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A Trial to Evaluate the Superior Mesenteric Vein (14V) Lymphadenectomy for Distal Advanced Gastric Cancer

Randomized Controlled Trial to Evaluate Mesenteric Vein (14V) Lymphadenectomy for Gastric Cancer

Status
UNKNOWN
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT02272894
Enrollment
510
Registered
2014-10-23
Start date
2014-07-31
Completion date
2016-12-31
Last updated
2015-12-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Gastric Cancer

Keywords

Gastric Cancer, D2 Lymphadenectomy, Superior Mesenteric Vein Lymph Node

Brief summary

This trial is going to evaluate the advantage of D2 radical gastrectomy plus 14v lymph node dissection in 3-year survival rates of advanced gastric cancers.

Detailed description

Radical surgery is still the only possible way to cure gastric cancer. In Japan, South Korea and other countries, due to the popularity of screening and Improved surgical procedures, there has been great improvement in overall survival. Standard D2 Gastrectomy has been the standard operation for advanced gastric cancer. However, there is no unanimous consensus whether Standard D2 Gastrectomy plus 14v lymph node dissection is needed.Till now, it is difficult to stage the 14V lymph node as regional lymph nodes metastasis or distant metastasis. And it is urgent to explore the necessity of 14v lymph node dissection in advanced gastric cancer.So a prospective randomized controlled study will to carry out to evaluate the effects of D2 radical gastrectomy plus 14v lymph node dissection compared with D2 radical gastrectomy.

Interventions

PROCEDUREDissection of the Superior Mesenteric Vein Lymph Node

14v lymph node dissection

Sponsors

The First Affiliated Hospital with Nanjing Medical University
CollaboratorOTHER
Shanxi Province Cancer Hospital
CollaboratorOTHER
Peking University Cancer Hospital & Institute
CollaboratorOTHER
Qingdao University
CollaboratorOTHER
Fudan University
CollaboratorOTHER
Sun Yat-sen University
CollaboratorOTHER
Harbin Medical University
CollaboratorOTHER
Cancer Institute and Hospital, Chinese Academy of Medical Sciences
CollaboratorOTHER
The First Affiliated Hospital of Dalian Medical University
CollaboratorOTHER
Qinghai University
CollaboratorOTHER
Second Hospital of Jilin University
CollaboratorOTHER
The First Affiliated Hospital of Zhengzhou University
CollaboratorOTHER
Wulumuqi General Hospital of Lanzhou Military Command
CollaboratorOTHER
Shandong Provincial Hospital
CollaboratorOTHER_GOV
Nanjing PLA General Hospital
CollaboratorOTHER
Tianjin Medical University Cancer Institute and Hospital
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No

Inclusion criteria

* Curative D2 or D2+ operation had been performed; * Physical condition and organ function allows to tolerable abdominal surgery; * Willing and able to comply with the program during the study period; * Aged 18 to 70 years, preoperative gastric cancer patients with pathologically confirmed; * With more than a 6-month life expectancy; * No other serious concomitant diseases; * No adjuvant chemotherapy before recurrence; * Karnofsky performance status scale ≥ 60; * All patients accept 6 cycles XELOX chemotherapy regimen

Exclusion criteria

* Pregnancy or breast feeding; * Women of childbearing age do not take contraceptive measures; * Organ transplantation patients need immunosuppressive therapy; * Five years after the trial begin,other malignant tumor occur; * While using other experimental drug or other clinical trials are being; * Can not take oral medications; * Mentally disordered; * Severe recurrent infections were not controlled or with other serious concomitant diseases;

Design outcomes

Primary

MeasureTime frameDescription
overall survival3 yearsOverall survival (OS) was defined as the length of time from the date of randomization to the date of death of various reasons.

Secondary

MeasureTime frameDescription
disease free survival3 yearsDisease free survival (DFS) was defined as the length of time from the date of randomization to the date of first documentation of relapse of gastric cancer or any other type of cancer or death.

Countries

China

Contacts

Primary ContactHan Liang, Master
tjlianghan@126.com086-022-23340123

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 12, 2026