Endometrial Cancer Lymphadenectomy Trial (ECLAT)

Pelvic and Para-aortic Lymphadenectomy in Patients With Stage I or II Endometrial Cancer With High Risk of Recurrence

The primary aim of this trial is to ascertain whether or not systematic pelvic and para-aortic lymphadenectomy (LNE) does have a significant impact on overall survival (OS) in patients with endometrial cancer (EC) FIGO Stages I or II and high risk of recurrence. Secondary aims will be to evaluate the effect of LNE on disease free survival (DFS) and quality of life, as well as the complications and side effects of LNE and the number of resected lymphnodes. 640 patients with histologically confirmed EC with high risk of recurrence (stage pT1b - pT2, all histological subtypes; pT1a, G3 endometrioid or serous or clear cell EC or carcinosarcomas) will be randomized. In Arm A, a total hysterectomy and bilateral salpingo-oophorectomy and in case of serous or clear cell EC additionally an omentectomy will be performed. In arm B in addition a systematic pelvic and para-aortic LNE up to the level of the left renal vein will be performed.

Study Overview

Study Type

Interventional

Enrollment (Anticipated)

640

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Study Locations

      • Aalen, Germany, 73430
      • Amberg, Germany, 92224
      • Ansbach, Germany, 91522
        • Recruiting
        • Klinikum Ansbach, Klinikum Ansbach
        • Contact:
      • Augsburg, Germany, 86156
      • Bad Homburg, Germany, 61325
      • Bamberg, Germany, 96049
      • Berlin, Germany, 10365
        • Recruiting
        • SANA Klinikum Lichtenberg, Oskar-Ziehten-Krankenhaus, Frauenklinik
        • Contact:
      • Berlin, Germany, 12157
        • Recruiting
        • Vivantes Auguste-Viktoria-Klinikum, Klinik für Gynäkologie und Geburtsmedizin
        • Contact:
      • Berlin, Germany, 13353
        • Recruiting
        • Charité Campus Virchow-Klinikum, Klinik für Frauenheilkunde und Geburtshilfe
        • Contact:
      • Berlin, Germany, 13509
        • Recruiting
        • Vivantes Humboldt-Klinikum, Klinik für Gynäkologie und Geburtsmedizin
        • Contact:
      • Berlin, Germany, 14193
        • Recruiting
        • Martin-Luther-Krankenhaus, Klinik für Gynäkologie und Geburtshilfe
        • Contact:
      • Bonn, Germany, 53105
        • Recruiting
        • Universitätsklinikum Bonn, Zentrum für Geburtshilfe u. Frauenheilkunde
        • Contact:
      • Borna, Germany, 04552
        • Recruiting
        • Sana Kliniken Leipziger Land GmbH, Klinik für Gynäkologie und Geburtshilfe
        • Contact:
      • Braunschweig, Germany, 38114
        • Recruiting
        • Städtisches Klinikum Braunschweig gGmbH, Frauenklinik
        • Contact:
      • Bremen, Germany, 28177
      • Böblingen, Germany, 71032
      • Donauwörth, Germany, 86609
        • Active, not recruiting
        • Donau-Ries Klinik Donauwörth, Klinik für Frauenheilkunde und Geburtshilfe
      • Dresden, Germany, 01304
        • Recruiting
        • Universitätsklinikum Carl Gustav Carus, Klinik u. Poliklinik f. Frauenheilkunde u. Geburtshilfe
        • Contact:
      • Düsseldorf, Germany, 40489
        • Recruiting
        • Kaiserswerther-Diakonie, Florence-Nightingale-Krankenhaus, Gynäkologie u. Geburtshilfe
        • Contact:
      • Essen, Germany, 45136
        • Recruiting
        • Kliniken Essen Mitte, Evang. Huyssens Stiftung/Knappschaft GmbH, Gynäkologische Onkologie
        • Contact:
      • Frankfurt/Main, Germany, 60590
        • Recruiting
        • Klinikum der Johann Wolfgang Goethe Universität, Klinik für Gynäkologie und Geburtshilfe
        • Contact:
      • Freiburg, Germany, 79106
      • Fulda, Germany, 36043
      • Fürth, Germany, 90766
        • Recruiting
        • Klinikum Fürth, Frauenklinik Nathanstift
        • Contact:
      • Gießen, Germany, 35392
      • Greifswald, Germany, 17475
        • Active, not recruiting
        • Klinikum der Ernst-Moritz-Arndt-Universität, Klinik u. Poliklinik f. Gynäkologie u. Geburtshilfe
      • Göttingen, Germany, 37075
        • Recruiting
        • Klinikum Göttingen, Georg-August-Universität, Universitätsfrauenklinik
        • Contact:
      • Gütersloh, Germany, 33332
      • Halle/Saale, Germany, 06120
        • Recruiting
        • Universitätsklinikum Halle/S., Universitätsklinik und Poliklinik für Gynäkologie
        • Contact:
