STELLA 2 Trial: Transperitoneal vs. Extraperitoneal Approach for Laparoscopic Staging of Endometrial/Ovarian Cancer

NCT ID: NCT02676726

Last Updated: 2019-10-24

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

NA

Total Enrollment

208 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-07-31

Study Completion Date

2019-09-08

Brief Summary

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The purpose of this study is to determine whether or not there are more complications in the extraperitoneal compared with the transperitoneal approach for laparoscopic aortic lymphadenectomy for the surgical staging of endometrial or ovarian cancer

Detailed Description

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Conditions

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Endometrial Neoplasms Ovarian Neoplasms

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Extraperitoneal

Patients who where randomized to extraperitoneal laparoscopic aortic lymphadenectomy.

Group Type EXPERIMENTAL

Extraperitoneal Laparoscopic aortic lymphadenectomy

Intervention Type PROCEDURE

Aortic/para-aortic lymph nodes dissection and retrieval by extraperitoneal laparoscopy; the intervention may be completed by robotic-assisted or traditional laparoscopy.

Transperitoneal

Patients who where randomized to transperitoneal laparoscopic aortic lymphadenectomy.

Group Type ACTIVE_COMPARATOR

Transperitoneal Laparoscopic aortic lymphadenectomy

Intervention Type PROCEDURE

Aortic/para-aortic lymph nodes dissection and retrieval by transperitoneal laparoscopy; the intervention may be completed by robotic-assisted or traditional laparoscopy.

Interventions

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Extraperitoneal Laparoscopic aortic lymphadenectomy

Aortic/para-aortic lymph nodes dissection and retrieval by extraperitoneal laparoscopy; the intervention may be completed by robotic-assisted or traditional laparoscopy.

Intervention Type PROCEDURE

Transperitoneal Laparoscopic aortic lymphadenectomy

Aortic/para-aortic lymph nodes dissection and retrieval by transperitoneal laparoscopy; the intervention may be completed by robotic-assisted or traditional laparoscopy.

Intervention Type PROCEDURE

Other Intervention Names

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Extraperitoneal laparoscopic para-aortic lymphadenectomy Retroperitoneal laparoscopic lumbo-aortic lymphadenectomy Transperitoneal laparoscopic para-aortic lymphadenectomy Transperitoneal laparoscopic lumbo-aortic lymphadenectomy

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of endometrial cancer confirmed by histopathological analysis (endometrial biopsy) requiring surgical staging according to FIGO (the International Federation of Gynecology and Obstetrics) recommendations
* Diagnosis of ovarian cancer confirmed by histopathological analysis after an initial cystectomy or oophorectomy without suspicion of neoplasia thus requiring additional surgical staging according to FIGO recommendations

Exclusion Criteria

* Diagnosis of advanced endometrial cancer based on findings on imaging techniques (CT, MRI and/or PET)
* Diagnosis of advanced endometrial or ovarian cancer based on intraoperative findings (e.g. peritoneal carcinomatosis at initial laparoscopy)
* Patients who underwent previous aortic lymphadenectomy
* Patients who received previous pelvic and/or aortic radiotherapy
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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European Regional Development Fund

OTHER

Sponsor Role collaborator

Hospital Universitari Vall d'Hebron Research Institute

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Antonio Gil Moreno, MD, PhD

Role: STUDY_CHAIR

Hospital Universitari Vall d'Hebron. Universitat Autonoma de Barcelona

Berta Diaz Feijoo, MD, PhD

Role: STUDY_DIRECTOR

Hospital Universitari Vall d'Hebron. Universitat Autonoma de Barcelona

Alejandro Correa Paris, MD

Role: PRINCIPAL_INVESTIGATOR

Hospital Universitari Vall d'Hebron. Universitat Autonoma de Barcelona

M. Assumpció Pérez-Benavente, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Hospital Universitari Vall d'Hebron. Universitat Autonoma de Barcelona

Silvia Franco Camps, MD

Role: PRINCIPAL_INVESTIGATOR

Hospital Universitari Vall d'Hebron. Universitat Autonoma de Barcelona

Jose Luis Sánchez Iglesias, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Hospital Universitari Vall d'Hebron. Universitat Autonoma de Barcelona

Silvia Cabrera Díaz, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Hospital Universitari Vall d'Hebron. Universitat Autonoma de Barcelona

Oriol Puig Puig, MD

Role: PRINCIPAL_INVESTIGATOR

Hospital Universitari Vall d'Hebron. Universitat Autonoma de Barcelona

Javier De La Torre, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Hospital Universitari Vall d'Hebron. Universitat Autonoma de Barcelona

Locations

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Hospital Universitari Vall d'Hebron. Universitat Autonoma de Barcelona

Barcelona, , Spain

Site Status

Countries

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Spain

References

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Vasilev SA, McGonigle KF. Extraperitoneal laparoscopic para-aortic lymph node dissection. Gynecol Oncol. 1996 Jun;61(3):315-20. doi: 10.1006/gyno.1996.0149.

Reference Type BACKGROUND
PMID: 8641608 (View on PubMed)

Dowdy SC, Aletti G, Cliby WA, Podratz KC, Mariani A. Extra-peritoneal laparoscopic para-aortic lymphadenectomy--a prospective cohort study of 293 patients with endometrial cancer. Gynecol Oncol. 2008 Dec;111(3):418-24. doi: 10.1016/j.ygyno.2008.08.021. Epub 2008 Oct 2.

