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AzTrials

Gastric CancerNCT06362070

Comparison of Outcomes of Multiple Platforms for Assisted Robotic - Gastrectomy

A study testing DaVinci® Surgical System, Hugo™ RAS System and Versius® Robotic Surgery System in people with Gastric Cancer and Gastrointestinal Cancer, run by Azienda Ospedaliera Universitaria Integrata Verona at 1 site in Italy.

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 The sponsor has not verified this record for over two years, so it may be out of date.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

The object of this exploratory clinical trial is to evaluate intra and post-operative complications in a population that underwent Robotic Gastrectomy, with multiple platforms: DaVinci; Hugo; Versius. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Gastric Cancer, Gastrointestinal Cancer, Neoplasms
What is being tested?
DaVinci® Surgical System, Hugo™ RAS System and Versius® Robotic Surgery System
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
75 participants
Where
1 siteItaly
Study dates
31 Jan 2024to 31 Jul 2025
Phase
Interventional
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 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age > 18 and < 80 years
  • Informed consent provided
  • Primary stomach tumor
  • Total or subtotal gastrectomy
  • Tumour stage: T1-4a, any N, M0
  • ASA I-III
  • No BMI limits
  • Upfront surgery or after neoadjuvant chemotherapy

Who cannot join

  • Extension to esophagectomy
  • Tumor of the esophago-gastric junction (Siwert I-III)
  • Emergency surgery
  • Metastatic patients (stage IV)
  • Patients undergoing preoperative radiotherapy
  • Previous major supramesocolic surgery (excluding cholecystectomy)
  • Other coexisting malignant neoplasms

Trial locations and contacts

1 site in 1 country.

Simone SG Giacopuzzi, MD, Prof contact

+39 0458127510

simone.giacopuzzi@univr.it

Italy1 site, 1 recruiting
  • General and Upper GI Unit

    Verona, 37126

    Simone SG Giacopuzzi, MD, Prof, +39 0458127510, simone.giacopuzzi@univr.it

    Simone Giacopuzzi, MD, Prof

    Recruiting

Other trials in Italy

About this study

Official title: Comparison of Outcomes of Multiple Platforms for Assisted Robotic - Gastrectomy (COMPAR-G) in Gastric Cancer Patient.

The object of this exploratory clinical trial is to evaluate intra and post-operative complications in a population that underwent Robotic Gastrectomy, with multiple platforms:

  • DaVinci;
  • Hugo;
  • Versius.
Read more

This study is divided into two phases: in the first phase, gastrectomy will be performed using both the new platforms (Hugo and Versius) and the standard platform (Da Vinci), to evaluate the feasibility of the surgical procedure. In the second phase, the three platforms will be compared to evaluate any differences in the learning curve for an upper-GI surgeon, expert in laparoscopic surgery but not with robotic one.

The questions it aims to answer are:

  • Are differences (intra-operative, post-operative, oncological, functional, technical, and economic) among the three different platforms observable?
  • Are there any differences between the three platforms related to the learning curve for surgeons?

Participants will be enrolled, after obtaining informed consent, in one of the following cohorts:

  1. surgery with the daVinci platform;
  2. surgery with the Hugo platform;
  3. surgery with the Versius platform.
Read the detailed description

Gastrectomy for gastric cancer could be performed through open, laparoscopic and robotic approaches. In the last ten years, robotic surgery, performed with Da Vinci® Robotic System (Intuitive Surgical Inc., Sunnyvale, CA, USA) has been introduced and increasingly used globally also in the field of gastric surgery. Indeed, the technological implementation obtained with the use of robotic surgery should guarantee an easier approach to the different phases of gastric surgery, and in particular to the more complex steps relating to the reconstructive phase of the operation.

Recently, after Intuitive patent expiration, two new CE-marked robotic platforms are available in Europe for minimally invasive procedures:

  • Versius® Robotic Surgery System, (Cambridge Medical Robotics (CMR) Ltd., Cambridge, UK);
  • HugoTM RAS (Medtronic Dublin, Ireland; Minneapolis, MN, USA).

Both platforms are currently used for urological and gynecological procedures, but, no experiences are reported in Literature related to the field of oncological esophago-gastric surgery. In order to provide evidence regarding the new robotic platforms, the COMPAR-G study has been designed to directly compare the Da Vinci® (as standard), Versius® and HugoTM RAS robotic platforms during gastrectomy.

In this regard, this study was proposed, divided into two phases: a first phase for feasibility of surgical procedure with different platforms and the second one to evaluate the learning curve for surgeons.

This second phase will be carried out only in the event of an extension of the rental of the two new platforms for a further period of one year.

