腹腔镜极限保肛术(uSPP)与经肛提肌外腹会阴联合切除术(ELAPE)在长程新辅助放疗后极低位直肠癌治疗中的生活质量及疗效的比较:一项前瞻性临床对照研究

注册号:

Registration number:

ChiCTR2200058417 

最近更新日期:

Date of Last Refreshed on:

2022-12-11 21:45:30 

注册时间:

Date of Registration:

2022-04-09 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

腹腔镜极限保肛术(uSPP)与经肛提肌外腹会阴联合切除术(ELAPE)在长程新辅助放疗后极低位直肠癌治疗中的生活质量及疗效的比较:一项前瞻性临床对照研究

Public title:

Quality of life (QoL) and efficacy of laparoscopic- ultimate sphincter-preserving procedures (uSPP) versus extralevator abdominoperineal excision (ELAPE) in patients with extremely low rectal cancer following long-course neoadjuvant radiotherapy: a prospective clinical controlled study

注册题目简写:

English Acronym:

研究课题的正式科学名称:

腹腔镜极限保肛术(uSPP)与经肛提肌外腹会阴联合切除术(ELAPE)在长程新辅助放疗后极低位直肠癌治疗中的生活质量及疗效的比较:一项前瞻性临床对照研究

Scientific title:

Quality of life (QoL) and efficacy of laparoscopic- ultimate sphincter-preserving procedures (uSPP) versus extralevator abdominoperineal excision (ELAPE) in patients with extremely low rectal cancer following long-course neoadjuvant radiotherapy: a prospective clinical controlled study

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

杨文明 

研究负责人:

杨烈 

Applicant:

Wenming Yang 

Study leader:

Lie Yang 

申请注册联系人电话:

Applicant telephone:

+86 13882091948

研究负责人电话:

Study leader's
telephone:

+86 18980602267

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

yangwenming94@163.com

研究负责人电子邮件:

Study leader's E-mail:

lie_222@163.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

四川省成都市武侯区国学巷37号

研究负责人通讯地址:

四川省成都市武侯区国学巷37号

Applicant address:

37 Guoxue Lane, Wuhou District, Chengdu, Sichuan

Study leader's address:

37 Guoxue Lane, Wuhou District, Chengdu, Sichuan

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

四川大学华西医院

Applicant's institution:

West China Hospital of Sichuan University

研究负责人所在单位:

四川大学华西医院

Affiliation of the Leader:

West China Hospital of Sichuan University

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

2021年审(1729)号

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

四川大学华西医院生物医学伦理审查委员会

Name of the ethic committee:

Ethics Committee on Biomedical Research, West China Hospital of Sichuan University

伦理委员会批准日期:

Date of approved by ethic committee:

2022-02-09 00:00:00

伦理委员会联系人:

邓绍林

Contact Name of the ethic committee:

Shaolin Deng

伦理委员会联系地址:

四川省成都市武侯学巷37号四川大学华西医院第八教学楼412办公室

Contact Address of the ethic committee:

Office 412, Eighth Teaching Building, West China Hospital, Sichuan University, 37 Guoxue Lane, Chengdu, Sichuan

伦理委员会联系人电话:

Contact phone of the ethic committee:

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

四川大学华西医院

Primary sponsor:

West China Hospital of Sichuan University

研究实施负责(组长)单位地址:

四川省成都市武侯区国学巷37号

Primary sponsor's address:

37 Guoxue Lane, Wuhou District, Chengdu, Sichuan

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

四川

市(区县):

成都

Country:

China

Province:

Sichuan

City:

Chengdu

单位(医院):

四川大学华西医院

具体地址:

四川省成都市武侯区国学巷37号四川大学华西医院胃肠外科中心

Institution
hospital:

West China Hospital, Sichuan University

Address:

37 Guoxue Lane, Wuhou District, Chengdu, Sichuan

经费或物资来源:

四川大学华西医院学科卓越发展1·3·5工程临床研究孵化项目

Source(s) of funding:

1·3·5 project for disciplines of excellence-Clinical Research Incubation Project, West China Hospital, Sichuan University

研究疾病:

直肠癌  

Target disease:

Rectal Cancer

研究疾病代码:

