Enhanced Recovery After Surgery Program for Gastric Cancer: a Multi-center Study

NCT ID: NCT03121729

Last Updated: 2018-04-30

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

1000 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-06-21

Study Completion Date

2018-12-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

This study is aimed to evaluate the safety of applying enhanced recovery after surgery for gastric cancer.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

In China, gastric cancer results in the second highest morbidity and mortality rates among all malignancies. It is very important for treatment of gastric cancer to enhance the quality of treatment, increase patients' survival rate and improve the life quality. Now, "Gastric Cancer, Version 3.2016, NCCN Clinical Practice Guidelines in Oncology" and "Japanese gastric cancer treatment guidelines 2014 (ver. 4)" recommended surgical resection for gastric cancer. As a result, increasing the quality of surgery and improving the perioperative measures have a great influence on patients received a gastrectomy. Before, patients discharged on 7-10 days after gastrectomy and recovered 4-8 weeks after surgery. So, it is significant for patients to recover from surgical trauma in order to receive other anti-cancer therapies after gastrectomy. Investigators spent over ten years studying enhanced recovery after surgery programs for gastric cancer and have got some successful experience. Investigators found enhanced recovery after surgery can accelerate patients' recovery without increasing complications.

This study is the first multi-center study of enhanced recovery after surgery for gastric cancer all over the world. During this period, the study is aimed to evaluate the safety of applying enhanced recovery after surgery for gastric cancer.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Gastric Cancer

Keywords

Explore important study keywords that can help with search, categorization, and topic discovery.

enhanced recovery after surgery gastric cancer

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

NA

Intervention Model

SINGLE_GROUP

Patients will receive enhanced recovery after surgery programs.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

enhanced recovery after surgery

enhanced recovery after surgery includes:

1. Multimodal analgesia
2. Early oral intake A: Drink water after anesthetic awareness. B: Recover semi-liquid diet
3. Management of nasogastric tube and catheter A: Not indwell nasogastric tube conventionally B: Remove catheter early
4. Early activity
5. Perioperative controlled infusion A: Load carbohydrate preoperatively B: No preoperative bowel preparation C: Fast six hours before surgery, no drink two hours before surgery D: Intraoperative liquid management: 3-6ml/kg/h, determined by anesthetists E: Stop intravenous infusion upon 2000-2500ml water and semiliquid diet being taken

Group Type EXPERIMENTAL

enhanced recovery after surgery

Intervention Type PROCEDURE

Undergo an enhanced recovery after surgery program

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

enhanced recovery after surgery

Undergo an enhanced recovery after surgery program

Intervention Type PROCEDURE

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

1. Requirements of informed consent and assent of participant, parent or legal guardian as applicable
2. Patients with gastric cancer scheduled for radical gastrectomy and between the age of 18 and 75 years old without considering sex
3. ASA physical status I-III
4. Participants can follow the drug doses and visit plan

Exclusion Criteria

1. Patients certified by a doctor that doesn't fit to participate in this study.
2. Patients with ischemic heart disease, cerebrovascular disease and peripheral vascular disease, or their cardiac function \> II (NYHA) patients, patients received CABG recently, and patients with severe hypertension (systolic pressure≥180mmHg or diastolic pressure≥110mmHg).
3. Patients with gastric cancer with distant metastasis.
4. Patients with severe infection, respiratory dysfunction, coagulation disorders, severe liver and renal dysfunction (Child - Pugh≥ 10; creatinine clearance \< 25 ml/min).
5. Patients allergic to common drugs, such as opioids, non-steroidal drugs, cephalosporins, etc.
6. Patients with operations of gastrointestinal cancer and complicated abdominal operations.
7. Patients complicated by gastric cancer with complications such as hemorrhage, perforation, obstruction.
8. Patients with dyscrasia and severe malnutrition (albumin≤30g/L, weight loss in half a year\>10%, SGA classification C, BMI\<18, Hb\<70g/L).
9. Patients with metabolic complications caused by diabetes.
10. Patients can't finish enhanced recovery after surgery programs and have contraindications of enhanced recovery after surgery.
11. Pregnancy and lactation women, or have a pregnancy plan within a month after the test of the subjects (also including male participants).
12. Patients participated other subjects 3 months before this subject.
13. Sponsors or researchers directly involved in the testing or their family members.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Jinling Hospital, China

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Jian ZHAO

Vice director of Research Institute of General Surgery

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Zhi-Wei JIANG, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Jinling Hospital, Medical School of Nanjing University

Jian ZHAO, Ph.D.

Role: STUDY_DIRECTOR

Jinling Hospital, Medical School of Nanjing University

Gang WANG, Ph.D.

Role: STUDY_DIRECTOR

Jinling Hospital, Medical School of Nanjing University

Jiang LIU, M.D.

