Low Anterior Resection SyndromeLARS-AustriaNCT05506111
Low Anterior Resection Syndrome After Rectum Resection for Rectal Carcinoma.
An observational study of Low Anterior Resection Syndrome and Quality of Life, run by Paracelsus Medical University at 3 sites in Austria.
Trial summary
The ACO-ASSO (Austrian Society of Surgical Oncology) colorectal group and Austrian Working Group for Coloproctology present the LARS Austria study. It is a prospective, multicenter observational study. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Low Anterior Resection Syndrome, Quality of Life, Incontinence
- How many people
- 100 participants
- Where
- 3 sitesAustria
- Study dates
- 18 Jul 2022to 31 Jul 2024
- How long will I take part?
- 12 Months
- 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: All consecutive patients with a bioptically verified rectal carcinoma ≤16 cm from anocutaneous line) can be included in the study. Patients will be included only after the indication for further therapy has been established in the tumor board according to guideline criteria and after signing the informed consent form.
Who may be able to join
- Age: 18 to 99 years
- Patients with biopsy-verified rectal cancer.
- Patients scheduled for elective sphincter-preserving rectal surgery
- Patients scheduled for neoadjuvant RCTx (Chemo-radiation) (concept: short course radiation, conv.
- fractionated RCTx, total neoadjuvant therapy(TNT))
- Signed consent (ICF)
Who cannot join
- Patients younger than 18 years
- Patients without signed informed consent
- Metastatic carcinoma
- terminal colostomy ( APR (abdominoperineal resection),...)
Trial locations and contacts
3 sites in 1 country.
Felix Aigner, Prof. Dr. contact
Austria3 sites, 3 recruiting
- Recruiting
Department of Surgery Hospital of St. John of God, Graz
Graz, 8020
Felix Aigner, Prof. Dr.
- Recruiting
Department of Surgery, Paracelsus Medical University
Salzburg, 5020
Jaroslav Presl, Dr., 00435725555847, j.presl@salk.at
- Recruiting
Department of Surgery Medical University Vienna
Vienna, 1090
Stefan Riss, Prof. Dr.
About this study
Official title: Erfassung Des Low Anterior Resection Syndroms Nach Rektumresektion Bei Patienten Mit Einem Rektumkarzinom - Eine österreichweite Multi-center Studie
The ACO-ASSO (Austrian Society of Surgical Oncology) colorectal group and Austrian Working Group for Coloproctology present the LARS Austria study. It is a prospective, multicenter observational study. The primary objective of this study is to collect information about LARS (LARS score) and QoL (EORTC -CR29) in patients with non-metastatic rectal cancer who received therapy. As a secondary objective, the impact of radiotherapy on the occurrence of LARS will be investigated.
Read the detailed description
All consecutive patients with biopsy verified rectal cancer (≤16cm from anocutaneous line) can be included in the study. For the study, tumors whose aboral margin, when measured with a rigid rectoscope, is 16 cm or less from the anocutaneous line will be included. Thus, only histologically verified tumors of the lower (<6 cm), middle (6<12 cm) and upper (12-16cm) rectal thirds are included.
Patients will be included after the indication for further therapy has been established in the tumor board according to guideline criteria and after signing the participation consent. The collection of study relevant data will be performed according to the following scheme:
Group 1 = patients without neoadjuvant radiochemotherapy (RCHT). Collection of data and questionnaires before surgery and 3, 6, and 12 months after index surgery (if no protective stoma).
OR Collection of data and questionnaires before surgery and 3, 6, or 12 months after stoma re-operation (if protective stoma).
Group 2 = patients with neoadjuvant RCHT/ definitive RCHT=watch and wait. Collection of data and questionnaires before RCHT and before surgery or after RCHT and 3, 6, or 12 months after index surgery (if no protective stoma).
OR Collection of data and questionnaires before RCHT and before operation=surgery(OP) or after RCHT and 3, 6 or 12 months after stoma closure (if protective stoma) OR Collection of data and questionnaires before RCHT and 3, 6 and 12 months after RCHT (if no surgery)
- Medical subject headings
- Low Anterior Resection Syndrome
What is being measured
The primary outcome is the main question the study is designed to answer.
Detection of Low Anterior Resection Syndrome (LARS) after anterior rectal resection.
