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AzTrials

Endometrium CancerNCT06169449

Weight Management in Overweight Endometrial Cancer Patients Undergoing Fertility-sparing Treatment

A study testing Weight management--diet, Weight management--exercise and Weight management--accompany in people with Endometrium Cancer, run by Peking University People's Hospital at 1 site in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

In this study, overweight and obese patients with endometrial cancer treated with fertility- sparing therapy were randomly divided into two groups. The test group was given weight management, while the control group was given routine care. Read more about this study

Who is it for?
Ages 18 years and older, women only
Conditions the study is for
Endometrium Cancer
What is being tested?
Weight management--diet, Weight management--exercise and Weight management--accompany
Could I receive a placebo?
No, everyone receives an active treatment
How many people
240 participants
Where
1 siteChina
Study dates
1 Apr 2022to 31 Dec 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • age ≥18 years old
  • diagnosed as endometrial cancer or atypical hyperplasia
  • immunohistochemical staining and sequencing of pathological tissue
  • fertility-preserving therapy
  • BMI≥25 kg/m2
  • informed consent.

Who cannot join

  • those with communication barriers
  • pregnant women
  • medical and surgical serious complications: urinary calculi, history of renal failure or severe renal insufficiency, familial dyslipidemia, severe liver disease, chronic metabolic acidosis, history of pancreatitis, severe diabetes mellitus, active gallbladder disease, fat dyspepsia, severe cardiovascular and cerebrovascular diseases.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Xiaodan Li, Master contact

+8615010305099

lxd_2000_510@163.com

Yiqian Chen, Master contact

+8617864238409

3526448961@qq.com

China1 site, 1 recruiting
  • Peking University People's Hospital

    Beijing, China, 100044

    Li, +8615010305099

    Recruiting

Other trials in China

About this study

In this study, overweight and obese patients with endometrial cancer treated with fertility- sparing therapy were randomly divided into two groups. The test group was given weight management, while the control group was given routine care. Relevant information such as body morphology and composition, glycolipid metabolism, molecular typing and tumor outcomes of the subjects were collected. By evaluating the tumor outcome and changes in glycolipid metabolism indicators, to confirm the effectiveness and safety of weight management for overweight and obese patients with endometrial cancer and treatd with fertility preservation.

Read the detailed description

Obesity is recognized as a major risk factor for the development of endometrial cancer. Notably, several retrospective studies have shown that obesity reduces complete remission and pregnancy rates and increases recurrence rates in patients with endometrial cancer and atypical hyperplasia who undergo fertility-sparing treatment. Guidelines or consensus statements for fertility-sparing treatment in endometrial cancer recommend weight management. However, prospective intervention studies on the effectiveness of systematic weight management models in patients receiving reproductive function-preserving treatment for endometrial cancer and atypical hyperplasia are lacking. This study therefore aimed to investigate the impact of the weight management on body morphology and composition, glycolipid metabolism, and tumor outcomes in overweight and obese patients with endometrial cancer and atypical hyperplasia who underwent reproductive function-preserving treatments.In this study, overweight and obese patients with endometrial cancer treated with fertility- sparing therapy were randomly divided into two groups. The test group was given weight management, while the control group was given routine care. Relevant information such as body morphology and composition, glycolipid metabolism, molecular typing and tumor outcomes of the subjects were collected. By evaluating the tumor outcome and changes in glycolipid metabolism indicators, to confirm the effectiveness and safety of weight management for overweight and obese patients with endometrial cancer and treatd with fertility preservation.

Being tested
Weight management--diet, Weight management--exercise, Weight management--accompany, Weight management--refresh, Control group
Medical subject headings
Endometrial Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Weight management--dietBehavioural

    The diet structure adopts an energy-limited balanced diet. In this structure, the total daily energy intake is reduced by 500~1000 kcal based on the target energy intake; however, the balance is maintained for the energy supply ratio of the three major nutrients (with carbohydrate, protein, and fat accounting for 55~60%, 10~20%, and 15~30% of the total daily energy, respectively). Combined with the patient's eating habits, the food exchange portion method is used as a guide; each portion providing 90 kcal is considered as one portion. Specific recipes are formulated after calculating the ideal weight and the total daily calorie intake based on activity intensity, determining the number of six food exchange portions and the distribution of three meals according to the total calorie and diet structure, and combining the equivalent food exchange table based on individual tastes and preferences; this ensures patient acceptability and implementation.

