UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000042217
Receipt number R000048192
Scientific Title A Multicenter, single-blind, randomized, parallel-group trial comparing stapler closure with Clip on Staple method with stapler closure alone during Distal Pancreatectomy
Date of disclosure of the study information 2020/11/01
Last modified on 2022/04/25 09:50:53

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Basic information

Public title

A Multicenter, single-blind, randomized, parallel-group trial comparing stapler closure with Clip on Staple method with stapler closure alone during Distal Pancreatectomy

Acronym

CLIP-DP trial

Scientific Title

A Multicenter, single-blind, randomized, parallel-group trial comparing stapler closure with Clip on Staple method with stapler closure alone during Distal Pancreatectomy

Scientific Title:Acronym

CLIP-DP trial

Region

Japan


Condition

Condition

Patients who undergo distal pancreatectomy

Classification by specialty

Hepato-biliary-pancreatic surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To compare the efficacy and safety of the Clip on Staple method combined with stapler closure with stapler closure alone during distal pancreatectomy.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

The incidence of clinically-relevant pancreatic fistula(ISGPF GradeB/C) or death due to any cause within 30 days after surgery.

Key secondary outcomes

<Secondary endpoints>
The incidence of following complications within 30 days after surgery.
_Pancreatic fistula(ISGPF BL/GradeB/C)
_Postpancreatectomy hemorrhage(PPH)
_Intra-abdominal abscess
_Delayed gastric emptying
_Complications(Clavien-Dindo classification, CD>=Grade3)
_Percutaneous or Endoscopic drainage
Duration of drainage tube placement
Postoperative hospital stay
Operative time/Blood loss
Re-operation within 90 days
Mortality within 90 days

<Exploratory endpoints>
The incidence of clinically-relevant pancreatic fistula according to the thickness of the pancreas(<=12mm/>12mm)
The incidence of pancreatic parenchymal injury after clipping(Central review of intraoperative photography)


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Single blind -participants are blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

Reinforced stapler + Clip on Staple method

Interventions/Control_2

Reinforced stapler

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)Elective distal pancreatectomy(open/laparoscopic/laparoscope-assisted/robot assisted) for disease of the pancreatic body and tail.
*Spleen-preserving DP, RAMPS, DP with combined resection of surrounding organs(e.g. DP-CAR) are also included.
2)The thickness of the pancreatic cutting line on preoperative images are equal or less than 20mm.
3)ECOG Performance Status is 0-1.
4)Aged 20 years old or older.
5)Function of the major organs are maintained.
6)Following criteria are fulfilled in the recent laboratory tests within 30 days from registration.
A)White Blood Cells >= 2,500/mm3
B)Haemoglobin levels >= 9.0 g/dL
C)Platelet counts >= 100,000/mm3
D)Albumin levels >= 3.0 g/dL
E)Total Bilirubin levels <= 2.0 mg/dL
F)Creatinine levels <= 2.0 mg/dL
7)Sufficient understanding of the study to provide written informed consent.

Key exclusion criteria

1)Superior mesenteric vein or portal vein invasion on preoperative images.
2)Planned cutting line of the pancreas is right side of the superior mesenteric vein or portal vein.
3)Use of stapling device is inappropriate.
4)Presence of inoperable factors such as peritoneal dissemination, invasion to major vessels, or liver metastases.
5)Emergent cases.
6)Severe cardiac diseases(NYHA>=3).
7)Need for daily oxygen supply due to severe pulmonary diseases.
8)On maintenance hemodialysis due to chronic renal failure.
9)Allergy to metals.
10)Considered as inappropriate by attending physician.

Target sample size

188


Research contact person

Name of lead principal investigator

1st name Mizuki
Middle name
Last name Ninomiya

Organization

Fukuoka City Hospital

Division name

Department of Liver Surgery

Zip code

812-0046

Address

13-1,Yoshizuka Hon-machi, Hakata-ku, Fukuoka, 812-0046, Japan

TEL

092-632-1111

Email

nino0401@icloud.com


Public contact

Name of contact person

1st name Mizuki
Middle name
Last name Ninomiya

Organization

Fukuoka City Hospital

Division name

Department of Liver Surgery

Zip code

812-0046

Address

13-1,Yoshizuka Hon-machi, Hakata-ku, Fukuoka, 812-0046, Japan

TEL

092-632-1111

Homepage URL


Email

nino0401@icloud.com


Sponsor or person

Institute

Kyushu Study group of Clinical Cancer (KSCC)

Institute

Department

Personal name



Funding Source

Organization

Applying for research grant from non-profit foundation.

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Institutional Review Board of Fukuoka City Hospital

Address

13-1,Yoshizuka Hon-machi, Hakata-ku, Fukuoka, 812-0046, Japan

Tel

092-632-1403

Email

yamada.sa@fcho.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

九州大学病院(福岡県)
独立行政法人国立病院機構九州がんセンター(福岡県)
済生会福岡総合病院(福岡県)
地方独立行政法人福岡市立病院機構福岡市民病院(福岡県)
独立行政法人国立病院機構福岡東医療センター(福岡県)
社会医療法人製鉄記念八幡病院(福岡県)
飯塚病院(福岡県)
大分県立病院(大分県)
大分赤十字病院(大分県)
独立行政法人国立病院機構別府医療センター(大分県)
中津市立中津市民病院(大分県)
松山赤十字病院(愛媛県)
広島赤十字・原爆病院(広島県)
済生会唐津病院(佐賀県)
熊本大学病院(熊本県)
済生会熊本病院(熊本県)
徳島大学病院(徳島県)
群馬大学医学部附属病院(群馬県)
信州大学医学部附属病院(長野県)


Other administrative information

Date of disclosure of the study information

2020 Year 11 Month 01 Day


Related information

URL releasing protocol

https://www.ks-cc.jp

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

Open public recruiting

Date of protocol fixation

2020 Year 10 Month 05 Day

Date of IRB

2020 Year 10 Month 15 Day

Anticipated trial start date

2020 Year 11 Month 02 Day

Last follow-up date

2024 Year 01 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

2020 Year 10 Month 23 Day

Last modified on

2022 Year 04 Month 25 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000048192


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name