CClinicalTrials.gg
Status unknownNCT04659148UC-RectalKUpdated Dec 9, 2020

Surgical and Oncological Outcomes in Patients With Ulcerative Colitis-associated Rectal Cancer

An observational study in Ulcerative Colitis and Rectal Cancer, sponsored by Istituto Clinico Humanitas. Status unknown at 2 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-12-09.

Sponsored by Istituto Clinico Humanitas · Observational

The sponsor has not verified this record recently (last verified Dec 2020), so the status shown — last known as Recruiting — may be out of date.
Study type
Observational
Model
Case-only
Time perspective
Retrospective
Enrollment
40
Ages
18 Years and older
Sex
All
01

Study summary

This is a retrospective observational study to investigate the short-term surgical outcomes, and long-term oncological outcomes of patients diagnosed with Ulcerative colitis and rectal cancer.

Read the detailed description

Inflammatory Bowel Disease (IBD) is a risk factor for the development of colorectal cancer (CRC). Despite improved targeted screening and timely prophylactic resection, up to 15% of all IBD-related mortality can be attributed to CRC.

Previous reports suggest that IBD patients present with CRC at an earlier age and with more advanced disease than those with sporadic CRC. The literature is limited, however, with respect to colitis-associated rectal cancer (CARC), which has unique considerations such as surgical approach and the use of neoadjuvant therapy. Although total proctocolectomy is generally the procedure of choice for those with CARC, recent reports reported acceptable oncological outcomes after ileal pouch-anal anastomosis (IPAA) and ileorectal anastomosis (IRA).

The impact of the type of surgical procedure on the oncologic outcome in patients with CARC is not well defined.

The aim of this study is to investigate short-term surgical outcomes (postoperative complications at 30 days after surgery) and long-term oncological outcomes (disease-free survival) of CARC patients undergoing different surgical approaches.

02

Conditions studied

  • Ulcerative Colitis
  • Rectal Cancer

Keywords

  • Ulcerative Colitis
  • Rectal Cancer
03

In context

Rectal Neoplasms

1,762 studies on the registry are indexed under Rectal Neoplasms; 518 are open to participants now.

This study's planned enrollment of 40 is below the median of 160 across 413 observational studies indexed under Rectal Neoplasms.

Browse Rectal Neoplasms studies →

Lead sponsor

Istituto Clinico Humanitas is the lead sponsor of 275 studies on the registry; 71 are open to participants now.

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
Sampling method
Non-probability sample

Study population

The study will include adult patients with a proven diagnosis of Ulcerative Colitis and rectal adenocarcinoma, who underwent intestinal resection for curative intent, in elective or emergent setting, in the period between January 2004 and January 2020.

Inclusion criteria

  • Patients diagnosed with Ulcerative Colitis;
  • Patients diagnosed with rectal cancer (within 15 cm from the anal verge);
  • Patients who underwent surgery for rectal cancer between January 2004 and January 2020;
  • All type of surgery will be included;
  • Surgery in elective and emergency settings.

Exclusion criteria

Exclusion Criteria:

  • Patients aged\<18 years;
  • Patients with a diagnosis of undetermined colitis;
  • Insufficient follow-up data.
05

Study design

Observational model
Case-only
Time perspective
Retrospective
Enrollment
40 participants (estimated)
Patient registry
No

Interventions

  • ProcedureTotal proctocolectomy

    Total proctocolectomy: surgical removal of the colon, rectum, and anus

06

What researchers measure

Primary outcomes

  1. Surgical outcome

    30 days postoperative complications

    Time frame: 30 days after surgery

  2. Oncological outcome

    Disease-free survival

    Time frame: 5 years after surgery

07

Study locations

2 of 2 sites recruiting
  • Humanitas Research Hospital
    Rozzano, MI 20089, Italy
    Recruiting
  • St. Mark's Hospital
    Harrow, HA1 3UJ, United Kingdom
    • Vittoria Bellato, MD · Contact · vittoria.bellato@gmail.com · (0)20 8864 3232
    • Janindra Warusavitarne, MD, PhD · Principal investigator
    • Vittoria Bellato, MD · Sub investigator
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 9, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04659148
Lead sponsor
Istituto Clinico Humanitas
Responsible party
Sponsor
First posted
Dec 9, 2020
Start date
Oct 1, 2020
Primary completion
Jan 30, 2021 (estimated)
Completion
Apr 1, 2021 (estimated)
Last update
Dec 9, 2020

Study contacts

Annalisa Maroli
Contact
annalisa.maroli@humanitas.it
+390282247776
Antonino Spinelli, MD, PhD
principal investigator · Istituto Clinico Humanitas

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Dec 2020. You cannot join it, but the record below documents what was studied.

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