Occurrence of Low Anterior Resection Syndrome (LARS) will be measured with an LARS Score. The score ranges from 0 to 42 is divides into no LARS (0 to 20 points), minor LARS (21 to 29 points), and major LARS (30 to 42 points)
Measured: 3 months after the rectum resection or after the closure of a protective ileostomy or after an Chemoradiation in case of watch and wait
Detection of Low Anterior Resection Syndrome (LARS) after anterior rectal resection.
Occurrence of Low Anterior Resection Syndrome (LARS) will be measured with an LARS Score. The score ranges from 0 to 42 is divides into no LARS (0 to 20 points), minor LARS (21 to 29 points), and major LARS (30 to 42 points)
Measured: 6 months after the rectum resection or after the closure of a protective ileostomy or after an Chemoradiation in case of watch and wait
Detection of Low Anterior Resection Syndrome (LARS) after anterior rectal resection.
Occurrence of Low Anterior Resection Syndrome (LARS) will be measured with an LARS Score. The score ranges from 0 to 42 is divides into no LARS (0 to 20 points), minor LARS (21 to 29 points), and major LARS (30 to 42 points)
Measured: 12 months after the rectum resection or after the closure of a protective ileostomy or after an Chemoradiation in case of watch and wait
Secondary outcomes (1)
Assessing the difference in LARS Score between the time of the diagnoses (baseline)and after the chemoradiation to identify the impact of the neoadjuvant Chemo-Radiation on LARS.
Occurrence of Low Anterior Resection Syndrome (LARS) will be measured with an LARS Score. The score ranges from 0 to 42 is divides into no LARS (0 to 20 points), minor LARS (21 to 29 points), and major LARS (30 to 42 points)
Measured: At the time of the diagnosis (baseline) and 6 to 8 weeks after an Chemo-Radiation, directly before the surgery respectively.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Aug 2022
- Study start18 Jul 2022
- Primary completion31 Jul 2024 (estimated)
- Study completion31 Jul 2024 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Low Anterior Resection SyndromeStudies 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
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 100 participants (estimated)
- Target duration
- 12 Months
Sponsor and investigators
- Lead sponsor
- Paracelsus Medical University
- Sponsor type
- University, hospital or other
- Collaborators
- Department of Surgery Hospital of St. John of God, Graz, Medical University of Vienna
- Responsible party
- Principal investigator, Jaroslav Presl, Paracelsus Medical University
- Investigators
- Stefan Riss, Prof. Dr., Study chair, Medical University Wien, Department of SurgeryFelix Aigner, Prof. Dr., Study director, Department of Surgery Hospital of St. John of God, GrazJaroslav Presl, Dr., Principal investigator, Paracelsus Medical University Salzburg, Department of Surgery
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05506111
- Sponsor's protocol ID
- 1110/2021
- Acronym
- LARS-Austria
- Status last verified
- Aug 2022
- First submitted
- 22 Jul 2022
- Last updated
- 19 Aug 2022
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 19 Aug 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Erfassung Des Low Anterior Resection Syndroms Nach Rektumresektion Bei Patienten Mit Einem Rektumkarzinom - Eine österreichweite Multi-center Studie
- ClinicalTrials.gov ID
- NCT05506111
- Acronym / sponsor ID
- LARS-Austria / 1110/2021
- Study type
- Observational
- Recruitment status
- Unknown status
- Enrolment
- 100 participants (estimated)
- Lead sponsor
- Paracelsus Medical UniversityUniversity, hospital or other
- Collaborators
- Department of Surgery Hospital of St. John of God, Graz, Medical University of Vienna
- Study start
- 18 Jul 2022 (actual)
- Primary completion
- 31 Jul 2024 (estimated)
- Study completion
- 31 Jul 2024 (estimated)
- First posted
- 18 Aug 2022 (actual)
- 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.
The ACO-ASSO (Austrian Society of Surgical Oncology) colorectal group and Austrian Working Group for Coloproctology present the LARS Austria study. It is a prospective, multicenter observational study. The primary objective of this study is to collect information about LARS (LARS score) and QoL (EORTC -CR29) in patients with non-metastatic rectal cancer who received therapy. As a secondary objective, the impact of radiotherapy on the occurrence of LARS will be investigated.
Detailed description
All consecutive patients with biopsy verified rectal cancer (≤16cm from anocutaneous line) can be included in the study. For the study, tumors whose aboral margin, when measured with a rigid rectoscope, is 16 cm or less from the anocutaneous line will be included. Thus, only histologically verified tumors of the lower (<6 cm), middle (6<12 cm) and upper (12-16cm) rectal thirds are included.
