UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000037580
Receipt number R000042815
Scientific Title Single-arm phase II trial to evaluate safety of laparoscopic total gastrectomy with spleen-preserving splenic hilar dissection for proximal gastric cancer invading the greater curvature
Date of disclosure of the study information 2019/08/02
Last modified on 2019/08/02 09:38:31

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Basic information

Public title

Single-arm phase II trial to evaluate safety of laparoscopic total gastrectomy with spleen-preserving splenic hilar dissection for proximal gastric cancer invading the greater curvature(JCOG1809, LTG-SPRING-PII)

Acronym

Single-arm phase II trial to evaluate safety of laparoscopic total gastrectomy with spleen-preserving splenic hilar dissection for proximal gastric cancer invading the greater curvature(JCOG1809, LTG-SPRING-PII)

Scientific Title

Single-arm phase II trial to evaluate safety of laparoscopic total gastrectomy with spleen-preserving splenic hilar dissection for proximal gastric cancer invading the greater curvature

Scientific Title:Acronym

Single-arm phase II trial to evaluate safety of laparoscopic total gastrectomy with spleen-preserving splenic hilar dissection for proximal gastric cancer invading the greater curvature

Region

Japan


Condition

Condition

cT2 (MP) - T4a (SE) gastric cancer invading the greater curvature

Classification by specialty

Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To investigate the safety of laparoscopic/robotic spleen-preserving splenic hilar dissection with prophylactic intention for proximal gastric cancer invading the greater curvature

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

Incidence of pancreatic fistula and/or abdominal abscess

Key secondary outcomes

Blood loss, operation time, surgery-related death, overall complication, number of removed splenic hilar nodes, number of metastatic splenic hilar nodes, conversion to open surgery, conversion to splenectomy, relapse-free survival, overall survival


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

Laparoscopic/robotic spleen-preserving splenic hilar dissection

Interventions/Control_2


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

85 years-old >=

Gender

Male and Female

Key inclusion criteria

1)Histologically proven gastric adenocarcinoma by endoscopic biopsy.
2)Clinical T2(MP)-T4a(SE) located in the U area of the stomach and invading the greater curvature (Gre).
3)No swollen lymph nodes detected by CT scan at the splenic hilum larger than 10 mm in diameter in major axis or 8 mm in diameter in minor axis. No direct invasion to the spleen, pancreas, or splenogastric ligament.
4)H0P0M0 and no bulky metastatic lymph nodes (bulky N2) by contrast-enhanced chest - abdominal computed tomography.
5) Neither Borrmann type 4 nor large (>8cm) type 3.
6)No esophageal invasion
7)Not a stump cancer of stomach
8) Expected R0 surgery
9) Body mass index (BMI) is less than 30
10)Aged between 20 and 85 years old
11)Eastern Cooperative Oncology Group performance status of 0 or 1.
12)No history of upper abdominal surgery or intestinal resection
13)No prior chemotherapy or radiotherapy for any malignancies except adjuvant chemotherapy after curative resection
14)Adequate organ functions defined as;
i) WBC of 3,000/mm3 or more
ii) Platelet count100,000/mm3 or more
iii) T.Bil of 2.0 mg/dL or less
iv) AST of 100 IU/L or less
v) ALT of 100 IU/L or less
vi) Creatinine of 1.5 mg/dL or less
15) 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) Interstitial pneumonia, pulmonary fibrosis, or severe emphysema based on chest CT

Target sample size

85


Research contact person

Name of lead principal investigator

1st name TAKAHIRO
Middle name
Last name KINOSHITA

Organization

National Cancer Center east Hospital

Division name

Gastric Surgery Division

Zip code

277-8577

Address

6-5-1 Kashiwanoha, Kashiwa, Chiba

TEL

04-7133-1111

Email

JCOG_sir@ml.jcog.jp


Public contact

Name of contact person

1st name TAKAHIRO
Middle name
Last name KINOSHITA

Organization

JCOG1809 Coordinating Office

Division name

Gastric Surgery Division, National Cancer Center East Hospital

Zip code

277-8577

Address

6-5-1 Kashiwanoha, Kashiwa, Chiba

TEL

04-7133-1111(5573)

