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Colorectal (Colon or Rectal) CancerUOT WPXRTNCT07419490

Utero-ovarian Transposition in Patients With Pelvic Malignancies Undergoing Whole Pelvic Radiotherapy

A study testing Uteroovarian transposition in people with Colorectal (Colon or Rectal) Cancer and Pelvic Malignancies, run by University of South Florida at 1 site in United States.

Recruiting

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

Sites and contacts
Official record
Search all trials

Trial summary

This study is designed as a Phase I clinical trial enrolling female patients aged 18-40 years who have been diagnosed with pelvic malignancies requiring whole pelvic external radiation therapy (WPXRT) and who express interest in preserving fertility and ovarian function. Read more about this study

Who is it for?
Ages 18 to 40 months, women only
What is being tested?
Uteroovarian transposition
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
26 participants
Where
1 siteUnited States
Study dates
1 Apr 2026to Jun 2031
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 to 40 months
  • Women only
  • No healthy volunteers
  • Child

Who may be able to join

  • Age: Women 18 - 40 years of age who wish to preserve their fertility.
  • Malignancy: Diagnosis of pelvic malignancies that require radiotherapy, including:
  • Colon and rectal cancer with tumors.
  • Anal cancer.
  • Other pelvic malignancies that require administration of WPXRT.
  • Desire for Fertility Preservation: The patient expresses a clear desire to preserve fertility and the ability to carry a pregnancy in the future.
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  • Preoperative Ovarian Function: The patient must have normal ovarian function, demonstrated by specific hormonal values, including:
  • Follicle-Stimulating Hormone (FSH): <10 IU/L
  • Luteinizing Hormone (LH): within normal reference range for reproductive age (typically 1.5-8 IU/L in the early follicular phase).
  • Anti-Müllerian Hormone (AMH): >1 ng/mL
  • Estradiol (E2): within the normal range for the follicular phase (usually 30-120 pg/mL).
  • No Distant Metastasis: Absence of metastatic disease confirmed by imaging (CT, MRI, or PET scans).
  • Body Mass Index (BMI) < 35.
  • Signed Informed Consent.

Who cannot join

  • Advanced Cancer Stage: Patients with locally advanced or metastatic disease.
  • Significant Uterine Pathology: Presence of large uterine fibroids, adenomyosis, or other intrauterine pathologies that would complicate the procedure or future pregnancy.
  • Poor General Health or Comorbidities: Severe medical conditions that contraindicate surgical intervention, that include but not limited to:
  • Cardiovascular Disease:
  • Recent (within 6 months) myocardial infarction (MI).
  • Ejection fraction (EF): EF <30%.
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  • Uncontrolled hypertension: Systolic BP >180 mmHg or Diastolic BP >110 mmHg prior to surgery.
  • Severe aortic stenosis: Valve area <1 cm² with symptomatic status.
  • Uncontrolled Diabetes Mellitus:
  • Hemoglobin A1c (HbA1c) > 9%
  • Persistent fasting glucose >250 mg/dL preoperatively despite optimization.
  • Severe Respiratory Diseases:
  • Forced expiratory volume (FEV1): <50%.
  • Oxygen saturation: Resting SpO₂ <88% on room air without supplemental oxygen.
  • CO2 retention: PaCO₂ >50 mmHg.
  • Connective Tissue Disorders:
  • Severe systemic lupus erythematosus (SLE): Active lupus nephritis with GFR <30 mL/min.
  • Scleroderma with severe pulmonary hypertension or FVC <50% predicted.
  • Rheumatoid arthritis with severe cervical spine instability (atlantoaxial subluxation).
  • Severe Inflammatory Bowel Disease (IBD):
  • Severe Crohn's or ulcerative colitis flares with C-reactive protein (CRP) >10 mg/L and hypoalbuminemia (Albumin <2.5 g/dL).
  • Severe malnutrition: BMI <18.5 kg/m² or Prealbumin <10 mg/dL
  • Steroid dependency:
  • Chronic steroid use (>20 mg prednisone daily) with no feasible taper pre-surgery.
  • Prior Pelvic Radiotherapy.
  • Prior history of systemic chemotherapy and immunotherapy that resulted in significant toxicity and residual deficit.
  • Pregnancy: Patients who are currently pregnant are excluded from consideration for uterine transposition.
  • Unsuitable for Ovarian Function Preservation: Women with signs of poor ovarian reserve, including:
  • FSH: >10 IU/L
  • AMH: <1 ng/mL
  • Estradiol: outside normal range.
  • Non-Candidate for Fertility: Patients with contraindications to future pregnancy, such as severe uterine abnormalities or significant risk for pregnancy-related complications.
  • Body Mass Index (BMI) ≥35.
  • Absence of One of the Gonadal Vessels.
  • Other unlisted conditions or diagnoses that, in the opinion of the primary investigator, render the patient an unsuitable candidate for uteroovarian transposition.

