Gastric CancerNCT03391687
Incidence of Pancreatic Fistula After Radical Gastrectomy
An observational study of Gastric Cancer and Pancreatic Fistula, run by Shanghai Zhongshan Hospital at 21 sites in China.
Trial summary
This study is designed to investigate the incidence of pancreatic fistula after radical gastrectomy in gastric cancer patients. Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- Gastric Cancer, Pancreatic Fistula, Complication
- What is being tested?
- Amylase Test
- How many people
- 2,100 participants
- Where
- 21 sitesChina
- Study dates
- 1 Dec 2017to 30 Nov 2018
- Phase
- Observational
- 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 Any age
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Study population: stomach adenocarcinoma patients who recieved radical gastrectomy
Who may be able to join
- pathological confirmed stomach adenocarcinoma
- preoperative curatively resectable tumor
Who cannot join
- pancreas resection
- emergent surgery due to gastric cancer acute complications
- cancer of gastric remnant
Trial locations and contacts
21 sites in 1 country.
21 sites in 1 country
China21 sites, 21 recruiting
- Recruiting
Beijing Cancer Hospital
Beijing, Beijing Municipality
Ziyu Li, MD
Ziyu Li, MD
- Recruiting
Beijing Chao-Yang Hospital
Beijing, Beijing Municipality
Minzhe Li, MD
Minzhe Li, MD
- Recruiting
The Second Hospital of Jilin University
Changchun, Jilin
Jiaming Zhu, MD
Jiaming Zhu
- Recruiting
South West Hospital
Chongqing, Chongqing Municipality
Yingxue Hao, MD
Yingxue Hao, MD
- Recruiting
South West Hospital
Chongqing, Chongqing Municipality
Yongliang Zhao, MD
Yongliang Zhao, MD
- Recruiting
Fujian Cancer Hospital
Fuzhou, Fujian
Weidong Zang, MD
Weidong Zang, MD
- Recruiting
Fujian Medical University Union Hospital
Fuzhou, Fujian
Chaohui Zheng, MD
Chaohui Zheng, MD
- Recruiting
Guangdong General Hospital
Guangzhou, Guangdong
Yong Li, MD
Yong Li, MD
- Recruiting
The First Affiliated Hospital, Sun Yat-sen University
Guangzhou, Guangdong
Wu Song, MD
Wu Song, MD
- Recruiting
Hangzhou First People's Hospital
Hangzhou, Zhejiang
Jian Zhang, MD
Jian Zhang, MD
- Recruiting
Sir Run Run Shaw Hospital, Zhejiang University School of Medicince
Hangzhou, Zhejiang
Linghua Zhu, MD
Linghua Zhu, MD
- Recruiting
The First Affiliated Hospital of Nanchang University
Nanchang, Jiangxi
Zhengrong Li, MD
Zhengrong Li, MD
- Recruiting
Jiangsu Province Hospital
Nanjing, Jiangsu
Li Yang, MD
Li Yang, MD
- Recruiting
ZhongShan hospital Fudan university
Shanghai, Shanghai Municipality, 200032
Fenglin Liu, MD, +86-13918765733, liu.fenglin@zs-hospital.sh.cn
Fenglin Liu, MD
- Recruiting
Renji Hospital, Shanghai Jiaotong University
Shanghai, Shanghai Municipality
Gang Zhao, MD
Gang Zhao, MD
- Recruiting
Ruijing Hospital, Shanghai Jiaotong University
Shanghai, Shanghai Municipality
Junjun Ma, MD
Zang Lu, MD
- Recruiting
The First Affiliated Hospital of Xinjiang Medical University
Ürümqi, Xinjiang
Wenbin Zhang, MD
Wenbin Zhang, MD
- Recruiting
Weifang People's Hospital
Weifang, Shandong
Jianjun Qu, MD
Jianjun Qu, MD
- Recruiting
The First Affiliated Hospital of Xi'an Jiaotong University
Xi’an, Shanxi
Lin Fan, MD
Lin Fan, MD
- Recruiting
Affiliated Hospital of Qinghai University
Xining, Qinghai
Su Yan, MD
Su Yan, MD
- Recruiting
Henan Cancer Hospital
Zhengzhou, Henan
Zhi Li, MD
Zhi Li, MD
About this study
Official title: Investigation of Incidence of Pancreatic Fistula After Radical Gastrectomy in Gastric Cancer Patients
This study is designed to investigate the incidence of pancreatic fistula after radical gastrectomy in gastric cancer patients.
