Length of StayPhase 3NCT01080547
Study Comparing Conventional and Fast Track Multi-Discipline Treatment Interventions for Colorectal Cancer
A Phase 3 study testing Laparoscopic Surgery for Colorectal Cancer, XELOX Chemotherapy and mFolfox6 chemotherapy in people with Length of Stay and Complications, run by Zhejiang University at 2 sites in China.
Trial summary
A new notion"Fast Track Multi-Discipline Treatment" for colorectal cancer is thought with several benefits such as shorter hospitalization stay and less costs. This randomized study aims to compare the differences between conventional and Fast Track Multi-Discipline Treatment for colorectal cancer in hospitalization… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Length of Stay, Complications, Adverse Drug Event
- What is being tested?
- Laparoscopic Surgery for Colorectal Cancer, XELOX Chemotherapy and mFolfox6 chemotherapy
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 374 participants
- Where
- 2 sitesChina
- Study dates
- Mar 2010to Dec 2014
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients with pathologically confirmed colorectal cancer
- Signed consent
Who cannot join
- Tumor can be resected by endoscopic mucosal resection(EMR)
- History of malignancy
- Bowel obstruction or intestinal perforation
- Evidence of metastasis by physical examination, chest roentgenogram and computed tomography of liver and pelvis
- Acute diseases and acute attack of chronic diseases
- Psychiatric history
Show all 11Show fewer
- Deformity of spine
- ASA score≥Ⅳ
- Mid-low rectal cancer
- Pregnant woman
- Needing to use Chinese traditional patent drug
Trial locations and contacts
2 sites in 1 country.
China2 sites
Second Affiliated Hospital Zhejiang University College of Medicine
Hangzhou, Zhejiang, 310999
People's Hospital of Shaoxing
Shaoxing, Zhejiang, 312000
About this study
Official title: Randomized Controlled Trial Comparing Conventional and Fast Track Multi-Discipline Treatment Interventions for Colorectal Cancer
A new notion"Fast Track Multi-Discipline Treatment" for colorectal cancer is thought with several benefits such as shorter hospitalization stay and less costs. This randomized study aims to compare the differences between conventional and Fast Track Multi-Discipline Treatment for colorectal cancer in hospitalization day, complications, costs and quality of life.
Read the detailed description
Laparoscopic Surgery, Fast Track Treatment and XELOX Chemotherapy have been introduced in the treatment of colorectal cancer. All of these procedures are contributed to reduce the hospitalization stay. However, the most economical mode for combination of these procedures is still unclear. This is a randomized controlled study, a new notion"Fast Track Multi-Discipline Treatment" is proposed, which is the combination of the Laparoscopic Surgery, Fast track perioperative treatment during perioperative period and XELOX Chemotherapy. The purpose of this study is to compare the Fast Track Multi-Discipline Treatment with the conventional treatment(Open Surgery with conventional treatment during perioperative period and mFolfox6 chemotherapy) for colorectal cancer on several aspects like the average hospitalization day, complications, costs and quality of life.The focus of the study will be to investigate whether the Fast Track Multi-Discipline Treatment reduces hospital stay with similar complications compared with conventional perioperative treatment. Moreover, the trial will clarify whether laparoscopic surgery is essential for Fast Track Multi-Discipline Treatment.
