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Colorectal CancerMIRCASTNCT03650517

Minimally Invasive Right Colectomy Anastomosis Study

An observational study of Colorectal Cancer and Anastomotic Complication, run by Instituto de Investigación Marqués de Valdecilla at 32 sites in 10 countries.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Right colectomy (hemicolectomy) involves the removal of the cecum, the ascending colon, the hepatic flexure, the first one-third of the transverse colon, part of the terminal ileum, and the associated regional fat and lymph nodes, and is the accepted treatment for malignant neoplasms of the right colon. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Extracorporeal Anastomosis, Intracorporeal Anastomosis and Robotic Surgery
Type of treatment
Surgery or procedure
How many people
1,200 participants
Where
32 sitesin 10 countries
Study dates
1 Nov 2018to 1 Dec 2021
Phase
Observational
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

Study population: Right colon tumor with indication for right colectomy

Who may be able to join

  • 18 years or older.
  • Right colon tumor with indication for right colectomy (benign or malignant disease)
  • Patient has a life expectancy of at least 12 weeks
  • Patients with adequate performance status (Eastern Cooperative Oncology Group Scale score of ≤2)
  • Patient has signed and dated the Informed consent before patient inclusion in the study

Who cannot join

  • Patient with a comorbid illness or condition that would preclude the use of surgery
  • Patients with cT4b tumors
  • Patients unwilling to comply with all follow-up study requirements
  • Patient undergoing emergency procedures
  • Planned colonic surgery along with major concomitant procedures (e.g. liver resections, other intestinal resections)
  • Metastatic disease
  • Pregnant or suspected pregnancy
  • Inflammatory Bowel Disease (Crohn´s Disease or Ulcerative Colitis)

Trial locations and contacts

32 sites in 10 countries.

