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OncoMatch/Clinical Trials/NCT07831902

Refining Adjuvant Treatment IN Endometrial Cancer Based On Molecular Features (RAINBO) - NSMP-ORANGE Trial: Comparing Radiotherapy With Oral Progestin Tablets vs. the Current Standard Care, Radiotherapy and Chemotherapy, in Patients With NSMP Endometrial Cancer

Official title: Refining Adjuvant Treatment IN Endometrial Cancer Based On Molecular Features (RAINBO) No Specific Molecular Profile (NSMP) - ORANGE Trial

Is NCT07831902 recruiting? Yes, currently enrolling (Oct 2026). This Phase 3 trial studies multiple treatments including medroxyprogesterone acetate tablets OR megestrol acetate and Cisplatin for endometrial cancer.

Phase 3RecruitingUniversity College, LondonNCT07831902Data as of Oct 2026Location: United Kingdom

Treatment: medroxyprogesterone acetate tablets OR megestrol acetate · Cisplatin · Carboplatin + Paclitaxel — RAINBO NSMP-ORANGE aims to investigate if adjuvant radiotherapy with oral progestin tablets is as effective as radiotherapy with chemotherapy, whilst reducing toxicity and thus improving quality of life, in patients with high-risk NSMP endometrial cancer. Patients will be randomised to radiotherapy with chemotherapy (standard of care), or radiotherapy followed by oral progestin tablets.

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Extracted eligibility criteria

Treatments studied

Chemotherapy

CisplatinCarboplatin + Paclitaxel

Other

medroxyprogesterone acetate tablets OR megestrol acetate

Cancer type

Endometrial Cancer

Biomarker criteria

Required: TP53 wild-type

p53 wildtype

Required: POLE wild-type

no somatic pathogenic POLE variant (i.e. NSMP)

Required: ESR1 expression (IHC ≥10% or Allred score ≥3)

ER+ by IHC (10% threshold applied) or Allred score of ≥3

Required: Mismatch-repair proficient (pMMR / MSS)

MMR proficient EC

Disease stage

Required: Stage II, III

Performance status

WHO 0–1

Demographics

Female only

Prior therapy

Cannot have received: pelvic radiation

Prior pelvic radiation

Lab requirements

Blood counts

Absolute neutrophil count (ANC) ≥1.5 x 10^9 /l; Platelets ≥ 100 x 10^9 /L

Kidney function

Impaired renal function: ≤50ml/min (EDTA clearance, or measured creatinine clearance) or creatinine clearance ≤60 ml/min (calculated according to Cockcroft gault) [excluded]

Liver function

Bilirubin ≤ 1.5 x UNL (or ≤ 3 x ULN for cases of known Gilbert's syndrome); AST/ALT ≤ 2.5 x UNL

Absolute neutrophil count (ANC) ≥1.5 x 10^9 /l; Platelets ≥ 100 x 10^9 /L; Bilirubin ≤ 1.5 x UNL (or ≤ 3 x ULN for cases of known Gilbert's syndrome); AST/ALT ≤ 2.5 x UNL; Impaired renal function: ≤50ml/min (EDTA clearance, or measured creatinine clearance) or creatinine clearance ≤60 ml/min (calculated according to Cockcroft gault) [excluded]

Structured fields extracted by AI. May contain errors — verify against the official protocol.

Frequently asked questions

Is NCT07831902 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior pelvic radiation disqualifies patients from enrollment.

Does this trial require TP53?

Yes, TP53 wild-type is a required biomarker for enrollment.

Does this trial require MLH1?

Yes, MLH1 wild-type is a required biomarker for enrollment.

Does this trial require MSH2?

Yes, MSH2 wild-type is a required biomarker for enrollment.

What disease stage is eligible?

Stage II or III is required.

Is this trial open to male patients?

No. This trial enrolls female patients only.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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