NCT05243771

Brief Summary

The Norwegian Stoma Trial is an open-label multicenter trial investigating the use of stomas, both diveriting and permanent, in the surgical treatment of rectal cancer. The objective is to compare the chosen strategy to surgical complications, health realted quality of life and length of stay.

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
400

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Sep 2022

Typical duration for all trials

Geographic Reach
1 country

18 active sites

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

January 11, 2022

Completed
1 month until next milestone

First Posted

Study publicly available on registry

February 17, 2022

Completed
7 months until next milestone

Study Start

First participant enrolled

September 1, 2022

Completed
2.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2025

Completed
Last Updated

May 24, 2023

Status Verified

May 1, 2023

Enrollment Period

2.9 years

First QC Date

January 11, 2022

Last Update Submit

May 23, 2023

Conditions

Outcome Measures

Primary Outcomes (1)

  • Surgical complications graded as Accordion grade 3 or more

    The study group will investigate whether patients undergoing rectal resection with an anastomosis with a diverting stoma will have higher complication rates compared to patients who do not recieve a diverting stoma.

    Measured one year after the primary surgery

Secondary Outcomes (7)

  • Total length of hospital stay

    Measured one year after the primary surgery

  • Generic health related quality of life measured by the European Organization for Research and Treatment of Cancer (EORTC) C30 questionnaire

    One year after the primary surgery

  • Bowel function measured by the Low Anterior Resection Syndrome (LARS) score

    One year after the primary surgery

  • Surgical complications graded as Accordion grade 3 or more

    Measured one year after the primary surgery

  • Generic health related quality of life measured by the European Organization for Research and Treatment of Cancer (EORTC) C30 questionnaire.

    One year after the primary surgery

  • +2 more secondary outcomes

Study Arms (3)

Rectal resection with diverting stoma

Patients operated for rectal cancer with rectal resection and diverting stoma.

Procedure: Rectal resection with diverting stoma

Rectal resection without diverting stoma

Patients operated for rectal cancer with rectal resection without diverting stoma.

Procedure: Rectal resection without diverting stoma

Rectal resection with primary colostomy

Patients operated for rectal cancer with rectal resection with primary colostomy.

Procedure: Rectal resection with permanent colostomy

Interventions

Patients in this group will receive a rectal resection with an anastomosis and also a diverting stoma will be created

Rectal resection with diverting stoma

Patients in this group will receive a rectal resection with an anastomosis and no diverting stoma will be created

Rectal resection without diverting stoma

Patients in this group will receive a rectal resection and a permanent colostomy will be created

Rectal resection with primary colostomy

Eligibility Criteria

Age18 Years - 99 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodProbability Sample
Study Population

All adult patients undergoing a formal resection for rectal cancer will be asked to participate as long as they fit the eligibility criteria

You may qualify if:

  • Age 18 years or older
  • Verified rectal adenocarcinoma by biopsy
  • Tumor located in the rectum with lower border of the tumor located 15 cm or less from the anal verge.
  • Given informed consent

You may not qualify if:

  • Advanced tumor stage requiring exenterative surgery beyond a convetional APR or TME.
  • Stage IV disease
  • Synchronous colon cancer necessitating a total colectomy
  • Other concomitant disease(s) which will complicate participation.
  • Unwillingness to give informed consent

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (18)

Asker og Baerum Hospital

Bærums verk, Gjettum, 1346, Norway

RECRUITING

Østfold Hospital Trust

Sarpsborg, Grålum, 1714, Norway

RECRUITING

Akershus University Hospital

Oslo, Lørenskog, 1478, Norway

RECRUITING

Ålesund Hospital

Ålesund, 6017, Norway

RECRUITING

Haukeland University Hospital

Bergen, 5009, Norway

RECRUITING

Bodø Hospital

Bodø, 8005, Norway

RECRUITING

Vestre Viken Hospital Trust

Drammen, 3004, Norway

RECRUITING

Gjøvik Hospital

Gjøvik, 2819, Norway

RECRUITING

Hamar Hospital

Hamar, 2318, Norway

RECRUITING

Helse Fonna

Haugesund, 5528, Norway

RECRUITING

Sorlandet Hospital HF

Kristiansand, 4615, Norway

RECRUITING

Helse Nord-Trøndelag HF

Levanger, 7600, Norway

RECRUITING

Ullevaal University Hospital

Oslo, 0450, Norway

RECRUITING

Sykehuset Telemark

Skien, 3710, Norway

RECRUITING

Helse Stavanger HF

Stavanger, 4019, Norway

RECRUITING

University Hospital of North Norway

Tromsø, 9019, Norway

RECRUITING

St. Olavs Hospital

Trondheim, 7030, Norway

RECRUITING

Vestfold Hospital Trust

Tønsberg, 3103, Norway

RECRUITING

MeSH Terms

Conditions

Rectal NeoplasmsPostoperative Complications

Interventions

Proctectomy

Condition Hierarchy (Ancestors)

Colorectal NeoplasmsIntestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesIntestinal DiseasesRectal DiseasesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Surgical Procedures, ColorectalDigestive System Surgical ProceduresSurgical Procedures, Operative

Study Officials

  • Lars Thomas Seeberg, MD, PhD

    The Hospital of Vestfold

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Lars Thomas Seeberg, MD, PhD

CONTACT

Lars Grønvold, MD

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

January 11, 2022

First Posted

February 17, 2022

Study Start

September 1, 2022

Primary Completion

August 1, 2025

Study Completion

August 1, 2025

Last Updated

May 24, 2023

Record last verified: 2023-05

Locations