Endometrial Cancer Clinical Trial
Official title:
A Clinical Trial to Evaluate Endometrial Cancer Biomarker Changes Following Exposure to the Insulin Sensitizer Metformin
The investigators will explore the chemopreventive role of metformin. The purpose of this study is to determine whether, among patients with endometrial cancer, treatment with the currently approved insulin sensitizing drug metformin increases or decreases pathway activation distal to the insulin receptor in endometrial cancer tissue. This is a phase IIa study of metformin to be used to the pre-operative period of women diagnosed with endometrial cancer by comparing their endometrial biopsy specimens taken at their initial visit and after 4-6 weeks of treatment of metformin on the day of their surgical staging.
Aim 1 To determine whether, among patients with endometrial cancer, treatment with the
currently approved insulin sensitizing drug metformin increases or decreases pathway
activation distal to the insulin receptor in endometrial cancer tissue.
Aim II To compare specified biomarkers in each endometrial cancer patient before and after
receiving metformin. Our goal is to compare the following biomarkers in each patient before
and after metformin administration: Ki-67, TUNEL assay for apoptosis level, phosphor-AMPK,
phosphor-IGF-1R, phosphor-IRS1, phospho-Akt, phospho-S6, phosphor-mTOR, pACC.
All patients diagnosed with endometrial cancer presenting to the Jewish General Hospital for
surgical treatment will be invited to participate.
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Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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