NCT03724591

Brief Summary

A randomized controlled clinical trial to compare the short and long term outcomes of left colic artery preservation for the treatment of Rectal Cancer

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
600

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jan 2019

Longer than P75 for not_applicable

Status
unknown

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

First Submitted

Initial submission to the registry

October 28, 2018

Completed
2 days until next milestone

First Posted

Study publicly available on registry

October 30, 2018

Completed
2 months until next milestone

Study Start

First participant enrolled

January 1, 2019

Completed
5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2024

Completed
Last Updated

October 30, 2018

Status Verified

October 1, 2018

Enrollment Period

5 years

First QC Date

October 28, 2018

Last Update Submit

October 28, 2018

Conditions

Keywords

left colic arteryrectal cancer

Outcome Measures

Primary Outcomes (1)

  • Anastomosis leakage rate

    30 days

Secondary Outcomes (6)

  • Anastomosis bleeding rate

    30 days

  • disease-free survival

    5 years

  • local recurrence rate

    5 years

  • operative time

    1 day

  • number of lymph nodes retrieved

    1 day

  • +1 more secondary outcomes

Study Arms (2)

a high ligation of IMA

EXPERIMENTAL

total mesorectal excision (TME) for rectal cancer by a high ligation of IMA without preservation of left colic artery

Procedure: a high ligation of IMA

a low ligation of IMA

ACTIVE COMPARATOR

total mesorectal excision (TME) for rectal cancer by a low ligation of IMA with preservation of left colic artery

Procedure: a low ligation of IMA

Interventions

total mesorectal excision (TME) for rectal cancer by a high ligation of IMA without preservation of left colic artery

a high ligation of IMA

total mesorectal excision (TME) for rectal cancer by a low ligation of IMA with preservation of left colic artery

a low ligation of IMA

Eligibility Criteria

Age18 Years - 85 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients suitable for curative surgery over 18 years old;
  • American Society of Anesthesiologists(ASA) grade I-III;
  • Pathological diagnosis of rectal adenocarcinoma;
  • Patients suitable for abdominalperineal resection
  • Informed consent;
  • No history of familial adenomatous polyposis, ulcerative colitis or Crohn's disease.

You may not qualify if:

  • Pregnant patient;
  • History of psychiatric disease;
  • Use of systemic steroids;
  • Simultaneous multiple primary colorectal cancer;
  • Preoperative imaging examination results show:1. Tumor involves the surrounding organs and combined organ resection need to be done;2. distant metastasis;3. unable to perform R0 resection;
  • History of any other malignant tumor in recent 5 years;
  • Patients need emergency operation: mechanic ileus, perforation.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Rectal Neoplasms

Condition Hierarchy (Ancestors)

Colorectal NeoplasmsIntestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesIntestinal DiseasesRectal Diseases

Study Officials

  • Yueming Sun, PhD

    The First Affiliated Hospital with Nanjing Medical University

    STUDY DIRECTOR

Central Study Contacts

Yueming Sun, PhD

CONTACT

Fumin Zhang, Professor

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, CARE PROVIDER
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 28, 2018

First Posted

October 30, 2018

Study Start

January 1, 2019

Primary Completion

January 1, 2024

Study Completion

January 1, 2024

Last Updated

October 30, 2018

Record last verified: 2018-10