Trial locations and contacts

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

Brittani Powell, MPH, CCRP contact

(813) 974-5638

RSCH-IRB@usf.edu

Jennifer Childress, RN, CCRP contact

813-844-1053

jchildress@tgh.org

United States1 site, 1 recruiting
  • Tampa General Hospital

    Tampa, Florida, 33606

    Jennifer Childress, RN, CCRP, 813-844-1053, jchildress@tgh.org

    Vaagn Andikyan, MD, 813-844-4554, andikyan@usf.edu

    Recruiting

Other trials in United States

About this study

Official title: A Phase I Assessment of Utero-ovarian Transposition (UOT) for Fertility Preservation in Patients With Pelvic Malignancies Undergoing Whole Pelvic Radiotherapy (WPXRT)

This study is designed as a Phase I clinical trial enrolling female patients aged 18-40 years who have been diagnosed with pelvic malignancies requiring whole pelvic external radiation therapy (WPXRT) and who express interest in preserving fertility and ovarian function.

The trial's primary objective is to assess the feasibility and safety of uterine and ovarian transposition (UOT). Premenopausal women under the age of 40 will undergo UOT using a novel minimally invasive approach.

Read more

Feasibility and safety will be evaluated through standardized postoperative assessments, including:

(A) success in mobilizing and repositioning the uterus, ovaries, and fallopian tubes while maintaining vascular integrity; (B) documentation of surgical complications; (C) monitoring the timeliness and adherence to planned WPXRT.

To enhance safety and optimize outcomes, intraoperative imaging with indocyanine green fluorescence and Doppler ultrasonography will be employed.

Short-term success will be defined by technical success in repositioning the uterus and ovaries with preserved vascular integrity, absence of major surgical complications, and timely initiation and completion of WPXRT.

Long-term success will be evaluated by the preservation of fertility.

The study's primary objective is also to evaluate surgical, reproductive, and quality-of-life outcomes following UOT. This objective will determine the procedure's efficacy in preserving ovarian and menstrual function and its potential to support future pregnancies.

Endpoints include:

(A) maintenance of normal premenopausal levels of FSH, LH, AMH, and estradiol at defined postoperative intervals; (B) assessment of menstrual timing, regularity, and characteristics to document return of ovulatory cycles; (C) evaluation of uterine integrity and reproductive potential using pelvic ultrasonography; (D) comprehensive evaluation of patient quality of life encompassing physical, emotional, sexual, and reproductive well-being.

These measures will inform optimization of surgical techniques and provide a foundation for scaling the procedure to a broader population in future studies.

Read the detailed description

This is a phase I study aimed to evaluate feasibility and safety of utero-ovarian transposition (UOT) in young women undergoing whole pelvic radiation therapy (WPXRT) for treatment of a colorectal or other cancers localized to the pelvis. By comprehensively evaluating real-world outcomes for women undergoing this procedure, the proposed work will lay the groundwork necessary to establish UOT as a viable option for fertility preservation and survivorship for this unique patient population. Rigorous inclusion and exclusion criteria will ensure the selection of appropriate candidates, who will undergo a minimally invasive transposition of their cervix, uterus, tube and ovaries outside the planned radiation fields, thus sparing transposed organs from radiation exposure. Following a brief recovery, the radiation oncology team will proceed with WPXRT to treat each patient's cancer. If chemotherapy is indicated, it will be completed at this time, prior to the second procedure. After completing radiation therapy and/or chemotherapy, the uterus and adnexa will be surgically returned to their normal anatomical position.

