Intrauterine Injection of Type III Collage in FST of EC/AEH
NCT07377734 · Status: RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 30
Last updated 2026-03-30
Summary
The goal of this clinical trial is to learn if intrauterine injection of "Recombinant Humanized Type III Collagen Lyophilized Fibers" works to treat endometrial cancer or atypical hyperplasia in patients seeking fertility-preserving treatment. It will also learn about the safety of this intervention.The main questions it aims to answer are:
1. Does the combination of recombinant humanized type III collagen and progestin significantly increase the tumor remission rate at 6 months compared to progestin alone?
2. What medical problems do participants have when receiving this treatment (e.g., allergic reactions, abnormal inflammatory markers, or histocompatibility issues)? Researchers will compare "recombinant humanized type III collagen plus progestin (experimental group)" to "high-dose progestin alone (control group)" to see if the combination therapy is more effective for fertility preservation.
Participants will:
1. Take high-dose progestin (such as Medroxyprogesterone Acetate or Megestrol Acetate) orally every day.
2. If assigned to the experimental group, receive one intrauterine submucosal injection of collagen via hysteroscopy at months 0, 1, and 2, for a total of 3 injections.
3. Visit the clinic once every 3 months for treatment evaluation and follow-up, which includes hysteroscopic endometrial biopsy, imaging (such as transvaginal ultrasound), and safety tests for relevant biochemical indicators.
Conditions
- Atypical Endometrial Hyperplasia
- Endometrial Cancer
Interventions
- DRUG
-
Recombinant Humanized Type III Collagen Lyophilized Fibers + High-dose Progestin
Participants in this group will receive a combination therapy. They will take oral high-dose progestin (Medroxyprogesterone Acetate 250mg-500mg/d or Megestrol Acetate 160mg-320mg/d) daily. Additionally, they will receive three intrauterine submucosal injections of Recombinant Humanized Type III Collagen Lyophilized Fibers (50mg per injection) via hysteroscopy at months 0, 1, and 2. Each injection consists of 5ml solution (10mg/ml). The injection is administered at specific sites in the uterine cavity, including the anterior, posterior, left, right, and fundal walls, or surrounding the suspected lesion area.
- DRUG
-
High-dose Progestin
Participants in the control group will receive standard-of-care treatment with oral high-dose progestin alone. The dosage will be Medroxyprogesterone Acetate 250mg-500mg/day or Megestrol Acetate 160mg-320mg/day, taken daily throughout the treatment period
Sponsors & Collaborators
-
Wang Jianliu
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 45 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-01-30
- Primary Completion
- 2027-12-31
- Completion
- 2029-12-30
Countries
- China
Study Locations
More Related Trials
-
Fertility Sparing Therapy for Patients With Stage IA G2 Endometrial Cancer
NCT06468215 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Treatment With Medroxyprogesterone Acetate Plus LNG-IUS in Young Women With Early Stage Endometrial Cancer
NCT01594879 ·Status: UNKNOWN ·Phase: PHASE2
-
Surgery Plus Medroxyprogesterone in Preventing Endometrial Cancer
NCT00003179 ·Status: TERMINATED ·Phase: PHASE2
-
Value of LNG-IUS as Fertility-preserving Treatment of EAH and EC
NCT03463252 ·Status: RECRUITING ·Phase: PHASE2/PHASE3
-
Megestrol Acetate or Levonorgestrel-Releasing Intrauterine System in Treating Patients With Atypical Endometrial Hyperplasia or Endometrial Cancer
NCT01943058 ·Status: WITHDRAWN ·Phase: PHASE2
-
The Effect of Neoadjuvant DMPA on Glandular Cellularity in Women Awaiting Hysterectomy
NCT02335203 ·Status: UNKNOWN ·Phase: PHASE2
-
Medroxyprogesterone Acetate With or Without Entinostat Before Surgery in Treating Patients With Endometrioid Endometrial Cancer
NCT03018249 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Study of Megestrol Acetate in Grade 2 Endometrioid Endometrial Cancer
NCT05332483 ·Status: TERMINATED ·Phase: PHASE1
-
Megestrol Acetate Plus LNG-IUS in Young Women With Endometrial Atypical Hyperplasia
NCT03241888 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
PD-1 Inhibitor Combined With Progesterone Treatment in FST for Patients With MMRd Endometrial Cancer
NCT06549855 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Treatment of Endometrial Hyperplasia With an Intrauterine Device (IUD)
NCT00123175 ·Status: WITHDRAWN ·Phase: PHASE1/PHASE2
-
Mirena® ± Metformin as Fertility-preserving Treatment for Young Asian Women With Early Endometrial Cancer
NCT02990728 ·Status: UNKNOWN ·Phase: PHASE2
-
First Line Surgery or First Line Fertility Treatment Using Assisted Reproductive Technologies in Patients With Advanced Endometriosis
NCT07240363 ·Status: RECRUITING ·Phase: NA
-
Endometrial Rejuvenation Study
NCT04045821 ·Status: TERMINATED ·Phase: NA
-
Hysteroscopic Injections of Autologous Endometrial Cells and Platelet-rich Plasma in Patients With Thin Endometrium
NCT05455151 ·Status: COMPLETED ·Phase: PHASE1
-
The Use of Etonogestrel Contraceptive Implant as Treatment for Endometrial Hyperplasia Without Atypia: A Cohort Study
NCT06378489 ·Status: NOT_YET_RECRUITING
-
Uterine Manipulation During Minimally Invasive Surgery for Early Stage Endometrial Cancer
NCT04586959 ·Status: RECRUITING ·Phase: NA
-
Treatment of Infertility by Collagen Scaffold Loaded With Autologous Bone Marrow Stem Cells
NCT02204358 ·Status: UNKNOWN ·Phase: PHASE4
-
Dydrogesterone in the Treatment of Endometrial Polyps
NCT03790215 ·Status: COMPLETED ·Phase: PHASE4
-
Extension to Study on Efficacy and Safety of Linzagolix for the Treatment of Endometriosis-associated Pain
NCT04372121 ·Status: TERMINATED ·Phase: PHASE3
-
Levonorgestrel-Releasing Intrauterine System (LNG-IUS) in the Management of Atypical Endometrial Hyperplasia
NCT04897217 ·Status: WITHDRAWN ·Phase: PHASE3
-
Megestrol Acetate Plus LNG-IUS in Young Women With Early Endometrial Cancer
NCT03241914 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Endometrial Volume as a Predictor of Endometrial Pathology in Perimenopausal Uterine Bleeding Endometrial Volume as a Predictor of Endometrial Pathology in Perimenopausal Uterine Bleeding
NCT03351673 ·Status: UNKNOWN ·Phase: NA
-
Reproductive Outcome of EM Treated by GnRH-a Associated With Laparoscopy
NCT02779387 ·Status: UNKNOWN ·Phase: NA
-
A Study to Assess the Effectiveness and Safety of Different Doses of ASP1707 Compared to Placebo for Endometriosis Associated Pelvic Pain
NCT01767090 ·Status: COMPLETED ·Phase: PHASE2