UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000030240
Receipt number R000034540
Scientific Title Randomized phase 3 trial evaluating the efficacy of ICG fluorescence imaging on anastomotic leakage in laparoscopic surgery of rectal cancer.
Date of disclosure of the study information 2018/04/01
Last modified on 2022/12/12 00:56:41

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Basic information

Public title

Randomized phase 3 trial evaluating the efficacy of ICG fluorescence imaging on anastomotic leakage in laparoscopic surgery of rectal cancer.

Acronym

EssentiAL study

Scientific Title

Randomized phase 3 trial evaluating the efficacy of ICG fluorescence imaging on anastomotic leakage in laparoscopic surgery of rectal cancer.

Scientific Title:Acronym

EssentiAL study

Region

Japan


Condition

Condition

Rectal cancer

Classification by specialty

Surgery in general Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The aim of this study is to clarify the usefulness of blood flow evaluation by near infrared imaging using indocyanine green (ICG) as prevention of anastomotic leak after rectal anterior resection for rectal cancer by randomized controlled trial.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Anastomotic leakage rate

Key secondary outcomes

Anastomotic leakage rate(Grade B+C)
Fluorescence time at the oral side anastomotic site
Rate of the additional transection of the proximal colon toward the oral side
Length of the additional transection of the proximal colon toward the oral side
Rates of complications within 30 days after surgery
Rates of complications during surgery
Reoperation rate
Postoperative hospital stay


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

No treatment

Stratification

YES

Dynamic allocation


Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Prevention

Type of intervention

Medicine

Interventions/Control_1

Evaluation of blood flow by near infrared imaging using indocyanine green

Interventions/Control_2

control

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

80 years-old >=

Gender

Male and Female

Key inclusion criteria

1. Patients who are histologically proven to be rectal cancer
2. The lower edge of the tumor is within 12 cm from the anal margin
3. Patients diagnosed with Stage 0-3 in preoperative diagnostic imaging
4. Patients who are scheduled for rectal resection with intestinal anastomosis (including ISR)
5. Patients with General State Performance Status (ECOG) 0 to 2
6. Patients whose age at registration is 20 years or older
7. Patients whose functions of the main organs are adequately maintained and judged to be safe for surgery by the doctor in charge of examination
1 White blood cell count> 3,000 / mm 3
2 platelet> 100,000 / mm 3
3 GOT <100 IU / L
4 GPT <100 IU / L
5 Total bilirubin <2.0 mg / dl
6 Cr <2.0 mg / dl

8. About participation in this study Patients who have obtained consent from a document stating signature and date by the applicant

Key exclusion criteria

1. Patients who are allergic to iodine or indocyanine green
2. Preoperative intestinal obstruction patients
3. Patients planning simultaneous resection of other organs due to double cancer
4. Patients scheduled to anastomosis at more than two sites due to multiple colon cancer
5. Patients with intraperitoneal infection (peritonitis or abdominal abscess)
6. Patients with serious complications (heart disease, lung disease, bleeding tendency, poorly controlled hypertension, diabetes etc.)
7. Pregnancy and patients with fear thereof
8. Other patients judged inappropriate by the examining physician

Target sample size

850


Research contact person

Name of lead principal investigator

1st name Ichiro
Middle name
Last name Takemasa

Organization

Sapporo Medical University

Division name

Department of Surgery, Surgical Oncology and Science

Zip code

060-8556

Address

Nishi 17, Minami 1 jyo, Cyuou-ku, Sapporo

TEL

0116112111

Email

itakemasa@sapmed.ac.jp


Public contact

Name of contact person

1st name Jun
Middle name
Last name Watanabe

Organization

Yokohama City University Medical Center

Division name

Department of surgery

Zip code

232-0024

Address

Urafune-cho 4-57 Minami-ku Yokohama

TEL

045-261-5656

Homepage URL


Email

jun0926@yokohama-cu.ac.jp


Sponsor or person

Institute

Sapporo Medical University

Institute

Department

Personal name



Funding Source

Organization

Stryker Japan K.K.

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

Yokohama City University Certified Review Board

Address

5F, 1-1-1, Fukuura, Kanazawa-ku, Yokohama

Tel

046-261-5656

Email

jun0926@yokohama-cu.ac.jp


Secondary IDs

Secondary IDs

YES

Study ID_1

CRB3180007

Org. issuing International ID_1

Yokohama City University Certified Review Board

Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2018 Year 04 Month 01 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

2017 Year 12 Month 04 Day

Date of IRB

2018 Year 09 Month 07 Day

Anticipated trial start date

2018 Year 11 Month 01 Day

Last follow-up date

2021 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2017 Year 12 Month 04 Day

Last modified on

2022 Year 12 Month 12 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000034540


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name