Patients will be included after the indication for further therapy has been established in the tumor board according to guideline criteria and after signing the participation consent. The collection of study relevant data will be performed according to the following scheme:
Group 1 = patients without neoadjuvant radiochemotherapy (RCHT). Collection of data and questionnaires before surgery and 3, 6, and 12 months after index surgery (if no protective stoma).
OR Collection of data and questionnaires before surgery and 3, 6, or 12 months after stoma re-operation (if protective stoma).
Group 2 = patients with neoadjuvant RCHT/ definitive RCHT=watch and wait. Collection of data and questionnaires before RCHT and before surgery or after RCHT and 3, 6, or 12 months after index surgery (if no protective stoma).
OR Collection of data and questionnaires before RCHT and before operation=surgery(OP) or after RCHT and 3, 6 or 12 months after stoma closure (if protective stoma) OR Collection of data and questionnaires before RCHT and 3, 6 and 12 months after RCHT (if no surgery)
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Target follow-up
- 12 Months
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- All consecutive patients with a bioptically verified rectal carcinoma ≤16 cm from anocutaneous line) can be included in the study. Patients will be included only after the indication for further therapy has been established in the tumor board according to guideline criteria and after signing the informed consent form.
Key inclusion criteria (6 listed)
- Age: 18 to 99 years
- Patients with biopsy-verified rectal cancer.
- Patients scheduled for elective sphincter-preserving rectal surgery
- Patients scheduled for neoadjuvant RCTx (Chemo-radiation) (concept: short course radiation, conv.
- fractionated RCTx, total neoadjuvant therapy(TNT))
Key exclusion criteria (4 listed)
- Patients younger than 18 years
- Patients without signed informed consent
- Metastatic carcinoma
- terminal colostomy ( APR (abdominoperineal resection),...)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Detection of Low Anterior Resection Syndrome (LARS) after anterior rectal resection.
Time frame: 3 months after the rectum resection or after the closure of a protective ileostomy or after an Chemoradiation in case of watch and wait
Occurrence of Low Anterior Resection Syndrome (LARS) will be measured with an LARS Score. The score ranges from 0 to 42 is divides into no LARS (0 to 20 points), minor LARS (21 to 29 points), and major LARS (30 to 42 points)
Detection of Low Anterior Resection Syndrome (LARS) after anterior rectal resection.
Time frame: 6 months after the rectum resection or after the closure of a protective ileostomy or after an Chemoradiation in case of watch and wait
Occurrence of Low Anterior Resection Syndrome (LARS) will be measured with an LARS Score. The score ranges from 0 to 42 is divides into no LARS (0 to 20 points), minor LARS (21 to 29 points), and major LARS (30 to 42 points)
Detection of Low Anterior Resection Syndrome (LARS) after anterior rectal resection.
Time frame: 12 months after the rectum resection or after the closure of a protective ileostomy or after an Chemoradiation in case of watch and wait
Occurrence of Low Anterior Resection Syndrome (LARS) will be measured with an LARS Score. The score ranges from 0 to 42 is divides into no LARS (0 to 20 points), minor LARS (21 to 29 points), and major LARS (30 to 42 points)
1 secondary outcome
Assessing the difference in LARS Score between the time of the diagnoses (baseline)and after the chemoradiation to identify the impact of the neoadjuvant Chemo-Radiation on LARS.
Time frame: At the time of the diagnosis (baseline) and 6 to 8 weeks after an Chemo-Radiation, directly before the surgery respectively.
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Aug 2022.
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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.
Felix Aigner, Prof. Dr. contact
Stefan Riss, Prof. Dr. study chair
Medical University Wien, Department of Surgery
Felix Aigner, Prof. Dr. study director
Department of Surgery Hospital of St. John of God, Graz
Jaroslav Presl, Dr. principal investigator
Paracelsus Medical University Salzburg, Department of Surgery
3 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Low Anterior Resection Syndrome and Quality of Life, run by Paracelsus Medical University at 3 sites in Austria.
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 6 inclusion and 4 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 19 Aug 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 3 sites in Austria. 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 Jaroslav Presl, Dr. (00435725555847, j.presl@salk.at), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Detection of Low Anterior Resection Syndrome (LARS) after anterior rectal resection. (time frame: 3 months after the rectum resection or after the closure of a protective ileostomy or after an Chemoradiation in case of watch and wait). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 19 Aug 2022.