Tirzepatide + Levonorgestrel IUD for Endometrial Cancer

(TIDE Trial)

Age: 18+
Sex: Female
Trial Phase: Phase < 1
Sponsor: Milton S. Hershey Medical Center
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This single-arm study will evaluate the feasibility, safety, and preliminary efficacy of tirzepatide in combination with standard levonorgestrel intrauterine device (LNG-IUD) therapy in patients with endometrial intraepithelial neoplasia (EIN) or grade 1 endometrioid endometrial carcinoma with co-existing obesity and metabolic risk factors. Participants will receive tirzepatide once weekly while continuing standard clinical management with an LNG-IUD. Treatment decisions will remain at the discretion of the treating physician. The primary objective is to evaluate pathologic response at approximately 6 months. Secondary objectives include changes in metabolic parameters, assessing the incidence and severity of adverse events of tirzepatide and LNG-IUD therapy, quality of life assessment, change in weight, and change in BMI.

Who Is on the Research Team?

SB

Shaina Bruce, MD

Principal Investigator

Penn State Cancer Institute

Are You a Good Fit for This Trial?

This trial is for people with endometrial intraepithelial neoplasia (EIN) or early-stage (grade 1) endometrial cancer who also have obesity and metabolic risk factors. Participants should be able to use a levonorgestrel IUD and receive tirzepatide injections.

Inclusion Criteria

I am 18 years old or older.
BMI ≥ 30 kg/m2
Presence of at least one obesity-associated metabolic comorbidity including hypertension, hyperlipidemia, type 2 diabetes, or diagnosed sleep apnea
See 4 more

Exclusion Criteria

My tumor is mismatch repair-deficient (MMRd).
I have severe kidney problems with very low kidney function.
I had a hormonal IUD when I was diagnosed with EIN or endometrial cancer.
See 9 more

What Are the Treatments Tested in This Trial?

Interventions

  • Tirzepatide

Trial Overview

The study tests the combination of weekly tirzepatide injections with standard levonorgestrel IUD therapy in patients, aiming to see if this approach is safe and effective over about six months.

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: LNG-IUD and Tirzepatide ManagementExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Milton S. Hershey Medical Center

Lead Sponsor

Trials
515
Recruited
2,873,000+