Marcos Gómez Ruiz, MD PhD contact

0034942202520 ext. 73733

marcos.gomez@scsalud.es

Lucía Lavín Alconero, BSc PhD contact

eclinicos5@idival.org

32 sites in 10 countries

Spain9 sites, 9 recruiting
  • Complejo hospitalario de Torrecardenas

    Almería

    Pedro Antonio Sanchez Fuentes, MD

    Angel Reina Duarte

    Recruiting
  • Hospital Universitario Vall d´hebron

    Barcelona, Catalonia

    Eloy Espin

    Franco Marinello

    Recruiting
  • Hospital Universitario Donostia

    Donostia / San Sebastian, Basque Country

    Carlos Placer Galán

    José María Enriquez Navascues

    Recruiting
  • Hospital General Universitario de Elche

    Elche, Alicante

    Antonio Arroyo Sebastián, MD

    Antonio Arroyo Sebastián

    Recruiting
  • Hospital de León

    León

    Vicente Simó Fernández

    Vicente Simó Fernández

    Recruiting
  • Hospital Clínico San Carlos

    Madrid

    Mauricio García Alonso, MD

    Oscar Cano Valderrama

    Recruiting
  • Hospital Universitario 12 de octubre

    Madrid

    Eduardo Rubio Gonzalez

    Oscar García Villar

    Recruiting
  • Hospital Central de Asturias

    Oviedo, Principality of Asturias

    Nuria Truan Alonso

    Nuria Truan Alonso

    Recruiting
  • Hospital Universitario Marqués de Valdecilla

    Santander, Cantabria, 39008

    Marcos Gómez Ruiz, MD

    Carmen Cagigas Fernández

    Recruiting

Other trials in Spain

Italy6 sites, 6 recruiting
  • AOU-Careggi

    Florence

    Andrea Coratti

    Not yet recruiting
  • Ospedale La Misericordia

    Grosseto

    Paolo Pietro Bianchi, MD PhD

    Recruiting
  • IEO - European Institute of Oncology

    Milan

    Wanda Luisa Petz

    Recruiting
  • Policlínico Agostino Gemelli

    Roma

    Dominico D´Ugo

    Recruiting
  • Humanitas Research Hospital

    Rozzano

    Antonino Spinelli

    Recruiting
  • IRCCS Istituto di Candiolo

    Torino

    Dario RIBERO

    Not yet recruiting

Other trials in Italy

Finland5 sites, 5 recruiting
  • Kanta-Hämeen Keskussairaala

    Hämeenlinna

    Arto Turunen

    Not yet recruiting
  • Kymenlaakso Central Hospital

    Kotka

    Pälvi Vento

    Recruiting
  • Päijät-Häme Central Hospital

    Lahti

    Jyrki Kössi

    Recruiting
  • Oulu University Hospital

    Oulu

    Tero Rautio

    Recruiting
  • Seinäjoki Central Hospital

    Seinäjoki

    Tarja Pinta

    Recruiting

Other trials in Finland

France5 sites, 4 recruiting
  • Hôpital Haut-Lévèque- CHU

    Bordeaux

    Active, not recruiting
  • CHU Estaing

    Clermont-Ferrand

    Anne DUBOIS

    Not yet recruiting
  • ICM - Institut Régional du Cancer de Montpellier

    Montpellier

    Philippe ROUANET

    Recruiting
  • CHRU de Strasbourg Hôpital Civil

    Strasbourg

    Benoit ROMAIN Benoit

    Not yet recruiting
  • CHRU Nancy Brabois

    Vandœuvre-lès-Nancy

    Laurent BRESLER

    Not yet recruiting

Other trials in France

Denmark2 sites
  • Hospital of Southern Denmark

    Aabenraa

    Active, not recruiting
  • Zealand University Hospital

    Køge

    Active, not recruiting

Other trials in Denmark

Croatia1 site, 1 recruiting
  • County Hospital Požega

    Požega

    Recruiting

Other trials in Croatia

Germany1 site, 1 recruiting
  • Medizinische Hochschule Hannover

    Hanover

    Markus Winny

    Not yet recruiting

Other trials in Germany

Greece1 site, 1 recruiting
  • Eurokliniki Athinou

    Athens, Athina

    Thalia Petropoulou

    Recruiting

Other trials in Greece

Portugal1 site, 1 recruiting
  • Centro Hospitalar de Leiria

    Leiria

    Nuno Rama

    Not yet recruiting

Other trials in Portugal

United Kingdom1 site, 1 recruiting
  • Portsmouth Hospital NHS Trust

    Portsmouth

    Jim Kahn

    Not yet recruiting

Other trials in United Kingdom

About this study

Official title: A Prospective Observational Multi-center 4 Cohort Study Comparing Robotic Assisted and Laparoscopic Invasive Right Colectomy and Intracorporeal Anastomosis Versus Extracorporeal Anastomosis

Right colectomy (hemicolectomy) involves the removal of the cecum, the ascending colon, the hepatic flexure, the first one-third of the transverse colon, part of the terminal ileum, and the associated regional fat and lymph nodes, and is the accepted treatment for malignant neoplasms of the right colon.

A minimally invasive approach is commonly used for right colectomy, with studies reporting reduced complications, less blood loss, and hospital stay when compared to an open approach.

Read more

However, there remains controversy regarding whether robotic assistance is advantageous for this technique and whether an intracorporeal (ICA) or extracorporeal anastomosis (ECA) is best.

MIRCAST is a prospective, observational, international, multi-center, 4-parallel-cohorts study. Sites or surgeons will select a cohort of the study for which they are qualified. Four cohorts will be the subject of study:

  1. Robotic Right Colectomy with ICA
  2. Robotic Right Colectomy with ECA
  3. Laparoscopic Right Colectomy with ICA
  4. Laparoscopic Right Colectomy with ECA

All patient assessments will be done according to the sites standard of care. Parameters routinely recorded during right colectomy surgery will be collected prospectively. Enrolled subjects will undergo assessments at the following intervals: pre-operative, operative, discharge, 30 days, 3 months, 1 year and 2 years post-surgery.

Read the detailed description

MIRCAST study is an observational, prospective, parallel cohorts, international, multi-center to compare robotic assisted and laparoscopic minimally invasive right colectomy, and intracorporeal anastomosis versus extracorporeal anastomosis.

The research is coordinated by Marcos Gómez Ruiz MD PhD from Hospital Universitario Marqués de Valdecilla in Santander, Spain; the sponsorship is performed by Fundacion Instituto de Investigación Marqués de Valdecilla (IDIVAL). The European Society of Coloproctology (ESCP) endorses MIRCAST Study and will run a quality audit/independent monitoring of the study.