This study will assess surgical outcomes for enrolled subjects undergoing this care plan, assess quality of life and the preservation of fertility and uterine receptivity by multiple objective measures.

Throughout the study, patients will be closely monitored for perioperative outcomes, including surgical complications, hospital stay, and quality of life. Patterns of menstruation, as well as levels of key hormones routinely used to assess fertility (FSH, LH, AMH, and estradiol) will be measured at key time points.

Successful UOT will be defined as the ability to complete the procedure and successfully restore a viable uterus and adnexa capable of supporting normal menstruation and fertility post-radiation therapy.

The resumption of menstrual cycles for six months following the procedure will be evaluated. Quality of life will be evaluated at multiple steps as women undergo the proposed procedures as well as throughout the planned 6 months follow up window.

Data generated by this pilot study will provide critical insights into the feasibility, safety, and potential benefits of UOT as a fertility-preserving and ovarian function-conserving option for patients with pelvic malignancies undergoing WPXRT. Moving forward, data from this study will be used not only to build out the programmatic and clinical infrastructure needed to further evaluate the efficacy of UOT, but also to overcome roadblocks to its successful clinical implementation in the future.

Being tested
Uteroovarian transposition
Keywords
uterine transposition, utero-ovarian transposition, oncofertility, pelvic radiation, pelvic malignancies, rectal cancer, colorectal malignancies, fertility preservation
Medical subject headings
Colonic Neoplasms, Rectal Neoplasms

What participants receive

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

  • Uteroovarian transpositionProcedure or surgery

    Also called uterine transposition

    Uteroovarian transposition involves temporarily relocating the uterus, both ovaries and fallopian tubes outside the planned radiation field. Once WPXRT is complete, a second surgery is performed to return these organs to their natural position in the patient's pelvis.

Study groups in NCT07419490
Study groupRoleWhat they receive
Uteroovarian transposition armExperimentalOur study population includes premenopausal women 18-40 years old who are diagnosed with pelvic malignancies, such as rectal, colorectal cancer, and other pelvic malignancies that require radiotherapy and wish to preserve fertility and ovarian function. Subjects will be interested in improving their quality of life and reproductive outcomes without the need to undergo additional reproductive endocrinology interventions. Eligible patients will undergo UOT using a novel minimally invasive approach.
Receives: Procedure: Uteroovarian transposition

What is being measured

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

  1. Success of uterine transposition

    Success of uterine transposition (feasibility) will be defined as the percentage of cases in which the uterus, ovaries, and fallopian tubes are successfully mobilized and repositioned as planned without the need for intraoperative conversion.

    Unit of Measure: Percentage of participants (%) Time Frame: up 30 days postsurgery.

    Measured: From enrollment to completion of surveillance/monitoring at 52 weeks

Secondary outcomes (8)
  1. Postoperative Complications

    Postoperative complications will be monitored. All complications will be graded according to the Clavien-Dindo classification system.

    Unit of Measure: Number of participants with complications.

    Measured: From enrollment to 4 weeks postsurgery

  2. Menstrual Function

    Menstrual function will be evaluated by assessing the return of menses, cycle regularity, and ovulatory characteristics through a standardized postoperative questionnaire.

    Unit of Measure:

    Percentage of participants (%)

    Measured: From enrollment then at 4, 8, 12 weeks and 52 weeks after surgery

  3. Hormonal Function: Follicle-Stimulating Hormone (FSH)

    Hormonal Function will be evaluated by measuring serum levels of FSH

    Unit of Measure:

    Hormone concentration: IU/L

    Measured: From enrollment then at 4, 8, 12 weeks and 52 weeks after surgery

  4. Hormonal Function: Luteinizing Hormone (LH)

    Hormonal Function will be evaluated by measuring serum levels of LH.

    Unit of Measure:

    Hormone concentration: IU/L.

    Measured: From enrollment then at 4, 8, 12 weeks and 52 weeks after surgery

  5. Hormonal Function: Anti-Mullerian Hormone (AMH)

    Hormonal Function will be evaluated by measuring serum levels of AMH.

