UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000057302
Receipt number R000065502
Scientific Title A phase II randomized control trial of laparoscopic surgery vs hand-assisted laparoscopic surgery in thoracoscopic/robot assisted radical esophagectomy for thoracic esophageal cancer
Date of disclosure of the study information 2025/04/01
Last modified on 2025/03/16 17:28:47

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Basic information

Public title

A phase II randomized control trial of laparoscopic surgery vs hand-assisted laparoscopic surgery in thoracoscopic/robot assisted radical esophagectomy for thoracic esophageal cancer

Acronym

A phase II randomized control trial of laparoscopic surgery vs hand-assisted laparoscopic surgery in thoracoscopic/robot assisted radical esophagectomy for thoracic esophageal cancer

Scientific Title

A phase II randomized control trial of laparoscopic surgery vs hand-assisted laparoscopic surgery in thoracoscopic/robot assisted radical esophagectomy for thoracic esophageal cancer

Scientific Title:Acronym

A phase II randomized control trial of laparoscopic surgery vs hand-assisted laparoscopic surgery in thoracoscopic/robot assisted radical esophagectomy for thoracic esophageal cancer

Region

Japan


Condition

Condition

thoracic esophageal cancer

Classification by specialty

Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To clarify the efficacy and safety of laparoscopic surgery compared with hand-assisted laparoscopic surgery in abdominal part for thoracoscopic/robot assisted subtotal esophagectomy for thoracic esophageal cancer.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

incidence of postoperative pulmonary complications (Clavien-Dindo Grade II or higher)

Key secondary outcomes



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

surgical approach in abdominal part
Group A: Hand-assisted laparoscopic surgery

Interventions/Control_2

surgical approach in abdominal part
Group B:Laparoscopic surgery

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


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Patients who are planed to undergo thoracoscopic or robot assisted subtotal esophagectomy with retrosternal gastric tube reconstruction for thoracic esophageal cancer.
2) cT1-4a, N0-3, M0 or M1 (#104) according to UICC-TNM 8th edition.
5) Age 20 years or older.
6) Performance status (PS) is 0 or 1 according to ECOG criteria.
7) No history of treatment for esophageal cancer. Following history of treatment are eligible.
Curative resection by EMR/ESD with pT1a-LPM (M2) or less, pT1a-MM (M3) and negative for vascular invasion.
8) No history of upper abdominal surgery or surgery involving intestinal resection. (Appendectomy and laparoscopic cholecystectomy are eligible).
9) Sufficient organ functions.
i. WBC >= 3,000/mm3
ii. Platelet >= 100000 /mm3
iii. Hemoglobin >= 8.0 g/dL
iv. T.Bil =< 2.0 mg/dL
v. AST =< 100 U/L
vi. ALT =< 100 U/L
vii. Creatinine =< 2.0 mg/dL
viii. SpO2 >= 95%
10) Written informed consent.

Key exclusion criteria

1) Synchronous or metachronous (within 5 years) malignancies except for carcinoma in situ or mucosal tumors curatively treated with local therapy.
2) Infectious disease with systemic therapy indicated.
3) Body temperature of 38 or more degrees Celsius.
4) Pregnancy, possible pregnancy, within 28 days after delivery or breast-feeding.
5) Severe psychiatric disease.
6) Continuous systemic steroid or immune-suppressive drug therapy.
7) Unstable angina pectoris, or history of myocardial infarction within six months.
8) Severe pulmonary fibrosis or emphysema.
9) Poorly controlled hypertension.
10) Poorly controlled diabetes mellitus in spite of continuous use of insulin.

Target sample size

120


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

06-6879-3251

Email

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


Public contact

Name of contact person

1st name Takuya
Middle name
Last name Hamakawa

Organization

Osaka Rosai Hospital

Division name

Surgery

Zip code

591-8025

Address

1179-3 Nagasonecho, Kita-ku, Sakai City, Osaka

TEL

072-252-3561

Homepage URL


Email

hamakawa@osakah.johas.go.jp


Sponsor or person

Institute

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

Ethical Review Board Osaka University Hospital

Address

2-2 Yamadaoka, Suita City, Osaka

Tel

06-6210-8296

Email

rinri@hp-crc.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

2025 Year 04 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

Preinitiation

Date of protocol fixation

2024 Year 06 Month 03 Day

Date of IRB


Anticipated trial start date

2025 Year 04 Month 01 Day

Last follow-up date

2029 Year 03 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

2025 Year 03 Month 16 Day

Last modified on

2025 Year 03 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000065502