      • Hamburg, Germany, 20246
        • Recruiting
        • Universitätsklinikum Hamburg-Eppendorf, Klinik und Poliklinik für Gynäkologie
        • Contact:
          • Barbara Schmalfeldt, Professor MD
          • Phone Number: 0049 (0) 40-7410 52510
          • Email: b.schmalfeldt@uke.de
      • Hamburg, Germany, 20259
        • Recruiting
        • Agaplesion Diakonieklinikum Hamburg, Frauenklinik
        • Contact:
      • Hamburg, Germany, 22457
        • Recruiting
        • Albertinen Krankenhaus/Albertinen-Haus gemeinnützige GmbH, Station B2 Gynäkologie
        • Contact:
      • Hannover, Germany, 30625
        • Recruiting
        • Medizinische Hochschule Hannover, Frauenklinik
        • Contact:
      • Jena, Germany, 07747
        • Recruiting
        • Universitätsklinikum Jena, Klinik für Frauenheilkunde und Geburtshilfe
        • Contact:
      • Karlsruhe, Germany, 73133
      • Karlsruhe, Germany, 76135
        • Recruiting
        • ViDia Christliche Kliniken Karlsruhe, Frauenklinik
        • Contact:
      • Köln, Germany, 51103
        • Recruiting
        • Evangelisches Krankenhaus Kalk gGmbH, Gynäkologie und Geburtshilfe
        • Contact:
      • Mannheim, Germany, 68167
        • Recruiting
        • Klinikum Mannheim GmbH, Universitäts-Frauenklinik
        • Contact:
      • Mönchengladbach, Germany, 41061
        • Recruiting
        • Evangelisches Krankenhaus Bethesda, Klinik für Frauenheilkunde und Geburtshilfe
        • Contact:
      • München, Germany, 80638
        • Recruiting
        • Klinikum Dritter Orden, Klinik für Gynäkologie und Geburtshilfe
        • Contact:
      • München, Germany, 81377
        • Recruiting
        • Klinikum der Universität München (LMU), Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe
        • Contact:
      • München, Germany, 81675
        • Recruiting
        • Klinikum rechts der Isar der Technischen Universität, Frauen- und Poliklinik
        • Contact:
      • Offenbach, Germany, 63069
        • Recruiting
        • Klinikum Offenbach GmbH, Frauenklinik
        • Contact:
      • Offenburg, Germany, 77654
      • Passau, Germany, 94032
      • Ravensburg, Germany, 88212
      • Regensburg, Germany, 93053
        • Recruiting
        • Caritas-Krankenhaus St. Josef, Klinik für Frauenheilkunde u. Geburtshilfe
        • Contact:
      • Schweinfurt, Germany, 97422
        • Recruiting
        • Leopoldina Krankenhaus Schweinfurt GmbH, Frauenheilkunde und Geburtshilfe
        • Contact:
      • Solingen, Germany, 42653
        • Recruiting
        • Städt. Klinikum Solingen gGmbH, Frauenheilkunde u. Geburtshilfe
        • Contact:
      • Starnberg, Germany, 82319
        • Recruiting
        • Klinikum Starnberg, Klinik für Frauenheilkunde und Geburtshilfe
        • Contact:
      • Straubing, Germany, 94315
        • Recruiting
        • Klinikum St. Elisabeth Straubing GmbH, Klinik für Frauenheilkunde und Geburtshilfe
        • Contact:
      • Traunstein, Germany, 83278
      • Tübingen, Germany, 72076
        • Recruiting
        • Universitätsklinikum Tübingen, Universitätsfrauenklinik
        • Contact:
      • Ulm, Germany, 89075
        • Recruiting
        • Universitätsklinikum Ulm, Universitätsfrauenklinik
        • Contact:
      • Unna, Germany, 59423
        • Recruiting
        • Christliches Klinikum Unna Mitte, Klinik für Gynäkologie und Geburtshilfe
        • Contact:
      • Villingen-Schwenningen, Germany, 78052
        • Recruiting
        • Schwarzwald-Baar Klinikum, Frauenklinik
        • Contact:
      • Wiesbaden, Germany, 65189
        • Recruiting
        • St. Josefs-Hospital, Frauenklinik
        • Contact:
          • Boris Gabriel, Professor MD
          • Phone Number: 0049 (0) 611-177 1512
          • Email: bgabriel@joho.de
      • Wolfsburg, Germany, 38440
      • Okayama, Japan
        • Recruiting
        • Okayama University Hospital
        • Contact:
          • Shoji Nagao, MD
      • Saitama, Japan
        • Recruiting
        • Saitama Medical University International Medical Center
        • Contact:
          • Yabuno Akira, MD
      • Seoul, Korea, Republic of, 110-744
        • Recruiting
        • Seoul National University Hospital, Department of Obstetrics & Gynecology
        • Contact:
          • Jae Weon Kim, Professor MD
          • Phone Number: 0082-2-2072-2821
          • Email: kjwksh@snu.ac.kr

