- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00447746
A Comparison Between D1 and D2 Lymphadenectomy in Gastric Cancer : A Prospective Randomized Controlled Trial
Gastric cancer remains the second most common cancer worldwide.Although the prognosis is poor for majority of patients , long term survival is achievable in patients in whom surgical resection is possible.
However the results of surgery are generally disapointing in most large series.The exception to this appears to be Japan and far east where a standardized approach to surgery is undertaken with low morbidity and mortality.The extent of surgery and particularly the development of systematic lymphadenectomy(D2)has been credited in Japan for the improved outcome in patients with gastric cancer.
Hence for comparing the difference between D1 and D2 lymphadenectomy for gastric cancer in terms of overall survival,disease free survival and loco regional recurrence and also post operative morbidity and mortality following both these procedures,this study has been undertaken.
In D1 lymphadenectomy, only those lymph nodes which are adjacent to the part of stomach being resected will be removed.In D2 lymphadenectomy other lymph nodes draining the stomach will also be removed according to internationally accepted guidelines and also include resection of greater omentum along with anterior layer of transverse mesocolon and lesser omentum upto its attachment to hepatoduodenal ligament.
Currently both these procedures are widely practised worldwide and there is no definite evidence showing the superiority of one procedure over the other.Neither is any of these procedures experimental.
We are doing this trial to see whether one of these procedures is superior to the other.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Dr Parul J Shukla, M.S.,FRCS
- Phone Number: +912224177172
- Email: pjshukla@hotmail.com
Study Contact Backup
- Name: Dr Shailesh v Shrikhande, M.S.
- Phone Number: +912224177173
Study Locations
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Maharashtra
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Mumbai, Maharashtra, India, 400012
- Tata Memorial Hospital,Tata Memorial Centre
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Sub-Investigator:
- Dr K M Mohandas, M.D.
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:Patients with biopsy/frozen section proven adenocarcinoma of stomach.
- Preoperative clinical examination and imaging indicating operable disease.
- Intraoperative exploration indicating operability i.e. no peritoneal deposits,no evidence of para aortic lymphadenopathy,no direct involvement of contiguous organs
- Surgical plan for distal/proximal/total gastrectomy
Exclusion Criteria:Patients with low performance score
- Staging investigations or intraoperative exploration indicating inoperable disease
- Patients medically unfit for major surgery
- Patients who have been given preoperative chemotherapy/chemoradiation.
- Patients with gastroesophageal junction tumours
- Patients unreliable for follow up
- Patients above the age of 70 years
- Past history of malignancy
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
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5 year overall survival
|
Secondary Outcome Measures
Outcome Measure |
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: 5 year disease free survival
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: 5 year local recurrence
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: Postoperative morbidity and mortality rates
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Dr Parul J Shukla, M.S.,FRCS, Tata Memorial Centre,Mumbai
Study record dates
Study Major Dates
Study Start
Study Completion
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- TMH 262
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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