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Gastric CancerPhase 3WCGCC-1202NCT02110628

Roux-en-Y vs. Roux-en-Y+ Pouch for D2 Total Gastrectomy

A Phase 3 study testing Roux-en-Y anastomosis and Roux-en-Y+Pouch anastomosis in people with Gastric Cancer and Roux-en-y Anastomosis Site, run by West China Hospital at 9 sites in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Gastric is one of the most prevalence digestive malignance tumors in China. Radical resection of primary tumors and combine with dissection of regional lymph-nodes is acknowledged by surgeons all over the world. Read more about this study

Who is it for?
Ages 18 to 75 years
What is being tested?
Roux-en-Y anastomosis and Roux-en-Y+Pouch anastomosis
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
588 participants
Where
9 sitesChina
Study dates
Aug 2014to Aug 2022
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Preoperative endoscopy and biopsy confirmed gastric adenocarcinoma, and predictively feasible of total gastrectomy;
  • Predictively resectable diseases, either early or locally advanced gastric cancer, of preoperative staging Japanese Gastric Cancer Association (JGCA) 14th Edition cT1N0M0-T4aN3M0, I-IIIb, except T4b;
  • Age: 18-75 years;
  • Without serious disease;
  • WHO performance score < 2;
  • No limit to sexual and race;
  • Informed consent required

Who cannot join

  • Primary lesion cannot be resected in the pattern of transabdominal total gastrectomy, but for Whipple's procedure, or combined organ resection or with a transthoracic approach surgery;
  • Patients with other gastric malignant diseases, such as lymphoma and stromal tumors etc.
  • Patients suffering from malignant diseases before the study;
  • Patients with other severe comorbidities and cannot tolerate surgery: such as severe heart and lung diseases, heart function below clinical stage 2, uncontrollable hypertension, pulmonary infection, moderate to severe chronic obstructive pulmonary disease (COPD), chronic bronchitis, severe diabetes and / or renal insufficiency, severe hepatitis and / or function below the rank of CHILD B grade, and severe malnutrition, etc.
  • Performed emergency operation due to bleeding or perforation;
  • Patients treated with neoadjuvant chemotherapy or radiation therapy which might affect the efficacy observation;
  • Not the radical surgery, but with tumor residual (R1 or R2).

Trial locations and contacts

9 sites in 1 country.

Jian-Kun Hu, M.D., Ph.D. contact

+8618980601504 ext. +862885422479

hujkwch@126.com

Wei-Han Zhang, M.D. contact

+8613438919160

weihanwch@126.com

9 sites in 1 country

China9 sites, 9 recruiting
  • West China Hospital, Sichuan University

    Chengdu, Sichuan, 610041

    Jian-Kun Hu, M.D.,Ph.D., +8618980601504, hujkwch@126.com

    Jian-Kun Hu, M.D.

    Recruiting
  • Southwest Hospital, the Third Military Medical University

    Chongqing, Chongqing Municipality, 404100

    Pei-Wu Yu, M.D.,Ph.D.

    Pei-Wu Yu, M.D.,Ph.D.

    Not yet recruiting
  • Xinqiao Hospital, Third Military Medical University

    Chongqing, Chongqing Municipality, 404100

    Chao-Jun Zhang, M.D.,Ph.D.

    Chao-Jun Zhang, M.D.,Ph.D.

    Not yet recruiting
  • First Affiliated Hospital of Kunming medical University

    Kunming, Yunnan, 650000

    Kun-Hua Wang, M.D.

    Kun-Hua Wang, M.D.

    Not yet recruiting
  • First Affiliated Hospital of Lanzhou University

    Lanzhou, Gansu, 730000

    Quan-Lin Guan, M.D.

    Quan-Lin Guan, M.D.

    Not yet recruiting
  • Union Hospital, Tongji Medical College

    Wuhan, Hubei, 430000

    Kai-Xiong Tao, M.D.,Ph.D.

    Kai-Xiong Tao, M.D.,Ph.D.

    Not yet recruiting
  • First Affiliated Hospital of Xi'an Jiaotong University School of Medicine

    Xian, Shanxi, 710000

    Xiang-ming Che, M.D.,Ph.D.

    Xiang-Ming Che, M.D.,Ph.D.

