ExPECT: Extraperitoneal End Colostomy Trial

NCT ID: NCT05163873

Last Updated: 2024-04-18

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

COMPLETED

Clinical Phase

NA

Total Enrollment

23 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-12-09

Study Completion Date

2024-03-31

Brief Summary

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A randomised controlled feasibility study to compare two surgery techniques in the formation of a permanent end colostomy; the trans-peritoneal(TP) technique - currently, the most commonly used technique and the investigational extra-peritoneal(EP) technique, which has been reported in small studies to reduce the risk of parastomal hernia . This feasibility study will primarily aim to determine the feasibility viability of progression to a full multi-centre trial and test study design acceptability for participants. Participants will be asked to consent to be randomised to either the TP or EP procedure during surgery. Following surgery, participants will be followed up to a maximum of 12 months and asked to complete quality of life questionnaires (EQ5D and Colostomy Impact Score). Participant data will also be accessed by research teams at site to collect data on stoma appliance use and complications.

Detailed Description

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This feasibility study is a multi-centre, single (patient) blinded, randomised controlled trial (RCT). Co-ordination and trial management will be led from Swansea Trials Unit (STU).

The study will take place across 3 sites: Swansea Bay University Health Board (SBUHB); Aneurin Bevan University Health Board and Cardiff and Vale University Health Board. Surgeons at all three sites have experience with both interventional extra-peritoneal surgical technique and the most commonly used transperitoneal technique.

The investigators aim to recruit 60 participants over 12 months. Local recruitment will be co-ordinated by PIs and research teams. Recruitment is aimed to be equally distributed across all sites. Participants will be equally randomised by arm in each of the three sites: to receive the EP colostomy formation (Intervention) or the standard transperitoneal (TP) technique. Participants will remain blinded as to their treatment until the close of the study.

Data collection will be performed by the clinical and research teams, with support from PIs. Data will be stored centrally in REDCap (Research Electronic Data Capture) software.

The investigators will explore whether it is possible to establish a research infrastructure in which data can be collected and co-ordinated across sites and for patients to be followed up effectively. The investigators will also look to demonstrate standardisation of the operative technique for EP stoma formation and to determine which outcome measures a future trial should explore. This feasibility trial be evaluated against ACCEPT progression criteria.

Conditions

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Colostomy Stoma Cancer of Colon Surgery Quality of Life

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Participants

Study Groups

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Trans-peritoneal

Surgery technique in the formation of permanent end colostomy

Group Type NO_INTERVENTION

No interventions assigned to this group

Extra-peritoneal

Surgery technique in the formation of permanent end colostomy

Group Type EXPERIMENTAL

Extra-peritoneal

Intervention Type PROCEDURE

Surgery procedure: a non-mesh prophylactic surgical technique to prevent PH

Interventions

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Extra-peritoneal

Surgery procedure: a non-mesh prophylactic surgical technique to prevent PH

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Aged 18 years and over
* Able and willing to give informed consent to participate
* Elective patient for colorectal surgery requiring formation of permanent end colostomy (This may include patients undergoing surgery for rectal or anal cancer, inflammatory bowel disease, diverticular disease and functional bowel disorders)
* Suitable to receive both trans-peritoneal and extra-peritoneal techniques

Exclusion Criteria

* Lacking the capacity to consent
* Having emergency surgery
* Previous or current abdominal wall stoma
* Intention to form loop colostomy, ileostomy or double-barrelled stoma
* Previous incisional hernia repair with disruption of abdominal wall layers
* Pregnant or breastfeeding (as determined by standard NHS procedures)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Swansea University

OTHER

Sponsor Role collaborator

Swansea Bay University Health Board

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gregory Taylor

Role: STUDY_DIRECTOR

Swansea Bay University Health Board

Locations

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Cardiff and Vale University Health Board

Cardiff, , United Kingdom

Site Status

Aneurin Bevan University Health Board

Newport, , United Kingdom

Site Status

Swansea Bay University Health Board

Swansea, , United Kingdom

Site Status

Countries

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United Kingdom

Other Identifiers

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291897

Identifier Type: -

Identifier Source: org_study_id

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