This study is a multi-center, prospective, randomized controlled study. The aim of this study is to compare survival rates and to observe quality of life and nutritional status according to follow-up period in patients who underwent radical gastrectomy for stage 2 or 3 gastric cancer.
The hypothesis of this study is that the survival rates would be different between the 3 months and 6 months follow-up groups. The investigators expected survival differences of 6% and the anticipated 3-year overall survival is 83% in the 6 months follow-up group based on the previous 3 phase clinical trial. On the basis of this hypothesis, the sample size was calculated as 886 patients. Patients who were diagnosed as stage 2 or 3 gastric cancer after gastrectomy will be assigned to 3 months or 6 months follow-up group. The planned examinations including blood test, X-ray , CT, endoscopy, and nutritional markers will be performed according to the protocol and each patients will be followed up for 3 years after enrollment. The primary endpoint is 3 year overall survival and secondary endpoints are other survivals such as 3-year disease-free survival and gastric cancer specific survival, quality of life, and nutritional parameters.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
886
CT will be performed every 3 months after gastrectomy in the 3-months follow-up group. CT will be performed every 6 months after gastrectomy in the 6 months follow-up group.
National Cancer Center, Korea
Goyang-si, Gyeonggi-do, South Korea
RECRUITINGDongnam Institute of Radiological and Medical Sciences
Busan, South Korea
3-year overall survival
Death from any cause is defined as an event.
Time frame: 3 years after surgery
3-year recurrence-free survival rate
Death from any cause and gastric cancer recurrence are an event.
Time frame: 3 years after surgery
3-year gastric cancer specific survival rate
Death from gastric cancer is the only event.
Time frame: 3 years after surgery
3-year post-recurrence survival rate
from recurrence detection date to last follow-up date (or death)
Time frame: 3 years after surgery
Summary score of KOQUSS-40 questionnaire
KOQUSS-40 consists of 8 domains with 40 questions for quality of life and post-gastrectomy symptoms. We will calculate the KOQUSS-40 summary score of each group and compare them between the two groups. The summary score is defined as the mean of eight symptom domains (Indigestion, dysphagia, reflux, dumping syndrome, bowel habit change, constipation, psychological factors, and worry about cancer). The minimum and maximum values are 0 and 100, and higher scores mean a better quality of life.
Time frame: 3 years after surgery
Summary score of EORTC QLQ C30
EORTC QLQ C30 consists of 15 domains with 30 questions for quality of life of cancer patients. The 15 domains consist of five functional scales (physical, role, cognitive, emotional, and social functioning), a global QOL scale, three symptom scales (fatigue, nausea and vomiting, and pain), and six single items (appetite loss, diarrhea, dyspnea, constipation, insomnia, financial impact). We will calculate the EORTC QLQ C30 summary score of each group and compare them between the two groups. The summary score is defined as the mean of 13 domains (excluding global QOL scale and financial impact). The minimum and maximum values are 0 and 100, and higher scores mean a better quality of life.
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Kosin University Gospel Hospital
Busan, South Korea
NOT_YET_RECRUITINGGyeongsang National University Changwon Hospital
Changwon, South Korea
RECRUITINGKeimyung University Dongsan Hospital
Daegu, South Korea
RECRUITINGKyungpook National University Chilgok Hospital
Daegu, South Korea
RECRUITINGChonnam National University Hwasun Hospital
Hwasun, South Korea
RECRUITINGGyeongsang National University Hospital
Jinju, South Korea
RECRUITINGCHA Bundang Medical Center
Seongnam, South Korea
RECRUITINGAsan Medical Center
Seoul, South Korea
RECRUITING...and 6 more locations
Time frame: 3 years after surgery
Summary score of EORTC QLQ STO22
EORTC QLQ STO22 consists of 9 domains with 22 questions for stomach cancer patients' symptoms. The 9 domains consist of five symptom scales (dysphagia, pain, reflux symptom, eating restriction, anxiety), four single items (having a dry mouth, taste, body image, and hair loss). We will calculate the EORTC QLQ STO22 summary score of each group and compare them between the two groups. The summary score is defined as the mean of 9 domains. The minimum and maximum values are 0 and 100, and higher scores mean a better quality of life.
Time frame: 3 years after surgery
Difference of body weight (kg)
Difference of body weight between preoperative and postoperative 3 year values
Time frame: 3 years after surgery
Incidence of iron deficiency anemia
Incidence of iron deficiency anemia for the 3 year follow-up after gastrectomy
Time frame: 3 years after surgery
Incidence of vitamin B12 deficiency
Incidence of vitamin B12 deficiency for the 3 year follow-up after gastrectomy
Time frame: 3 years after surgery