Read the detailed description
Pancreatic fistula, which can lead to fatal end, is one of the most serious complications after radical gastrectomy. It is usually treated as a key factor to evaluate the quality of gastrectomy. The incidence of pancreatic fistula is far different between different areas, knowing the prevalence of pancreatic fistula and risk factors can help us to prevent pancreatic fistula and improve the short time outcome of gastric cancer surgery treatment. So, we designed this perspective, multi-center study to investigate the incidence of pancreatic fistula and its outcome in China.
- Conditions
- Gastric Cancer, Pancreatic Fistula, Complication
- Being tested
- Amylase Test
- Keywords
- Gastric Cancer, Pancreatic Fistula, Gastrectomy
- Medical subject headings
- Stomach Neoplasms, Pancreatic Fistula
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Amylase TestDiagnostic test
body fluid amylase will be tested after radical gastrectomy in scheduled interval
| Study group | Role | What they receive |
|---|---|---|
| Amylase Test | gastric cancer patients receiving radical gastrectomy Receives: Diagnostic Test: Amylase Test |
What is being measured
The primary outcome is the main question the study is designed to answer.
Incidence of Pancreatic Fistula
the incidence of pancreatic fistula after radical gastrectomy in gastric cancer patients
Measured: in 30 days following gastrectomy
Secondary outcomes (2)
The Classification of Pancreatic Fistula
the percentage of different grades of pancreatic fistula, including Grade BL, Grade B and Grade C
Measured: in 30 days following gastrectomy
The mortality of Grade B and C Pancreatic Fistula
the percentage of patients died of Grade B or C pancreatic fistula
Measured: in 30 days following gastrectomy
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Jan 2018
- Study start1 Dec 2017
- Primary completion30 Nov 2018 (estimated)
- Study completion30 Nov 2018 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (8)Papers the sponsor has linked to this study.
- Other trials for Gastric CancerStudies of the same condition, open and under way.
- More trials run by Shanghai Zhongshan HospitalThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 2,100 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Shanghai Zhongshan Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Fenglin Liu, MD, Principal investigator, Fudan University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03391687
- Sponsor's protocol ID
- ZSGC-003
- Status last verified
- Jan 2018
- First submitted
- 15 Dec 2017
- Last updated
- 5 Jan 2018
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Bassi C, Marchegiani G, Dervenis C, Sarr M, Abu Hilal M, Adham M, Allen P, Andersson R, Asbun HJ, Besselink MG, Conlon K, Del Chiaro M, Falconi M, Fernandez-Cruz L, Fernandez-Del Castillo C, Fingerhut A, Friess H, Gouma DJ, Hackert T, Izbicki J, Lillemoe KD, Neoptolemos JP, Olah A, Schulick R, Shrikhande SV, Takada T, Takaori K, Traverso W, Vollmer CM, Wolfgang CL, Yeo CJ, Salvia R, Buchler M; International Study Group on Pancreatic Surgery (ISGPS). The 2016 update of the International Study Group (ISGPS) definition and grading of postoperative pancreatic fistula: 11 Years After. Surgery. 2017 Mar;161(3):584-591. doi: 10.1016/j.surg.2016.11.014. Epub 2016 Dec 28.
PubMed 28040257Yu HW, Jung DH, Son SY, Lee CM, Lee JH, Ahn SH, Park DJ, Kim HH. Risk factors of postoperative pancreatic fistula in curative gastric cancer surgery. J Gastric Cancer. 2013 Sep;13(3):179-84. doi: 10.5230/jgc.2013.13.3.179. Epub 2013 Sep 30.
PubMed 24156038Tanaka K, Miyashiro I, Yano M, Kishi K, Motoori M, Seki Y, Noura S, Ohue M, Yamada T, Ohigashi H, Ishikawa O. Accumulation of excess visceral fat is a risk factor for pancreatic fistula formation after total gastrectomy. Ann Surg Oncol. 2009 Jun;16(6):1520-5. doi: 10.1245/s10434-009-0391-y. Epub 2009 Mar 8.
PubMed 19267237Jiang X, Hiki N, Nunobe S, Kumagai K, Nohara K, Sano T, Yamaguchi T. Postoperative pancreatic fistula and the risk factors of laparoscopy-assisted distal gastrectomy for early gastric cancer. Ann Surg Oncol. 2012 Jan;19(1):115-21. doi: 10.1245/s10434-011-1893-y. Epub 2011 Jul 8.
