Unique ID issued by UMIN | UMIN000000596 |
---|---|
Receipt number | R000000724 |
Scientific Title | A randomised phaseII trial of preoperative exercise to reduce operative risk in gastric cancer patients with metabolic syndrome |
Date of disclosure of the study information | 2007/02/07 |
Last modified on | 2014/08/07 15:36:22 |
A randomised phaseII trial of preoperative exercise to reduce operative risk in gastric cancer patients with metabolic syndrome
A randomised phaseII trial of preoperative exercise for gastric cancer patients with metabolic syndrome
A randomised phaseII trial of preoperative exercise to reduce operative risk in gastric cancer patients with metabolic syndrome
A randomised phaseII trial of preoperative exercise for gastric cancer patients with metabolic syndrome
Japan |
metabolic syndrome
gastric cancer
Endocrinology and Metabolism | Gastrointestinal surgery |
Malignancy
NO
To evaluate the efficacy and safety of preoperative exercise for gastric cancer patients with metabolic syndrome.
Safety,Efficacy
Exploratory
Pragmatic
Phase II
Incidence of perioperative complications
Changes from the base-line body weight, HDL cholesterol, operation time, intaoperative blood loss, number of dissected lymph nodes, grade of perioperative complications
Interventional
Parallel
Randomized
Open -no one is blinded
Active
YES
YES
Institution is considered as adjustment factor in dynamic allocation.
NO
Central registration
2
Treatment
Behavior,custom |
Control group: Surgery alone
Patient will be performed open gastrectomy/ total gastrectomy or laparoscopy-assisted distal/ toatl gastrectomy within 14 days after registration. Patients will receive the operation following the JGCA gastric cancer treatment guideline ver.2: standard gastrectomy or modified gastrectomy.
Intervention group: exercise followed by operation
type: exercise
duration: 4weeks
frequency: aerobic exercise 3-7day/week, resistance training 1-2day/week, stretch 3-7day/week
operation: same as control group
20 | years-old | <= |
75 | years-old | >= |
Male and Female
1) Histologically confirmed gastric cancer (exclude small cell carcinoma)
2) Clinical stage T1N0/T1N1/T2N0, P0, H0, M0 (Japanese Classification of Gastric Carcinoma, the 13th edition)
3) Age 20 to 75 at registration
4) ECOG PS0
5) Can walk over 200m on the flat floor and can walk up to over 2nd floor without interval
6) No ischemic change in the treadmil ECG (within 6weeks before registration)
7) Less than 1 cardiac risk in the following check list(within 4 weeks before registration)
1.History of ischemic heart disease
2.History of heart failure
3.History of cerebrovascular disease
4.Insulin therapy for diabetes
5.Preoperative serum creatinine>2.0mg/dl
8) Less than 2 respiratory risk in the following check list (within 4 weeks before registration)
1.Current smoker within 8 weeks of registration
2.Serum albumin <3.0g/dl
3.Serum BUN>30mg/dl
4.COPD(FEV1.0 of less than 80% of predicted)
9) No liver disease or Child-Pugh A(within 4 weeks before registration)
10) Suffice the following items(within 2 weeks before registration)
1.Hb>9.0g/dl
2.Plt>10x104/mm3
3.AST<100IU and ALT<100IU
11) Suffice the following 3 criteria(within 4 weeks before registration)
Waist circumference(WC)
Male, height>160cm: WC>85cm
Female or height<160cm male: WC>80cm
Excessive intraabdominal fat in CT scan
Appricable to more than 1 item of the following
TG>150mg/dl and/or HDL chol<40mg/dl
SBP>130mmHg and/or DBP<85mmHg
FBS>110mg/dl
(If already medicated for hyperlipidemia, hypertension, or Diabetes Meritus, inclusive to each item regardless of labo data)
1.Cannot exercise because of muscloskeletal disease
2.History of injury such as fracture within 6 months before registration
3.History or current therapy of bronchial asthma
4.History of severe pneumonia or bronchitis within 6 months before registration
5.History or current therapy of arrythmia to be treated
6.History of acute myocardial infarction within 6 months before registration
7.Uncontrolled DM (Insulin-treated patient is also applicable, if BS control is good.)
86
1st name | |
Middle name | |
Last name | Haruhiko Cho |
Kanagawa Cancer Center
gastrointestinal surgery
1-1-2, Nakao, Asahi-ku, Yokohama
045-391-5761
choharuhiko@kcch.jp
1st name | |
Middle name | |
Last name | Haruhiko Cho |
Kanagawa Cancer Center
gastrointestinal surgery
1-1-2, Nakao, Asahi-ku, Yokohama
045-391-5761
choharuhiko@kcch.jp
AEGES study group
Kanagawa Health Foundation
Non profit foundation
NPO ECRIN
NO
神奈川県立がんセンター
2007 | Year | 02 | Month | 07 | Day |
Unpublished
Completed
2006 | Year | 12 | Month | 25 | Day |
2007 | Year | 01 | Month | 01 | Day |
2010 | Year | 02 | Month | 01 | Day |
If the patients do not want to participate in randomized part, they can be enrolled to the non-randomized part (group C: non-randomized surgery alone, group D: non-randomized exercise followed by surgery).
2007 | Year | 02 | Month | 07 | Day |
2014 | Year | 08 | Month | 07 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000724