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Single-port (SP) Versus Multiport Robotic Rectal Resection for Rectal Cancer: Randomised Clinical Trial

Status Approved

  • First Submitted Date

    2021/03/14

  • Registered Date

    2021/03/16

  • Last Updated Date

    2021/03/14

CRIS Required

WHO ICTRP (International Clinical Trial Registry Platform) Required

  • 1. Background

    Background - CRIS Registration Number, Unique Protocol ID, Public/Brief Title, Scientific Title, Acronym, MFDS Regulated Study, IND/IDE Protocol, Registered at Other Registry, Name of Registry/Registration Number
    CRIS
    Registration Number
    KCT0006007
    Unique Protocol ID KNUCH2020-10-014-001
    Public/Brief Title Single-port (SP) Versus Multiport Robotic Rectal Resection
    Scientific Title Single-port (SP) Versus Multiport Robotic Rectal Resection for Rectal Cancer: Randomised Clinical Trial
    Acronym
    MFDS Regulated Study No
    IND/IDE Protocol No
    Registered at Other Registry No
    Healthcare Benefit Approval Status Not applicable
  • 2. Institutional Review Board / Ethics Committee

    Institutional Review Board Information
    Board Approval Status Submitted approval
    Board Approval Number KNUCH2020-10-014-001
    Approval Date 2020-12-04
    Institutional Review Board Name Institutional Review Board, Kyungpook National University Chilgok Hospital
    Institutional Review Board Address 807, Hoguk-ro, Buk-gu, Daegu
    Institutional Review Board Telephone 053-200-2162
    Data Monitoring Committee
  • 3. Contact Details

    Contact Details Information - Contact Person for Principal Investigator / Scientific Queries, Contact Person for Public Queries, Contact Person for Updating Information의 Name, Title, Email, Telephone, Cellular Phone, Affiliation, Address
    Contact Person for Principal Investigator / Scientific Queries
    Name Gyu-Seog Choi
    Title Dr
    Telephone +82-53-200-2166
    Affiliation Kyungpook National University Medical Center
    Address 807, Hoguk-ro, Buk-gu, Daegu 41404, KOREA
    Contact Person for Public Queries
    Name Hye Jin Kim
    Title Dr
    Telephone +82-53-200-2166
    Affiliation Kyungpook National University Medical Center
    Address 807, Hoguk-ro, Buk-gu, Daegu 41404, KOREA
    Contact Person for Updating Information
    Name Seung Ho Song
    Title Dr
    Telephone +82-53-200-2166
    Affiliation Kyungpook National University Medical Center
    Address 807, Hoguk-ro, Buk-gu, Daegu 41404, KOREA
  • 4. Status

    Status Information - Study Site, Overall Recruitment Status, Date of First Enrollment, Status of First Enrollment, Target Number of Participant, Primary Completion Date, Recruitment Status by Participating Study Site, Name of Study Site, Recruitment Status, Date of First Enrollment, Status of First Enrollemnt
    Study Site Single
    Overall Recruitment Status Recruiting
    Date of First Enrollment 2021-03-14 Anticipated
    Target Number of Participant 80
    Primary Completion Date 2022-03-14 , Anticipated
    Study Completion Date 2024-07-14 , Anticipated
    Recruitment Status by Participating Study Site 1
    Name of Study Kyungpook National University Medical Center
    Recruitment Status Recruiting
    Date of First Enrollment 2021-03-14 ,
  • 5. Source of Monetary / Material Support

    Source of Monetary / Material Support Information - Organization Name, Organization Type, Project ID
    1. Source of Monetary/Material Support
    Organization Name Kyungpook National University Medical Center
    Organization Type Medical Institute
    Project ID
  • 6. Sponsor Organization

    Sponsor Organization Information - Organization Name, Organization Type
    1. Sponsor Organization
    Organization Name Kyungpook National University Medical Center
    Organization Type Medical Institute
  • 7. Study Summary

    Study Summary Information
    Lay Summary
    Minimally invasive surgery is currently accepted as the standard treatment for rectal surgery.
    Fast recovery after surgery, less pain, shorter hospital stay, and less blood loss are known advantages of minimally invasive surgery.
    In 2008, single-port laparoscopic surgery was introduced.
    However, single-port surgery requires difficult skills, and several clinical studies have not yet revealed clear benefits.
    Nonetheless, there are some studies showing that there are cosmetic benefits, pain relief, and quick recovery in single-port surgery.
    The research team has already performed more than 20 single-port robotic surgery since July 2020, and clinically confirmed that there are no significant complications.
    Based on the experience of laparoscopy and robotic surgery over the past 20 years, we want to confirm the clinical effectiveness of the new device (single-port robot) by comparing the clinical results with the multiport robotic surgery for rectal cancer.
  • 8. Study Design