Reference Type BACKGROUND
PMID: 18835020 (View on PubMed)

Gil-Moreno A, Maffuz A, Diaz-Feijoo B, Puig O, Martinez-Palones JM, Perez A, Garcia A, Xercavins J. Modified approach for extraperitoneal laparoscopic staging for locally advanced cervical cancer. J Exp Clin Cancer Res. 2007 Dec;26(4):451-8.

Reference Type BACKGROUND
PMID: 18365538 (View on PubMed)

Gil-Moreno A, Diaz-Feijoo B, Morchon S, Xercavins J. Analysis of survival after laparoscopic-assisted vaginal hysterectomy compared with the conventional abdominal approach for early-stage endometrial carcinoma: a review of the literature. J Minim Invasive Gynecol. 2006 Jan-Feb;13(1):26-35. doi: 10.1016/j.jmig.2005.08.013.

Reference Type BACKGROUND
PMID: 16431320 (View on PubMed)

Gil-Moreno A, Diaz-Feijoo B, Perez-Benavente A, del Campo JM, Xercavins J, Martinez-Palones JM. Impact of extraperitoneal lymphadenectomy on treatment and survival in patients with locally advanced cervical cancer. Gynecol Oncol. 2008 Sep;110(3 Suppl 2):S33-5. doi: 10.1016/j.ygyno.2008.03.024. Epub 2008 Jun 5.

Reference Type BACKGROUND
PMID: 18538379 (View on PubMed)

Gil-Moreno A, Franco-Camps S, Diaz-Feijoo B, Perez-Benavente A, Martinez-Palones JM, Del Campo JM, Parera M, Verges R, Castellvi J, Xercavins J. Usefulness of extraperitoneal laparoscopic paraaortic lymphadenectomy for lymph node recurrence in gynecologic malignancy. Acta Obstet Gynecol Scand. 2008;87(7):723-30. doi: 10.1080/00016340802136343.

Reference Type BACKGROUND
PMID: 18607826 (View on PubMed)

Pakish J, Soliman PT, Frumovitz M, Westin SN, Schmeler KM, Reis RD, Munsell MF, Ramirez PT. A comparison of extraperitoneal versus transperitoneal laparoscopic or robotic para-aortic lymphadenectomy for staging of endometrial carcinoma. Gynecol Oncol. 2014 Feb;132(2):366-71. doi: 10.1016/j.ygyno.2013.12.019. Epub 2013 Dec 20.

Reference Type BACKGROUND
PMID: 24361579 (View on PubMed)

Dowdy SC, Mariani A. Lymphadenectomy in endometrial cancer: when, not if. Lancet. 2010 Apr 3;375(9721):1138-40. doi: 10.1016/S0140-6736(09)62068-7. Epub 2010 Feb 24. No abstract available.

Reference Type BACKGROUND
PMID: 20188409 (View on PubMed)

Mariani A, Dowdy SC, Cliby WA, Gostout BS, Jones MB, Wilson TO, Podratz KC. Prospective assessment of lymphatic dissemination in endometrial cancer: a paradigm shift in surgical staging. Gynecol Oncol. 2008 Apr;109(1):11-8. doi: 10.1016/j.ygyno.2008.01.023. Epub 2008 Mar 4.

Reference Type BACKGROUND
PMID: 18304622 (View on PubMed)

Gil-Moreno A, Franco-Camps S, Cabrera S, Perez-Benavente A, Martinez-Gomez X, Garcia A, Xercavins J. Pretherapeutic extraperitoneal laparoscopic staging of bulky or locally advanced cervical cancer. Ann Surg Oncol. 2011 Feb;18(2):482-9. doi: 10.1245/s10434-010-1320-9. Epub 2010 Sep 14.

Reference Type BACKGROUND
PMID: 20839058 (View on PubMed)

Diaz-Feijoo B, Gil-Ibanez B, Perez-Benavente A, Martinez-Gomez X, Colas E, Sanchez-Iglesias JL, Cabrera-Diaz S, Puig-Puig O, Magrina JF, Gil-Moreno A. Comparison of robotic-assisted vs conventional laparoscopy for extraperitoneal paraaortic lymphadenectomy. Gynecol Oncol. 2014 Jan;132(1):98-101. doi: 10.1016/j.ygyno.2013.11.004. Epub 2013 Nov 11.

Reference Type BACKGROUND
PMID: 24231134 (View on PubMed)

Bebia V, Gil-Moreno A, Hernandez A, Gilabert-Estelles J, Franco-Camps S, de la Torre J, Siegrist J, Chipirliu A, Cabrera S, Bradbury M, Perez-Benavente A, Diaz-Feijoo B. Robot-assisted Extraperitoneal Para-aortic Lymphadenectomy Is Associated with Fewer Surgical Complications: A Post Hoc Analysis of the STELLA-2 Randomized Trial. J Minim Invasive Gynecol. 2021 Dec;28(12):2004-2012.e1. doi: 10.1016/j.jmig.2021.05.009. Epub 2021 May 20.

Reference Type DERIVED
PMID: 34022445 (View on PubMed)

Diaz-Feijoo B, Bebia V, Hernandez A, Gilabert-Estalles J, Franco-Camps S, de la Torre J, Segrist J, Chipirliu A, Cabrera S, Perez-Benavente A, Gil-Moreno A. Surgical complications comparing extraperitoneal vs transperitoneal laparoscopic aortic staging in early stage ovarian and endometrial cancer. Gynecol Oncol. 2021 Jan;160(1):83-90. doi: 10.1016/j.ygyno.2020.10.038. Epub 2020 Nov 5.

Reference Type DERIVED
PMID: 33160695 (View on PubMed)

Other Identifiers

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P14/1817

Identifier Type: -

Identifier Source: org_study_id

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