Changes in Coagulation in Colorectal Cancer Patients Undergoing Surgical Treatment (CONTEST)
Study Overview
Status
Status
Conditions
Conditions
- Laparoscopic Surgery
- Postoperative Complications
- Intestinal Neoplasms
- Bleeding
- Venous Thromboembolism
- Peritoneal Carcinomatosis
- Cytoreductive Surgery
- Peritoneal Metastases
- Laparoscopy
- Surgical Procedures, Operative
- Coagulation
- Colorectal Neoplasms Malignant
- Minimally Invasive Surgical Procedures
- Surgical Oncology
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Anne-Mette Hvas, MD, PhD
- Phone Number: +4523348252
- Email: annehvas@rm.dk
Study Contact Backup
- Name: Mikkel Lundbech, BCh
- Phone Number: +4550554534
- Email: mikkln@clin.au.dk
Study Locations
-
-
-
Aarhus N, Denmark, 8000
- Thrombosis and Haemostasis Research Unit, Department for Clinical Biochemistry, Aarhus University Hospital
-
-
Aarhus N
-
Aarhus, Aarhus N, Denmark, 8200
- Aarhus University Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
Cytoreductive surgery with HIPEC patients:
- Able to give informed consent
- Age ≥ 18 years
- Diagnosed with peritoneal metastases from colorectal cancer
- Planned to undergo cytoreductive surgery with HIPEC
Minimally invasive rectal cancer patients:
- Able to give informed consent
- Age ≥ 18 years
- Diagnosed with rectal cancer
- Planned to undergo minimal invasive rectal cancer resection with one of: total mesorectal excision, partial mesorectal excision or abdominoperineal excision
Exclusion Criteria (both groups):
- Thromboembolic event within 90 days before surgery
- Secondary malignancy within previous 5 years or concomitant, except non-melanoma skin cancer.
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
|---|
|
48 cytoreductive surgery with HIPEC patients
48 patients with peritoneal metastases from colorectal cancer undergoing cytoreductive surgery with HIPEC (cytoreductive surgery with HIPEC patients)
|
|
48 minimally invasive patients
48 rectal cancer patients undergoing minimally invasive rectal cancer resection
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The difference between changes in concentration of prothrombin fragment 1+2.
Time Frame: Data will be analyzed, assessed, and presented within three years.
|
The difference will be measured in blood samples from before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection.
|
Data will be analyzed, assessed, and presented within three years.
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The difference between changes in platelet concentration from before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection.
Time Frame: Data will be analyzed, assessed, and presented within three years
|
The difference will be measured in blood samples from before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection.
|
Data will be analyzed, assessed, and presented within three years
|
|
The difference between changes in concentration of immature platelets from before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection.
Time Frame: Data will be analyzed, assessed, and presented within three years
|
The difference will be measured in blood samples from before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection.
|
Data will be analyzed, assessed, and presented within three years
|
|
The difference between changes in concentration of plasma selectin from before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection.
Time Frame: Data will be analyzed, assessed, and presented within three years
|
The difference will be measured in blood samples from before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection.
|
Data will be analyzed, assessed, and presented within three years
|
|
The difference between changes in activated partial thromboplastin time "APTT" (seconds) from before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection.
Time Frame: Data will be analyzed, assessed, and presented within three years.
|
The difference will be measured in blood samples from before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection.
|
Data will be analyzed, assessed, and presented within three years.
|
|
The difference between changes in international normalized ratio "INR" (seconds) from before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection.
Time Frame: Data will be analyzed, assessed, and presented within three years.
|
The difference will be measured in blood samples from before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection.
|
Data will be analyzed, assessed, and presented within three years.
|
|
The difference between changes in concentration of plasma fibrinogen from before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection.
Time Frame: Data will be analyzed, assessed, and presented within three years.
|
The difference will be measured in blood samples from before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection.
|
Data will be analyzed, assessed, and presented within three years.
|
|
The difference between changes in concentration of coagulation factor VIII from before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection.
Time Frame: Data will be analyzed, assessed, and presented within three years.
|
The difference will be measured in blood samples from before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection.
|
Data will be analyzed, assessed, and presented within three years.
|
|
The difference between changes in concentration of von wildebrand factor from before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection.
Time Frame: Data will be analyzed, assessed, and presented within three years.
|
The difference will be measured in blood samples from before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection.
|
Data will be analyzed, assessed, and presented within three years.
|
|
The difference between changes in concentration of thrombin-antithrombin complex from before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection.