PubMed 21739317Kobayashi D, Iwata N, Tanaka C, Kanda M, Yamada S, Nakayama G, Fujii T, Koike M, Fujiwara M, Kodera Y. Factors related to occurrence and aggravation of pancreatic fistula after radical gastrectomy for gastric cancer. J Surg Oncol. 2015 Sep;112(4):381-6. doi: 10.1002/jso.24001. Epub 2015 Aug 8.
PubMed 26256914Komatsu S, Ichikawa D, Kashimoto K, Kubota T, Okamoto K, Konishi H, Shiozaki A, Fujiwara H, Otsuji E. Risk factors to predict severe postoperative pancreatic fistula following gastrectomy for gastric cancer. World J Gastroenterol. 2013 Dec 14;19(46):8696-702. doi: 10.3748/wjg.v19.i46.8696.
PubMed 24379588Kung CH, Lindblad M, Nilsson M, Rouvelas I, Kumagai K, Lundell L, Tsai JA. Postoperative pancreatic fistula formation according to ISGPF criteria after D2 gastrectomy in Western patients. Gastric Cancer. 2014;17(3):571-7. doi: 10.1007/s10120-013-0307-1. Epub 2013 Oct 9.
PubMed 24105422Bassi C, Dervenis C, Butturini G, Fingerhut A, Yeo C, Izbicki J, Neoptolemos J, Sarr M, Traverso W, Buchler M; International Study Group on Pancreatic Fistula Definition. Postoperative pancreatic fistula: an international study group (ISGPF) definition. Surgery. 2005 Jul;138(1):8-13. doi: 10.1016/j.surg.2005.05.001.
PubMed 16003309
Study at a glance
From the registry record, last updated by the sponsor on 5 Jan 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Investigation of Incidence of Pancreatic Fistula After Radical Gastrectomy in Gastric Cancer Patients
- ClinicalTrials.gov ID
- NCT03391687
- Acronym / sponsor ID
- ZSGC-003
- Conditions
- Gastric Cancer, Pancreatic Fistula, Complication
- Keywords
- Gastric Cancer, Pancreatic Fistula, Gastrectomy
- Study type
- Observational
- Recruitment status
- Unknown status
- Enrolment
- 2,100 participants (estimated)
- Lead sponsor
- Shanghai Zhongshan HospitalUniversity, hospital or other
- Study start
- 1 Dec 2017 (actual)
- Primary completion
- 30 Nov 2018 (estimated)
- Study completion
- 30 Nov 2018 (estimated)
- First posted
- 5 Jan 2018 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is designed to investigate the incidence of pancreatic fistula after radical gastrectomy in gastric cancer patients.
Detailed description
Pancreatic fistula, which can lead to fatal end, is one of the most serious complications after radical gastrectomy. It is usually treated as a key factor to evaluate the quality of gastrectomy. The incidence of pancreatic fistula is far different between different areas, knowing the prevalence of pancreatic fistula and risk factors can help us to prevent pancreatic fistula and improve the short time outcome of gastric cancer surgery treatment. So, we designed this perspective, multi-center study to investigate the incidence of pancreatic fistula and its outcome in China.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Amylase Test | – | Diagnostic Test: Amylase Testgastric cancer patients receiving radical gastrectomy |
Who may qualify
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
- Study population
- stomach adenocarcinoma patients who recieved radical gastrectomy
Key inclusion criteria (2 listed)
- pathological confirmed stomach adenocarcinoma
- preoperative curatively resectable tumor
Key exclusion criteria (3 listed)
- pancreas resection
- emergent surgery due to gastric cancer acute complications
- cancer of gastric remnant
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Amylase Testbody fluid amylase will be tested after radical gastrectomy in scheduled interval | Diagnostic test | Amylase Test |
Primary outcome
Incidence of Pancreatic Fistula
Time frame: in 30 days following gastrectomy
the incidence of pancreatic fistula after radical gastrectomy in gastric cancer patients
2 secondary outcomes
The Classification of Pancreatic Fistula
Time frame: in 30 days following gastrectomy
The mortality of Grade B and C Pancreatic Fistula
Time frame: in 30 days following gastrectomy
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Jan 2018.
