UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000046950
Receipt number R000053572
Scientific Title A Randomized Controlled Phase II Clinical Trial of Reconstruction method for the Elderly patients with gastric cancer after Distal Gastrectomy; Billroth-II Versus Roux-en-Y reconstruction
Date of disclosure of the study information 2022/03/01
Last modified on 2024/08/23 13:09:28

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Basic information

Public title

A Randomized Controlled Phase II Clinical Trial of Reconstruction method for the Elderly patients with gastric cancer after Distal Gastrectomy; Billroth-II Versus Roux-en-Y reconstruction

Acronym

A Randomized Controlled Phase II Clinical Trial of Reconstruction method for the Elderly patients with gastric cancer after Distal Gastrectomy; Billroth-II Versus Roux-en-Y reconstruction

Scientific Title

A Randomized Controlled Phase II Clinical Trial of Reconstruction method for the Elderly patients with gastric cancer after Distal Gastrectomy; Billroth-II Versus Roux-en-Y reconstruction

Scientific Title:Acronym

A Randomized Controlled Phase II Clinical Trial of Reconstruction method for the Elderly patients with gastric cancer after Distal Gastrectomy; Billroth-II Versus Roux-en-Y reconstruction

Region

Japan


Condition

Condition

gastric caner

Classification by specialty

Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To determine the clinical efficacy of performing the B-II method compared to the conventional R-Y method in elderly patients with gastric cancer after distal gastrectomy.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Weight loss rate 1 month after surgery

Key secondary outcomes

Weight loss rate at discharge, 3 months, 6 months, and 1 year after surgery
Postoperative complications
Nutritional status
Blood loss, operative time, postoperative hospital stay
Frequency of reflux esophagitis, residual gastritis, and dumping
Compliance with postoperative adjuvant chemotherapy


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

Billroth-II

Interventions/Control_2

Roux-en-Y

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

75 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1-1 Primary gastric cancer diagnosed as adenocarcinoma by biopsy.
1-2 Patients who are scheduled for distal gastrectomy for gastric cancer.
1-3 Patients in whom preoperative examination findings suggest that Billroth-I reconstruction is inappropriate, and reconstruction by Billroth-II or Roux-en-Y reconstruction is possible.
1-4 Age 75 years or older
1-5 Performance status 0-2 ECOG classification
1-6 Patients who have been diagnosed as being able to undergo R0 resection.
1-7 Patients who have given written consent to participate in this study.
1-8 Patients who have not undergone previous surgery involving open bowel resection.
1-9 Patients with sufficient bone marrow, liver, and kidney function.

Key exclusion criteria

2-1) Patients with non-curative factors such as peritoneal dissemination, liver metastasis, distant metastasis, or invasion of other organs (T4b) in pre-treatment and preoperative examinations (abdominal CT, abdominal ultrasound, x-ray, etc., in addition to general blood tests).
2-2) Patients with concurrent multiple cancers other than stomach. However, carcinoma in situ of cervical cancer and focal cancer in adenoma of colorectal cancer are not exclusion criteria.
2-3) Patients with heterogeneous multiple cancers that have recurred after treatment or have not passed more than 5 years after treatment. (2-3) Heterogeneous multiple cancers that have recurred after treatment or have not been treated for more than 5 years. 2-4) Patients with emphysema, etc.
2-4) Patients with severe respiratory disorders such as emphysema.
2-5) Patients with a definite history of myocardial infarction. Or cases that can be judged positive by Master two step.
2-6) Cirrhosis or
2-6) Patients with liver cirrhosis or active hepatitis.
2-7) Patients with chronic renal failure requiring dialysis.
2-7) Patients with chronic renal failure requiring dialysis. 2-8) Diabetic patients with poor control (HbA1c: 8.0 or higher).
(2-9) Patients who are judged by the investigator to be inappropriate for the safe conduct of the study.
2-10) Patients with reflux esophagitis (LA classification A or higher).

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Yuichiro
Middle name
Last name Doki

Organization

Graduate School of Medicine, Osaka University

Division name

Department of Gastroenterological Surgery

Zip code

565-0871

Address

2-2 Yamadaoka, Suita City, Osaka

TEL

0668793251

Email

ydoki@gesurg.med.osaka-u.ac.jp


Public contact

Name of contact person

1st name Koji
Middle name
Last name Tanaka

Organization

Graduate School of Medicine, Osaka University

Division name

Department of Gastroenterological Surgery

Zip code

565-0871

Address

2-2 Yamadaoka, Suita City, Osaka

TEL

0668793251

Homepage URL


Email

ktanaka@gesurg.med.osaka-u.ac.jp


Sponsor or person

Institute

Clinical Study Group of Osaka University

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Graduate School of Medicine, Osaka University

Address

2-2 Yamadaoka, Suita City, Osaka

Tel

0668793251

Email

ykurokawa@gesurg.med.osaka-u.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 03 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 11 Month 21 Day

Date of IRB

2022 Year 02 Month 21 Day

Anticipated trial start date

2022 Year 02 Month 22 Day

Last follow-up date

2027 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2022 Year 02 Month 19 Day

Last modified on

2024 Year 08 Month 23 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000053572