  • Weight management--exerciseBehavioural

    Exercise goals are divided into four levels based on individual health conditions and personal preferences; these include: cultivating exercise habits, improving cardiopulmonary function, enhancing muscle strength, and improving flexibility. Individualized exercise prescriptions that specify the exercise type, intensity, time, and frequency are formulated.

  • Weight management--accompanyBehavioural

    This component involves the inclusion of patients in online management. Online groups are established, daily feedback is obtained regarding weight management implementation, self-sharing is encouraged, and peer support is established; a total of 6 sessions of online health education are provided once every 4 weeks for 20-60 minutes at each session. This includes information regarding the risks associated with overweightness and obesity; weight management benefits; knowledge regarding diet and nutrition, exercise and sports, and behavioral styles; and problem exchange and sharing, among others. Professional support is provided by weekly communication with patients one-on one via WeChat or telephonic conversations. The patient's diet and exercise record sheet are checked, patients are asked questions regarding implementation of the current program and any discomfort or difficulties; corresponding guidance is provided as appropriate.

  • Weight management--refreshBehavioural

    According to the dietary nutrition guidelines for Chinese residents, patients are advised to drink 2500 ml or more of water daily; they are also advised to work and rest regularly to ensure sufficient sleep time, ensure smooth bowel movements, take deep breaths when waking up in the morning, pay attention to the work-rest balance, avoid being sedentary, and stand up and move around at least once every 50 minutes, maintain physical vitality by adjusting daily living habits.

  • Control groupBehavioural

    The relationship between overweightness and obesity and endometrial cancer risk was explained to patients in the control group and their willingness for self-weight management was respected. Communication was maintained with patients from treatment initiation to 3 and 6 months after treatment; patients' questions regarding weight reduction were answered and suggestions were provided regarding nutrition, exercise, and lifestyle management.

Study groups in NCT06169449
Study groupRoleWhat they receive
Weight management GroupExperimentalPatients in the weight management group used a weight management model that included diet, exercise, accompany and refresh.
Receives: Behavioral: Weight management--diet; Behavioral: Weight management--exercise; Behavioral: Weight management--accompany; Behavioral: Weight management--refresh
Control GroupOtherPatients in the control group underwent routine care for self-weight management.
Receives: Behavioral: Control group

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Body Mass Index(BMI)--physiological parameter

    Use the Inbody720 to measure height and weight and calculate BMI according to the formula"BMI (= weight (kg)/height2 (m2)"

    Measured: 6 months of intervention

  2. waist-to-height ratio (WHtR)--physiological parameter

    Calculate WHtR according to the formula"WHtR= waist circumference (cm)/height (cm)= waist circumference (cm)/height (cm)"

    Measured: 6 months of intervention

  3. waist-to-hip ratio (WHR)--physiological parameter

    Calculate WHR according to the formula"WHR=waist circumference (cm)/hip circumference (cm)"

    Measured: 6 months of intervention

  4. body shape index (ABSI)--physiological parameter

    Calculate ABSI according to the formula"ABSI= (waist)/([BMI]^2/3×height^1/2)"

    Measured: 6 months of intervention

  5. body roundness index (BRI)--physiological parameter

    Calculate BRI according to the formula"BRI= waist/BMI"

    Measured: 6 months of intervention

  6. visceral fat index (VAI)--physiological parameter

    Calculate VAI according to the formula"VAI= waist/(36.58 + 1.89 × BMI) × triglyceride (TG) level/0.81 × 1.52/high density lipoprotein (HDL) level"

    Measured: 6 months of intervention

  7. lipid accumulation index (LAP) (female)--physiological parameter

    Calculate LAP according to the formula"LAP= = (waist circumference - 58) × TG level"

    Measured: 6 months of intervention

  8. waist circumference--physiological parameter

    measured with the subject's body upright, abdomen relaxed, both arms hanging down naturally, feet together, and the tape measure placed around the waist; the height was adjusted to the horizontal plane passing through the midpoint of the line between the lower edge of the rib arch and the iliac crest in the mid-axillary line

    Measured: 6 months of intervention

  9. hip circumference--physiological parameter

    measured with the subject's body upright, taking the circumference of the body at the horizontal position of the uppermost point of the hip

    Measured: 6 months of intervention

  10. body fat mass (BFM)--physiological parameter

    Measured by the Inbody720 Human Body Composition Analyzer

    Measured: 6 months of intervention

  11. muscle mass--physiological parameter

    Measured by the Inbody720 Human Body Composition Analyzer

    Measured: 6 months of intervention

  12. percent body fat (PBF)--physiological parameter

    Measured by the Inbody720 Human Body Composition Analyzer

    Measured: 6 months of intervention

  13. basal metabolic rate--physiological parameter

    Measured by the Inbody720 Human Body Composition Analyzer

    Measured: 6 months of intervention

  14. visceral fat area (VFA)--physiological parameter

    Measured by the Inbody720 Human Body Composition Analyzer

    Measured: 6 months of intervention

  15. triglycerides--physiological parameter

    About 5 ml of venous blood was drawn from the study subjects in the fasting state in the morning and sent to the Laboratory Department of the People's Hospital of Peking University, where it was measured by Beckman AU5800 biochemical analyzer.