The objectives of study are to compare of the peri-operative complications after robotic assisted and laparoscopic minimally invasive right colectomy with intracorporeal anastomosis versus extracorporeal anastomosis.

To Identify potential benefits of robotic assisted procedures for right colon resections.

Being tested
Extracorporeal Anastomosis, Intracorporeal Anastomosis, Robotic Surgery, Laparoscopic Surgery
Keywords
Laparoscopic, Robotic, Right colon tumor, Anastomosis, Intracorporeal, Extracorporeal
Medical subject headings
Colorectal Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Extracorporeal AnastomosisProcedure or surgery

    Anastomosis is performed by pulling out the bowel through a laparotomy wherever that laparotomy is performed.

  • Intracorporeal AnastomosisProcedure or surgery

    Anastomosis is performed inside the abdominal cavity with a laparoscopic or robotic technique

  • Robotic SurgeryProcedure or surgery

    Procedure is performed using robotic instruments

  • Laparoscopic SurgeryProcedure or surgery

    Procedure is performed using standard laparoscopic instruments

Study groups in NCT03650517
Study groupRoleWhat they receive
Robotic Right Colectomy with ICARobot-assisted surgery (RAS), allows many types of complex MIS procedures using robotic systems to aid in surgical procedures providing more precision, flexibility and control than is possible with other MIS techniques. Intracorporeal anastomosis: when the anastomosis is performed inside the abdominal cavity with a laparoscopic or robotic technique. A Pfannenstiel incision will be done exclusively for specimen extraction.
Receives: Procedure: Intracorporeal Anastomosis; Procedure: Robotic Surgery
Robotic Right Colectomy with ECARobot-assisted surgery (RAS), allows many types of complex MIS procedures using robotic systems to aid in surgical procedures providing more precision, flexibility and control than is possible with other MIS techniques. Extracorporeal anastomosis: when the anastomosis is performed by pulling out the bowel through a laparotomy wherever that laparotomy is performed.
Receives: Procedure: Extracorporeal Anastomosis; Procedure: Robotic Surgery
Laparoscopic Right Colectomy with ICALaparoscopic surgery, also called minimally invasive surgery (MIS), or keyhole surgery, is a surgical technique in which operations are performed far from their location through small incisions (usually 0.5-1.5 cm) elsewhere in the body. Intracorporeal anastomosis: when the anastomosis is performed inside the abdominal cavity with a laparoscopic or robotic technique. A Pfannenstiel incision will be done exclusively for specimen extraction.
Receives: Procedure: Intracorporeal Anastomosis; Procedure: Laparoscopic Surgery
Laparoscopic Right Colectomy with ECALaparoscopic surgery, also called minimally invasive surgery (MIS), or keyhole surgery, is a surgical technique in which operations are performed far from their location through small incisions (usually 0.5-1.5 cm) elsewhere in the body. Extracorporeal anastomosis: when the anastomosis is performed by pulling out the bowel through a laparotomy wherever that laparotomy is performed.
Receives: Procedure: Extracorporeal Anastomosis; Procedure: Laparoscopic Surgery

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Surgical wound infection

    (CDC definition [Health Protection Agency. Surveillance of Surgical Site Infection in England: October 1997-September 2005. London: Health Protection Agency; 2006): Superficial incisional, affecting the skin and subcutaneous tissue. These infections may be indicated by localised (Celsian) signs such as redness, pain, heat or swelling at the site of the incision or by the drainage of pus.

    Measured: 30 days

  2. Clavien Dindo Complication

    Complications according to Clavien Dindo Classification.

    Measured: 30 days

Secondary outcomes (14)
  1. Overall Survival

    The length of time from either the date of diagnosis or the start of treatment for a disease, such as cancer, that patients diagnosed with the disease are still alive

    Measured: 2 years

  2. Disease Free Survival (DFS)

    Length of time after primary treatment for a cancer ends that the patient survives without any signs or symptoms of that cancer.

