Conventional Versus Individual Extralvator Abdominoperineal Excision for Advanced Lower Rectal Cancer
ELAPE
Randomized Clinical Trial of Conventional Versus Individual Extralevator Abdominoperineal Excision for Locally Advanced Lower Rectal Cancer
1 other identifier
interventional
60
1 country
1
Brief Summary
An alternative treatment for low rectal cancer is the extralevator abdominoperineal excision (ELAPE) technique. We aim to compare the outcomes of patients undergoing conventional ELAPE versus Individual ELAPE.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Aug 2013
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2013
CompletedFirst Submitted
Initial submission to the registry
November 26, 2013
CompletedFirst Posted
Study publicly available on registry
January 14, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2016
CompletedJanuary 14, 2014
January 1, 2014
3 years
November 26, 2013
January 12, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
The perioperative morbidity
Sexual dysfunction,Urinary retention,Chronic perineal pain,Perineal wound infection,Urinary system infection,Pulmonary infection,Perineal seroma,Peristomal hernia,Abdominal wound infection,Perineal herniation
three years
Secondary Outcomes (1)
Three years survival postoperatively
three years
Other Outcomes (1)
Three years local recurrence postoperatively
three years
Study Arms (2)
Individual ELAPE
EXPERIMENTALPatients will receive Individual ELAPE technique
Conventional ELAPE
EXPERIMENTALPatients with advanced lower rectal cancer will receive conventional EALPE technique
Interventions
Eligibility Criteria
You may qualify if:
- Tumor within 5 cm of the anal verge or with a very narrow pelvis
- T3-T4 as determined by preoperative magnetic resonance imaging or endorectal ultrasonography examination or a low tumor is fixed or tethered at rectal examination
- Absence of distant metastases
- Absence of intestinal obstruction
You may not qualify if:
- T1-T2 as determined by preoperative magnetic resonance imaging or endorectal ultrasonography examination
- With distant metastases
- With intestinal obstruction
- Pregnancy or lactation
- Allergic constitution to heterogeneous protein
- With operation contraindication
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Beijing Chaoyang Hospital
Beijing, Beijing Municipality, 100020, China
Related Publications (1)
Han JG, Wang ZJ, Wei GH, Gao ZG, Yang Y, Zhao BC. Randomized clinical trial of conventional versus cylindrical abdominoperineal resection for locally advanced lower rectal cancer. Am J Surg. 2012 Sep;204(3):274-82. doi: 10.1016/j.amjsurg.2012.05.001.
PMID: 22920402BACKGROUND
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Jiagang Han, Professor
Beijing Chao Yang Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
November 26, 2013
First Posted
January 14, 2014
Study Start
August 1, 2013
Primary Completion
August 1, 2016
Study Completion
August 1, 2016
Last Updated
January 14, 2014
Record last verified: 2014-01