006/gyno.1996.0314.
- Chu MC, Mor G, Lim C, Zheng W, Parkash V, Schwartz PE. Low-grade endometrial stromal sarcoma: hormonal aspects. Gynecol Oncol. 2003 Jul;90(1):170-6. doi: 10.1016/s0090-8258(03)00258-0.
- Li AJ, Giuntoli RL 2nd, Drake R, Byun SY, Rojas F, Barbuto D, Klipfel N, Edmonds P, Miller DS, Karlan BY. Ovarian preservation in stage I low-grade endometrial stromal sarcomas. Obstet Gynecol. 2005 Dec;106(6):1304-8. doi: 10.1097/01.AOG.0000185511.91694.1e.
- Kim WY, Lee JW, Choi CH, Kang H, Kim TJ, Kim BG, Lee JH, Bae DS. Low-grade endometrial stromal sarcoma: a single center's experience with 22 cases. Int J Gynecol Cancer. 2008 Sep-Oct;18(5):1084-9. doi: 10.1111/j.1525-1438.2007.01159.x. Epub 2007 Dec 27.
- Altman AD, Nelson GS, Chu P, Nation J, Ghatage P. Uterine sarcoma and aromatase inhibitors: Tom Baker Cancer Centre experience and review of the literature. Int J Gynecol Cancer. 2012 Jul;22(6):1006-12. doi: 10.1097/IGC.0b013e31825b7de8.
- Leath CA 3rd, Huh WK, Hyde J Jr, Cohn DE, Resnick KE, Taylor NP, Powell MA, Mutch DG, Bradley WH, Geller MA, Argenta PA, Gold MA. A multi-institutional review of outcomes of endometrial stromal sarcoma. Gynecol Oncol. 2007 Jun;105(3):630-4. doi: 10.1016/j.ygyno.2007.01.031. Epub 2007 Feb 23.
- Thomas MB, Keeney GL, Podratz KC, Dowdy SC. Endometrial stromal sarcoma: treatment and patterns of recurrence. Int J Gynecol Cancer. 2009 Feb;19(2):253-6. doi: 10.1111/IGC.0b013e3181999c5f.
- Omura GA, Major FJ, Blessing JA, Sedlacek TV, Thigpen JT, Creasman WT, Zaino RJ. A randomized study of adriamycin with and without dimethyl triazenoimidazole carboxamide in advanced uterine sarcomas. Cancer. 1983 Aug 15;52(4):626-32. doi: 10.1002/1097-0142(19830815)52:43.0.co;2-e.
- Cheng X, Yang G, Schmeler KM, Coleman RL, Tu X, Liu J, Kavanagh JJ. Recurrence patterns and prognosis of endometrial stromal sarcoma and the potential of tyrosine kinase-inhibiting therapy. Gynecol Oncol. 2011 May 1;121(2):323-7. doi: 10.1016/j.ygyno.2010.12.360. Epub 2011 Jan 28.
- Piver MS, Rutledge FN, Copeland L, Webster K, Blumenson L, Suh O. Uterine endolymphatic stromal myosis: a collaborative study. Obstet Gynecol. 1984 Aug;64(2):173-8.
- Sutton G, Blessing JA, Park R, DiSaia PJ, Rosenshein N. Ifosfamide treatment of recurrent or metastatic endometrial stromal sarcomas previously unexposed to chemotherapy: a study of the Gynecologic Oncology Group. Obstet Gynecol. 1996 May;87(5 Pt 1):747-50. doi: 10.1016/0029-7844(96)00003-8.
Study record dates
Study Major Dates
Study Start
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimated)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Neoplasms, Connective and Soft Tissue
- Neoplasms by Histologic Type
- Neoplasms
- Urogenital Neoplasms
- Uterine Neoplasms
- Genital Neoplasms, Female
- Uterine Diseases
- Neoplasms, Connective Tissue
- Sarcoma
- Endometrial Neoplasms
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Urogenital Diseases
- Genital Diseases
- Genital Diseases, Female
- Endometrial Stromal Tumors
Other Study ID Numbers
- ISG EST
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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