Surgical timing after radiotherapy for rectal cancer
ISRCTN | ISRCTN88843062 |
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DOI | https://doi.org/10.1186/ISRCTN88843062 |
Secondary identifying numbers | 12185 |
- Submission date
- 24/05/2012
- Registration date
- 24/05/2012
- Last edited
- 15/08/2016
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Plain English summary of protocol
Contact information
Mr Jake Foster
Scientific
Scientific
Yeovil District Hospital
Clinical Trials Office
Higher Kingston
Yeovil
BA21 4AT
United Kingdom
Jake.foster@ydh.nhs.uk |
Study information
Study design | Randomised interventional treatment trial |
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Primary study design | Interventional |
Secondary study design | Randomised controlled trial |
Study setting(s) | Hospital |
Study type | Treatment |
Participant information sheet | Not available in web format, please use the contact details below to request a patient information sheet |
Scientific title | STARRCAT: Surgical Timing After Radiotherapy for Rectal Cancer Analysis of Technique: a pilot randomised controlled trial |
Study acronym | STARRCAT |
Study objectives | In patients with low rectal cancer receiving neo-adjuvant long-course chemoradiotherapy performing surgical resection at 12 weeks as opposed to 6 weeks after completion of the neoadjuvant therapy result in a less complex surgical procedure and improved outcomes? Methodology: A pilot randomised controlled trial. Surgery for low rectal cancer will be performed after a delay of either 6 or 12 weeks - the timing allocated by randomisation. Operations will be video-recorded, and the videos analysed using human reliability assessment techniques to evaluate the complexity of the procedure and the effect that this has upon the completeness of the surgical resection. Data will also be collected on peri-operative morbidity and mortality, quality of life, and patient experience. |
Ethics approval(s) | NHS South West REC Exeter, 16/05/2012, ref: 12/SW/0112 |
Health condition(s) or problem(s) studied | Topic: National Cancer Research Network, Generic Health Relevance and Cross Cutting Themes; Subtopic: Colorectal Cancer, Rectum, Surgery |
Intervention | 12 weeks: surgery for rectal cancer performed following 12-week delay from completion of neo-adjuvant long-course chemoradiotherapy 6 weeks: surgery for rectal cancer performed following 6-week delay from completion of neo-adjuvant long-course chemoradiotherapy. Follow Up Length: 1 month(s) |
Intervention type | Mixed |
Primary outcome measure | Operative Technical Complexity measured at time of surgical intervention |
Secondary outcome measures | 1. Down-staging of disease as assessed on magnetic resonance imaging (MRI) measured at 6 weeks following completion of neo-adjuvant therapy +/- at 12 weeks 2. In-hospital surgical complications measured at time of discharge & also at 30-days post-operatively 3. Length of hospital inpatient admission measured by counting day of surgery as day 0 until day of discharge 4. Mortality measured 30 days from operation 5. Oncological clearance of tumour ("R0 resection") - Histopathological analysis of surgical resection specimen 6. Quality of life: EORTC QLQ-CR29 & C30 and EQ-5D-5L questionnaires measured pre-operatively 7. Post-operative on day of discharge from hospital measured 2-weeks after discharge in clinic 8. Quality of resected specimen assessed from high-definition photography of resected tumour specimens 9. Rates of sphincter preservation measured following surgery 10. Re-admission rates measured 30-days following operation 11. Surgeon-Reported Operative Complexity measured at using questionnaire completed by the operating surgeon at the end of each procedure 12. Tumour response to chemoradiotherapy measured using operative resection specimen assessed using standard histopathological techniques |
Overall study start date | 06/06/2012 |
Completion date | 11/10/2014 |
Eligibility
Participant type(s) | Patient |
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Age group | Adult |
Lower age limit | 18 Years |
Sex | Both |
Target number of participants | Planned Sample Size: 50; UK Sample Size: 50 |
Key inclusion criteria | 1. Age 18 years or over 2. Completing neo-adjuvant long-course 3. Chemoradiotherapy for rectal cancer 4. Fit for surgical resection by open or laparoscopic anterior resection or abdominoperineal excision (APE) 5. American Society of Anaesthesiology (ASA) grades I, II and III 6. Able and willing to provide written consent 7. Target Gender: Male & Female |
Key exclusion criteria | 1. Emergency admission or bowel obstruction/perforation 2. Short course radiotherapy regime 3. Anal cancer 4. Metastatic disease 5. Previous palliative pelvic radiotherapy 6. Rectal cancer on top of inflammatory bowel disease 7. Contra-indication to Magnetic Resonance Imaging scanning 8. Poor cognitive ability and/or unable to provide consent 9. Pregnancy |
Date of first enrolment | 06/06/2012 |
Date of final enrolment | 31/05/2014 |
Locations
Countries of recruitment
- England
- United Kingdom
Study participating centre
Yeovil District Hospital
Yeovil
BA21 4AT
United Kingdom
BA21 4AT
United Kingdom
Sponsor information
Yeovil District Hospital (UK)
Hospital/treatment centre
Hospital/treatment centre
Higher Kingston
Yeovil
BA21 4AT
England
United Kingdom
Website | http://www.yeovilhospital.nhs.uk/ |
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https://ror.org/05dvbq272 |
Funders
Funder type
Government
NIHR Research for Patient Benefit Programme (UK)
No information available
Results and Publications
Intention to publish date | |
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Individual participant data (IPD) Intention to share | No |
IPD sharing plan summary | Not provided at time of registration |
Publication and dissemination plan | Not provided at time of registration |
IPD sharing plan |
Study outputs
Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
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Results article | results | 01/10/2016 | Yes | No |
Editorial Notes
15/08/2016: publication reference added.
23/01/2014: the overall trial end date was changed from 08/12/2013 to 11/10/2014.