UK clinical trials - updated daily from ClinicalTrials.gov
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Cancer

Endometrial (Womb) Cancer Clinical Trials in the UK

Find clinical trials for endometrial cancer in the United Kingdom. Explore treatment pathways including immunotherapy and targeted therapy.

Understanding Endometrial Cancer

Endometrial cancer affects ~9,700 women per year in the UK and is the most common gynaecological cancer. Incidence is rising, partly due to increasing obesity. Most cases (75-80%) are diagnosed at an early stage with good prognosis. The TCGA molecular classification system (POLE ultra-mutated, MSI-H, copy-number high, copy-number low) guides treatment decisions.

Treatment Advances

Early stage: surgery (hysterectomy ± lymph node removal). Advanced or recurrent: immunotherapy has transformed treatment - dostarlimab + carboplatin is now standard first-line for advanced disease. For MSI-H tumours (~25-30%), immunotherapy alone (pembrolizumab or dostarlimab) can be remarkably effective. Other options include hormonal therapy (progestins) for low-grade tumours, and combinations of immunotherapy with targeted agents like lenvatinib.

Clinical Trial Opportunities

Active UK trials include: novel immunotherapy combinations, antibody-drug conjugates targeting HER2 (for serous carcinoma), PARP inhibitor combinations, and fertility-preserving approaches for young women. The POLE/MSI biomarker-driven approach is opening new precision medicine trials.

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