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Evaluation of SINGLE PORT (SP) Robotic Technology in Colorectal Surgery

Primary Purpose

Colo-rectal Cancer, Rectal Prolapse, Colostomy Stoma

Status
Recruiting
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Single port robotic colorectal surgical procedure
Sponsored by
Ankit Sarin, MD, MHA
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Colo-rectal Cancer focused on measuring robotic surgery, colorectal surgery, single port, Intuitive SP platform

Eligibility Criteria

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

Inclusion Criteria:

  • The subject is male or female, greater than or equal to 18 years of age. If female, the subject has a negative urine pregnancy test and is not lactating, or has not been of childbearing potential for at least 3 months prior to use of study product. To be considered to be not of childbearing potential, the subject must be postmenopausal for at least 2 years; have had a hysterectomy or bilateral tubal ligation, or be proven to be otherwise incapable of pregnancy. If of childbearing potential, the subject must have been practicing one of the following methods of contraception consistently for at least 1 month prior to study entry and agree to continue practicing it during the study: hormonal contraceptives, intrauterine device, spermicide and barrier, spouse/partner sterility; or is practicing abstinence and agrees to continue abstinence or to start an acceptable method of contraception from the above list if sexual activity commences.
  • There is documentation of a colorectal diagnosis requiring operative interventions with clinical plans for a robotic operation.
  • For robotic transanal procedures, patients who would meet standard guidelines for a transanal procedures (T1N0 rectal adenocarcinoma, Precancerous adenomas, and localized neuroendocrine tumors) distal to 15 cm from the anal verge.
  • The subject is in good general health as evidenced by medical history and physical examination
  • The subject is able and willing to provide written informed consent.
  • The subject agrees to comply with the requirements of the protocol and complete study measures.
  • The subject has stable residence and telephone.

Exclusion Criteria:

  • The subject is child less than 18 years of age
  • The subject is a female who is pregnant or lactating
  • The subject falls under the American Society of Anesthesia Class IV (Patients with severe systemic disease that is a constant threat to life).
  • The subject falls under American Society of Anesthesia Class V (Moribund patients who is not expected to survive without the operation)
  • The subject has a history of clinically significant renal, hepatic, neurological, cardiac or chronic pulmonary disease that in the judgment of the investigator precludes participation.
  • The subject has advanced/ Stage IV cancer
  • The subject has received neo-adjuvant chemotherapy or radiation therapy
  • The subject requires an emergency operation.
  • The subject is unable to fully comprehend or consent to the study
  • The subject is unwilling to be available for follow-up assessments.

Sites / Locations

  • UCSF Medical Center at Mission BayRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Single Port Robotic Surgery Arm

Arm Description

Study subjects will undergo the colorectal surgical procedure (determined based on routine standard clinical care) using the Intuitive Da Vinci Single Port SP system

Outcomes

Primary Outcome Measures

Assess safety & quality event rate for SP platform transabdominal and transanal colorectal operations
A safety & quality event will be defined as occurring if any of the following occur: Conversion to open or laparoscopic procedure EBL > 200 ml, or Operative time > 90th percentile of all procedures with matching CPT code, or Positive pathological margins (if applicable), or Fragmented specimen (if applicable) or Unplanned ICU stay or Post-procedure LOS > 90th percentile of all procedures with matching CPT code, or Reoperation within 30 days or Post Procedure Pain > 90th percentile (visual analog score) Postoperative complication as defined by NSQIP (including SSI, DVT, PE, readmission, anastomotic Leak (if applicable)

Secondary Outcome Measures

Full Information

First Posted
March 31, 2022
Last Updated
August 23, 2023
Sponsor
Ankit Sarin, MD, MHA
Collaborators
Yale University
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1. Study Identification

Unique Protocol Identification Number
NCT05321134
Brief Title
Evaluation of SINGLE PORT (SP) Robotic Technology in Colorectal Surgery
Official Title
Evaluation of SINGLE PORT (SP) Robotic Technology in Colorectal Surgery
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Recruiting
Study Start Date
April 28, 2022 (Actual)
Primary Completion Date
April 2026 (Anticipated)
Study Completion Date
April 2028 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Ankit Sarin, MD, MHA
Collaborators
Yale University

4. Oversight

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

5. Study Description

Brief Summary
Currently a multiport robotic surgery platform (Intuitive Xi) is widely available and used for colorectal surgery indications. A Single port platform (Intuitive SP) is FDA approved for Head and Neck and Urology but has not been widely used in colorectal surgery. This study seeks to evaluate the safe and effective use of the SP platform for colorectal surgery indications.
Detailed Description
This is a single center, prospective, open-label, investigator initiated, non-randomized, interventional case-control study where researchers will study colorectal surgical procedures done using the novel Single Port (SP) Robotic Platform and compare perioperative outcomes to colorectal surgical cases done using the traditional Multi-port (Xi) Robotic Platform. AIM 1 To assess the feasibility and safety/quality of a SP platform for transabdominal and transanal colorectal operations which are currently done using multiport robotic platforms. AIM 2 To evaluate safety and quality outcomes post SP surgery in comparison with contemporaneous standard multiport Xi platform procedures.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Colo-rectal Cancer, Rectal Prolapse, Colostomy Stoma, Colorectal Disorders
Keywords
robotic surgery, colorectal surgery, single port, Intuitive SP platform

