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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 belowSelect...
I am 18 years old or older.
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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.
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I am scheduled for a hysterectomy through an abdominal incision.
Select...
I am on progesterone therapy for my endometrial cancer.
Timeline
Screening ~ 3 weeks3 visits
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
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
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 moreAwards & 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
Eligibility Criteria:
This trial includes the following eligibility criteria:- I have had radiation therapy to my pelvic area before.I am 18 years old or older.I am scheduled for a hysterectomy through an abdominal incision.I can take care of myself and am up and about more than half of the day.I am suspected to have early stage cancer of the uterus.I am on progesterone therapy for my endometrial cancer.My doctor thinks I'm a good fit for minimally invasive surgery.
Research Study Groups:
This trial has the following groups:- Group 1: Surgery Without UM (Arm Control)
- Group 2: Surgery With UM (Arm MAN UA)
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.