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

16 years to 73 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  1. histologically confirmed EC of clinical stages T1b and T2 (all histological types) and stage T1a G3 type 1 (endometrioid, endometriod with squamous differentiation, mucinous) or type 2 tumors (any percentage of serous or clear cell component) or carcinosarcoma
  2. a) no previous surgery concerning EC (primary surgery) or b) surgery after hysterectomy (e.g. for presumed low risk endometrial cancer) is allowed within 8 weeks after hysterectomy if no LNE was performed (secondary surgery)
  3. absence of bulky lymph nodes
  4. performance status ECOG 0-1
  5. age 18 - 75 years
  6. written informed consent
  7. adequate compliance

Exclusion Criteria:

  1. stage pT1a, G1 or G2 tumors of type 1 histology
  2. sarcomas (except for carcinosarcoma = malignant mixed Müllerian tumor)
  3. EC of FIGO stages III or IV (except for microscopical lymph node metastases)
  4. evidence of extrauterine disease by visual inspection
  5. recurrent EC
  6. preceding chemo-, radio, or endocrine therapy for EC
  7. any concomitant disease not allowing surgery including lymphadenectomy and/or chemotherapy
  8. any medical history indicating excessive peri-operative risk
  9. any current medication containing considerable surgical risk (e.g. bleeding: due to oral anticoagulating agents)
  10. any known disorder or circumstances making participation in trial and follow-up questionable. Insufficient compliance is expected.
  11. patients with second malignancies if disease or treatment might have an impact on the patient's prognosis
  12. known HIV-infection or AIDS
  13. simultaneous participation in other clinical trials if not permitted by the steering committee (translational or QoL studies not interfering with the objectives of ECLAT are allowed)

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: Arm A standard surgical procedure