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Model Description
Single center, prospective, open-label, investigator initiated, non-randomized, interventional case-control study
Masking
None (Open Label)
Allocation
N/A
Enrollment
25 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Single Port Robotic Surgery Arm
Arm Type
Experimental
Arm Description
Study subjects will undergo the colorectal surgical procedure (determined based on routine standard clinical care) using the Intuitive Da Vinci Single Port SP system
Intervention Type
Device
Intervention Name(s)
Single port robotic colorectal surgical procedure
Intervention Description
After screening and counseling, study subjects who wish to participate will undergo the colorectal surgical procedure (determined based on routine standard clinical care) using the alternate Intuitive Da Vinci Single Port SP system rather than the currently used multiport system, (Intuitive Da Vinci Multiport Xi System). Using standardized case report forms, the investigators will track clinical parameters and describe the safety & quality event rate for SP platform transabdominal and transanal colorectal operations.
Primary Outcome Measure Information:
Title
Assess safety & quality event rate for SP platform transabdominal and transanal colorectal operations
Description
A safety & quality event will be defined as occurring if any of the following occur: Conversion to open or laparoscopic procedure EBL > 200 ml, or Operative time > 90th percentile of all procedures with matching CPT code, or Positive pathological margins (if applicable), or Fragmented specimen (if applicable) or Unplanned ICU stay or Post-procedure LOS > 90th percentile of all procedures with matching CPT code, or Reoperation within 30 days or Post Procedure Pain > 90th percentile (visual analog score) Postoperative complication as defined by NSQIP (including SSI, DVT, PE, readmission, anastomotic Leak (if applicable)
Time Frame
30 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: The subject is male or female, greater than or equal to 18 years of age. If female, the subject has a negative urine pregnancy test and is not lactating, or has not been of childbearing potential for at least 3 months prior to use of study product. To be considered to be not of childbearing potential, the subject must be postmenopausal for at least 2 years; have had a hysterectomy or bilateral tubal ligation, or be proven to be otherwise incapable of pregnancy. If of childbearing potential, the subject must have been practicing one of the following methods of contraception consistently for at least 1 month prior to study entry and agree to continue practicing it during the study: hormonal contraceptives, intrauterine device, spermicide and barrier, spouse/partner sterility; or is practicing abstinence and agrees to continue abstinence or to start an acceptable method of contraception from the above list if sexual activity commences. There is documentation of a colorectal diagnosis requiring operative interventions with clinical plans for a robotic operation. For robotic transanal procedures, patients who would meet standard guidelines for a transanal procedures (T1N0 rectal adenocarcinoma, Precancerous adenomas, and localized neuroendocrine tumors) distal to 15 cm from the anal verge. The subject is in good general health as evidenced by medical history and physical examination The subject is able and willing to provide written informed consent. The subject agrees to comply with the requirements of the protocol and complete study measures. The subject has stable residence and telephone. Exclusion Criteria: The subject is child less than 18 years of age The subject is a female who is pregnant or lactating The subject falls under the American Society of Anesthesia Class IV (Patients with severe systemic disease that is a constant threat to life). The subject falls under American Society of Anesthesia Class V (Moribund patients who is not expected to survive without the operation) The subject has a history of clinically significant renal, hepatic, neurological, cardiac or chronic pulmonary disease that in the judgment of the investigator precludes participation. The subject has advanced/ Stage IV cancer The subject has received neo-adjuvant chemotherapy or radiation therapy The subject requires an emergency operation. The subject is unable to fully comprehend or consent to the study The subject is unwilling to be available for follow-up assessments.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Ankit Sarin, MD
Phone
4158853625
Email
ankit.sarin@ucsf.edu
First Name & Middle Initial & Last Name or Official Title & Degree
Hueylan Chern, MD
Phone
4158853625
Email
Hueylan.Chern@ucsf.edu
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ankit Sarin, MD
Organizational Affiliation
University of California, San Francisco
Official's Role
Principal Investigator
Facility Information:
Facility Name
UCSF Medical Center at Mission Bay
City
San Francisco
State/Province
California
ZIP/Postal Code
94158
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ankit Sarin, MD

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Evaluation of SINGLE PORT (SP) Robotic Technology in Colorectal Surgery

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