UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000023968
Receipt number R000027593
Scientific Title Un-blinded Multicenter Study to Assess the Safety of Robotic-assisted (da Vinci surgical system, DVSS) Laparoscopic Partial Nephrectomy for Hilar Tumors
Date of disclosure of the study information 2016/09/20
Last modified on 2021/09/14 09:44:14

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Basic information

Public title

Un-blinded Multicenter Study to Assess the Safety of Robotic-assisted (da Vinci surgical system, DVSS) Laparoscopic Partial Nephrectomy for Hilar Tumors

Acronym

Un-blinded Multicenter Study to Assess the Safety of RAPN for Hilar Tumors

Scientific Title

Un-blinded Multicenter Study to Assess the Safety of Robotic-assisted (da Vinci surgical system, DVSS) Laparoscopic Partial Nephrectomy for Hilar Tumors

Scientific Title:Acronym

Un-blinded Multicenter Study to Assess the Safety of RAPN for Hilar Tumors

Region

Japan


Condition

Condition

cT1,cN0,cM0 Hilar Tumors

Classification by specialty

Urology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To assess the efficacy of robotic-assisted (da Vinci surgical system, DVSS) laparoscopic partial nephrectomy for cT1,cN0,cM0 hilar tumors* in comparison with warm ischemic time of historical controls for primary endpoint evaluation.
*Hilar tumor was defined as a mass less than 7 cm and located in the renal hilum and in contact with a major renal vessel on preoperative imaging.

Basic objectives2

Others

Basic objectives -Others

To assess the safety of RAPN for cT1,cN0,cM0 hilar tumors.

Trial characteristics_1


Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

Warm ischemia time (min)

Key secondary outcomes

Secondary Endpoints
- Margin negative
- Warm ischemia time (within 25 min or not)
- Achieved both margin negative and warm ischemia time (within 25 min)
- Change of pre- and post- operative ERPF (mL/min) in operated kidney
- Change of split (%) multiplied by eGFR in operated kidney
- eGFR
- Overall survival time
- Recurrence-free survival time

Safety Endpoints
- Failure of DVSS
- Adverse Events

Other Endpoints
- Operative Time
- Console Time
- Blood Loss
- Conversion to open surgery or laparoscopic surgery


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

Laparoscopic partial nephrectomy using da Vinci surgical system (DVSS)

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) The tumor is diagnosed as the mass located in the renal hilum in contact with a major renal vessels on preoperative imaging, either CT* abdomen scan or MRI (if the patient is unable to take the contrast agent) and an indication for partial nephrectomy.
(*slice of contrast enhanced CT abdomen must be <5 mm)
2) The tumor is less than 7 cm (cT1)
3) Detecting no metastasis of lymph node or intra-abdominal organ by either contrast enhanced CT* abdomen scan or MRI (if the patient is unable to take the contrast agent). (cN0,cM0).
4) Detecting no metastasis by the contrast enhanced CT chest scan or bone scintigraphy.
5) Single tumor
6) The subject's laboratory test results wthin 12 weeks before registration are as follows
-WBC > 3000/microL
-Plt >= 10x10^4/microL
-AST =< 100 IU/L
-ALT =< 100 IU/L
-Total Bilirubin =< 2.0 mg/dL
-Serum creatinine =< 2.0 mg/dL
7)>= 20 years of age at the informed consent.
8)Written informed consent is obtained.

Key exclusion criteria

1)multiple cancer
2)history of kidney transplantation.
3)therapies for renal cell cancer in the past 6 months.
4) Has a high risk to general anesthesia
5) unable to withdrawal of anticoagulation
6) anemia or hemorrhagic tendency requiring transfusion
7) obesity(Body Mass Index:BMI>=35)
8) dialysis patient.
9) pregnant, suspected of being pregnant, or lactating woman.
10) difficult to participate the study due to psychiatric disorder or psychological symptom.
11 )Judged as an inappropriate patient by the investigator or sub-investigator at the hospital (site) for any other reasons.

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Masato
Middle name
Last name ujisawa

Organization

Kobe University Graduate School of Medicine

Division name

Division of Urology, Department of Surgery Related

Zip code

650-0017

Address

7-5-2, Kusunokicho, Chuoku, Kobe, 650-0017, Japan

TEL

078-382-6155

Email

uro6155@med.kobe-u.ac.jp


Public contact

Name of contact person

1st name Nobuyuki
Middle name
Last name Hinata

Organization

Kobe University Graduate School of Medicine

Division name

Division of Urology, Department of Surgery Related

Zip code

650-0017

Address

7-5-2, Kusunokicho, Chuoku, Kobe, 650-0017, Japan

TEL

078-382-6155

Homepage URL


Email

uro6155@med.kobe-u.ac.jp


Sponsor or person

Institute

Kobe University Graduate School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Intuitive Surgical, Inc./CA, USA

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

IRB, Kobe University Hospital

Address

7-5-2, Kusunokicho, Chuoku, Kobe, 650-0017, Japan

Tel

078-382-6669

Email

chiken@med.kobe-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2016 Year 09 Month 20 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2016 Year 09 Month 01 Day

Date of IRB

2016 Year 09 Month 01 Day

Anticipated trial start date

2016 Year 12 Month 01 Day

Last follow-up date

2023 Year 06 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2016 Year 09 Month 07 Day

Last modified on

2021 Year 09 Month 14 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000027593


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name