Time Frame: Data will be analyzed, assessed, and presented within three years.
|
The difference will be measured in blood samples from before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection.
|
Data will be analyzed, assessed, and presented within three years.
|
|
The difference between changes in thrombin generation before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection.
Time Frame: Data will be analyzed, assessed, and presented within three years.
|
The difference will be measured in blood samples from before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection. Thrombin generation will be measured by: Lagtime (min), time to peak (min), peak thrombin (nM) and endogenous thrombin potential (nM*min). |
Data will be analyzed, assessed, and presented within three years.
|
|
The difference between changes of fibrin clot structure from before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection.
Time Frame: Data will be analyzed, assessed, and presented within three years.
|
The difference between changes of fibrin clot structure from before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection. Fibrin clot structure will be measured by clot maximum, absorbance (arbitrary units), network density, lysis time (seconds), lysis area (balance between clot formation and lysis). |
Data will be analyzed, assessed, and presented within three years.
|
|
The difference between changes in concentration of plasminogen activator inhibitor-1 from before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection.
Time Frame: Data will be analyzed, assessed, and presented within three years.
|
The difference will be measured in blood samples from before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection.
|
Data will be analyzed, assessed, and presented within three years.
|
|
The difference between changes in concentration of fibrin d-dimer from before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection.
Time Frame: Data will be analyzed, assessed, and presented within three years.
|
The difference will be measured in blood samples from before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection.
|
Data will be analyzed, assessed, and presented within three years.
|
|
The difference between changes in global hemostasis by Rotational thromboelastometry (ROTEM) from before surgery to the end of surgery (both groups)
Time Frame: Data will be analyzed, assessed, and presented within three years.
|
The difference will be measured in blood samples from before surgery to the end of surgery (both groups). ROTEM will include EXTEM, INTEM, FIBTEM, and APTEM by clotting time (seconds), clot formation time (seconds), alpha-angle (degrees), amplitude 10 min after clotting time (mm), maximum clot firmness (mm), lysis index 30 min after clotting time (mm), maximum lysis (mm). |
Data will be analyzed, assessed, and presented within three years.
|
|
The difference between changes in concentration of syndecan-1 from before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection.
Time Frame: Data will be analyzed, assessed, and presented within three years.
|
The difference will be measured in blood samples from before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection.
|
Data will be analyzed, assessed, and presented within three years.
|
|
The difference between changes in concentration of sE-selectin from before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection.
Time Frame: Data will be analyzed, assessed, and presented within three years.
|
The difference will be measured in blood samples from before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection.
|
Data will be analyzed, assessed, and presented within three years.
|
|
The difference between changes in concentration of soluble thrombomodulin. from before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection.
Time Frame: Data will be analyzed, assessed, and presented within three years.
|
The difference will be measured in blood samples from before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection.
|
Data will be analyzed, assessed, and presented within three years.
|
|
The difference between changes in concentration of hemoglobin from before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection.
Time Frame: Data will be analyzed, assessed, and presented within three years.
|
The difference will be measured in blood samples from before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection.
|
Data will be analyzed, assessed, and presented within three years.
|
|
The difference between changes in concentration of leucocytes from before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection.
Time Frame: Data will be analyzed, assessed, and presented within three years.
|
The difference will be measured in blood samples from before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection.
|
Data will be analyzed, assessed, and presented within three years.
|
|
The difference between changes in concentration C-reactive protein (CRP) from before surgery to the end of surgery in cytoreductive surgery with HIPEC patients and patients undergoing minimally invasive rectal cancer resection.
Time Frame: Data will be analyzed, assessed, and presented within three years.
|
The difference will be measured in blood samples from before surgery to the end of surgery in cytoreductive surgery.
|
Data will be analyzed, assessed, and presented within three years.
|
|
The difference between changes in concentration of prothrombin fragment 1+2. from the end of cytoreductive surgery to the end of HIPEC.
Time Frame: Data will be analyzed, assessed, and presented within three years.
|
The difference will be measured in blood samples from the end of cytoreductive surgery (before HIPEC) to the end HIPEC.
|
Data will be analyzed, assessed, and presented within three years.
|
|
The difference between changes in platelet concentration from the end of cytoreductive surgery to the end HIPEC.
Time Frame: Data will be analyzed, assessed, and presented within three years.
|
The difference will be measured in blood samples from the end of cytoreductive surgery (before HIPEC) to the end of HIPEC.
|
Data will be analyzed, assessed, and presented within three years.
|
|
The difference between changes in concentration of immature platelets from the end of cytoreductive surgery to the end HIPEC.