    Not yet recruiting
  • Tangdu Hospital, Fourth Military Medical University

    Xian, Shanxi, 710000

    Xian-Li He, M.D.,Ph.D.

    Xian-Li He, M.D.

    Not yet recruiting
  • Xijing hospital, Fourth Military Medical University

    Xian, Shanxi, 710000

    Qing-Chuan Zhao, M.D.,Ph.D.

    Qing-Chuan Zhao, M.D.,Ph.D.

    Not yet recruiting

Other trials in China

About this study

Official title: Jejunal Pouch for Postoperative Quality of Life Following Roux-en-Y Reconstruction of Radical Total Gastrectomy: a Multicenter Randomized Controlled Trial (WCGCC-1202)

Gastric is one of the most prevalence digestive malignance tumors in China. Radical resection of primary tumors and combine with dissection of regional lymph-nodes is acknowledged by surgeons all over the world. Nowadays, in order to improve the quality of life, controversies still exist to the reconstruction methods of total gastrectomy. Although roux-en-y anastomosis is the most common method adopted after total gastrectomy for it is an easily and safety method reconstruction method, but some problems still need us to solve, such as little food reserves, less food intake per meal and fast gastric emptying. These problems significantly affect the patients' quality of life after surgery. Roux-en-Y+Jejunal pouch anastomosis is newly born method can significant increase the volume to improve postoperative quality of life have been proven by some little sample size randomized control trail With the improvement of the gastric cancer surgery, this study proposed by prospective randomized controlled clinical trials aimed to comparing quality of life after traditional Roux-en-Y type and Roux-en-Y+ Jejunal pouch type anastomosis for radical total gastrectomy. Quality of life was evaluated according to the European Organization for Research and Treatment of Cancer (EORTC) Quality Of Life Questionnaire (QLQ)-C30 and QLQ-STO22. Quality of life will conducted in the 3 months, 6 months, 9 months, 12 months, 24 months, 36 months after gastrectomy.

Read the detailed description

Consecutive patients in each participant units and satisfied with inclusion/exclusion criteria will be informed the details, right, responsibility possible benefit and potential risks when after join in this study. Those patients who agree and sign informed consent document will randomized, consecutive case series sampling.

All the patients in the study and finished sampling would and must be recorded in the Western China Gastric Cancer Collaboration database and assign to corresponding treatment group.

Randomization allocation

After intraoperative exploration and predictively D2 radical (R0) total gastrectomy is possible to be performed, then assigned randomly to each subject on a 1:1 basis to either the Roux-en-Y+Pouch group or the Roux-en-Y group.

Surgical treatment

Surgical approach: open total gastrectomy. Surgical treatment method: Radical total gastrectomy (R0); D2 lymph-node dissection (No.1, 2, 3, 4sa, 4sb, 4d, 5, 6, 7, 8a, 9, 10, 11p, 11d, 12a,19,20); Abscission pneumogastric nerve trunk.

Reconstruction method:

Group A (Roux-en-Y type): closed the stump of duodenum, cut off the jejunum from the 20cm of Treitz ligament, esophagojejunal anastomosis (duct-to-duct / duct-to-duct, before the colon/after the colon), jejunum - jejunum anastomosis (duct-to-duct / duct-to-duct), the distance between anastomotic were 40cm-60cm; Group B (Roux-en-Y+Pouch type): closed the stump of duodenum, cut off the jejunum from the 20cm of Treitz ligament, pouch reconstruction a J pouch with a length of 15 cm was constructed by connecting the 2 Jejunal lumina, œsophago-P type jejunum Storage bag anastomosis (duct-to-duct / duct-to-duct, before the colon/after the colon), jejunum - jejunum anastomosis (duct-to-duct / duct-to-duct), the distance between anastomotic were 40cm-60cm

Quality control of surgery:

All the surgical treatments will be performed by member of Western China Gastric Cancer Collaboration. Quality supervision within groups to avoid the bias.

Intraoperative photograph after the lymphadenectomy and the reconstruction of the digestive tract is essential.

