UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000020856
Receipt number R000024069
Scientific Title Exploratory study on the anti-proliferative effects of metformin on endometrial cancer
Date of disclosure of the study information 2016/02/04
Last modified on 2020/02/06 09:42:40

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Basic information

Public title

Exploratory study on the anti-proliferative effects of metformin on endometrial cancer

Acronym

Exploratory study on the anti-proliferative effects of metformin on endometrial cancer

Scientific Title

Exploratory study on the anti-proliferative effects of metformin on endometrial cancer

Scientific Title:Acronym

Exploratory study on the anti-proliferative effects of metformin on endometrial cancer

Region

Japan


Condition

Condition

Endometrial cancer

Classification by specialty

Obstetrics and Gynecology

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

Anti-proliferative effect of metformin on endometrial cancer tissues have been observed in patients with endometrial cancer. However, it is unclear how metformin affects endometrial cancer in vivo. The aim of this study is to evaluate the effect of metformin on H19 non-cording RNA expression, DNA methylation, and the activity of aromatase in endometrial cancer tissue and to investigate the anti-proliferative effects of metformin in patients with endometrial cancer.

Basic objectives2

Bio-availability

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

To evaluate the effect of metformin on H19 expression in endometrial cancer tissue

Key secondary outcomes

1. To evaluate the effect of metformin on DNA methylation in endometrial cancer tissue

2. To evaluate the effect of metformin on the activity of aromatase, expression of let7, c-myc Hmga2, lmp in endometrial cancer tissue

3. To evaluate the effect of metformin on the expression of biomarkers in the endometrium.
1) Differences in Ki67 and Topoisomerase IIa expression using immunohistochemistry.
2) Expression of PhosphorERK, PhosphorAKT, phosphor AMPK, phosphor-rpS6, cyclin D1 using western blot analysis

4. Evaluation of toxicity


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Prevention

Type of intervention

Medicine

Interventions/Control_1

1)Patients will receive a daily dose of metformin (initial dose, 500 mg/day; increased weekly up to 2250 mg/day in the absence of any adverse effects).
2)Metformin will be administered in patients who fulfill the eligibility criteria. Metfomin will be administrated in patients until a day prior to the operation.
3)Endometrial biopsy samples will be obtained before metformin administration (as baseline) and during operation.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

60 years-old >=

Gender

Female

Key inclusion criteria

1. Histologically confirmed grade 1-2 endometrioid adenocarcinoma
2. BMI over 25 and positive for insulin resistance
3.Over 20 years and under 60 years of age
4.Eastern Cooperative Oncology Group Performance status 0
5.Patient who are ready to provide written informed consent

Key exclusion criteria

1. Prior medical history of chemical sensitivity to metformin
2. Serum creatinine over1.0 mg/dl
3. History of lactic acidosis
4. Patients undergoing dialysis
5. Shock, cardiac arrest, cardiac infarction, thrombosis of the lung, or severe cardiovascular and/or lung damage
6. Ingestion of excessive amounts of alcohol
7. Elevated levels of AST(GOT), ALT(GPT) (over2 times upper limit of normal)
8. History of thrombosis
9. Mental illness that may require the administration of antipsychotics
10. Diabetes mellitus that requires medication
11. HbA1c over 8.0
12. Concomitant malignancies
13. Determined to be ineligible by the physician in charge for any other reason

Target sample size

15


Research contact person

Name of lead principal investigator

1st name Akira
Middle name
Last name Mitsuhashi

Organization

Graduate School of Medicine, Chiba University

Division name

Reproductive Medicine

Zip code

260-8670

Address

1-8-1 Inohana, Chuo-ku, Chiba 260-8670, Japan

TEL

043-222-7171

Email

antira@faculty.chiba-u.jp


Public contact

Name of contact person

1st name Akira
Middle name
Last name Mitsuhashi

Organization

Graduate School of Medicine, Chiba University

Division name

Reproductive Medicine

Zip code

260-8670

Address

1-8-1 Inohana, Chuo-ku, Chiba 260-8670, Japan

TEL

043-222-7171

Homepage URL


Email

antira@faculty.chbia-u.jp


Sponsor or person

Institute

Ciba University

Institute

Department

Personal name



Funding Source

Organization

the Japan Society for Promotion of Science.

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

the institutional Review Board at Chiba University Hospital

Address

1-8-1 Inohana, Chuo-ku, Chiba 260-8670, Japan

Tel

043-222-7171

Email

hanaoka.hideki@faculty.chiba-u.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

千葉大学医学部附属病院


Other administrative information

Date of disclosure of the study information

2016 Year 02 Month 04 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

15

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2016 Year 01 Month 13 Day

Date of IRB

2016 Year 01 Month 12 Day

Anticipated trial start date

2016 Year 02 Month 04 Day

Last follow-up date

2019 Year 08 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2016 Year 02 Month 03 Day

Last modified on

2020 Year 02 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000024069


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name