NCT04969107

Brief Summary

This study assessed whether transanal TME in patients with rectal cancer is superior to open, laparoscopic, and robotic TME (abdominal TME (abTME)) regarding oncological outcome, postoperative morbidity and 90-day mortality.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
300

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jan 2012

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

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

Study Start

First participant enrolled

January 1, 2012

Completed
9.4 years until next milestone

First Submitted

Initial submission to the registry

June 11, 2021

Completed
1 month until next milestone

First Posted

Study publicly available on registry

July 20, 2021

Completed
2.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2023

Completed
Last Updated

August 8, 2023

Status Verified

August 1, 2023

Enrollment Period

12 years

First QC Date

June 11, 2021

Last Update Submit

August 7, 2023

Conditions

Keywords

TMERectal Cancertransanallocal recurrence

Outcome Measures

Primary Outcomes (3)

  • Overall survival

    time from surgery to end of follow-up or death

    60 months

  • cancer-specific survival

    time from surgery to end of follow-up or death due to rectal cancer

    60 months

  • disease-specific survival

    time from surgery to end of follow-up or death due to or recurrence of rectal cancer

    60 months

Secondary Outcomes (8)

  • positive resection margin

    30 days

  • Quirke Score

    30 days

  • circular resection margin (CRM)

    30 days

  • number of lymph nodes

    30 days

  • postoperative morbidity

    30 days

  • +3 more secondary outcomes

Study Arms (2)

transanal TME (taTME)

ACTIVE COMPARATOR

patients with rectal cancer receiving transanal TME

Procedure: taTME

abdominal TME (abTME)

ACTIVE COMPARATOR

patients with rectal cancer receiving open, laparoscopic or robotic TME

Procedure: abdTME

Interventions

taTMEPROCEDURE

Resection of rectal cancer with preparation of the mesorectal plane along the TME-plane in a rendezvous procedure of an abdominal and a transanal approach.

Also known as: transanal total mesorectal excision
transanal TME (taTME)
abdTMEPROCEDURE

Resection of rectal cancer with preparation of the mesorectal plane along the TME-plane in an abdominal Approach.

Also known as: abdominal total mesorectal excision
abdominal TME (abTME)

Eligibility Criteria

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

You may qualify if:

  • all patients receiving elective total mesorectal excision

You may not qualify if:

  • diagnosis other than rectal cancer
  • partial mesorectal excision
  • discontinuity resection (no anastomosis)
  • incomplete Staging
  • metastatic cancer
  • lack of follow-up
  • decline of a retrospective data Analysis
  • age under 18 years

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Department of surgery, Cantonal hospital of St. Gallen

Sankt Gallen, Canton of St. Gallen, 9007, Switzerland

RECRUITING

MeSH Terms

Conditions

RecurrenceRectal Neoplasms

Condition Hierarchy (Ancestors)

Disease AttributesPathologic ProcessesPathological Conditions, Signs and SymptomsColorectal NeoplasmsIntestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesIntestinal DiseasesRectal Diseases

Study Officials

  • Lukas Marti, Dr. med.

    Leitender Arzt, Chirurige KSSG

    STUDY DIRECTOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Dr. med. Lukas Marti, Leitender Arzt Chirurgie

Study Record Dates

First Submitted

June 11, 2021

First Posted

July 20, 2021

Study Start

January 1, 2012

Primary Completion

December 31, 2023

Study Completion

December 31, 2023

Last Updated

August 8, 2023

Record last verified: 2023-08

Data Sharing

IPD Sharing
Will not share

Locations