- Being tested
- Laparoscopic Surgery for Colorectal Cancer, XELOX Chemotherapy, mFolfox6 chemotherapy, Fast Track Perioperative Treatment, Conventional Perioperative Treatment
- Medical subject headings
- Drug-Related Side Effects and Adverse Reactions
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Laparoscopic Surgery for Colorectal CancerProcedure or surgery
Also called STORZ laparoscope
Laparoscopic surgery for colorectal cancer using STORZ laparoscope
XELOX ChemotherapyDrug
Also called Capecitabine, Oxaliplatin
XELOX chemotherapy
mFolfox6 chemotherapyDrug
Also called Oxaliplatin
Conventional (mFolfox6) chemotherapy
Fast Track Perioperative TreatmentOther
Also called Fast track surgery
Fast track treatment during perioperation period
Conventional Perioperative TreatmentOther
Also called Traditional Perioperative Treatment
Conventional treatment during perioperation period
Open Surgery for Colorectal CancerProcedure or surgery
Also called Traditional open surgery
Open surgery for colorectal cancer using conventional methods
| Study group | Role | What they receive |
|---|---|---|
| Conventional Treatment (Laparoscopic) | Active comparator | Randomized group of patients receiving laparoscopic colectomy with conventional perioperative treatment and mFolfox6 chemotherapy. Receives: Procedure: Laparoscopic Surgery for Colorectal Cancer; Drug: mFolfox6 chemotherapy; Other: Conventional Perioperative Treatment |
| FTMD Treatment (Laparoscopic) | Active comparator | Randomized group of patients receiving laparoscopic colectomy with Fast Track Multi-Displine(FTMD)treatment and XELOX chemotherapy. Receives: Procedure: Laparoscopic Surgery for Colorectal Cancer; Drug: XELOX Chemotherapy; Other: Fast Track Perioperative Treatment |
| Conventional Treatment(Open Surgery) | Active comparator | Randomized group of patients receiving open colectomy with conventional perioperative treatment and mFolfox6 chemotherapy. Receives: Drug: mFolfox6 chemotherapy; Other: Conventional Perioperative Treatment; Procedure: Open Surgery for Colorectal Cancer |
| FTMD Treatment(Open Surgery) | Active comparator | Randomized group of patients receiving open colectomy with Fast Track Multi-Displine(FTMD) treatment and XELOX chemotherapy. Receives: Drug: XELOX Chemotherapy; Other: Fast Track Perioperative Treatment; Procedure: Open Surgery for Colorectal Cancer |
What is being measured
The primary outcome is the main question the study is designed to answer.
hospitalization day
The overall hospitalization stay during treatment from the first day in hospital to leave hospital when finish adjuvant chemotherapy or surgery (for patients who don't need chemotherapy).
Measured: 6-month post surgery
Secondary outcomes (4)
surgical complications
Surgical complications include injury of ureter, intraoperative transfusion, infection of incision and anastomotic leakage etc.
Measured: 3-month post surgery
chemotherapy related adverse event
Chemotherapy related adverse event, according to NCI CTCAE Version 3.0, include nausea, vomit, diarrhea and neutropenia etc.
Measured: 6-month post surgery
quality of life
Quality of life will be measured by EORTC QLQ-C30 and QLQ-CR38 questionaire.
Measured: preoperation, 3-month post surgery and 6-month post surgery
hospitalization costs
The overall hospitalization costs from the first day in hospital to day that adjuvant chemotherapy finished.
Measured: 6-month post surgery
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Mar 2010 (estimated)
- Study startMar 2010
- Primary completionApr 2014
- Study completionDec 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Length of StayStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 374 participants (actual)
Sponsor and investigators
- Lead sponsor
- Zhejiang University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Ding Ke-Feng, Zhejiang University
- Investigators
- Ke-Feng Ding, PhD/MD, Study chair, The Second Affiliated Hospital, and The Key Laboratory of Cancer Prevention and Intervention, China National Ministry of Education, Zhejiang University College of Medicine.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01080547
- Sponsor's protocol ID
- 2009C13017
- Status last verified
- Dec 2016
- First submitted
- 1 Mar 2010
- Last updated
- 6 Apr 2017
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Li J, Kong XX, Zhou JJ, Song YM, Huang XF, Li GH, Ying XJ, Dai XY, Lu M, Jiang K, Fu DL, Li XL, He JJ, Wang JW, Sun LF, Xu D, Xu JY, Chen M, Tian Y, Li JS, Yan M, Yuan Y, Ding KF. Fast-track multidisciplinary treatment versus conventional treatment for colorectal cancer: a multicenter, open-label randomized controlled study. BMC Cancer. 2019 Oct 23;19(1):988. doi: 10.1186/s12885-019-6188-x.