Being tested
DaVinci® Surgical System, Hugo™ RAS System, Versius® Robotic Surgery System
Keywords
Robotic-assisted surgery, Multiple surgical platforms, Postoperative complications, Operative outcomes, Gastrectomy
Medical subject headings
Stomach Neoplasms, Gastrointestinal Neoplasms, Neoplasms, Postoperative Complications

What participants receive

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

  • DaVinci® Surgical SystemDevice

    Assisted-robotic radical Gastrectomy

  • Hugo™ RAS SystemDevice

    Assisted-robotic radical Gastrectomy

  • Versius® Robotic Surgery SystemDevice

    Assisted-robotic radical Gastrectomy

Study groups in NCT06362070
Study groupRoleWhat they receive
DaVinci® Surgical SystemActive comparatorRobot-assisted total or subtotal Gastrectomy is carried out through daVinci platform. (10 patients enrolled for phase 1 of the study and 15 patients for phase 2)
Receives: Device: DaVinci® Surgical System
Hugo™ RAS SystemExperimentalRobot-assisted total or subtotal Gastrectomy is carried out through Hugo platform. (10 patients enrolled for phase 1 of the study and 15 patients for phase 2)
Receives: Device: Hugo™ RAS System
Versius® Robotic Surgery SystemExperimentalRobot-assisted total or subtotal Gastrectomy is carried out through Versius platform. (10 patients enrolled for phase 1 of the study and 15 patients for phase 2)
Receives: Device: Versius® Robotic Surgery System

What is being measured

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

  1. Conversion rate to open or laparoscopic approach (Phase 1)

    Number of procedures in which it is necessary to convert to open or laparoscopic approach, due to surgical and/or oncological needs

    Measured: Intraoperative

  2. Number of participants with major intraoperative complications (Phase 1)

    Major complications are considered according to the GASTRODATA definition (Unintentional intraoperative damage to major vessels and/or organs requiring reconstruction or resection. Intraoperative bleeding requiring urgent treatment. Unforeseen medical conditions that interrupt or change the planned procedure) and according to Clavien-Dindo Classification (7 grades: I, II, IIIa, IIIb, IVa, IVb and V): the higher the grade, the higher the severity of the complication.

    Measured: Intraoperative

  3. Evaluation of surgical times of the standardized procedures (Phase 2)

    Analysis of surgical times (as minutes of the different surgical steps of the standardized procedure).

    Measured: Intraoperative

  4. Analysis of video of surgical procedures (Phase 2)

    Evaluation of analysis of video of surgical procedure, as deviations from the standard.

    Measured: Intraoperative

Secondary outcomes (16)
  1. Estimated Blood Loss

    Volume of blood loss (ml)

    Measured: Intraoperative

  2. Overall duration of the surgery

    Minutes

    Measured: Intraoperative

  3. Anesthesia, Lymphadenectomy, Gastrectomy (10 different surgical steps)

    Minutes

    Measured: Entrance of patient into operating room until completion of surgery

  4. Number of participants with major postoperative complications

    Major complications are considered according to GASTRODATA definition (surgical and/or general) and according to Clavien-Dindo Classification (7 grades: I, II, IIIa, IIIb, IVa, IVb and V): the higher the grade, the higher the severity of the complication

    Measured: Until 90 days post surgery

  5. Compliance rate to ERAS protocol

    Adherence to Enhanced recovery after surgery for gastric cancer (ERAS-GC) protocol, which involves a rapid mobilisation and refeeding of patiens.

    Measured: 1-7 days postoperative

  6. Postoperative hospitalization

    Days of recovery until the date of release

    Measured: From the surgery day up to 20 days postoperative

  7. Postoperative pain

    Numerical Rating Scale (NRS) 0-10 scale for the self-reported rate of pain: zero meaning "no pain" and 10 meaning "the worst pain imaginable"

    Measured: 1-5 days postoperative

  8. Re-admission rate to hospitalization

    Number of patients readmitted to the hospital for postoperative complications

    Measured: Up to 90 days postoperative

  9. Damage due to positioning

    Number of damage due to positioning on the operating bed, during the surgical procedure

    Measured: Intraoperative

  10. Positive Surgical Margin

    Positive margin (distal or proximal) at histological examination

    Measured: Up to 2 weeks postoperative (during histological analysis)

  11. Lymph nodes resection

    Number of lymph nodes removed

    Measured: Up to 2 weeks postoperative (during histological analysis)

  12. Quality of Life Evaluation

    EORTC QLQ-C30 questionnaire (30-item instrument designed to measure quality of life in all cancer patients) and EORTC STO-22 questionnaire (for measuring the QOL of patient with gastric cancer)

    Measured: Postoperaive (follow up at 1 month)

  13. Time taken for platform-related technical steps

    Set up of operating table, Electric connections, Draping, Undraping, Docking, Undocking, Cleaning: time in minutes

    Measured: From the room setting, through surgical procedure until postoperative room restoration for each of expected surgeries

  14. Possible malfunction of the platform

    Note

    Measured: Intraoperative

  15. Non-Technical Skills Assessment (NTS) demonstrated by members of the surgical team during the intraoperative phase.

    Targeted observation with "I.C.A.R.S" checklist (Interpersonal and Cognitive

    Assessment for Robotic Surgery) which includes following domains:

    Checklist and equipment; Interpersonal skills and Cognitive skills.

