Fast Track Protocol After Radical Cystectomy and Urinary Diversion: A Randomised Controlled Trial.

NCT ID: NCT04939194

Last Updated: 2021-06-25

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

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-01-15

Study Completion Date

2023-07-01

Brief Summary

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We will design a randomized controlled single center study in which we will compare 2 groups of patients, 1 with standard perioperative protocols and another one in which we will apply fast track protocols in patients after radical cystectomy and urinary diversion .

Detailed Description

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Study hypothesis:

Fast Track Protocol after Radical Cystectomy reduces the length of hospital stay and the early postoperative complications relative to the traditional perioperative care regimen.

Purpose of the study:

1. To evaluate the the perioperative efficacy, safety and benefits of fast track protocol implementation after radical cystectomy and to optimize perioperative patient care for the benefit of "fast-track" surgery.
2. To evaluate early complications in patients with bladder cancer who will be subjected to radical cystectomy and urinary diversion.

Study groups:

Group 1: Fast Track group (105 patients). Group 2: Conventional perioperative care group (105 patients).

Study design:

The design of the research will be a prospective randomised, open-label, controlled study on 210 consecutive patients with bladder cancer who will be subjected to radical cystectomy and urinary diversion. All the patients will sign an informed consent. Length of stay, dietary issues, and return of bowel function, readmission rates and complications will be evaluated.

Study setting/location:

The study will be conducted in a single tertiary centre, Urology and Nephrology Centre in Mansoura, Egypt. The study will be carried out on patient with bladder cancer who will be subjected to radical cystectomy and urinary diversion.

Study duration:

The study will last about 2 and half years.

Randomisation:

Randomization will be performed using computer generated, sequentially numbered random tables. Ratio of assignment to groups is 1: 1.

Allocation concealment and blinding:

We are well aware that it is very difficult to properly blind trials comparing surgical treatments. Allocation of patients to treatment groups will be self-evident following randomization and blinding of patient groups and observers will not be possible. So, our trial will be a randomised, open-label, controlled trial.

Type of analysis:

Intention-to-treat analysis is planned in this trial. We will include all patients randomized to the fast track group regardless of their adherence and compliance to the early recovery after surgery (ERAS) items.

Conditions

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Bladder 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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Fast Track Protocol

the 22 items of ERAS (Early Recovery After Surgery) society

Group Type EXPERIMENTAL

Fast Track Protocol

Intervention Type BEHAVIORAL

We will apply 22 items of ERAS society

Conventional perioperative care program

standard perioperative care

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Fast Track Protocol

We will apply 22 items of ERAS society

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Patients undergoing radical cystectomy and urinary diversion surgery including orthotopic neobladder and ileal loop conduit

Exclusion Criteria

1. Radical cystectomy performed in an emergency setting
2. Patients who refused fast track protocol
3. Mental illnesses
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mansoura University

OTHER

Sponsor Role lead

Responsible Party

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Ahmed Mohammed Lashin

A.M.Lashin

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ahmed Mosbah, Prof.

Role: STUDY_CHAIR

Urology department , Urology and Nephrology Center , Faculty of Medicine, Mansoura University, Egypt

Mahmoud Laymon, Lecturer.

Role: STUDY_DIRECTOR

Urology department , Urology and Nephrology Center , Faculty of Medicine, Mansoura University, Egypt

Ahmed Lashin, Dr.

Role: PRINCIPAL_INVESTIGATOR

Urology department , Urology and Nephrology Center , Faculty of Medicine, Mansoura University, Egypt

Locations

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Mansoura Urology & Nephrology Center

Al Mansurah, , Egypt

Site Status

Countries

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Egypt

Other Identifiers

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UNC , Mansoura

Identifier Type: -

Identifier Source: org_study_id

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