- Background: PubMed 28040257Bassi C, Marchegiani G, Dervenis C, Sarr M, Abu Hilal M, Adham M, Allen P, Andersson R, Asbun HJ, Besselink MG, Conlon K, Del Chiaro M, Falconi M, Fernandez-Cruz L, Fernandez-Del Castillo C, Fingerhut A, Friess H, Gouma DJ, Hackert T, Izbicki J, Lillemoe KD, Neoptolemos JP, Olah A, Schulick R, Shrikhande SV, Takada T, Takaori K, Traverso W, Vollmer CM, Wolfgang CL, Yeo CJ, Salvia R, Buchler M; International Study Group on Pancreatic Surgery (ISGPS). The 2016 update of the International Study Group (ISGPS) definition and grading of postoperative pancreatic fistula: 11 Years After. Surgery. 2017 Mar;161(3):584-591. doi: 10.1016/j.surg.2016.11.014. Epub 2016 Dec 28.
- Background: PubMed 24156038Yu HW, Jung DH, Son SY, Lee CM, Lee JH, Ahn SH, Park DJ, Kim HH. Risk factors of postoperative pancreatic fistula in curative gastric cancer surgery. J Gastric Cancer. 2013 Sep;13(3):179-84. doi: 10.5230/jgc.2013.13.3.179. Epub 2013 Sep 30.
- Background: PubMed 19267237Tanaka K, Miyashiro I, Yano M, Kishi K, Motoori M, Seki Y, Noura S, Ohue M, Yamada T, Ohigashi H, Ishikawa O. Accumulation of excess visceral fat is a risk factor for pancreatic fistula formation after total gastrectomy. Ann Surg Oncol. 2009 Jun;16(6):1520-5. doi: 10.1245/s10434-009-0391-y. Epub 2009 Mar 8.
- Background: PubMed 21739317Jiang X, Hiki N, Nunobe S, Kumagai K, Nohara K, Sano T, Yamaguchi T. Postoperative pancreatic fistula and the risk factors of laparoscopy-assisted distal gastrectomy for early gastric cancer. Ann Surg Oncol. 2012 Jan;19(1):115-21. doi: 10.1245/s10434-011-1893-y. Epub 2011 Jul 8.
- Background: PubMed 26256914Kobayashi D, Iwata N, Tanaka C, Kanda M, Yamada S, Nakayama G, Fujii T, Koike M, Fujiwara M, Kodera Y. Factors related to occurrence and aggravation of pancreatic fistula after radical gastrectomy for gastric cancer. J Surg Oncol. 2015 Sep;112(4):381-6. doi: 10.1002/jso.24001. Epub 2015 Aug 8.
- Background: PubMed 24379588Komatsu S, Ichikawa D, Kashimoto K, Kubota T, Okamoto K, Konishi H, Shiozaki A, Fujiwara H, Otsuji E. Risk factors to predict severe postoperative pancreatic fistula following gastrectomy for gastric cancer. World J Gastroenterol. 2013 Dec 14;19(46):8696-702. doi: 10.3748/wjg.v19.i46.8696.
- Background: PubMed 24105422Kung CH, Lindblad M, Nilsson M, Rouvelas I, Kumagai K, Lundell L, Tsai JA. Postoperative pancreatic fistula formation according to ISGPF criteria after D2 gastrectomy in Western patients. Gastric Cancer. 2014;17(3):571-7. doi: 10.1007/s10120-013-0307-1. Epub 2013 Oct 9.
- Background: PubMed 16003309Bassi C, Dervenis C, Butturini G, Fingerhut A, Yeo C, Izbicki J, Neoptolemos J, Sarr M, Traverso W, Buchler M; International Study Group on Pancreatic Fistula Definition. Postoperative pancreatic fistula: an international study group (ISGPF) definition. Surgery. 2005 Jul;138(1):8-13. doi: 10.1016/j.surg.2005.05.001.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Fenglin Liu, MD principal investigator
Fudan University
21 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Gastric Cancer and Pancreatic Fistula, run by Shanghai Zhongshan Hospital at 21 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 2 inclusion and 3 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 5 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 21 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.
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 Zhaoqing Tang, MD (+86-13817125778, tang.zhaoqing@zs-hospital.sh.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Incidence of Pancreatic Fistula (time frame: in 30 days following gastrectomy). 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 NCT03391687, which also lists 8 linked publications.
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 5 Jan 2018.