Follow-up and Database

Follow-up programming:

Postoperative follow-up and assessment will be performed by specially researchers arrange by each units and blind to randomize allocation; Postoperative long term follow-up will be conducted in 3 months, 6 months, 9 months, 12 months, 24 months, 36 months after gastrectomy; Face to face interview is necessary and the postoperative quality of life questionnaire is done by the patients themselves.

Management of the database:

The design of this study database was responsible for the leading units; Each cases of this study should and must have a uniform case reported form, include demographic data, operation data, pathological information and Postoperative quality of life evaluation; A file included in the Case Report Form (CRF) was record follow-up information last to three years after surgery.

Lost follow-up:

Three years lost follow-up rates should below 10%. Lost follow-up rate will reported in final reports, and cases of lost follow-up will take the intention-to-treat (ITT) method to analysis.

Statistics analysis The measurement data strictly obey normal distribution are presented as means (±SD) and compared with single factor analysis of variance.

The measurement data do not obey normal distribution are presented as median and compared with Wilcoxon test.

Categorical data are presented percentage and compared with the Chi-square test.

Being tested
Roux-en-Y anastomosis, Roux-en-Y+Pouch anastomosis
Keywords
total gastrectomy, pouch, roux-en-y, quality of life
Medical subject headings
Stomach Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Roux-en-Y anastomosisProcedure or surgery

    Roux-en-Y anastomosis

  • Roux-en-Y+Pouch anastomosisProcedure or surgery

    Roux-en-Y+Pouch anastomosis

Study groups in NCT02110628
Study groupRoleWhat they receive
Roux-en-Y+Pouch GroupExperimentalAbdominal approach D2 total gastrectomy with Roux-en-Y+Pouch anastomosis. Roux-en-Y+Pouch anastomosis: closed the stump of duodenum, cut off the jejunum from the 20cm of Treitz ligament, pouch reconstruction a J pouch with a length of 15 cm was constructed by connecting the 2 Jejunal lumina, œsophago-P type jejunum Storage bag anastomosis (duct-to-duct / duct-to-duct, before the colon/after the colon), jejunum - jejunum anastomosis (duct-to-duct / duct-to-duct), the distance between anastomotic were 40cm-60cm.
Receives: Procedure: Roux-en-Y+Pouch anastomosis
Roux-en-Y groupExperimentalAbdominal approach D2 total gastrectomy with Roux-en-Y anastomosis. Roux-en-Y anastomosis : closed the stump of duodenum, cut off the jejunum from the 20cm of Treitz ligament, œsophago-jejunal anastomosis (duct-to-duct / duct-to-duct, before the colon/after the colon), jejunum - jejunum anastomosis (duct-to-duct / duct-to-duct), the distance between anastomotic were 40cm-60cm
Receives: Procedure: Roux-en-Y anastomosis

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Postoperative quality of life

    Postoperative quality of life is evaluated by the EORTC QLQ-C30 and the EORTC QLQ-STO22

    Measured: 3 years

Secondary outcomes (3)
  1. Intraoperative morbidity and mortality

    Measured: Intraoperative

  2. Postoperative morbidity and mortality

    Measured: within the first 30 days after surgery

  3. Change of the postoperative body weight

    Evaluation the change of the body weigh

    Measured: 3 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Apr 2014 (estimated)
  2. Study startAug 2014
  3. Primary completionAug 2019 (estimated)
  4. Study completionAug 2022 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
588 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02110628
Sponsor's protocol ID
WCGCC-1202
Acronym
WCGCC-1202
Status last verified
Jan 2018
First submitted
7 Apr 2014
Last updated
24 Jan 2018
Results posted
No
Data monitoring committee
No

Publications

  • Hu J, Zhang W, Western China Gastric Cancer Collaboration C. [Experience and present situation of Western China Gastric Cancer Collaboration]. Zhonghua Wei Chang Wai Ke Za Zhi. 2017 Mar 25;20(3):247-250. Chinese.

    PubMed 28338153

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Roux-en-Y anastomosis and Roux-en-Y+Pouch anastomosis in people with Gastric Cancer and Roux-en-y Anastomosis Site, run by West China Hospital at 9 sites in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 24 Jan 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 9 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Jian-Kun Hu, M.D., Ph.D. (+8618980601504 ext. +862885422479, hujkwch@126.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Postoperative quality of life (time frame: 3 years). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02110628, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Jan 2018.

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