UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000051052
Receipt number R000058117
Scientific Title Randomized controlled phase II trial to evaluate non-inferiority of using linear stapling device with bioabsorbable polyglycolic acid sheet to reinforcement with buried suture for duodenal stump in robotic gastric cancer surgery
Date of disclosure of the study information 2023/05/15
Last modified on 2023/11/12 12:38:57

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Basic information

Public title

Randomized controlled phase II trial to evaluate non-inferiority of using linear stapling device with bioabsorbable polyglycolic acid sheet to reinforcement with buried suture for duodenal stump in robotic gastric cancer surgery

Acronym

Randomized controlled phase II trial to evaluate non-inferiority of using linear stapling device with bioabsorbable polyglycolic acid sheet to reinforcement with buried suture for duodenal stump in robotic gastric cancer surgery

Scientific Title

Randomized controlled phase II trial to evaluate non-inferiority of using linear stapling device with bioabsorbable polyglycolic acid sheet to reinforcement with buried suture for duodenal stump in robotic gastric cancer surgery

Scientific Title:Acronym

R-duodenal stump study

Region

Japan


Condition

Condition

Gastric cancer

Classification by specialty

Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the non-inferiority of using linear stapling device with bioabsorbable polyglycolic acid sheet to reinforcement with buried sutures for duodenal stump in robotic gastric cancer surgery

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Incidence of duodenal stump leakage after gastrectomy

Key secondary outcomes

1. operative time, 2. estimated blood loss, 3. incidence of postoperative complication, 4. hemostasis at duodenal stump, 5. injury at duodenal stump, 6. postoperative hospital stay


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

NO

Dynamic allocation

YES

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

Reinforcement with buried suture for duodenal stump in robotic gastrectomy (distal or total gastrectomy) with R-en-Y reconstruction.

Interventions/Control_2

Using linear stapling device with bioabsorbable polyglycolic acid sheet for duodenal transection in robotic gastrectomy (distal or total gastrectomy) with R-en-Y reconstruction.

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) Histologically proven gastric adenocarcinoma by endoscopic biopsy.
2) Distal or total gastrectomy is required for radical resection, and R0 surgery is feasible.
3) R-en-Y reconstruction is planned.
4) The diagnosis of clinical stage I, II or III.
5) No invasion to esophagus.
6) No invasion to duodenum.
7) Not a stump cancer of stomach.
8) Adequate oral intake and no need for preoperative fluids.
9) No combined resection other than the gallbladder.
10) Aged 20 years old or older.
11) Eastern Cooperative Oncology Group performance status of 0 or 1.
12) No prior abdominal radiotherapy for any malignancies. History of chemotherapy and/or endocrine therapy is eligible.
13) No history of upper abdominal surgery except laparoscopic cholecystectomy.
14) Body mass index (BMI) is less than 30.
15) Adequate organ functions defined as;
i) WBC of 3,000/mm3 or more
ii) Platelet count 100,000/mm3 or more
iii) AST and/or ALT of 100 IU/L or less
iv) T.Bil of 2.0 mg/dL or less
v) Creatinine of 1.5 mg/dL or less
16) Written informed consent.

Key exclusion criteria

1) Synchronous or metachronous (within 5 years) malignancies.
2) Infectious disease requiring systemic treatment.
3) Body temperature of 38 degrees Celsius or higher.
4) During pregnancy, within 28 days postpartum, or during lactation.
5) Severe mental disease.
6) Receiving continuous systemic corticosteroid or immunosuppressant treatment.
7) History of unstable angina pectoris within three weeks or myocardial infarction within six months before registration.
8) Poorly controlled valve disease, dilated or hypertrophic cardiomyopathy.
9) HIV antibody positive.
10) Uncontrolled diabetes mellitus.
11) Respiratory disease requiring continuous oxygen administration.

Target sample size

70


Research contact person

Name of lead principal investigator

1st name Makoto
Middle name
Last name Hikage

Organization

Iwate Prefectural Isawa Hospital

Division name

Division of Surgery

Zip code

023-0864

Address

61 Ryugababa, Mizusawa-ku, Oshu-shi, Iwate, Japan

TEL

0197-24-4121

Email

mhikage@med.tohoku.ac.jp


Public contact

Name of contact person

1st name Makoto
Middle name
Last name Hikage

Organization

Iwate Prefectural Isawa Hospital

Division name

Division of Surgery

Zip code

023-0864

Address

61 Ryugababa, Mizusawa-ku, Oshu-shi, Iwate, Japan

TEL

0197-24-4121

Homepage URL


Email

mhikage@med.tohoku.ac.jp


Sponsor or person

Institute

Iwate Prefectural Isawa Hospital

Institute

Department

Personal name



Funding Source

Organization

self-funding

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Iwate Prefectural Isawa Hospital Institutional Review Board

Address

61 Ryugababa, Mizusawa-ku, Oshu-shi, Iwate, Japan

Tel

0197-24-4121

Email

isawasenmoni@gmail.com


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

2023 Year 05 Month 15 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

Enrolling by invitation

Date of protocol fixation

2023 Year 03 Month 22 Day

Date of IRB

2023 Year 05 Month 12 Day

Anticipated trial start date

2023 Year 05 Month 15 Day

Last follow-up date

2026 Year 05 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

2023 Year 05 Month 13 Day

Last modified on

2023 Year 11 Month 12 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000058117


Research Plan
Registered date File name
2023/11/12 RobotDSR_protocol_ver1.docx

Research case data specifications
Registered date File name
2023/11/12 CRF_8_治療終了評価.docx

Research case data
Registered date File name
2023/11/12 CRF_1_B0001.docx