Short-term Outcomes of Full Bowel Preparation (MBP+OA) for Rectal Resections for Cancer Versus MBP Alone

NCT ID: NCT04592289

Last Updated: 2023-11-18

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

RECRUITING

Clinical Phase

NA

Total Enrollment

622 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-10-30

Study Completion Date

2024-08-31

Brief Summary

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The purpose of the study is to determine if short-term outcomes of rectal resections after full bowel preparation (mechanical bowel preparation plus oral antibiotics) are superior to rectal resections with only mechanical bowel preparation.

Detailed Description

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The design involves random allocation of eligible patients to full bowel preparation or only mechanical bowel preparation in 1:1 ratio. After that rectal resection is performed in both groups.

Short-term outcomes are assessed in 30 day period after surgery. This is a superiority trial evaluating statistical superiority. Rate of surgical site infection is anticipated to decrease from 12% (data from local registry) to 6%. For power of 80% enrolment of 622 patients is required.

The intent-to-treat principle is used for the data analysis.

Conditions

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Rectal Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Full bowel preparation (MBP+OA)

Rifaximin 400 mg twice daily for three days prior to surgery

Day prior to surgery:

17.00 - 18.00 Macrogol-3350 - 100 g Sodium sulfate - 7,5 g Sodium chloride - 2,691 g Potassium chloride - 1,015 g Ascorbic acid - 4,7 g Sodium ascorbate - 5,9 g Clear fluids - 1000 ml

18.00 - 19.00 Clear fluids 500 ml

19.00 - 20.00 17.00 - 18.00 Macrogol-3350 - 100 g Sodium sulfate - 7,5 g Sodium chloride - 2,691 g Potassium chloride - 1,015 g Ascorbic acid - 4,7 g Sodium ascorbate - 5,9 g Clear fluids - 1000 ml

20.00 - 21.00 Clear fluids 500 ml

Group Type EXPERIMENTAL

Full bowel preparation

Intervention Type PROCEDURE

MBP+OA

Mechanical bowel preparation only

Day prior to surgery:

17.00 - 18.00 Macrogol-3350 - 100 g Sodium sulfate - 7,5 g Sodium chloride - 2,691 g Potassium chloride - 1,015 g Ascorbic acid - 4,7 g Sodium ascorbate - 5,9 g Clear fluids - 1000 ml

18.00 - 19.00 Clear fluids 500 ml

19.00 - 20.00 Macrogol-3350 - 100 g Sodium sulfate - 7,5 g Sodium chloride - 2,691 g Potassium chloride - 1,015 g Ascorbic acid - 4,7 g Sodium ascorbate - 5,9 g Clear fluids - 1000 ml

20.00 - 21.00 Clear fluids 500 ml

Group Type ACTIVE_COMPARATOR

Mechanical bowel preparation only

Intervention Type PROCEDURE

MBP

Interventions

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Full bowel preparation

MBP+OA

Intervention Type PROCEDURE

Mechanical bowel preparation only

MBP

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* histologically confirmed adenocarcinoma of the rectum or rectosigmoid junction
* clinical stage T1-4aN0-2M0-1 (distant metastases must be resectable)
* indications for surgical rectal resection
* ECOG status 0-2
* At least 18 years of age
* Written informed consent

Exclusion Criteria

* Medical or psychiatric conditions that compromise the patient's ability to give informed consent or comply with the study protocol
* Pregnancy or breast feeding
* Medical contraindications for surgical treatment
* Any use of antibiotics 30 days prior to inclusion
* Functioning stoma
* Contraindications for use of MBP or OA drugs or their components
* Indications for obstructive resection or abdominoperineal excision
* Acute bowel obstruction, bleeding or perforation
* Other malignancies not in remission
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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N.N. Petrov National Medical Research Center of Oncology

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Aleksei Karachun

Role: STUDY_CHAIR

National Medical Research Centre of Oncology named after N.N. Petrov

Locations

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GBUZ Moscow Clinical Scientific Center named after Loginov MHD

Moscow, , Russia

Site Status RECRUITING

I.M. Sechenov First Moscow State Medical University, Clinic of Oncology, Radiotherapy and Reconstructive Surgery

Moscow, , Russia

Site Status RECRUITING

Lomonosov Moscow State University Medical Research and Educational Center

Moscow, , Russia

Site Status RECRUITING

Ryazan State Clinical Hospital

Ryazan, , Russia

Site Status RECRUITING

Scientific-Research institute of Oncology named after N.N. Petrov

Saint Petersburg, , Russia

Site Status RECRUITING

Tomsk Regional Oncology Hospital

Tomsk, , Russia

Site Status RECRUITING

Volgograd State Medical University, Ministry of Health of Russia

Volgograd, , Russia

Site Status RECRUITING

Countries

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Russia

Central Contacts

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Aleksei Karachun

Role: CONTACT

+79219462123

Aleksei Petrov

Role: CONTACT

+79214117866

Facility Contacts

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Georgy Saakyan

Role: primary

+79629532211

Liliya Polishchuk

Role: primary

+79166349069

Tatiana Garmanova

Role: primary

+79773429249

Ivan Ignatov

Role: primary

+79065440152

Aleksei Petrov

Role: primary

+79214117866

Evgeniy Drozdov

Role: primary

+79234186405

Mikhail Postolov

Role: primary

+79093845833

Other Identifiers

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COL-3

Identifier Type: -

Identifier Source: org_study_id

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