Robot-assisted Esophagectomy Versus Conventional Thoracoscopic Esophagectomy

NCT ID: NCT03094351

Last Updated: 2020-02-05

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

PHASE3

Total Enrollment

360 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-07-29

Study Completion Date

2024-12-01

Brief Summary

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This is the first randomized controlled study to compare the robot-assisted esophagectomy (RAE) to minimally invasive conventional thoracoscopic esophagectomy (CTE). The aim of this trial is to evaluate the safety, risks of the robot-assisted esophagectomy, and to compare the short-term operative outcomes and long-term oncological outcomes between the two surgical treatments.

Detailed Description

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Objective: This study aims to compare the oncological outcomes between robot-assisted esophagectomy and minimally invasive conventional thoracoscopic esophagectomy.

Study design: Randomized controlled parallel-group superiority trial Study population: Patients (age \>= 18 and \<= 75 years) with histologically proven surgically resectable (cT1b-3, N0-2, M0) squamous cell carcinoma of the intrathoracic esophagus with European Clinical Oncology Group performance status 0, 1 or 2.

Intervention: 360 patients will be randomly allocated to either A) robot-assisted esophagectomy (n=180) or B) conventional thoracoscopic esophagectomy (n=180).

Patients will receive the following interventions:

Group A. robot assisted esophagectomy, with gastric conduit formation. Group B. conventional thoracoscopic esophagectomy, with gastric conduit formation.

Main study parameters/endpoints: Primary outcome is 5-year overall survival rate.

Secondary outcomes are 5-year disease free survival, 3-year overall survival rate, 3-year disease free survival, (in hospital) mortality within 30 and 60 days, R0 resections, operation related events, postoperative recovery, lymph nodes status, quality of life.

Follow-up: 60 months after discharge of the last randomized patient.

Conditions

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Esophageal Cancer Esophageal Carcinoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Parallel Assignment
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Open Label

Study Groups

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Robot assisted esophagectomy

Robot-assisted esophagectomy with gastric conduit formation.

Group Type EXPERIMENTAL

esophagectomy

Intervention Type PROCEDURE

Robot assisted esophagectomy with extended two field lymphadenectomy.

Thoracoscopic esophagectomy

Conventional thoracoscopic esophagectomy with gastric conduit formation.

Group Type ACTIVE_COMPARATOR

esophagectomy

Intervention Type PROCEDURE

Conventional thoracoscopic esophagectomy with extended two field lymphadenectomy.

Interventions

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esophagectomy

Robot assisted esophagectomy with extended two field lymphadenectomy.

Intervention Type PROCEDURE

esophagectomy

Conventional thoracoscopic esophagectomy with extended two field lymphadenectomy.

Intervention Type PROCEDURE

Other Intervention Names

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minimally invasive esophagectomy minimally invasive esophagectomy

Eligibility Criteria

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Inclusion Criteria

* Histologically proven squamous cell carcinoma of the intrathoracic esophagus.
* Surgical resectable (T1b-3, N0-2, M0)
* Age ≥ 18 and ≤ 75 years
* European Clinical Oncology Group performance status 0, 1 or 2
* Written informed consent

Exclusion Criteria

* Carcinoma of the cervical esophagus
* Histologically proven adenocarcinoma or undifferentiated carcinoma.
* Prior thoracic surgery at the right hemithorax or thorax trauma.
* Infectious disease with systemic therapy indicated.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ruijin Hospital

OTHER

Sponsor Role collaborator

Changhai Hospital

OTHER

Sponsor Role collaborator

Shanghai Zhongshan Hospital

OTHER

Sponsor Role collaborator

The First Affiliated Hospital of Nanchang University

OTHER

Sponsor Role collaborator

Shanghai Chest Hospital

OTHER

Sponsor Role lead

Responsible Party

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Zhigang Li

Chief

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Zhigang Li, Master

Role: PRINCIPAL_INVESTIGATOR

Shanghai Chest Hospital of Shanghai Jiao Tong University

Hecheng Li, Master

Role: STUDY_DIRECTOR

Ruijin Hospital

Hezhong Chen, Master

Role: STUDY_DIRECTOR

Changhai Hospital, the Second Military Medical University

Lijie Tan, Master

Role: STUDY_DIRECTOR

Fudan University

Bentong Yu, Master

Role: STUDY_DIRECTOR

The First of Affiliated Hospital of Nanchang University

Locations

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General hospital of eastern theater command

Nanjing, Jiangsu, China

Site Status RECRUITING

The First Affiliated Hospital of Nanchang University

Nanchang, Jiangxi, China

Site Status RECRUITING

Changhai Hospital, The Second Military Medical University

Shanghai, , China

Site Status RECRUITING

Ruijin Hospital, Shanghai Jiao Tong University, School of Medicine

Shanghai, , China

Site Status RECRUITING

Shanghai Chest Hospital, Shanghai Jiao Tong University

Shanghai, , China

Site Status RECRUITING

Zhongshan Hospital, Fudan University

Shanghai, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Zhigang Li, Master

Role: CONTACT

86-18930619260

Xiaobin Zhang, Doctor

Role: CONTACT

86-18516302162

Facility Contacts

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Jun Yi, Doctor

Role: primary

8613675101301

Bentong Yu, Doctor

Role: primary

86-13870614026

Hezhong Chen, Doctor

Role: primary

86-13301783183

Hecheng Li, Doctor

Role: primary

86-13917113402

Zhigang Li, Doctor

Role: primary

86-18930619260

Lijie Tan, Doctor

Role: primary

86-13681972151

References

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Yang Y, Li B, Yi J, Hua R, Chen H, Tan L, Li H, He Y, Guo X, Sun Y, Yu B, Li Z. Robot-assisted Versus Conventional Minimally Invasive Esophagectomy for Resectable Esophageal Squamous Cell Carcinoma: Early Results of a Multicenter Randomized Controlled Trial: the RAMIE Trial. Ann Surg. 2022 Apr 1;275(4):646-653. doi: 10.1097/SLA.0000000000005023.

Reference Type DERIVED
PMID: 34171870 (View on PubMed)

Yang Y, Zhang X, Li B, Li Z, Sun Y, Mao T, Hua R, Yang Y, Guo X, He Y, Li H, Chen H, Tan L. Robot-assisted esophagectomy (RAE) versus conventional minimally invasive esophagectomy (MIE) for resectable esophageal squamous cell carcinoma: protocol for a multicenter prospective randomized controlled trial (RAMIE trial, robot-assisted minimally invasive Esophagectomy). BMC Cancer. 2019 Jun 21;19(1):608. doi: 10.1186/s12885-019-5799-6.

Reference Type DERIVED
PMID: 31226960 (View on PubMed)

Other Identifiers

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RAE20170320

Identifier Type: -

Identifier Source: org_study_id

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