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CompletedNCT00629863Updated Aug 7, 2013

Endoscopic Ultrasound in Diagnosing Cancer in Patients With Localized Stomach Cancer or Esophageal Cancer

An interventional study of cisplatin and fluorouracil in Esophageal Cancer and Gastric Cancer, sponsored by North Wales Organisation for Randomised Trials in Health. Completed at 9 sites in United Kingdom. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-08-07.

Sponsored by North Wales Organisation for Randomised Trials in Health · Not applicable, Interventional, and Diagnostic

Phase
Not applicable
Study type
Interventional
Enrollment
700
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

RATIONALE: Diagnostic procedures, such as endoscopic ultrasound, may help doctors learn the extent of stomach cancer or esophageal cancer.

PURPOSE: This randomized clinical trial is studying how well endoscopic ultrasound works in diagnosing cancer in patients with localized stomach cancer or esophageal cancer.

Read the detailed description

OBJECTIVES:

Primary

  • To determine the additional effect of endoscopic ultrasound (EUS) staging compared with a standard staging algorithm on the selection of treatment in patients with gastric or esophageal cancer (GOC), including the numbers of patients treated surgically, with multimodality therapy, or with non-surgical means.
  • To estimate the effect of EUS staging on the outcome of care of these patients.
  • To assess the cost-effectiveness of EUS by comparing improvements in patient outcomes with the additional costs of the procedure.
  • To estimate the proportion of patients with GOC who will benefit from EUS and therefore to determine the need for EUS facilities within a population.

OUTLINE: This is a multicenter study. Patients are stratified according to tumor location (gastric vs esophageal vs gastroesophageal junction) and participating center.

All patients undergo standard staging methods. Patients with localized tumors are randomized to undergo either endoscopic ultrasound (EUS) or no further staging. Both groups receive treatment as follows, depending on the type of tumor:

  • Mucosal tumors: Patients undergo endoscopic mucosal resection and argon-beam ablation of the surrounding mucosa.
  • Resectable tumors: Patients undergo surgery and neoadjuvant chemotherapy comprising cisplatin and fluorouracil.
  • Advanced localized disease without the possibility of complete resection: Patients receive chemoradiotherapy or chemotherapy alone depending upon the site. Patients with gastric cancer may undergo palliative surgery.

Quality of life is assessed at 1, 3, 6, 12, 18, and 24 months using questionnaires, including the EuroQol EQ-5D, the EORTC core module QLQ-C30, the EORTC esophageal module QLQ-OES24, and the EORTC gastric module QLQ-STO22.

After completion of study treatment, patients are followed every 3 months for a minimum of 1 year.

02

Conditions studied

  • Esophageal Cancer
  • Gastric Cancer

Keywords

  • stage I gastric cancer
  • stage II gastric cancer
  • stage III gastric cancer
  • stage I esophageal cancer
  • stage II esophageal cancer
  • stage III esophageal cancer
03

In context

Stomach Neoplasms

2,851 studies on the registry are indexed under Stomach Neoplasms; 864 are open to participants now.

This study's planned enrollment of 700 is above the median of 67 across 2,096 interventional studies indexed under Stomach Neoplasms.

Browse Stomach Neoplasms studies →

Lead sponsor

This is the only study on the registry with North Wales Organisation for Randomised Trials in Health as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Diagnosis of gastric or esophageal cancer

    • Localized disease
    • No metastatic disease

PATIENT CHARACTERISTICS:

  • WHO performance status 0-2
  • American Society of Anesthesiologists grade 1 (no physiological disturbance) or 2 (minor well-compensated physiological impairment)
  • Must be fit for surgery and chemotherapy

PRIOR CONCURRENT THERAPY:

  • Not specified
05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Randomized
Enrollment
700 participants (estimated)

Interventions

  • Drugcisplatin
  • Drugfluorouracil
  • Otherquestionnaire administration
  • Procedurediagnostic endoscopic procedure
  • Procedureneoadjuvant therapy
  • Procedurequality-of-life assessment
  • Proceduretherapeutic conventional surgery
  • Proceduretherapeutic endoscopic surgery
  • Procedureultrasound imaging
  • Radiationradiation therapy
  • Radiationradioisotope therapy
06

What researchers measure

Primary outcomes

  1. Overall survival at 12 months of patients last randomized and at 48 months of patients first randomized

Secondary outcomes

  1. Complete resection rate

  2. Quality of survival in the different treatments selected on the basis of staging at 1, 3, 6, 12, 18, and 24 months by EuroQol EQ-5D, EORTC core module QLQ-C30, EORTC esophageal module QLQ-OES24, and EORTC gastric module QLQ-STO22

  3. Health resource utilization, including the selection of treatments and subsequent use of health service resources

07

Study locations

9 sites
  • Royal Blackburn Hospital
    Blackburn, England BB2 3 HH, United Kingdom
  • Gloucestershire Royal Hospital
    Gloucester, England GL1 3NN, United Kingdom
  • Leicester Royal Infirmary
    Leicester, England LE1 5WW, United Kingdom
  • North Tyneside Hospital
    North Shields, England NE29 8NH, United Kingdom
  • Southampton General Hospital
    Southampton, England SO16 6YD, United Kingdom
  • Aberdeen Royal Infirmary
    Aberdeen, Scotland AB25 2ZN, United Kingdom
  • Ninewells Hospital
    Dundee, Scotland DD1 9SY, United Kingdom
  • Royal Infirmary - Castle
    Glasgow, Scotland G4 0SF, United Kingdom
  • North Wales Organisation for Randomised Trials in Health
    Bangor, Wales LL57 2PZ, United Kingdom
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 7, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00629863
Lead sponsor
North Wales Organisation for Randomised Trials in Health
First posted
Mar 6, 2008
Start date
Sep 2004
Primary completion
Sep 2009
Completion
Jan 2010
Last update
Aug 7, 2013

Study contacts

Ken Park, MD
study chair · North Wales Organisation for Randomised Trials in Health
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2009. You cannot join it, but the record below documents what was studied.

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