Status:

COMPLETED

A Trial to Evaluate Para-aortic Lymphadenectomy for Gastric Cancer

Lead Sponsor:

Japan Clinical Oncology Group

Collaborating Sponsors:

Ministry of Health, Labour and Welfare, Japan

Conditions:

Gastric Neoplasm

Eligibility:

All Genders

Up to 75 years

Phase:

PHASE3

Brief Summary

To evaluate the survival benefit of para-aortic lymphadenectomy in potentially curative gastrectomy

Detailed Description

Radical gastrectomy with regional lymphadenectomy is the only curative treatment option for gastric cancer. The extent of lymphadenectomy, however, is controversial. The two European randomized trials...

Eligibility Criteria

Inclusion

  • \- Preoperatively,
  • histologically proven adenocarcinoma
  • 75 years old or younger
  • forced expiratory volume in one second ≥ 50 %
  • arterial oxygen pressure in room air ≥ 70 mmHg
  • creatinine clearance ≥ 50 ml/min
  • written consent. Intraoperatively
  • Macroscopic T staging is T2-subserosa, T3, or T4
  • potentially curative operation is possible
  • no gross metastasis in para-aortic nodes (frozen section diagnosis not allowed)
  • peritoneal lavage cytology is negative for cancer cells

Exclusion

  • Carcinoma in the remnant stomach
  • Borrmann type 4 (linitis plastica)
  • synchronous or metachronous malignancy in other organs except for cervical carcinoma in situ and colorectal focal cancer in adenoma
  • past history of myocardial infarction or positive results of exercise ECG
  • liver cirrhosis, or chronic liver disease with indocyanine green test ≥10%

Key Trial Info

Start Date :

July 1 1995

Trial Type :

INTERVENTIONAL

End Date :

April 1 2006

Estimated Enrollment :

520 Patients enrolled

Trial Details

Trial ID

NCT00149279

Start Date

July 1 1995

End Date

April 1 2006

Last Update

September 22 2016

Active Locations (1)

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1

National Cancer Center Hospital

Chuo-ku, Tokyo, Japan, 104-0045