    Study Design Information - Study Type, Study Purpose, Phase, Intervention Model, Blinding/Masking, Blinded Subject, Allocation, Intervention Type, Intervention Description, Number of Arms, Arm Label, Target Number of Participant, Arm Type, Arm Description
    Study Type Interventional Study
    Study Purpose
    Treatment
    Phase Not applicable
    Intervention Model Parallel  
    Blinding/Masking Open
    Allocation RCT
    Intervention Type Medical Device  
    Intervention Description
    For rectal resection in patients with rectal cancer, a single-port robot was used for the experimental group and a multiport robot was used for the control group.
    Number of Arms 2
    Arm 1

    Arm Label

    single-port robot

    Target Number of Participant

    40

    Arm Type

    Experimental

    Arm Description

    Single-port robotic rectal resection for rectal cancer
    Arm 2

    Arm Label

    multiport robot

    Target Number of Participant

    40

    Arm Type

    Active comparator

    Arm Description

    Multiport robotic rectal resection for rectal cancer
  • 9. Subject Eligibility

    Subject Eligibility Information
    Condition(s)/Problem(s) * (C00-D48)Neoplasms 
       (C20)Malignant neoplasm of rectum 

    Rectal Neoplasms
    Rare Disease No
    Inclusion Criteria

    Gender

    Both

    Age

    18Year~No Limit

    Description

    1. Adults 18 years of age or older
    2. ECOG (Eastern Cooperative Oncology Group) performance status 0-3
    3. Rectal cancer located less than 10cm from the anal verge, confirmed histologically
    4. Pathological type: adenocarcinoma, mucinous carcinoma, signet ring cell carcinoma 
    5. Patients who received preoperative chemoradiation therapy are selected.
    Exclusion Criteria
    1. Patients with difficulty in anal preservation surgery (cancer invasion to levator ani)
    2. Distant metastasis is confirmed by imaging or histology (cTanyNanyM1)
    3. Familial Adenomatous polyposis
    4. Hereditary non-polyposis colorectal cancer
    5. Central nerve system disorders or mental illness, Patients with evidence of central nervous system metastasis
    6. Pregnancy or lactating women
    7. Unhealed wound, fracture, peptic ulcer, intra-abdominal abscess
    8. Active gastrointestinal bleeding
    9. Acute infection requiring intravenous antibiotics
    10. Emergency operation
    Healthy Volunteers No
  • 10. Outcome Measure(s)

    Outcome Measure(s) Information - Type of Primary Outcome, Primary Outcome, Outcome, Timepoint, Secondary Outcome, Outcome, Timepoint
    Type of Primary Outcome /Safety/Efficacy
    Primary Outcome(s) 1
    Outcome
    Hospital stay
    Timepoint
    At discharge
    Secondary Outcome(s) 1
    Outcome
    Intraoperative complication
    Timepoint
    Operative day
    Secondary Outcome(s) 2
    Outcome
    Operative time
    Timepoint
    Operative day
    Secondary Outcome(s) 3
    Outcome
    Blood loss during surgery
    Timepoint
    Operative day
    Secondary Outcome(s) 4
    Outcome
    Wound length
    Timepoint
    Operative day
    Secondary Outcome(s) 5
    Outcome
    Pain score after surgery
    Timepoint
    24, 48, 72 hours after surgery
    Secondary Outcome(s) 6
    Outcome
    Harvested lymph nodes
    Timepoint
    28 days after surgery
    Secondary Outcome(s) 7
    Outcome
    Circumferential resection margin involvement
    Timepoint
    28 days after surgery
  • 11. Study Results and Publication

    Study Results and Publication Information - Result Registered, Final Enrollment Number, Number of Publication, Publications, Results Upload, Date of Posting Results, Protocol URL or File Upload, Brief Summary
    Result Registered No
  • 12. Sharing of Study Data(Deidentified Individual-Patient Data, IPD)

    Sharing of Study Data Information - Sharing Statement, Time of Sharing, Way of Sharing
    Sharing Statement No
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