PubMed 31647032Xu D, Li J, Song Y, Zhou J, Sun F, Wang J, Duan Y, Hu Y, Liu Y, Wang X, Sun L, Wu L, Ding K. Laparoscopic surgery contributes more to nutritional and immunologic recovery than fast-track care in colorectal cancer. World J Surg Oncol. 2015 Feb 4;13:18. doi: 10.1186/s12957-015-0445-5.
PubMed 25649903Zhou JJ, Li J, Ying XJ, Song YM, Chen R, Chen G, Yan M, Ding KF. Fast track multi-discipline treatment (FTMDT trial) versus conventional treatment in colorectal cancer--the design of a prospective randomized controlled study. BMC Cancer. 2011 Nov 24;11:494. doi: 10.1186/1471-2407-11-494.
PubMed 22111914
Study at a glance
From the registry record, last updated by the sponsor on 6 Apr 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Randomized Controlled Trial Comparing Conventional and Fast Track Multi-Discipline Treatment Interventions for Colorectal Cancer
- ClinicalTrials.gov ID
- NCT01080547
- Acronym / sponsor ID
- 2009C13017
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 374 participants (actual)
- Lead sponsor
- Zhejiang UniversityUniversity, hospital or other
- Study start
- Mar 2010
- Primary completion
- Apr 2014 (actual)
- Study completion
- Dec 2014 (actual)
- First posted
- 4 Mar 2010 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
A new notion"Fast Track Multi-Discipline Treatment" for colorectal cancer is thought with several benefits such as shorter hospitalization stay and less costs. This randomized study aims to compare the differences between conventional and Fast Track Multi-Discipline Treatment for colorectal cancer in hospitalization day, complications, costs and quality of life.
Detailed description
Laparoscopic Surgery, Fast Track Treatment and XELOX Chemotherapy have been introduced in the treatment of colorectal cancer. All of these procedures are contributed to reduce the hospitalization stay. However, the most economical mode for combination of these procedures is still unclear. This is a randomized controlled study, a new notion"Fast Track Multi-Discipline Treatment" is proposed, which is the combination of the Laparoscopic Surgery, Fast track perioperative treatment during perioperative period and XELOX Chemotherapy. The purpose of this study is to compare the Fast Track Multi-Discipline Treatment with the conventional treatment(Open Surgery with conventional treatment during perioperative period and mFolfox6 chemotherapy) for colorectal cancer on several aspects like the average hospitalization day, complications, costs and quality of life.The focus of the study will be to investigate whether the Fast Track Multi-Discipline Treatment reduces hospital stay with similar complications compared with conventional perioperative treatment. Moreover, the trial will clarify whether laparoscopic surgery is essential for Fast Track Multi-Discipline Treatment.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Conventional Treatment (Laparoscopic) | Active comparator | Procedure: Laparoscopic Surgery for Colorectal Cancer, Drug: mFolfox6 chemotherapy, Other: Conventional Perioperative TreatmentRandomized group of patients receiving laparoscopic colectomy with conventional perioperative treatment and mFolfox6 chemotherapy. |
| FTMD Treatment (Laparoscopic) | Active comparator | Procedure: Laparoscopic Surgery for Colorectal Cancer, Drug: XELOX Chemotherapy, Other: Fast Track Perioperative TreatmentRandomized group of patients receiving laparoscopic colectomy with Fast Track Multi-Displine(FTMD)treatment and XELOX chemotherapy. |
| Conventional Treatment(Open Surgery) | Active comparator | Drug: mFolfox6 chemotherapy, Other: Conventional Perioperative Treatment, Procedure: Open Surgery for Colorectal CancerRandomized group of patients receiving open colectomy with conventional perioperative treatment and mFolfox6 chemotherapy. |
| FTMD Treatment(Open Surgery) | Active comparator | Drug: XELOX Chemotherapy, Other: Fast Track Perioperative Treatment, Procedure: Open Surgery for Colorectal CancerRandomized group of patients receiving open colectomy with Fast Track Multi-Displine(FTMD) treatment and XELOX chemotherapy. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Patients with pathologically confirmed colorectal cancer