Time Frame: Data will be analyzed, assessed, and presented within three years.
|
The difference will be measured in blood samples from the end of cytoreductive surgery (before HIPEC) to the end of HIPEC.
|
Data will be analyzed, assessed, and presented within three years.
|
|
The difference between changes in activated partial thromboplastin time "aPTT" (seconds) from the end of cytoreductive surgery to the end HIPEC.
Time Frame: Data will be analyzed, assessed, and presented within three years.
|
The difference will be measured in blood samples from the end of cytoreductive surgery (before HIPEC) to the end of HIPEC.
|
Data will be analyzed, assessed, and presented within three years.
|
|
The difference between changes in activated international normalized ratio "INR" (seconds) from the end of cytoreductive surgery to the end HIPEC.
Time Frame: Data will be analyzed, assessed, and presented within three years.
|
The difference will be measured in blood samples from the end of cytoreductive surgery (before HIPEC) to the end of HIPEC.
|
Data will be analyzed, assessed, and presented within three years.
|
|
The difference between changes in concentration of plasma fibrinogen from the end of cytoreductive surgery to the end HIPEC.
Time Frame: Data will be analyzed, assessed, and presented within three years.
|
The difference will be measured in blood samples from the end of cytoreductive surgery (before HIPEC) to the end of HIPEC.
|
Data will be analyzed, assessed, and presented within three years.
|
|
The difference between changes in concentration of coagulation factor VIII from the end of cytoreductive surgery to the end HIPEC.
Time Frame: Data will be analyzed, assessed, and presented within three years.
|
The difference will be measured in blood samples from the end of cytoreductive surgery (before HIPEC) to the end of HIPEC.
|
Data will be analyzed, assessed, and presented within three years.
|
|
The difference between changes in concentration of von wildebrand factor from the end of cytoreductive surgery to the end HIPEC.
Time Frame: Data will be analyzed, assessed, and presented within three years.
|
The difference will be measured in blood samples from the end of cytoreductive surgery (before HIPEC) to the end of HIPEC.
|
Data will be analyzed, assessed, and presented within three years.
|
|
The difference between changes in concentration of thrombin-antithrombin complex from the end of cytoreductive surgery to the end HIPEC.
Time Frame: Data will be analyzed, assessed, and presented within three years.
|
The difference will be measured in blood samples from the end of cytoreductive surgery (before HIPEC) to the end of HIPEC.
|
Data will be analyzed, assessed, and presented within three years.
|
|
The difference between changes in thrombin generation from the end of cytoreductive surgery to the end of HIPEC.
Time Frame: Data will be analyzed, assessed, and presented within three years.
|
The difference will be measured in blood samples from the end of cytoreductive surgery (before HIPEC) to the end of HIPEC.
Thrombin generation will be measured by: Lagtime (min), time to peak (min), peak thrombin (nM) and endogenous thrombin potential (nM*min).
|
Data will be analyzed, assessed, and presented within three years.
|
|
The difference between changes of fibrin clot structure from the end of cytoreductive surgery to the end of HIPEC.
Time Frame: Data will be analyzed, assessed, and presented within three years.
|
The difference will be measured in blood samples from the end of cytoreductive surgery (before HIPEC) to the end of HIPEC.
Fibrin clot structure will be measured by clot maximum, absorbance (arbitrary units), network density, lysis time (seconds), lysis area (balance between clot formation and lysis).
|
Data will be analyzed, assessed, and presented within three years.
|
|
The difference between changes in concentration of plasminogen activator inhibitor-1 from the end of cytoreductive surgery to the end of HIPEC.
Time Frame: Data will be analyzed, assessed, and presented within three years.
|
The difference will be measured in blood samples from the end of cytoreductive surgery (before HIPEC) to the end of HIPEC.
|
Data will be analyzed, assessed, and presented within three years.
|
|
The difference between changes in concentration of fibrin d-dimer from the end of cytoreductive surgery to the end of HIPEC.
Time Frame: Data will be analyzed, assessed, and presented within three years.
|
The difference will be measured in blood samples from the end of cytoreductive surgery (before HIPEC) to the end of HIPEC.
|
Data will be analyzed, assessed, and presented within three years.
|
|
The difference between changes in concentration of global hemostasis measured by Rotational thromboelastometry (ROTEM) from the end of cytoreductive surgery (before HIPEC) to the end of HIPEC.
