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ERAS for Patients Received Neoadjuvant Chemotherapy (ERASNAC)

Primary Purpose

Gastric Cancer

Status
Completed
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
ERAS group
SC group
Sponsored by
JIANG Zhi-Wei
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Gastric Cancer

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Patients received neoadjuvant chemotherapy with locally advanced gastric cancer.
  2. Age older than 18 and younger than 75 years.
  3. American Society of Anesthesiologists (ASA) class: I-III.
  4. Participants can describe the symptom objectively and cooperate actively.
  5. Written informed consent.

Exclusion Criteria:

  1. Patients allergic to oxaliplatin, tegafur gimerac etc.
  2. Patients with ischemic heart disease, cerebrovascular disease and peripheral vascular disease, or cardiac function > II (NYHA)
  3. Patients with complications (bleeding, perforation and obstruction) caused by gastric cancer.
  4. Patients with severe liver and renal dysfunction (Child - Pugh ≥ 10; Cr < 25 ml/min).
  5. Patients who require simultaneous surgery for other diseases.
  6. Patients who received upper abdominal surgery previously.
  7. Pregnant or breast-feeding women.

Sites / Locations

  • Jinling Hospital, Medical School of Nanjing University

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Other

Arm Label

ERAS group

SC group

Arm Description

Patients will undergo the ERAS programs.

Patients will undergo the SC group.

Outcomes

Primary Outcome Measures

Postoperative length of stay
Postoperative length of stay

Secondary Outcome Measures

Postoperative complications
Postoperative complications
The time to first flatus
Bowel recovery
Time to semi-liquid diet
Bowel recovery

Full Information

First Posted
September 4, 2017
Last Updated
September 5, 2017
Sponsor
JIANG Zhi-Wei
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1. Study Identification

Unique Protocol Identification Number
NCT03272984
Brief Title
ERAS for Patients Received Neoadjuvant Chemotherapy
Acronym
ERASNAC
Official Title
Enhanced Recovery After Surgery Programs for Patients Received Neoadjuvant Chemotherapy With Locally Advanced Gastric Cancer: a Randomized Controlled Clinical Trial
Study Type
Interventional

2. Study Status

Record Verification Date
September 2017
Overall Recruitment Status
Completed
Study Start Date
April 1, 2015 (Actual)
Primary Completion Date
June 5, 2017 (Actual)
Study Completion Date
July 6, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
JIANG Zhi-Wei

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Patients received neoadjuvant chemotherapy with locally advanced gastric caner undergo the enhanced recovery after surgery (ERAS) programs or the standard cares (SC) programs.
Detailed Description
Before, most trials about the ERAS for radical gastrectomy demonstrated ERAS programs accelerate the postoperative rehabilitation of gastric cancer patients without increasing postoperative complications. However, in most trials, patients who received neoadjuvant chemotherapy were excluded. The investigators designed this trial for patients received neoadjuvant chemotherapy. In this trial, patients received neoadjuvant chemotherapy with locally advanced gastric caner undergo the ERAS programs or the SC programs. Finally, the investigators evaluated whether patients who receive neoadjuvant chemotherapy can be enrolled into the ERAS programs for locally advanced gastric cancer.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Gastric Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
This study is a parallel, open-label randomized controlled trial.
Masking
None (Open Label)
Allocation
Randomized
Enrollment
114 (Actual)

8. Arms, Groups, and Interventions

Arm Title
ERAS group
Arm Type
Experimental
Arm Description
Patients will undergo the ERAS programs.
Arm Title
SC group
Arm Type
Other
Arm Description
Patients will undergo the SC group.
Intervention Type
Procedure
Intervention Name(s)
ERAS group
Intervention Description
ERAS is the name of a procedure. Patients in this group need receive the ERAS procedure instead of one drug.
Intervention Type
Procedure
Intervention Name(s)
SC group
Intervention Description
Patients were managed in accordance with SC programs during the perioperative period. SC programs were used daily in our center and were still routinely used in most of the other hospitals in China.
Primary Outcome Measure Information:
Title
Postoperative length of stay
Description
Postoperative length of stay
Time Frame
1 month
Secondary Outcome Measure Information:
Title
Postoperative complications
Description
Postoperative complications
Time Frame
2 months
Title
The time to first flatus
Description
Bowel recovery
Time Frame
1 week
Title
Time to semi-liquid diet
Description
Bowel recovery
Time Frame
2 week

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients received neoadjuvant chemotherapy with locally advanced gastric cancer. Age older than 18 and younger than 75 years. American Society of Anesthesiologists (ASA) class: I-III. Participants can describe the symptom objectively and cooperate actively. Written informed consent. Exclusion Criteria: Patients allergic to oxaliplatin, tegafur gimerac etc. Patients with ischemic heart disease, cerebrovascular disease and peripheral vascular disease, or cardiac function > II (NYHA) Patients with complications (bleeding, perforation and obstruction) caused by gastric cancer. Patients with severe liver and renal dysfunction (Child - Pugh ≥ 10; Cr < 25 ml/min). Patients who require simultaneous surgery for other diseases. Patients who received upper abdominal surgery previously. Pregnant or breast-feeding women.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Zhiwei JIANG, MD
Organizational Affiliation
Jinling Hospital, Medical School of Nanjing University
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Jian ZHAO, MD
Organizational Affiliation
Jinling Hospital, Medical School of Nanjing University
Official's Role
Study Director
Facility Information:
Facility Name
Jinling Hospital, Medical School of Nanjing University
City
Nanjing
State/Province
Jiangsu
ZIP/Postal Code
210002
Country
China

12. IPD Sharing Statement

Plan to Share IPD
Undecided
IPD Sharing Plan Description
The results and IPD will be considered to share in published articles.

Learn more about this trial

ERAS for Patients Received Neoadjuvant Chemotherapy

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