- Signed consent
Key exclusion criteria (11 listed)
- Tumor can be resected by endoscopic mucosal resection(EMR)
- History of malignancy
- Bowel obstruction or intestinal perforation
- Evidence of metastasis by physical examination, chest roentgenogram and computed tomography of liver and pelvis
- Acute diseases and acute attack of chronic diseases
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Laparoscopic Surgery for Colorectal CancerAlso: STORZ laparoscopeLaparoscopic surgery for colorectal cancer using STORZ laparoscope | Procedure or surgery | Conventional Treatment (Laparoscopic), FTMD Treatment (Laparoscopic) |
| XELOX ChemotherapyAlso: Capecitabine, OxaliplatinXELOX chemotherapy | Drug | FTMD Treatment (Laparoscopic), FTMD Treatment(Open Surgery) |
| mFolfox6 chemotherapyAlso: OxaliplatinConventional (mFolfox6) chemotherapy | Drug | Conventional Treatment (Laparoscopic), Conventional Treatment(Open Surgery) |
| Fast Track Perioperative TreatmentAlso: Fast track surgeryFast track treatment during perioperation period | Other | FTMD Treatment (Laparoscopic), FTMD Treatment(Open Surgery) |
| Conventional Perioperative TreatmentAlso: Traditional Perioperative TreatmentConventional treatment during perioperation period | Other | Conventional Treatment (Laparoscopic), Conventional Treatment(Open Surgery) |
| Open Surgery for Colorectal CancerAlso: Traditional open surgeryOpen surgery for colorectal cancer using conventional methods | Procedure or surgery | Conventional Treatment(Open Surgery), FTMD Treatment(Open Surgery) |
Primary outcome
hospitalization day
Time frame: 6-month post surgery
The overall hospitalization stay during treatment from the first day in hospital to leave hospital when finish adjuvant chemotherapy or surgery (for patients who don't need chemotherapy).
4 secondary outcomes
surgical complications
Time frame: 3-month post surgery
chemotherapy related adverse event
Time frame: 6-month post surgery
quality of life
Time frame: preoperation, 3-month post surgery and 6-month post surgery
hospitalization costs
Time frame: 6-month post surgery
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Apr 2017.
- Derived from this study: PubMed 31647032Li J, Kong XX, Zhou JJ, Song YM, Huang XF, Li GH, Ying XJ, Dai XY, Lu M, Jiang K, Fu DL, Li XL, He JJ, Wang JW, Sun LF, Xu D, Xu JY, Chen M, Tian Y, Li JS, Yan M, Yuan Y, Ding KF. Fast-track multidisciplinary treatment versus conventional treatment for colorectal cancer: a multicenter, open-label randomized controlled study. BMC Cancer. 2019 Oct 23;19(1):988. doi: 10.1186/s12885-019-6188-x.
- Derived from this study: PubMed 25649903Xu D, Li J, Song Y, Zhou J, Sun F, Wang J, Duan Y, Hu Y, Liu Y, Wang X, Sun L, Wu L, Ding K. Laparoscopic surgery contributes more to nutritional and immunologic recovery than fast-track care in colorectal cancer. World J Surg Oncol. 2015 Feb 4;13:18. doi: 10.1186/s12957-015-0445-5.
- Derived from this study: PubMed 22111914Zhou JJ, Li J, Ying XJ, Song YM, Chen R, Chen G, Yan M, Ding KF. Fast track multi-discipline treatment (FTMDT trial) versus conventional treatment in colorectal cancer--the design of a prospective randomized controlled study. BMC Cancer. 2011 Nov 24;11:494. doi: 10.1186/1471-2407-11-494.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Ke-Feng Ding, PhD/MD study chair
The Second Affiliated Hospital, and The Key Laboratory of Cancer Prevention and Intervention, China National Ministry of Education, Zhejiang University College of Medicine.
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Laparoscopic Surgery for Colorectal Cancer, XELOX Chemotherapy and mFolfox6 chemotherapy in people with Length of Stay and Complications, run by Zhejiang University at 2 sites in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 6 Apr 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
hospitalization day (time frame: 6-month post surgery). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01080547, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Apr 2017.