    Measured: 2 years

  3. Local Recurrence rate

    Rate of cancer that has recurred at or near the same place as the original (primary) tumor

    Measured: 2 years

  4. Distant metastases rate

    Rate of Cancer that has spread from the original (primary) tumor to distant organs or distant lymph nodes

    Measured: 2 years

  5. Rate of Unplanned Conversions to open surgery

    When anything apart of the anastomosis had to be done through the laparotomy. If the anastomosis is not completely performed in an intracorporeal approach, the case is considered also converted

    Measured: 7 days

  6. Operative time (min)

    Operative time from skin to skin in minutes

    Measured: 7 days

  7. Complete mesocolic excision (CME)

    Complete Mesocolic Excision is defined as complete resection of the mesocolon with its anatomical envelope. Anatomical report should include any defect on CME specimen (Hohenberger W, Weber K., Matzel K., Papadopoulost T., Merkel S. Standardized surgery for colonic cancer: complete mesocolic excision and central ligation - technical notes and outcome. Colorectal Disease 11, 354-365 2008. doi:10.1111/j.1463-1318.2008.01735.x)

    Measured: 30 days

  8. Number of Harvested Lymph Nodes

    Number of harvested Lymph nodes according to the definitive pathological report.

    Measured: 30 days

  9. R0 Resection

    Rate of resection without any affected margins during the surgical procedure.

    Measured: 30 days

  10. Length of Stay (LOS, days)

    In hospital stay of the patient from the day that they are admitted before surgery to the day that they are fit to leave the hospital after the procedure.

    Measured: 3 months

  11. Ventral hernia (assessed 1& 2 years after the right colectomy)

    Incidence of ventral hernia 1 year after the procedure and 2 years after the procedure at the laparotomy site.

    Measured: 1 and 2 years after the procedure

  12. Quality of Life Questionnaire (QLQ) of the European Organisation for Research and Treatment of Cancer (EORTC) QLQ-C30

    Quality of Life Questionnaire (QLQ) of the European Organisation for Research and Treatment of Cancer (EORTC) QLQ-C30 Score 3 months and 1 year after the procedure.

    Measured: 3 months and 1 year after the procedure

  13. Quality of Life Questionnaire (QLQ) of the European Organisation for Research and Treatment of Cancer (EORTC) QLQ-CR29

    Quality of Life Questionnaire (QLQ) of the European Organisation for Research and Treatment of Cancer (EORTC) QLQ-CR29 Score 3 months and 1 year after the procedure.

    Measured: 3 months and 1 year after the procedure

  14. C-Reactive Protein value (CRP) days 1 & 3 postoperative

    CRP values on postoperative day 1 and 3.

    Measured: 1 and 3 postoperative days.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Aug 2018
  2. Study start1 Nov 2018
  3. Primary completion1 Jun 2021 (estimated)
  4. Study completion1 Dec 2021 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
1,200 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03650517
Sponsor's protocol ID
IDIVAL CI18/27
Acronym
MIRCAST
Status last verified
Sep 2019
First submitted
16 Jul 2018
Last updated
25 Sep 2019
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Gomez Ruiz M, Bianchi PP, Chaudhri S, Gerjy R, Gogenur I, Jayne D, Khan JS, Rautio T, Sanchez-Guillen L, Spinoglio G, Ulrich A, Rouanet P. Minimally invasive right colectomy anastomosis study (MIRCAST): protocol for an observational cohort study of surgical complications using four surgical techniques for anastomosis in patients with a right colon tumor. BMC Surg. 2020 Jul 13;20(1):151. doi: 10.1186/s12893-020-00803-x.

    PubMed 32660467

Questions about this trial

What is this clinical trial studying?

An observational study of Colorectal Cancer and Anastomotic Complication, run by Instituto de Investigación Marqués de Valdecilla at 32 sites in 10 countries.

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 5 inclusion and 8 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: status not confirmed, as of the sponsor's last update on 25 Sep 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 32 sites in Spain, Italy, Finland, France, Denmark and 5 more countries. 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.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Marcos Gómez Ruiz, MD PhD (0034942202520 ext. 73733, marcos.gomez@scsalud.es), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Surgical wound infection (time frame: 30 days). The study lists 2 primary outcomes in all. 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 NCT03650517, which also lists 1 linked publication.

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 25 Sep 2019.

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Minimally Invasive Right Colectomy Anastomosis Study | AzTrials