    Unit of Measure:

    Hormone concentration: IU/L.

    Measured: From enrollment then at 4, 8, 12 weeks and 52 weeks after surgery

  6. Hormonal Function: Estradiol

    Hormonal Function will be evaluated by measuring serum levels of estradiol.

    Unit of Measure:

    Hormone concentration: ng/mL.

    Measured: From enrollment then at 4, 8, 12 weeks and 52 weeks after surgery

  7. Quality of Life: FSFI survey

    Quality of life will be measured using the FSFI survey.

    Unit of Measure:

    FSFI total score.

    Measured: At enrollment then at 12 weeks and 52 weeks after surgery

  8. Quality of Life: EORTC QLC-C30

    Quality of life will be measured using the EORTC QLQ-C30.

    Unit of Measure:

    EORTC QLQ-C30 score.

    Measured: At enrollment then at 12 weeks and 52 weeks after surgery

Timeline

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

  1. First posted19 Feb 2026
  2. Study start1 Apr 2026
  3. Primary completionJun 2030 (estimated)
  4. Study completionJun 2031 (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
Not applicable
Intervention model
Single group
Model description
This is a phase I study evaluating feasibility and safety of utero-ovarian transposition (UOT) in young women undergoing whole pelvic radiation therapy (WPXRT) for treatment of rectal or other cancers localized to the pelvis. Rigorous inclusion and exclusion criteria will ensure the selection of appropriate candidates, who will undergo a minimally invasive transposition of their cervix, uterus, tube and ovaries outside the planned radiation fields. Following a brief recovery, the radiation oncology team will proceed with WPXRT to treat each patient's cancer. After completing radiation therapy and systemic chemotherapy, the uterus and adnexa will be surgically returned to their normal anatomical position. Throughout the study, patients will be closely monitored for perioperative outcomes, including surgical complications, hospital stay, reproductive metrics and quality of life.
Masking
None (open label)
Enrolment
26 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07419490
Sponsor's protocol ID
STUDY008615
Acronym
UOT WPXRT
Status last verified
Nov 2025
First submitted
24 Nov 2025
Last updated
24 Jun 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Upon reasonable request, deidentified clinical data generated during the study will be available from the principal investigator, Dr. Vaagn Andikyan.

Publications

  • Apelian S, Vest A, Yasukawa M, Wellcome J, Kohut A, Imudia AN, Tuli R, Anderson ML, Rutherford T, Andikyan V. Uterine Transposition for Fertility Preservation and Ovarian Conservation in Patients Undergoing Pelvic Radiotherapy. Obstet Gynecol. 2025 Nov 1;146(5):679-689. doi: 10.1097/AOG.0000000000005954. Epub 2025 Jul 3.

    PubMed 40609092
  • Ribeiro R, Baiocchi G, Moretti-Marques R, Linhares JC, Costa CN, Pareja R. Uterine transposition for fertility and ovarian function preservation after radiotherapy. Int J Gynecol Cancer. 2023 Dec 4;33(12):1837-1842. doi: 10.1136/ijgc-2023-004723.

    PubMed 37898483
  • Ribeiro R, Rebolho JC, Tsumanuma FK, Brandalize GG, Trippia CH, Saab KA. Uterine transposition: technique and a case report. Fertil Steril. 2017 Aug;108(2):320-324.e1. doi: 10.1016/j.fertnstert.2017.06.016. Epub 2017 Jul 8.

    PubMed 28697913

Questions about this trial

What is this clinical trial studying?

A study testing Uteroovarian transposition in people with Colorectal (Colon or Rectal) Cancer and Pelvic Malignancies, run by University of South Florida at 1 site in United States.

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 14 inclusion and 35 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 24 Jun 2026. 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 United States. 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 Brittani Powell, MPH, CCRP ((813) 974-5638, RSCH-IRB@usf.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Success of uterine transposition (time frame: From enrollment to completion of surveillance/monitoring at 52 weeks). 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 NCT07419490, which also lists 3 linked publications.

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 24 Jun 2026.

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