Time Frame: Data will be analyzed, assessed, and presented within three years.
|
The difference will be measured in blood samples from the end of cytoreductive surgery to the end HIPEC. ROTEM will include EXTEM, INTEM, FIBTEM, and APTEM by clotting time (seconds), clot formation time (seconds), alpha-angle (degrees), amplitude 10 min after clotting time (mm), maximum clot firmness (mm), lysis index 30 min after clotting time (mm), maximum lysis (mm). |
Data will be analyzed, assessed, and presented within three years.
|
|
The difference between changes in concentration of syndecan-1 from the end of cytoreductive surgery (before HIPEC) to the end of HIPEC.
Time Frame: Data will be analyzed, assessed, and presented within three years.
|
The difference will be measured in blood samples from the end of cytoreductive surgery (before HIPEC) to the end HIPEC.
|
Data will be analyzed, assessed, and presented within three years.
|
|
The difference between changes in concentration of sE-selectin from the end of cytoreductive surgery to the end of HIPEC
Time Frame: Data will be analyzed, assessed, and presented within three years.
|
The difference will be measured in blood samples from the end of cytoreductive surgery (before HIPEC) to the end of HIPEC.
|
Data will be analyzed, assessed, and presented within three years.
|
|
The difference between changes in concentration of soluble thrombomodulin from the end of cytoreductive surgery to the end of HIPEC
Time Frame: Data will be analyzed, assessed, and presented within three years.
|
The difference will be measured in blood samples from the end of cytoreductive surgery (before HIPEC) to the end of HIPEC.
|
Data will be analyzed, assessed, and presented within three years.
|
|
The difference between changes in concentration of hemoglobin from the end of cytoreductive surgery to the end of HIPEC.
Time Frame: Data will be analyzed, assessed, and presented within three years.
|
The difference will be measured in blood samples from the end of cytoreductive surgery (before HIPEC) to the end of HIPEC.
|
Data will be analyzed, assessed, and presented within three years.
|
|
The difference between changes in concentration of leucocytes from the end of cytoreductive surgery to the end of HIPEC.
Time Frame: Data will be analyzed, assessed, and presented within three years.
|
The difference will be measured in blood samples from the end of cytoreductive surgery (before HIPEC) to the end of HIPEC.
|
Data will be analyzed, assessed, and presented within three years.
|
|
The difference between changes in concentration of C-reactive protein (CRP) from the end of cytoreductive surgery to the end of HIPEC.
Time Frame: Data will be analyzed, assessed, and presented within three years
|
The difference will be measured in blood samples from the end of cytoreductive surgery (before HIPEC) to the end of HIPEC.
|
Data will be analyzed, assessed, and presented within three years
|
|
Incidence of deep vein thrombosis measured by doppler ultrasonography in colorectal cancer patients undergoing minimally invasive rectal cancer resection.
Time Frame: Data will be analyzed, assessed, and presented within three years
|
Bilateral doppler ultrasonography of the veins in the lower extremities.The scan will be performed within the postoperative period from day 3 to day 7.
|
Data will be analyzed, assessed, and presented within three years
|
|
Incidence of deep venous thrombosis measured by doppler ultrasonography in colorectal cancer patients undergoing cytoreductive surgery with HIPEC
Time Frame: Data will be analyzed, assessed, and presented within three years
|
Bilateral doppler ultrasonography of the veins in the lower extremities.The scan will be performed within the postoperative period from day 3 to day 7.
|
Data will be analyzed, assessed, and presented within three years
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Anne-Mette Hvas, MD, PhD, Thrombosis and Haemostasis Research Unit, Department of Clinical Biochemistry, Aarhus University Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Digestive System Diseases
- Pathologic Processes
- Cardiovascular Diseases
- Vascular Diseases
- Neoplasms by Histologic Type
- Neoplasms by Site
- Neoplasms, Glandular and Epithelial
- Peritoneal Diseases
- Gastrointestinal Neoplasms
- Digestive System Neoplasms
- Gastrointestinal Diseases
- Embolism and Thrombosis
- Colonic Diseases
- Intestinal Diseases
- Rectal Diseases
- Neoplastic Processes
- Abdominal Neoplasms
- Neoplasms
- Carcinoma
- Colorectal Neoplasms
- Neoplasm Metastasis
- Peritoneal Neoplasms
- Thromboembolism
- Venous Thromboembolism
- Postoperative Complications
- Intestinal Neoplasms
Other Study ID Numbers
Other Study ID Numbers
- 1-10-72-212-20
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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