Role: STUDY_DIRECTOR

Jinling Hospital, Medical School of Nanjing University

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

The First People's Hospital of Changzhou

Changzhou, Jiangsu, China

Site Status RECRUITING

Changzhou Second People's Hospital Affiliated to Nanjing Medical University

Changzhou, Jiangsu, China

Site Status RECRUITING

The First People's Hospital of Lianyungang City

Lianyungang, Jiangsu, China

Site Status RECRUITING

The Second People's Hospital of Lianyungang City

Lianyungang, Jiangsu, China

Site Status RECRUITING

Jiangsu Cancer Hospital

Nanjing, Jiangsu, China

Site Status RECRUITING

Nanjing First Hospital

Nanjing, Jiangsu, China

Site Status RECRUITING

Jinling Hospital, Medical School of Nanjing University

Nanjing, Jiangsu, China

Site Status RECRUITING

Zhongda Hospital, Southeast University

Nanjing, Jiangsu, China

Site Status RECRUITING

the Second Affiliated Hospital of Nanjing Medical University

Nanjing, Jiangsu, China

Site Status RECRUITING

the First Affiliated Hospital of Nanjing Medical University

Nanjing, Jiangsu, China

Site Status RECRUITING

Suqian People's Hospital, Nanjing Drum Tower Hospital

Suqian, Jiangsu, China

Site Status RECRUITING

Suzhou Municipal Hospital

Suzhou, Jiangsu, China

Site Status RECRUITING

The Second Affiliated Hospital of Soochow University

Suzhou, Jiangsu, China

Site Status RECRUITING

The First Affiliated Hospital of Soochow University

Suzhou, Jiangsu, China

Site Status RECRUITING

The First People's Hospital of Taicang

Suzhou, Jiangsu, China

Site Status RECRUITING

Zhangjiagang First People's Hospital

Suzhou, Jiangsu, China

Site Status RECRUITING

the Taizhou People's Hospital

Taizhou, Jiangsu, China

Site Status RECRUITING

The 101 Hospital of the Chinese People's Liberation Army

Wuxi, Jiangsu, China

Site Status RECRUITING

Affiliated Hospital of Jiangnan University, The Forth People's Hospital of Wuxi City

Wuxi, Jiangsu, China

Site Status RECRUITING

Xuzhou Central Hospital

Xuzhou, Jiangsu, China

Site Status RECRUITING

Northern Jiangsu People's Hospital

Yangzhou, Jiangsu, China

Site Status RECRUITING

Affiliated Hospital of Jiangsu University

Zhenjiang, Jiangsu, China

Site Status RECRUITING

Affiliated People's Hospital of Jiangsu University

Zhenjiang, Jiangsu, China

Site Status RECRUITING

Countries

Review the countries where the study has at least one active or historical site.

China

Central Contacts

Reach out to these primary contacts for questions about participation or study logistics.

Zhi-Wei JIANG, Ph.D.

Role: CONTACT

Phone: 8602580860034

Email: [email protected]

Jian ZHAO, Ph.D.

Role: CONTACT

Phone: 8602580860034

Email: [email protected]

Facility Contacts

Find local site contact details for specific facilities participating in the trial.

Qicheng LU, M.D.

Role: primary

Liming TANG, M.D.

Role: primary

Huiyu CHEN, M.D.

Role: primary

Zengtao BAO, M.D.

Role: backup

Yongchang MIAO, M.D.

Role: primary

Gang WANG, M.D.

Role: backup

Gang LI, M.D.

Role: primary

Hongyong CAO, M.D.

Role: primary

Zhi-Wei JIANG, Ph.D.

Role: primary

Jian ZHAO, Ph.D.

Role: backup

Jingmin WANG, M.D.

Role: primary

Jianping ZHANG, M.D.

Role: primary

Qinghong ZHAO, M.D.

Role: backup

Lizong SHEN, M.D.

Role: primary

Yongbin DING, M.D.

Role: backup

Jianqiang WU, M.D.

Role: primary

Xinhua GU, M.D.

Role: primary

Renbin SHEN, M.D.

Role: backup

Haorong WU, M.D.

Role: primary

Yongyou WU, M.D.

Role: backup

Xinguo ZHU, M.D.

Role: primary

Zhongqi MAO, M.D.

Role: backup

Yi WANG, M.D.

Role: primary

Bing WANG, M.D.

Role: backup

Shusheng WANG, M.D.

Role: primary

Qinghong LIU, M.D.

Role: primary

Honggang WANG, M.D.

Role: backup

Guozhong WU, M.D.

Role: primary

Bojian FEI, M.D.

Role: primary

Xiaopeng LV, M.D.

Role: primary

Ping CHEN, M.D.

Role: primary

Xinxin LIU, M.D.

Role: backup

Jixiang CHEN, M.D.

Role: primary

Pengcheng JIANG, M.D.

Role: primary

Shouliang ZHANG, M.D.

Role: backup

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

BE2015687

Identifier Type: -

Identifier Source: org_study_id