A Trial to Evaluate Laparoscopic Versus Open Surgery for Colorectal Cancer

NCT ID: NCT00147134

Last Updated: 2016-09-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

1050 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-11-30

Study Completion Date

2014-03-31

Brief Summary

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The purpose of this study is to evaluate oncological outcome of patients for T3 and T4 colorectal cancer undergoing laparoscopic versus open surgery.

Detailed Description

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The benefits of laparoscopic surgery (LAP) in comparison to open surgery (OPEN) have been suggested with respect to decreased morbidity, decreased pain, faster recovery, and shorter hospital stay.1-4 However, the long-term survival of LAP for colorectal cancer is still unclear, especially for advanced colorectal cancer requiring extended lymphadenectomy. Thus, the investigators designed a study which investigates whether LAP is suitable for advanced colorectal cancer with respect to survival and post-operative morbidity.

Conditions

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Colorectal Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

Procedure/Surgery: open colectomy

Group Type ACTIVE_COMPARATOR

open colectomy

Intervention Type PROCEDURE

Procedure/Surgery: open colectomy

2

Procedure/Surgery: laparoscopic colectomy

Group Type EXPERIMENTAL

laparoscopic colectomy

Intervention Type PROCEDURE

Procedure/Surgery: laparoscopic colectomy

Interventions

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open colectomy

Procedure/Surgery: open colectomy

Intervention Type PROCEDURE

laparoscopic colectomy

Procedure/Surgery: laparoscopic colectomy

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Histologically proven colorectal carcinoma
2. Tumor located in the cecum, ascending colon, sigmoid colon, or rectosigmoid colon
3. T3 or deeper lesion without involvement of other organs
4. Without multiple lesion other than carcinoma in situ
5. Cancer classified as N0-2 and M0, according to the TNM classification system
6. Tumor size \< 8 cm
7. No bowel obstruction
8. Age 20 \< and \> 75 years
9. Sufficient organ function
10. No history of gastrointestinal surgery
11. No history of chemotherapy or radiotherapy
12. Provided written informed consent

Exclusion Criteria

1. Synchronous or metachronous (within 5 years) malignancy other than carcinoma in situ
2. Severe pulmonary emphysema, interstitial pneumonitis, or ischemic heart disease
3. Pregnant or lactating women
4. Severe mental disease
5. Continuous systemic steroid therapy
Minimum Eligible Age

20 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ministry of Health, Labour and Welfare, Japan

