Radiotherapy revolution: could 5 sessions replace 25 for endometrial cancer?
NCT ID NCT07675733
First seen Jun 30, 2026 · Last updated Jul 01, 2026 · Updated 1 time
Summary
This trial explores whether a new type of radiotherapy called CT online-adaptive radiotherapy can safely deliver treatment for endometrial cancer in just 5 sessions over a week and a half, instead of the usual 25 sessions over 5 weeks. The study includes 30 adults who have had surgery for endometrial cancer and need post-operative radiotherapy. Researchers will monitor side effects, treatment feasibility, and quality of life for up to 2 years after treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Hypofractionated CT online adaptive radiotherapy (CT-OART)
- What this could lead to
- If successful, this could make post-operative radiotherapy for endometrial cancer much shorter and more convenient, reducing treatment from 5 weeks to just 1.5 weeks.
- What could go wrong
- This is a small, early feasibility study with only 30 participants, so results may not apply to all patients. The higher dose per session could increase side effects, and the technology may not work smoothly in all cases.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 30 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 2026
An estimate. Start dates often move.
- Expected to finish
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May 2030
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion criteria 1. Histologically confirmed endometrial carcinoma - inclusive of endometrioid adenocarcinoma, carcinosarcoma, clear cell carcinoma, serous carcinoma, dedifferentiated carcinoma, mucinous carcinoma, mixed carcinoma 2. Age greater than 18 years old 3. Disease fully resected at time of surgery 4. Indication for post-operative external beam radiotherapy: high-intermediate risk and high-risk disease (ESGO-ESTRO-ESP guideline), or at the discretion of treating Clinical Oncologist 5. If adjuvant systemic chemotherapy is indicated, participants will still be eligible for trial participation, provided there is a minimum 3-week gap between completing chemotherapy and beginning external beam radiotherapy 6. If adjuvant vaginal vault brachytherapy boost is indicated, participants will still be eligible for trial participation, with a minimum gap of 1 day from completion of external beam radiotherapy to first fraction of brachytherapy 7. WHO Performance Status 0 - 2 8. Informed written consent Exclusion criteria 1. Previous pelvic radiotherapy 2. Contraindication to receiving external beam radiotherapy 3. Residual disease identified on post-operative imaging 4. FIGO 2023 Stage 3C2 disease requiring extended para-aortic treatment field 5. Hip prostheses or other metal work within the imaging field which would produce significant imaging artifact 6. Indication for adjuvant concurrent chemo-radiotherapy
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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The Royal Marsden Hospital - Sutton
Sutton, SM2 5PT, United Kingdom
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