Target disease code:

研究类型:

观察性研究

Study type:

Observational study

研究所处阶段:

III期临床试验 

Study phase:

3

研究设计:

非随机对照试验 

Study design:

Non randomized control 

研究目的:

对比腹腔镜极限保肛术(uSPP)与经肛提肌外腹会阴联合切除术(ELAPE)在长程新辅助放疗后极低位直肠癌治疗中的生活质量及疗效差异。  

Objectives of Study:

To compare quality of life (QoL) and efficacy of laparoscopic-ultimate sphincter-preserving procedures (uSPP) and extralevator abdominoperineal excision (ELAPE) in patients with extremely low rectal cancer following long-course neoadjuvant radiotherapy.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1. 急诊手术;
2. 合并其他原发肿瘤或伴有远处转移;
3. ASA分级≥IV级;
4. 体力状态PS评分>2;
5. 怀孕或哺乳期妇女;
6. 严重心肺合并症不能耐受手术;
7. 1个月内连续全身性类固醇治疗;
8. 腹腔镜手术禁忌或磁共振检查禁忌;
9. 肿瘤侵及或可疑侵及阴道、前列腺、骶尾骨、盆侧壁(T4b);
10. 术前评估只能行不保肛者.

Exclusion criteria:

1. Emergency surgery;
2. Combined with other primary tumors or with distant metastases;
3. ASA>=IV;
4. PS>2;
5. Pregnant or breastfeeding women;
6. Severe cardiopulmonary complications cannot tolerate surgery;
7. Continuous systemic steroid therapy for 1 month;
8. Contraindication to laparoscopic surgery or MRI;
9. Tumor invasion or suspected invasion of the vagina, prostate, sacrococcyx, and lateral pelvic wall (T4b);
10. Those who can only undergo non-anal preservation surgery after preoperative evaluation.

研究实施时间:

Study execute time:

From 2021-12-31 00:00:00 To 2024-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2022-04-30 00:00:00 To 2023-12-31 00:00:00

干预措施:

Interventions:

组别:

uSPP组

样本量:

165

Group:

uSPP group

Sample size:

干预措施:

接受腹腔镜极限保肛手术

干预措施代码:

Intervention:

Ultimate sphincter-preserving procedures

Intervention code:

组别:

ELAPE组

样本量:

165

Group:

ELAPE group

Sample size:

干预措施:

接受腹会阴联合切除术

干预措施代码:

Intervention:

Extralevator abdominoperineal excision

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

四川 

市(区县):

成都 

Country:

China

Province:

Sichuan

City:

Chengdu

单位(医院):

四川大学华西医院 

单位级别:

三甲 

Institution
hospital:

West China Hospital, Sichuan University

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

生活质量问卷-癌症30问卷评分

指标类型:

主要指标

Outcome:

socre of Quality of Life Questionaire - Cancer 30 (QLQ-C30)

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

生活质量问卷-结直肠29问卷得分

指标类型:

次要指标

Outcome:

score of Quality of Life Questionnaire - Colorectal 29 (QLQ-CR29)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

低位直肠前切除综合征评价量表得分

指标类型:

次要指标

Outcome:

score of Low Anterior Resection Syndrome (LARS)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

Wexner失禁评分得分

指标类型:

次要指标

Outcome:

Score of Wexner Incontinence Score (WIS)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

国际前列腺症状评分表得分

指标类型:

次要指标

Outcome:

Score of International Prostate Symptom Scale (IPSS)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

国际勃起功能指数量表得分

指标类型:

次要指标

Outcome:

Score of International Index of Erectile Function-5 (IIEF-5)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

女性性功能指数问卷得分

指标类型:

次要指标

Outcome:

Score of Female Sexual Function Index (FSFI)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

卫生经济学指标

指标类型:

次要指标

Outcome:

Health Economics indexes

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 75 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

无随机

Randomization Procedure (please state who generates the random number sequence and by what method):

None

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

Blinding:

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

是Yes

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

试验完成6个月后,于中国临床试验注册中心平台共享数据

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

IPD will be public accessable via Chinese Clinical Trail Registe

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

CRF纸质病例报告

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

CRF table record collection

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2022-04-09 17:13:12