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Gastrectomy Plus Prophylactic Cholecystectomy in Gastric Cancer Surgery (CHOLEGAS)

Primary Purpose

Gastric Cancer

Status
Completed
Phase
Not Applicable
Locations
Italy
Study Type
Interventional
Intervention
cholecystectomy
Sponsored by
Italian Research Group for Gastric Cancer
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Gastric Cancer focused on measuring gastric cancer, surgery, prophylactic cholecystectomy

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients undergoing standard gastric surgery for cancer

Exclusion Criteria:

  • gallbladder disease

Sites / Locations

  • Azienda Ospedaliero-Universitaria Careggi - Chirurgia Generale ed Oncologica

Arms of the Study

Arm 1

Arm 2

Arm Type

No Intervention

Experimental

Arm Label

B

A

Arm Description

no cholecystectomy

cholecystectomy

Outcomes

Primary Outcome Measures

Reduced biliary complications

Secondary Outcome Measures

Improved quality of life

Full Information

First Posted
September 20, 2008
Last Updated
February 10, 2021
Sponsor
Italian Research Group for Gastric Cancer
Collaborators
Azienda Ospedaliero-Universitaria Careggi
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1. Study Identification

Unique Protocol Identification Number
NCT00757640
Brief Title
Gastrectomy Plus Prophylactic Cholecystectomy in Gastric Cancer Surgery
Acronym
CHOLEGAS
Official Title
The CHOLEGAS Study: Multicentric Randomized, Double-blinded, Controlled Trial of Gastrectomy Plus Prophylactic Cholecystectomy Versus Gastrectomy Only, in Adults Submitted to Gastric Cancer Surgery With Curative Intent.
Study Type
Interventional

2. Study Status

Record Verification Date
February 2021
Overall Recruitment Status
Completed
Study Start Date
September 2008 (undefined)
Primary Completion Date
September 2010 (Actual)
Study Completion Date
September 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Italian Research Group for Gastric Cancer
Collaborators
Azienda Ospedaliero-Universitaria Careggi

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The patients will be divided into two groups: in the first group the patient will be submitted to prophylactic cholecystectomy during standard surgery for curable gastric cancer (subtotal or total gastrectomy), while in the second group will be submitted to standard gastric surgery only.
Detailed Description
The incidence of gallstones and gallbladder sludge is known to be higher in patients after gastrectomy than in general population. This higher incidence is probably related to surgical dissection of the vagus nerve branches and the anatomical gastrointestinal reconstruction. Therefore, some surgeons perform routine concomitant cholecystectomy during standard surgery for gastric malignancies. However, not all the patients who are diagnosed to have cholelithiasis after gastric cancer surgery will develop symptoms or require additional surgical treatments and a standard laparoscopic cholecystectomy is feasible even in those patients who underwent previous gastric surgery.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Gastric Cancer
Keywords
gastric cancer, surgery, prophylactic cholecystectomy

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Care ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
150 (Actual)

8. Arms, Groups, and Interventions

Arm Title
B
Arm Type
No Intervention
Arm Description
no cholecystectomy
Arm Title
A
Arm Type
Experimental
Arm Description
cholecystectomy
Intervention Type
Procedure
Intervention Name(s)
cholecystectomy
Intervention Description
prophylactic cholecystectomy during standard gastric surgery for cancer
Primary Outcome Measure Information:
Title
Reduced biliary complications
Time Frame
5 years
Secondary Outcome Measure Information:
Title
Improved quality of life
Time Frame
5 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients undergoing standard gastric surgery for cancer Exclusion Criteria: gallbladder disease
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Marco Farsi, MD
Organizational Affiliation
Chirurgia Generale e Oncologica Azienda Ospedaliero-Universitaria Careggi
Official's Role
Principal Investigator
Facility Information:
Facility Name
Azienda Ospedaliero-Universitaria Careggi - Chirurgia Generale ed Oncologica
City
Florence
ZIP/Postal Code
50134
Country
Italy

12. IPD Sharing Statement

Citations:
PubMed Identifier
22948317
Citation
Bernini M, Bencini L, Sacchetti R, Marchet A, Cristadoro L, Pacelli F, Berardi S, Doglietto GB, Rosa F, Verlato G, Cozzaglio L, Bechi P, Marrelli D, Roviello F, Farsi M; Italian Research Group for Gastric Cancer (IRGGC). The Cholegas Study: safety of prophylactic cholecystectomy during gastrectomy for cancer: preliminary results of a multicentric randomized clinical trial. Gastric Cancer. 2013 Jul;16(3):370-6. doi: 10.1007/s10120-012-0195-9. Epub 2012 Sep 5.
Results Reference
derived
PubMed Identifier
19445661
Citation
Farsi M, Bernini M, Bencini L, Miranda E, Manetti R, de Manzoni G, Verlato G, Marrelli D, Pedrazzani C, Roviello F, Marchet A, Cristadoro L, Gerard L, Moretti R; GIRCG (Gruppo Italiano di Ricerca sul Cancro Gastrico). The CHOLEGAS study: multicentric randomized, blinded, controlled trial of gastrectomy plus prophylactic cholecystectomy versus gastrectomy only, in adults submitted to gastric cancer surgery with curative intent. Trials. 2009 May 15;10:32. doi: 10.1186/1745-6215-10-32.
Results Reference
derived
Links:
URL
http://www.gircg.it/
Description
official site of group study

Learn more about this trial

Gastrectomy Plus Prophylactic Cholecystectomy in Gastric Cancer Surgery

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