Status:

RECRUITING

A Phase III Study Comparing Total and Partial Omentectomy for Patients With Advanced Gastric Cancer

Lead Sponsor:

Tianjin Medical University Cancer Institute and Hospital

Collaborating Sponsors:

Peking University Cancer Hospital & Institute

Shanghai Zhongshan Hospital

Conditions:

Gastric Cancer

Eligibility:

All Genders

18-70 years

Phase:

NA

Brief Summary

This is a phase III, multicenter, prospective, randomized, controlled clinical trial to evaluate the impact of omentectomy for advanced gastric cancer on patient survival.

Detailed Description

In order to evaluate the impact of omentectomy for advanced gastric cancer on patient survival, we designed this trial. Patients who received curative gastrectomy were divided into two groups based on...

Eligibility Criteria

Inclusion

  • Had been treated with Radical resection (D2, R0) of gastric cancer (Lymph node≥16);
  • Physical condition and organ function allows to tolerable abdominal surgery;
  • Willing and able to comply with the program during the study period;
  • Written informed consent provided;
  • ≥ 18 and ≤ 70 years of age; preoperative gastric cancer patients with pathologically confirmed;
  • With more than a 6-month life expectancy;
  • No other serious concomitant diseases; Sufficient organ functions;
  • No previous history of chemotherapy or radiotherapy;
  • All patients accept 8 cycles XELOX chemotherapy regimen;
  • Clinical stage: T3-4aN0-+M0; 11 . Macroscopic types :Borrmann I-III;
  • 12\. Not greater curvature tumor; with distal or total gastrectomy; 13. No previous surgery for any abdominal disease, except an appendectomy for appendicitis, a laparoscopic cholecystectomy for gallbladder stones; No previous history of peritonitis, pancreatitis; 14. Karnofsky performance status (KPS)\>60; Eastern Cooperative Oncology Group Performance Status (ECOG): 0-1.

Exclusion

  • Pregnancy or breast feeding; 2. Patients with Serious liver disease (such as cirrhosis, etc.), kidney disease, respiratory disease or uncontrolled diabetes, hypertension and other chronic systemic diseases, heart disease with Clinical symptoms, such as congestive heart failure, coronary heart disease symptoms, drug is difficult to control arrhythmia, hypertension, or six months had a myocardial infarction attack, or cardiac insufficiency; 3. Organ transplantation patients need immunosuppressive therapy; 4. Severe recurrent infections were not controlled or with other serious concomitant diseases; 5. Patients got other primary malignant tumors (except curable skin basal cell carcinoma and cervical cancer in situ) except gastric cancer within 5 years; 6. Psychiatric disease which require treatment; 7. Have the history of organ transplantation; 8. Within 6 months before study starts and in the process of this study, patients participate in other clinical researches. 9. Advanced gastric cancer with omentum invasion 10. Patients can't treated with XELOX after surgery; 11 . Macroscopic types : Borrmann IV; 12. Tumor invasion of adjacent organ (T4b) or with distant metastasis#M1 #; 13. Tumor invasion the greater curvature invasion.

Key Trial Info

Start Date :

January 1 2021

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 31 2026

Estimated Enrollment :

950 Patients enrolled

Trial Details

Trial ID

NCT04843215

Start Date

January 1 2021

End Date

December 31 2026

Last Update

May 10 2021

Active Locations (1)

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Department of Gastrointestinal Medical Oncology, Tianjin Medical University Cancer Hospital

Tianjin, Tianjin Municipality, China, 300060