Homepage URL

http://www.jcog.jp/

Email

JCOG_sir@ml.jcog.jp


Sponsor or person

Institute

Japan Clinical Oncology Group (JCOG)

Institute

Department

Personal name



Funding Source

Organization

National Cancer Center

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

National Cancer Center Institutional Review Board

Address

5-1-1, Tsukiji, Chuo-ku, Tokyo, 104-0045 Japan

Tel

03-3542-2511

Email

NCC_IRBoffice@ml.res.ncc.go.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

函館厚生院函館五稜郭病院(北海道)
恵佑会札幌病院(北海道)
岩手医科大学(岩手県)
国立病院機構仙台医療センター(宮城県)
宮城県立がんセンター(宮城県)
山形県立中央病院(山形県)
総合南東北病院(福島県)
栃木県立がんセンター(栃木県)
埼玉県立がんセンター(埼玉県)
埼玉医科大学国際医療センター(埼玉県)
国立がん研究センター東病院(千葉県)
千葉県がんセンター(千葉県)
国立がん研究センター中央病院(東京都)
がん・感染症センター都立駒込病院(東京都)
東京医科歯科大学(東京都)
がん研究会有明病院(東京都)
虎の門病院(東京都)
都立墨東病院(東京都)
東海大学医学部付属八王子病院(東京都)
神奈川県立がんセンター(神奈川県)
北里大学医学部(神奈川県)
横浜市立大学附属市民総合医療センター(神奈川県)
新潟県立がんセンター新潟病院(新潟県)
新潟県厚生連長岡中央綜合病院(新潟県)
富山県立中央病院(富山県)
石川県立中央病院(石川県)
岐阜大学医学部(岐阜県)
岐阜市民病院(岐阜県)
大垣市民病院(岐阜県)
静岡県立総合病院(静岡県)
静岡県立静岡がんセンター(静岡県)
愛知県がんセンター(愛知県)
名古屋大学医学部(愛知県)
国立病院機構京都医療センター(京都府)
京都第2赤十字病院(京都府)
大阪大学医学部(大阪府)
近畿大学病院(大阪府)
大阪国際がんセンター(大阪府)
国立病院機構大阪医療センター(大阪府)
大阪急性期・総合医療センター(大阪府)
大阪医科大学(大阪府)
市立豊中病院(大阪府)
堺市立総合医療センター(大阪府)
関西医科大学附属病院(大阪府)
大阪労災病院(大阪府)
神戸大学医学部(兵庫県)
関西労災病院(兵庫県)
兵庫医科大学(兵庫県)
兵庫県立がんセンター(兵庫県)
市立伊丹病院(兵庫県)
和歌山県立医科大学(和歌山県)
島根大学医学部(島根県)
岡山大学病院(岡山県)
広島大学病院(広島県)
広島市立広島市民病院(広島県)
国立病院機構福山医療センター(広島県)
広島市立安佐市民病院(広島県)
福山市民病院(広島県)
徳島赤十字病院(徳島県)
香川県立中央病院(香川県)
国立病院機構四国がんセンター(愛媛県)
大分大学医学部附属病院(大分県)


Other administrative information

Date of disclosure of the study information

2019 Year 08 Month 02 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

Open public recruiting

Date of protocol fixation

2019 Year 06 Month 11 Day

Date of IRB

2019 Year 07 Month 17 Day

Anticipated trial start date

2019 Year 08 Month 02 Day

Last follow-up date

2028 Year 08 Month 02 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2019 Year 08 Month 02 Day

Last modified on

2019 Year 08 Month 02 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000042815


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name