    Measured: 6 months of intervention

  16. cholesterol--physiological parameter

    About 5 ml of venous blood was drawn from the study subjects in the fasting state in the morning and sent to the Laboratory Department of the People's Hospital of Peking University, where it was measured by Beckman AU5800 biochemical analyzer.

    Measured: 6 months of intervention

  17. high density lipoprotein(HDL)--physiological parameter

    About 5 ml of venous blood was drawn from the study subjects in the fasting state in the morning and sent to the Laboratory Department of the People's Hospital of Peking University, where it was measured by Beckman AU5800 biochemical analyzer.

    Measured: 6 months of intervention

  18. low density lipoprotein--physiological parameter

    About 5 ml of venous blood was drawn from the study subjects in the fasting state in the morning and sent to the Laboratory Department of the People's Hospital of Peking University, where it was measured by Beckman AU5800 biochemical analyzer.

    Measured: 6 months of intervention

  19. fasting glucose--physiological parameter

    About 5 ml of venous blood was drawn from the study subjects in the fasting state in the morning and sent to the Laboratory Department of the People's Hospital of Peking University, where it was measured by Beckman AU5800 biochemical analyzer.

    Measured: 6 months of intervention

  20. fasting insulin (FINS)--physiological parameter

    About 5 ml of venous blood was drawn from the study subjects in the fasting state in the morning and sent to the Laboratory Department of the People's Hospital of Peking University, where it was measured by Beckman AU5800 biochemical analyzer.

    Measured: 6 months of intervention

  21. glycated hemoglobin--physiological parameter

    About 5 ml of venous blood was drawn from the study subjects in the fasting state in the morning and sent to the Laboratory Department of the People's Hospital of Peking University, where it was measured by Beckman AU5800 biochemical analyzer.

    Measured: 6 months of intervention

  22. homeostatic model assessment of insulin resistance (HOMA-IR) index--physiological parameter

    Calculate HOMA-IR according to the formula"HOMA-IR= fasting blood glucose (mmol/L) × FINS level (mU/mL)/22.5"

    Measured: 6 months of intervention

Secondary outcomes (3)
  1. Complete remission

    Complete remission indicated by complete endometrial regression and interstitial metaplasia-like changes on histopathology after treatment (without any endometrial atypical hyperplasia or endometrioid adenocarcinoma lesions, as clarified by pathologists)

    Measured: 6 months of intervention

  2. Recurrence

    After complete remission, the reappearance of endometrioid adenocarcinoma or atypical endometrial hyperplasia during follow-up or after pregnancy or childbearing is defined as recurrence and is diagnosed by the pathologist.

    Measured: 6 months of intervention

  3. Pregnancy

    The clinical diagnosis was pregnancy.

    Measured: 2 years of intervention

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Dec 2023
  2. Study start1 Apr 2022
  3. Primary completion31 Dec 2026 (estimated)
  4. Study completion31 Dec 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
240 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06169449
Sponsor's protocol ID
RDL2022-49
Status last verified
Aug 2025
First submitted
12 Nov 2023
Last updated
3 Sep 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Chen Y, Yang J, Wan Y, Li Q, Yang D, Wang Y, Gong J, Bai L, Liu Y, Li X, Wang J. DEAR model in overweight endometrial cancer patients undergoing fertility-sparing treatment: A randomized controlled trial. Gynecol Oncol. 2024 Jun;185:148-155. doi: 10.1016/j.ygyno.2024.02.017. Epub 2024 Feb 28.

    PubMed 38422947

Questions about this trial

What is this clinical trial studying?

A study testing Weight management--diet, Weight management--exercise and Weight management--accompany in people with Endometrium Cancer, run by Peking University People's Hospital at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 3 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Xiaodan Li, Master (+8615010305099, lxd_2000_510@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Body Mass Index(BMI)--physiological parameter (time frame: 6 months of intervention). The study lists 22 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06169449, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Sep 2025.

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