Standard surgical procedure for endometrial cancer:

total hysterectomy, bilateral salpingo-oophorectomy, omentectomy (type 2 cancers)

total hysterectomy, bilateral salpingo-oophorectomy, omentectomy (type 2 cancers)
Experimental: Arm B systematic lymphadenectomy (LNE)

In addition to standard procedures as defined for Arm A:

systematic pelvic and para-aortic lymphadenectomy (LNE) up to the renal vessels

total hysterectomy, bilateral salpingo-oophorectomy, omentectomy (type 2 cancers)
systematic pelvic and para-aortic lymphadenectomy (LNE) up to the renal vessels

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Overall survival (OS)
Time Frame: 60 months
Impact of systematic pelvic and para-aortic lymphadenectomy (LNE) on overall survival in EC patients with high risk of recurrence
60 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Disease free survival (DFS)
Time Frame: 3 months, 6 months, 9 months, 12 months, 15 months, 18 months, 21 months, 24 months, 27 months, 30 months, 33 months, 36 months, 42 months, 48 months, 54 months, 60 months
Impact of systematic pelvic and para-aortic lymphadenectomy (LNE) on Disease free survival
3 months, 6 months, 9 months, 12 months, 15 months, 18 months, 21 months, 24 months, 27 months, 30 months, 33 months, 36 months, 42 months, 48 months, 54 months, 60 months
Disease specific survival (DSS)
Time Frame: 3 months, 6 months, 9 months, 12 months, 15 months, 18 months, 21 months, 24 months, 27 months, 30 months, 33 months, 36 months, 42 months, 48 months, 54 months, 60 months
Impact of systematic pelvic and para-aortic lymphadenectomy (LNE) on Disease specific survival
3 months, 6 months, 9 months, 12 months, 15 months, 18 months, 21 months, 24 months, 27 months, 30 months, 33 months, 36 months, 42 months, 48 months, 54 months, 60 months
Assessment of serious complications
Time Frame: during surgery, at hospital discharge, day 60, 6 months, 9 months, 12 months
Assessment of perioperative complications and site effects of LNE
during surgery, at hospital discharge, day 60, 6 months, 9 months, 12 months
EORTC QLQ-C30
Time Frame: Baseline, at hospital discharge, 6 months, 9 months, 12 months, 15 months, 18 months, 21 months, 24 months, 27 months, 30 months, 33 months, 36 months, 42 months, 48 months, 54 months, 60 months
Health related Quality of life (QoL)
Baseline, at hospital discharge, 6 months, 9 months, 12 months, 15 months, 18 months, 21 months, 24 months, 27 months, 30 months, 33 months, 36 months, 42 months, 48 months, 54 months, 60 months
EORTC QLQ-EN24
Time Frame: Baseline, at hospital discharge, 6 months, 9 months, 12 months, 15 months, 18 months, 21 months, 24 months, 27 months, 30 months, 33 months, 36 months, 42 months, 48 months, 54 months, 60 months
Health related Quality of life (QoL)
Baseline, at hospital discharge, 6 months, 9 months, 12 months, 15 months, 18 months, 21 months, 24 months, 27 months, 30 months, 33 months, 36 months, 42 months, 48 months, 54 months, 60 months
Number of resected lymph nodes
Time Frame: during surgery
resected pelvic and para-aortic lymph nodes
during surgery

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Collaborators

Investigators

  • Principal Investigator: Philipp Harter, MD, Kliniken Essen Mitte, Gynäkologie und gynäkologische Onkologie

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

March 28, 2018

Primary Completion (Anticipated)

February 15, 2028

Study Completion (Anticipated)

February 15, 2029

Study Registration Dates

First Submitted

January 31, 2018

First Submitted That Met QC Criteria

February 16, 2018

First Posted (Actual)

February 19, 2018

Study Record Updates

Last Update Posted (Actual)

May 10, 2023

Last Update Submitted That Met QC Criteria

May 9, 2023

Last Verified

May 1, 2023

More Information

Terms related to this study

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

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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