NCT05514769

Brief Summary

This research is designed to compare proximal gastrectomy anterior anastomosis with pyloroplasty with esophagogastric anastomosis for gastric cancer. Gastroesophageal reflux disease, postoperative quality of life, short term outcomes, and long term outcomes will be compared.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
60

participants targeted

Target at P25-P50 for not_applicable

Timeline
20mo left

Started Jan 2021

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress76%
Jan 2021Dec 2027

Study Start

First participant enrolled

January 1, 2021

Completed
1.6 years until next milestone

First Submitted

Initial submission to the registry

August 21, 2022

Completed
3 days until next milestone

First Posted

Study publicly available on registry

August 24, 2022

Completed
5.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2027

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2027

Last Updated

March 31, 2026

Status Verified

March 1, 2026

Enrollment Period

7 years

First QC Date

August 21, 2022

Last Update Submit

March 29, 2026

Conditions

Outcome Measures

Primary Outcomes (2)

  • Gastroesophagus reflux disease apprised by ph monitoring

    Ph monitoring by wireless or wire device

    6 months

  • Gastroesophagus reflux disease apprised by questionnaire

    PGSAS-45 questionnaire is adopted.

    6 months

Secondary Outcomes (2)

  • Surgical complications of proximal gastrectomy for gastric cancer

    1 year

  • Long-term outcome

    5 years

Study Arms (2)

Proximal Gastrectomy Anterior Anastomosis With Pyloroplasty (GAP)

EXPERIMENTAL

The reconstruction including esophagogastric anastomosis and pyloroplasty for patients who underwent proximal gastrectomy . The anastomosis locate in the anterior of gastric stump.

Procedure: Proximal Gastrectomy Anterior Anastomosis With Pyloroplasty

Control

ACTIVE COMPARATOR

The reconstruction including esophagogastric anastomosis and pyloroplasty for patients who underwent proximal gastrectomy . The anastomosis locate in the posterior or side of gastric stump.

Procedure: Proximal Gastrectomy Anterior Anastomosis With Pyloroplasty

Interventions

The location of the anastomosis in the anterior of the gastric stump. Pyloroplasty is added in the procedure

ControlProximal Gastrectomy Anterior Anastomosis With Pyloroplasty (GAP)

Eligibility Criteria

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

You may qualify if:

  • Histologically confirmed adenocarcinoma of the stomach, T1-T4 stages.
  • Eastern Cooperative Oncology Group performance status of 0 or 1.
  • Adequate organ function.

You may not qualify if:

  • Patients had distant metastasis.
  • oesophageal invasion of more than 3 cm.
  • Borrmann type 4 or large (more than 8 cm) type 3 carcinoma.
  • Previous chemotherapy or radiation therapy for any other malignancies.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Yunhong Tian

Nanchong, Sichuan, 637000, China

RECRUITING

MeSH Terms

Conditions

Stomach NeoplasmsGastroesophageal Reflux

Condition Hierarchy (Ancestors)

Gastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesStomach DiseasesEsophageal Motility DisordersDeglutition DisordersEsophageal Diseases

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER GOV
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

August 21, 2022

First Posted

August 24, 2022

Study Start

January 1, 2021

Primary Completion (Estimated)

December 31, 2027

Study Completion (Estimated)

December 31, 2027

Last Updated

March 31, 2026

Record last verified: 2026-03

Locations