OTHER_GOV

Sponsor Role collaborator

Haruhiko Fukuda

OTHER

Sponsor Role lead

Responsible Party

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Haruhiko Fukuda

JCOG Data Center

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Seigo Kitano, MD, PhD,FACS

Role: STUDY_CHAIR

Oita University

Locations

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Fujita Health University

Toyoake,Kutsukake-cho,Dengakugakubo,1-98, Aichi-ken, Japan

Site Status

National Cancer Center Hospital East

Kashiwa,Kashiwanoha,6-5-1, Chiba, Japan

Site Status

Toho University Sakura Hospital

Sakura,Shimoshidu,564-1, Chiba, Japan

Site Status

Jyuntendo Urayasu Hospital

Urayasu,Tomioka,2-1-1, Chiba, Japan

Site Status

National Hospital Organization Shikoku Cancer Center

Matsuyama,Horinouchi,13, Ehime, Japan

Site Status

Kurume University School of Medicine

Kurume,Asahi-machi,67, Fukuoka, Japan

Site Status

Hiroshima University, School of Medicine

Hiroshima,Minami-ku,Kasumi,1-2-3, Hiroshima, Japan

Site Status

Ishikawa Prefectual Central Hospital

Kanazawa,Kuratsuki-Higashi,2-1, Ishikawa-ken, Japan

Site Status

Teikyo University Hospital, Mizonokuchi

Kawasaki,Takatsu-ku,Mizonokuchi,3-8-3, Kanagawa, Japan

Site Status

Kitasato University East Hospital

Sagamihara,Asamizodai,2-1-1, Kanagawa, Japan

Site Status

Kitasato University School of Medichine

Sagamihara,Kitasato,1-15-1, Kanagawa, Japan

Site Status

Showa University Northern Yokohama Hospital

Yokohama,Tsuzuki-ku,Chigasakichuo,35-1, Kanagawa, Japan

Site Status

National Hospital Organization Kyoto Medical Center

Kyoto,Fushimi-ku,Fukakusa,Mukaihata-cho,1-1, Kyoto, Japan

Site Status

Nagano Municipal Hospital

Nagano,Tomitake,1333-1, Nagano, Japan

Site Status

Oita University Faculty of Medicine

Yufu city,Hasama-machi, 1-1, Oita Prefecture, Japan

Site Status

Osaka City General Hospital

Osaka,Miyakojima-ku,Miyakojimahondori,2-13-22, Osaka, Japan

Site Status

Osaka University Graduate School of Medicine

Suita,Yamada-oka,2-2, Osaka, Japan

Site Status

Osaka Medical College

Takatsuki,Daigakucho,2-7, Osaka, Japan

Site Status

Omiya Medical Center, Jichi Medical School

Saitama,Omiya-ku,Amanuma-cho,1-847, Saitama, Japan

Site Status

Sizuoka Cancer Center

Sunto-gun,Nagaizumi-cho,Shimonagakubo,1007, Shizuoka, Japan

Site Status

Tokyo Medical and Dental University Hospital

Bunkyo-ku,Yushima,1-5-45, Tokyo, Japan

Site Status

National Cancer Center Hospital

Chuo-ku,Tsukiji,5-1-1, Tokyo, Japan

Site Status

Toho University Ohashi Hospital

Meguro-ku,Ohashi,2-17-6, Tokyo, Japan

Site Status

Toranomon Hospital

Minato-ku,Toranomon,2-2-2, Tokyo, Japan

Site Status

Kyorin University School of Medicine

Mitaka,Shinkawa,6-20-2, Tokyo, Japan

Site Status

Keio University Hospital

Shinjuku-ku,Shinanomachi,35, Tokyo, Japan

Site Status

Countries

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Japan

References

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Saito S, Akagi T, Katayama H, Wakabayashi M, Inomata M, Yamamoto S, Ito M, Kinugasa Y, Egi H, Munakata Y, Kokuba Y, Bando H, Yasui M, Ikeda M, Nakajima K, Shida D, Kanemitsu Y, Kitano S; Colorectal Cancer Study Group of Japan Clinical Oncology Group. Identification of patient subgroups with unfavorable long-term outcomes associated with laparoscopic surgery in a randomized controlled trial comparing open and laparoscopic surgery for colon cancer (Japan Clinical Oncology Group Study JCOG0404). Ann Gastroenterol Surg. 2021 Aug 9;5(6):804-812. doi: 10.1002/ags3.12475. eCollection 2021 Nov.

Reference Type DERIVED
PMID: 34755012 (View on PubMed)

Nishizawa Y, Akagi T, Inomata M, Katayama H, Mizusawa J, Yamamoto S, Ito M, Masaki T, Watanabe M, Shimada Y, Kitano S. Risk factors for early postoperative complications after D3 dissection for stage II or III colon cancer: Supplementary analysis of a multicenter randomized controlled trial in Japan (JCOG0404). Ann Gastroenterol Surg. 2019 Apr 4;3(3):310-317. doi: 10.1002/ags3.12246. eCollection 2019 May.

Reference Type DERIVED
PMID: 31131360 (View on PubMed)

Fujii S, Akagi T, Inomata M, Katayama H, Mizusawa J, Ota M, Saito S, Kinugasa Y, Yamaguchi S, Sato T, Kitano S; Japan Clinical Oncology Group. Transitional impact of short- and long-term outcomes of a randomized controlled trial to evaluate laparoscopic versus open surgery for colorectal cancer from Japan Clinical Oncology Group Study JCOG0404. Ann Gastroenterol Surg. 2019 Mar 26;3(3):301-309. doi: 10.1002/ags3.12245. eCollection 2019 May.

Reference Type DERIVED
PMID: 31131359 (View on PubMed)

Kitano S, Inomata M, Mizusawa J, Katayama H, Watanabe M, Yamamoto S, Ito M, Saito S, Fujii S, Konishi F, Saida Y, Hasegawa H, Akagi T, Sugihara K, Yamaguchi T, Masaki T, Fukunaga Y, Murata K, Okajima M, Moriya Y, Shimada Y. Survival outcomes following laparoscopic versus open D3 dissection for stage II or III colon cancer (JCOG0404): a phase 3, randomised controlled trial. Lancet Gastroenterol Hepatol. 2017 Apr;2(4):261-268. doi: 10.1016/S2468-1253(16)30207-2. Epub 2017 Feb 2.

Reference Type DERIVED
PMID: 28404155 (View on PubMed)

Yamamoto S, Inomata M, Katayama H, Mizusawa J, Etoh T, Konishi F, Sugihara K, Watanabe M, Moriya Y, Kitano S; Japan Clinical Oncology Group Colorectal Cancer Study Group. Short-term surgical outcomes from a randomized controlled trial to evaluate laparoscopic and open D3 dissection for stage II/III colon cancer: Japan Clinical Oncology Group Study JCOG 0404. Ann Surg. 2014 Jul;260(1):23-30. doi: 10.1097/SLA.0000000000000499.

Reference Type DERIVED
PMID: 24509190 (View on PubMed)

Related Links

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Other Identifiers

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C000000105

Identifier Type: -

Identifier Source: secondary_id

JCOG0404

Identifier Type: -

Identifier Source: org_study_id

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