ClinicalTrials.gg
Status unknownNCT05322486Updated Apr 11, 2022

Palliative Primary Tumor Resection in Minimally Symptomatic Patients With Colorectal Cancer and Synchronous Unresectable Metastases

An observational study in Colorectal Neoplasms, Intestinal Neoplasms and Gastrointestinal Neoplasms, sponsored by State Scientific Centre of Coloproctology, Russian Federation. Status unknown at 1 site in Russian Federation. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-04-11.

Sponsored by State Scientific Centre of Coloproctology, Russian Federation · Observational

The sponsor has not verified this record recently (last verified Apr 2022), so the status shown — last known as Recruiting — may be out of date.
Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
200
Ages
18 Years and older
Sex
All
01

Study summary

Currently, the question remains whether palliative primary tumor resection could improve overall survival of minimally symptomatic patients with colorectal cancer and synchronous unresectable metastases. The aim of this study is to determine if there is an improvement in overall survival of palliative primary tumor resection followed by chemotherapy in minimally symptomatic patients with colorectal cancer and synchronous unresectable metastases compared to those of upfront chemotherapy/radiotherapy alone.

Read the detailed description

The present study is a single-center retrospective observational cohort study with a propensity score matching. Between 2016 and 2022 from our institutional database minimally symptomatic patients with colorectal cancer and synchronous unresectable metastases will be selected. Patients will be divided into two groups:

  1. Surgical resection of the primary tumour before to systemic therapy
  2. Systemic therapy without previous resection of the primary tumour. Propensity score matching (PSM) will be performed, to minimize the selection bias by adjusting variables that may affect the survival of patients. Categorical variables will be compared using the chi-square test or Fisher's exact test. Continuous variables will be compared using the Student's t-test or Mann-Whitney U test. Survival rate will be determined by using Kaplan-Meier analysis with a log-rank test. Univariate and multivariate analyses for survival will be conducted using Cox proportional hazard models. Statistical results will be considered significant at p values less than 0.05.
02

Conditions studied

  • Colorectal Neoplasms
  • Intestinal Neoplasms
  • Gastrointestinal Neoplasms
  • Digestive System Neoplasms
  • Neoplasms by Site
  • Neoplasms
  • Neoplasms, