Centre of Research Excellence to Improve the QuALIty of SurVival in Gynaecological Cancer PatiEnts (ALIVE WELL)

The Centre of Research Excellence ALIVE WELL aims to improve the quality of life for gynaecological cancer patients and survivors.

The CRE aims to move away from the outdated, rigid models currently offered as standard of care for gynaecological cancers, toward more contemporary, women-centred approaches. The three priority areas of research will focus on:

  • Enabling fertility after endometrial cancer.
  • Reducing lymphoedema, a common side effect of cancer treatments.
  • Optimising recovery from cancer, allowing women to regain their health and function.

Priority Areas

Building on six clinical trials already underway (feMMe, ENDO-3, Pre-ANVU, ECHO, ACUMEN & RECENTRE), involving over 2,500 women worldwide, the CRE will launch three new trials (SATELLITE, Semaglutide trial, and ANVU) to further explore the impact of personalised treatment.

feMMe

Endometrial cancer affects more than 3,000 women in Australia every year. Standard treatment is by hysterectomy. The feMMe clinical trial treated women with endometrial cancer less-invasively through the use of the Mirena, an intra-uterine device. The results revealed the fertility-sparing treatment is well tolerated and leads to complete pathologic response in up to 60% of womenUnfortunately, we cannot predict yet who will benefit from this treatment. If we can determine who will respond, clinicians could specifically offer this treatment to women who will likely benefit. The feMMe Molecular study will use blood and tissue samples collected as part of the feMMe trial, to identify predictive biomarkers of LNG-IUD response that indicate whether a patient will or will not benefit from this new treatment. Using the findings, we will develop a personalised decision tool that clinicians and patients can use to decide on the best treatment for them.

SATELLITE

The SATELLITE study focuses on evaluating the effectiveness and safety of Dostarlimab, a new immunotherapy treatment for patients with early-stage endometrial cancer. With its favourable pharmacokinetic and safety profile, dostarlimab provides a potential active and tolerable surgery-sparing strategy. This Phase 2b clinical trial will see 10 women participating in the treatment regimen for a 12 month period. If successful, this treatment could be approved for wider use, providing more women with a non-surgical alternative to treat early-stage endometrial cancer.

Semaglutide Study

The majority of women who successfully completed uterus-preserving treatment for endometrial cancer (feMMe trial) may not fall pregnant post-treatment due to underlying medical issues. Semaglutide is registered in Australia as an adjunct diabetes mellitus treatment and evidence suggests it is effective in the treatment of polycystic ovary syndrome. The Semaglutide study will provide 30 women an opportunity to receive the treatment over a 12 month period and follow them for a further 24 month period to determine feasibility and effectiveness.

ENDO-3

Clinical management guidelines for early-stage endometrial cancer prescribes surgical staging through a lymph node dissection (LND). To date, no randomised clinical trial has shown a patient benefit for LND versus no-LND. Lymphoedema is a burdensome and long-term side effect of LND as part of cancer treatment. ENDO-3 is a national and international Phase 3 randomised clinical trial which aims to determine if there is value to retaining the LND procedure. The results of this study will inform clinical practice management guidelines and influence health policy. We aim to enrol 760 patients, with the key outcome to improve the quality of life of women after surgical treatment of endometrial cancer.

Pre-ANVU & ANVU

Around 400 Australian women are diagnosed with vulvar cancer every year and an estimated 2,500 survivors are currently living with debilitating and long-term side effects following treatment. Standard treatment involves the removal of the groin lymph nodes, which puts patients at a high risk of lymphoedema. The ANVU trial aims to reduce the risk of debilitating morbidity from vulvar cancer treatment, without compromising survival. Driven by patient concerns about treatment and need for other options, Pre-ANVU was a feasibility pilot cohort study to determine the diagnostic accuracy of a non-invasive groin ultrasound in predicting the presence of cancer in the groin lymph nodes. ANVU will be a Phase 2 national and international clinical trial, recruiting 240 women and assessing patient health outcomes related to quality of life.

ECHO

Ovarian cancer is the most common cause of gynaecological cancer death. Side effects from the disease and its associated treatments are common, contributing to dose reductions or delays in treatment, as well as leading to declines in quality of life, high morbidity and mortality. The ECHO trial is a Phase 3 Randomised Clinical Trial assessing whether exercise during chemotherapy can improve physical wellbeing, adherence to chemotherapy and treatment outcomes for 500 women with ovarian cancer. We will use the ECHO data to provide new insights into the mechanisms and mediators of exercise-induced effects on cancer biology and progression, and will produce the implementation evidence and tools required for equitable system change in ovarian cancer care.

ACUMEN

Exercise reduces the detrimental side effects of cancer treatments. However, most women recovering from gynaecological cancer have limited access to the support that would help them safely integrate exercise into their daily lives. We have recruited 328 women, with a randomised group completing a personalised exercise program over a 12 week period. The ACUMEN trial aims to improve women’s overall wellbeing and important aspects of health after treatment for gynaecological cancer, and to demonstrate the benefits of exercise as cost-effective ‘usual care’ after treatment.

RECENTRE

Almost 27,000 Australian women are diagnosed with breast and gynaecological cancer every year. Many survive into old age after successful treatment. But survival does not mean women automatically return to good health. The RECENTRE trial will see 800 women receiving whole of lifestyle intervention to improve quality of life and health following cancer treatment. 

Chief Investigators

Professor Andreas Obermair

Professor Andreas Obermair

Project Lead

The University of Queensland

 

NHMRC Leadership Fellow, The University of Queensland

Gynaecological oncologist

Dr Eva Baxter

Dr Eva Baxter

Translational biomarker research lead

The University of Queensland

 

Research Fellow, The University of Queensland

Professor Beverley Vollenhoven

Professor Beverley Vollenhoven

Reproductive medicine lead

Monash University

 

Carl Wood Professor Obstetrics & Gynaecology, Monash University

Director Gynaecology, Monash Health

Reproductive Endocrinologist and Infertility Specialist, Monash IVF

Professor Sandra Hayes

Professor Sandra Hayes

Epidemiology and exercise oncology lead

Cancer Council Queensland

 

Professor of Epidemiology and Exercise Oncology Science, Griffith University.

Professor Sandie McCarthy

Professor Sandie McCarthy

Recovery care lead and EMCR mentor

Griffith University

 

Professor of Clinical Nursing, The University of Queensland and Mater Research Institute.

Dean Research, Griffith University.

Professor Linda Mileshkin

Professor Linda Mileshkin

Medical oncology lead

Peter MacCallum Cancer Centre

 

Director Medical Oncology, Peter MacCallum Cancer Centre.

Australia New Zealand Gynaecological Oncology Group (ANZGOG) endometrial cancer initiative (EDEN) Chair.

Professor Monika Janda

Professor Monika Janda

Behavioural science lead and consumer liaison officer

The University of Queensland

 

Professor in Behavioural Science and Health Psychologist, The University of Queensland

Dr Kristy Robledo

Dr Kristy Robledo

Statistical leadership

The University of Sydney

 

Research Fellow (biostatistics), NHMRC Clinical Trials Centre, and NHMRC Emerging Leader Fellow, The University of Sydney

Professor Haitham Tuffaha

Professor Haitham Tuffaha

Economic evaluation health interventions

The University of Queensland

 

Interim Director of the Centre for the Business and Economics of Health, The University of Queensland

Professor Val Gebski

Professor Val Gebski

Biostatistician and methods training lead

The University of Sydney

 

Emeritus Professor in Biostatistics, NHMRC Clinical Trials Centre, The University of Sydney

Associate Investigators

Ms Lesley McQuire Uterine cancer survivor and consumer advocate. Sydney, NSW
Ms Merran Williams Ovarian cancer survivor, Churchill Fellow, Bloomhill Cancer Centre. Buderim, QLD
Ms Leonie Young Consumer advocate, Peer Support Coordinator, Choices Cancer Support. Brisbane, QLD
Ms Anne Mellon President, Cancer Nurses Society Australia; Clinical nurse consultant gynaecological oncology. Newcastle, NSW
Dr Michelle Harris Gynaecological oncologist, Royal Darwin Hospital. Darwin, NT
Associate Professor Orla McNally Director oncology at The Royal Women’s Hospital. Melbourne, VIC
Dr Andrea Garrett Director Queensland Centre for Gynaecological Cancer. Brisbane, QLD
Professor Paul Cohen Gynaecologist with special interests in gynaecological oncology. Perth, WA
Associate Professor Alison Brand Director of the Westmead Centre for Gynaecological Oncology. Sydney, NSW
Professor Martin Stockler Medical oncologist, Oncology Director NHMRC Clinical Trials Centre. Sydney, NSW

 

See our research news

Queensland Centre for Gynacological Cancer Research

Events

2025 Gynaecological Cancer Patient Symposium

Date: 30 August 2025

Time: 9:30 - 1:30pm

Venue: Victoria Park, Alabaster Room, 509 Herston Road, Herston

Join us for an enlightening and supportive event designed to connect, reflect, and learn about the latest advancements in gynaecological cancer research. This symposium is a fantastic opportunity for patients, families, and their support teams to gain insights from leading experts and stay informed about ‘hot topics’ in the field.

Find out more and register or the session

 

Collaborators

Monash University

Peter MacCallum Cancer Centre

Griffith University

The University of Sydney

Community

Cherish Women's Cancer Foundation

Lymphoedema Association Australia

Jean Hailes for Women's Health

ANZGOG