A Prospective, Randomized, Open, Parallel-controlled, Superior-efficacy Clinical Study of Radical Sigmoidectomy for Sigmoid Cancer Versus Radical Sigmoidectomy Combined with Indocyanine Green Fluorescence Imaging Lymphatic Tracing Dissection in the Treatment of Sigmoid Cancer
1 other identifier
interventional
1,072
1 country
1
Brief Summary
he purpose of this study is to explore the clinical outcomes of Indocyanine Green Tracer using in laparoscopic radical sigmoidectomy for sigmoid adenocarcinoma (cT2-T4a N0 M0,T1-T4a N+ M0).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started May 2024
Longer than P75 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
First Submitted
Initial submission to the registry
April 30, 2024
CompletedFirst Posted
Study publicly available on registry
May 2, 2024
CompletedStudy Start
First participant enrolled
May 6, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 31, 2030
January 17, 2025
January 1, 2025
3.7 years
April 30, 2024
January 15, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Disease-free survival rate
odisease-free survival was defined as the time from surgery to the time of recurrence or death from any cause
3 years after the surgery
Secondary Outcomes (18)
Total number of retrieved lymph nodes
14 days after the surgery
Number of Metastasis Lymph Nodes
14 days after the surgery
The number of lymph nodes at each station
14 days after the surgery
The rate of fluorescence
14 days after the surgery
Positive rate
14 days after the surgery
- +13 more secondary outcomes
Study Arms (2)
radical sigmoidectomy
NO INTERVENTIONradical sigmoidectomy
radical sigmoidectomy combined with indocyanine green fluorescence imaging
EXPERIMENTALAt the end of routine operation, indocyanine green was used for lymph node tracing, and further lymph node dissection was performed according to the tracer results.
Interventions
At the end of routine operation, indocyanine green was used for lymph node tracing, and further lymph node dissection was performed according to the tracer results.
Eligibility Criteria
You may qualify if:
- Age between 18 and 75 years old
- Confirmed sigmoid adenocarcinoma cancer pathologically
- Location of tumor: the sigmoid colon (descending colon from vertical to horizontal point) is the starting point of sigmoid colon, and the end point of sigmoid colon is at 15cm of anal margin.
- CT showed sigmoid colon cancer: T3-4a N+ M0
- Patients with non-local recurrence or distant metastasis;
- no multiple colorectal cancer;
- no neoadjuvant therapy;
- physical conditions such as heart, lung, liver and kidney function can tolerate surgery.
- Willing and able to provide written informed consent for participation in this study
You may not qualify if:
- Complicated with other malignant tumors or previous history of malignant tumors;
- patients with intestinal obstruction, intestinal perforation, intestinal bleeding, etc.;
- patients with tumor invasion or involvement of adjacent organs requiring combined organ resection;
- patients with poor anal function and incontinence before operation;
- patients with inflammatory bowel disease or familial adenomatous polyposis
- ASA grade ≥ IV and / or ECOG physical status score \> 2;
- patients with severe hepatorenal function, cardiopulmonary function, blood coagulation dysfunction or severe underlying diseases unable to tolerate surgery;
- history of severe mental illness;
- pregnant or lactating women;
- patients with uncontrolled infection before operation;
- patients with other clinical and laboratory conditions considered by some researchers should not participate in this trial.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Sun yat-sen University, Sixth Affiliated Hospital
Guangzhou, Guangdong, 510655, China
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
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
- Chief physician,Assistant to the dean
Study Record Dates
First Submitted
April 30, 2024
First Posted
May 2, 2024
Study Start
May 6, 2024
Primary Completion (Estimated)
December 31, 2027
Study Completion (Estimated)
December 31, 2030
Last Updated
January 17, 2025
Record last verified: 2025-01