← Back to Search

Procedure

Uterine Manipulation in Surgery for Endometrial Cancer (MAN-U Trial)

N/A
Recruiting
Research Sponsored by Anthony Costales, MD
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Patient must be greater than or equal to 18 years old
ECOG performance status 0-2 (see appendix 1)
Must not have
Any prior pelvic irradiation
Planned laparotomic hysterectomy
Timeline
Screening 3 weeks
Treatment Varies
Follow Up intra-operative and up to 30 days post-surgery
Awards & highlights
No Placebo-Only Group

Summary

This trial will compare two groups of women undergoing surgery for early-stage uterine cancer, to see if there is a difference in the rate of cancer cells present in the fluid when a uterine manipulator is used.

Who is the study for?
This trial is for adults over 18 with suspected early stage endometrial cancer, who are fit enough for minimally invasive surgery (MIS) and have no signs of cancer spread outside the uterus. They must be able to follow the study's procedures and not have had pelvic radiation or progesterone therapy for their cancer.
What is being tested?
The study compares outcomes in patients undergoing MIS for early stage uterine cancer using a uterine manipulator (UM) versus those without UM. It aims to see if there's a difference in the presence of cancer cells in surgical fluid between these two methods.
What are the potential side effects?
While specific side effects aren't listed, typical risks associated with minimally invasive gynecologic surgery may include bleeding, infection, injury to surrounding organs, pain, and complications related to anesthesia.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
I am 18 years old or older.
Select...
I can take care of myself and am up and about more than half of the day.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
Select...
I have had radiation therapy to my pelvic area before.
Select...
I am scheduled for a hysterectomy through an abdominal incision.
Select...
I am on progesterone therapy for my endometrial cancer.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~immediately after uterine manipulator placement in the manipulator group or prior to the initiation of the hysterectomy procedure in the non-manipulator group
This trial's timeline: 3 weeks for screening, Varies for treatment, and immediately after uterine manipulator placement in the manipulator group or prior to the initiation of the hysterectomy procedure in the non-manipulator group for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Positive peritoneal cytology (PC)
Secondary study objectives
Extent of lymph node metastases
Lymphovascular space invasion (LVSI)
Operative time
+3 more

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

2Treatment groups
Experimental Treatment
Active Control
Group I: Surgery With UM (Arm MAN UA)Experimental Treatment1 Intervention
Subjects that undergo a MIS approach with a uterine manipulator (experimental arm)
Group II: Surgery Without UM (Arm Control)Active Control1 Intervention
Subjects that undergo a MIS approach without a uterine manipulator (control arm)

Find a Location

Who is running the clinical trial?

Anthony Costales, MDLead Sponsor
The Cleveland ClinicOTHER
1,057 Previous Clinical Trials
1,371,482 Total Patients Enrolled

Media Library

Surgery without UM (Procedure) Clinical Trial Eligibility Overview. Trial Name: NCT04586959 — N/A
Endometrial Cancer Research Study Groups: Surgery Without UM (Arm Control), Surgery With UM (Arm MAN UA)
Endometrial Cancer Clinical Trial 2023: Surgery without UM Highlights & Side Effects. Trial Name: NCT04586959 — N/A
Surgery without UM (Procedure) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04586959 — N/A
~39 spots leftby Jul 2025