Efficacy and Safety Study of Endoscopic Submucosal Dissection for Early Gastric Cancer

NCT ID: NCT01132469

Last Updated: 2010-05-28

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

1158 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-05-31

Study Completion Date

2017-06-30

Brief Summary

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The purpose of this study is to evaluate the safety and clinical effectiveness of ESD(Endoscopic Submucosal Dissection) for early gastric cancer analyzing short-term and long-term results of endoscopic treatment.

Detailed Description

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Traditionally open-gastrectomy is the standard treatment for gastric cancer without distant metastasis, but high mortality and morbidity, the intense weight loss, food intake difficulties after surgery are fraught, including problems with the drawback of significantly degrading the quality of life. Therefore, a lot of effort to seek the more simple treatment than open gastrectomy has been made, recently the endoscopic treatment for early gastric cancer is the most widely used treatment.

This single-arm, multi-center study enroll early gastric cancer patients after ESD compared with the retrospective control(surgical treatment) group considering the unreality of the randomized clinical trials. In addition, the quality of life assessment by the EORTC C30/STO22 tools before and after ESD procedure in enrolled patients will be performed and the direct cost analysis also will be conducted.

Conditions

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Endoscopic Submucosal Dissection Early Gastric Cancer Multi-center, Single-arm Clinical Trial Historical Control Group Quality of Life and Cost Analysis

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Endoscopic Submucosal Dissection

Single-arm for ESD procedure and retrospective surgical procedure(Laparoscopy, Open surgery)data collection

Group Type EXPERIMENTAL

Endoscopic Submucosal Dissection

Intervention Type PROCEDURE

5-years follow-up after Endoscopic Submucosal Dissection

Interventions

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Endoscopic Submucosal Dissection

5-years follow-up after Endoscopic Submucosal Dissection

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Korean people aged \>=20 years
* Endoscopic Grossly the lesion diameter ≤ 3cm
* Endoscopic biopsy results: Well-differentiated and moderately differentiated adenocarcinoma
* No ulcers in lesions
* Endoscopic biopsy results: In case of gastric cancer, no metastasis in CT test performed before ESD procedure


* Subject with gastric laparoscopy or open-surgery for treatment early gastric cancer during 2002.1.1 \~2004. 12. 31
* Korean people aged \>=20 years
* Early gastric cancer confirmed by pathology during gastric surgery; Gastric cancer confirmed to the mucosal or submucosal regardless of lymph node metastasis
* No history of malignant disease in other organs
* No history of stomach surgery due to peptic ulceration etc.

Exclusion Criteria

* Subject with history of malignant disease in other organs
* Subject with history of stomach surgery due to peptic ulceration etc.
* As the cases of an absolute contraindication of general anesthesia; Subject with chronic liver disease over Child score B, Subject with chronic Renal Disease requiring hemodialysis or peritoneal dialysis, Subject with heart failure more than Ⅲ score according to New York Heart Association Classification, Subject with severe systemic diseases such as respiratory disease
* Subject with Bleeding tendency
* Pregnant woman or woman with possibility of pregnancy
* Subject who cann't be obtained informed consent
* Subject who is unable to follow up for any other reason
2. Surgery Group(Retrospective data collection)
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Evidence-Based Healthcare Collaborating Agency

OTHER_GOV

Sponsor Role lead

Responsible Party

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National Evidence-based Healthcare Collaborating Agency

Principal Investigators

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Sang-Yong Seol, M.D.

Role: PRINCIPAL_INVESTIGATOR

Inje University College of Medicine

Locations

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Inje University Busan Baik Hospital and 10 other institutes

Busan, , South Korea

Site Status RECRUITING

Countries

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South Korea

Central Contacts

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Eunhee Shin, Ph.D.

Role: CONTACT

Phone: 82-2-2174-2740

Email: [email protected]

Jonghee Kim, MS

Role: CONTACT

Phone: 82-2-2174-2742

Email: [email protected]

Facility Contacts

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Sang-Yong Seol, M.D.

Role: primary

Other Identifiers

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NA09-003

Identifier Type: -

Identifier Source: org_study_id