Refining Adjuvant Treatment IN Endometrial Cancer Based On Molecular Features

Trial statusRecruiting
Trial phasePhase 2, Phase 3
Trial typeInterventional
Biological sexFemale
Age18+
SponsorLeiden University Medical Center

About this trial

The RAINBO umbrella program consists of four clinical trials investigating new adjuvant therapies in endometrial cancer patients. Eligible patients will be assigned to one of the four RAINBO trials based on the molecular profile of their cancer:

* p53 abnormal endometrial cancer patients to the p53abn-RED trial * mismatch repair deficient endometrial cancer patients to the MMRd-GREEN trial * no specific molecular profile endometrial cancer patients to NSMP-ORANGE trial * POLE mutant endometrial cancer patients to the POLEmut-BLUE trial

Eligibility criteria

Qualifiers

None

Disqualifiers

Histologically confirmed diagnosis of endometrial cancer (EC) of the following histotypes: endometrioid endometrial carcinoma, serous endometrial carcinoma, uterine clear cell carcinoma, dedifferentiated and undifferentiated endometrial carcinoma, uterine carcinosarcoma and mixed endometrial carcinomas of the aforementioned histotypes.

Full molecular classification performed following the diagnostic algorithm described in WHO 2020 (5th Edition, IARC, Lyon, 2020)

Hysterectomy and bilateral salpingo-oophorectomy with or without lymphadenectomy or sentinel node biopsy, without macroscopic residual disease after surgery

No distant metastases as determined by pre-surgical or post-surgical imaging (CT scan of chest, abdomen and pelvis or whole-body PET-CT scan)

Trial design

Treatments tested in this trial

  • Olaparib
  • Pelvic external beam radiotherapy
  • Chemotherapy
  • Durvalumab
  • Medroxyprogesterone Acetate
  • Megestrol Acetate
  • Vaginal brachytherapy
  • Observation

Treatment groups

1,615 Participants
are divided into 8 treatment groups

8

Treatment groups

See each treatment group below.

Sponsors and collaborators

Leiden University Medical Center

Lead sponsor

Institute Gustave Roussy (sponsor p53abn-RED trial)

Collaborator

Leiden University Medical center (sponsor MMRd-GREEN trial)

Collaborator

University College London (sponsor NSMP-ORANGE trial)

Collaborator

Canadian Clinical Trials Group (sponsor POLEmut-BLUE trial)

Collaborator

Dutch Gynaecological Oncology Group

Collaborator

Comprehensive Cancer Centre The Netherlands

Collaborator

Cancer Research UK & UCL Cancer Trials Centre

Collaborator

Dutch Cancer Society

Collaborator

AstraZeneca

Collaborator

National Cancer Institute, France

Collaborator

Canadian Institutes of Health Research (CIHR)

Collaborator