    Measured: Intraoperative

  16. Procedure-related costs

    Estimate

    Measured: From surgical procedure up to 90 days after surgery

Timeline

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

  1. First posted12 Apr 2024
  2. Study start31 Jan 2024
  3. Primary completion30 Mar 2024
  4. Study completion31 Jul 2025 (estimated)

Resources

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 N/A
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
75 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06362070
Sponsor's protocol ID
COMPAR-G
Status last verified
Apr 2024
First submitted
3 Apr 2024
Last updated
12 Apr 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Publications

  • Haig F, Medeiros ACB, Chitty K, Slack M. Usability assessment of Versius, a new robot-assisted surgical device for use in minimal access surgery. BMJ Surg Interv Health Technol. 2020 May 22;2(1):e000028. doi: 10.1136/bmjsit-2019-000028. eCollection 2020.

    PubMed 35047788
  • Peters BS, Armijo PR, Krause C, Choudhury SA, Oleynikov D. Review of emerging surgical robotic technology. Surg Endosc. 2018 Apr;32(4):1636-1655. doi: 10.1007/s00464-018-6079-2. Epub 2018 Feb 13.

    PubMed 29442240
  • Solaini L, D'Ignazio A, Marrelli D, Marano L, Avanzolini A, Morgagni P, Roviello F, Ercolani G. The effect of learning curve on perioperative outcomes of robotic gastrectomy in two western high-volume centers. Int J Med Robot. 2021 Apr;17(2):e2212. doi: 10.1002/rcs.2212. Epub 2021 Jan 8.

    PubMed 33340239
  • Li Z, Qian F, Zhao Y, Chen J, Zhang F, Li Z, Wang X, Li P, Liu J, Wen Y, Feng Q, Shi Y, Yu P. A comparative study on perioperative outcomes between robotic versus laparoscopic D2 total gastrectomy. Int J Surg. 2022 Jun;102:106636. doi: 10.1016/j.ijsu.2022.106636. Epub 2022 Apr 26.

    PubMed 35472517
  • Shibasaki S, Suda K, Hisamori S, Obama K, Terashima M, Uyama I. Robotic gastrectomy for gastric cancer: systematic review and future directions. Gastric Cancer. 2023 May;26(3):325-338. doi: 10.1007/s10120-023-01389-y. Epub 2023 Apr 3.

    PubMed 37010634
  • Prata F, Ragusa A, Tempesta C, Iannuzzi A, Tedesco F, Cacciatore L, Raso G, Civitella A, Tuzzolo P, Calle P, Pira M, Pino M, Ricci M, Fantozzi M, Prata SM, Anceschi U, Simone G, Scarpa RM, Papalia R. State of the Art in Robotic Surgery with Hugo RAS System: Feasibility, Safety and Clinical Applications. J Pers Med. 2023 Aug 6;13(8):1233. doi: 10.3390/jpm13081233.

    PubMed 37623483
  • Baiocchi GL, Giacopuzzi S, Marrelli D, Reim D, Piessen G, Matos da Costa P, Reynolds JV, Meyer HJ, Morgagni P, Gockel I, Lara Santos L, Jensen LS, Murphy T, Preston SR, Ter-Ovanesov M, Fumagalli Romario U, Degiuli M, Kielan W, Monig S, Kolodziejczyk P, Polkowski W, Hardwick R, Pera M, Johansson J, Schneider PM, de Steur WO, Gisbertz SS, Hartgrink H, van Sandick JW, Portolani N, Holscher AH, Botticini M, Roviello F, Mariette C, Allum W, De Manzoni G. International consensus on a complications list after gastrectomy for cancer. Gastric Cancer. 2019 Jan;22(1):172-189. doi: 10.1007/s10120-018-0839-5. Epub 2018 May 30.

    PubMed 29846827

Questions about this trial

What is this clinical trial studying?

A study testing DaVinci® Surgical System, Hugo™ RAS System and Versius® Robotic Surgery System in people with Gastric Cancer and Gastrointestinal Cancer, run by Azienda Ospedaliera Universitaria Integrata Verona at 1 site in Italy.

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 8 inclusion and 7 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 12 Apr 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Italy. 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 Simone SG Giacopuzzi, MD, Prof (+39 0458127510, simone.giacopuzzi@univr.it), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Conversion rate to open or laparoscopic approach (Phase 1) (time frame: Intraoperative). The study lists 4 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 NCT06362070, which also lists 7 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 12 Apr 2024.

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