Enhanced Recovery After Surgery Program for Colorectal Cancer: a Multi-center Study (ERASC1)

NCT ID: NCT03126058

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

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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

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

Detailed Description

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In China, Europe and America, colorectal cancer is one of common malignant tumors. It is very important for treatment of colorectal cancer to enhance the quality of treatment, increase patients' survival rate and improve the life quality. So far, surgical resection is optimal treatment for patients with colorectal cancer. As a result, increasing the quality of surgery and improving the perioperative managements have a great influence on patients received a coloproctectomy. Investigators have spent over ten years studying enhanced recovery after surgery programs for colorectal 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 colorectal cancer in China. During this period, the study is aimed to evaluate the safety of applying enhanced recovery after surgery for colorectal cancer.

Conditions

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Colorectal Cancer

Keywords

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enhanced recovery after surgery colorectal cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

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

TREATMENT

Blinding Strategy

NONE

Study Groups

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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 for right hemicolectomy, Miles rectectomy and Hartman rectectomy, simple cleansing enema for left hemicolectomy,sigmoidectomy and Dixon rectectomy; 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

Patients will undergo enhanced recovery after surgery programs.

Interventions

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enhanced recovery after surgery

Patients will undergo enhanced recovery after surgery programs.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Requirements of informed consent and assent of participant, parent or legal guardian as applicable
2. Patients with colorectal cancer scheduled for radical coloproctectomy 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 colorectal 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 colorectal 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

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Jinling Hospital, China

OTHER

Sponsor Role lead

Responsible Party

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Jian ZHAO

Vice director of Research Institute of General Surgery

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Zhi-Wei JIANG

Role: PRINCIPAL_INVESTIGATOR

Jinling Hospital, Medical School of Nanjing University

Jian ZHAO

Role: STUDY_DIRECTOR

Jinling Hospital, Medical School of Nanjing University

Gang WANG

Role: STUDY_DIRECTOR

Jinling Hospital, Medical School of Nanjing University

Jiang LIU

Role: STUDY_DIRECTOR

Jinling Hospital, Medical School of Nanjing University

Locations

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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

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

The Second People's Hospital of Changshu City

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

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

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China

Central Contacts

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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

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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

Role: backup

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

Role: backup

Haorong WU, M.D.

Role: primary

Yongyou WU, M.D.

Role: backup

Xinguo ZHU, M.D.

Role: primary

Zhongqi MAO

Role: backup

Yi WANG, M.D.

Role: primary

Bing WANG, M.D.

Role: backup

Guoqiang ZHOU, M.D.

Role: primary

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

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BE2015687C

Identifier Type: -

Identifier Source: org_study_id