UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000046463
Receipt number R000052969
Scientific Title A prospective, multicenter study on the incidence of postoperative bowel obstruction after laparoscopic rectal surgery using an adhesion barrier material (Seprafilm)
Date of disclosure of the study information 2022/01/01
Last modified on 2022/06/27 09:54:20

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Basic information

Public title

A prospective, multicenter study on the incidence of postoperative bowel obstruction after laparoscopic rectal surgery using an adhesion barrier material (Seprafilm)

Acronym

BALSAM 2 study

Scientific Title

A prospective, multicenter study on the incidence of postoperative bowel obstruction after laparoscopic rectal surgery using an adhesion barrier material (Seprafilm)

Scientific Title:Acronym

BALSAM 2 study

Region

Japan


Condition

Condition

Rectal cancer

Classification by specialty

Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

We will assess the clinical utility of Seprafilm for the prevention of small bowel obstruction after ileostomy reversal in cases of laparoscopic rectal cancer surgery with diverting ileostomy creation.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The incidence of postoperative small bowel obstruction 2 years after ileostomy reversal

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


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

80 years-old >=

Gender

Male and Female

Key inclusion criteria

A) Histologically confirmed stage I-III rectal carcinoma
B) Without metastasis and/or invasion of adjacent organs
C) Laparoscopic or robotic surgery performed
D) Curative surgery performed
E) Using anti-adhesion barriers (Seprafilm, Interceed, and Adspray) during rectal cancersurgery
F) Patient with age between 20 and 80 years
G) Any intervals between initial surgery (rectal cancer surgery) and ileostomy reversal
H) Patient with an Eastern Cooperative Oncology GroupPerformance Status of 0 or 1
I) Exhibiting sufficient organ function within 1 month prior to enrollment in the study with the following parameters considered:
-White blood cell count: 3,000/mm3 or higher
-Platelet count: 75,000/mm3 or higher
-Hemoglobin: 8.0 g/dl or higher
-Serum AST and ALT: 2.5 times or less than the upper limit of the institutional reference value
-Serum total bilirubin: less than 1.5 mg/dl
-Serum creatinine: 1.5 mg/dl or less

Key exclusion criteria

A) Contraindications for Seprafilm use
B) History of previous abdominal surgery, except for appendectomy, laparoscopic cholecystectomy, and cesarean section performed >5 years prior
C) Cases of small bowel obstruction prior to ileostomy reversal
D) The treating physician did not feel that the use of Seprafilm was appropriate

Target sample size

275


Research contact person

Name of lead principal investigator

1st name Takeshi
Middle name
Last name Yamada

Organization

Nippon Medical School

Division name

Department of Gastrointestinal Hepato-Biliary-Pancreatic Surgery

Zip code

113-8603

Address

1-1-5, Sendagi, Bunkyo-ku, Tokyo

TEL

+81-3-3822-2131

Email

y-tak@nms.ac.jp


Public contact

Name of contact person

1st name Akihisa
Middle name
Last name Matsuda

Organization

Nippon Medical School Hospital

Division name

Department of Gastrointestinal Hepato-Biliary-Pancreatic Surgery

Zip code

113-8603

Address

1-1-5, Sendagi, Bunkyo-ku, Tokyo

TEL

+81-3-3822-2131

Homepage URL


Email

a-matsu@nms.ac.jp


Sponsor or person

Institute

Nippon Medical School

Institute

Department

Personal name



Funding Source

Organization

Nippon Medical School

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

Ethics Committee of Nippon Medical School

Address

Nippon Medical School Hospital

Tel

+81-3-3822-2131

Email

nms_fuzokurinri@nms.ac.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



Other administrative information

Date of disclosure of the study information

2022 Year 01 Month 01 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

2021 Year 12 Month 24 Day

Date of IRB

2022 Year 04 Month 15 Day

Anticipated trial start date

2022 Year 04 Month 25 Day

Last follow-up date

2029 Year 06 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Observational study


Management information

Registered date

2021 Year 12 Month 24 Day

Last modified on

2022 Year 06 Month 27 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000052969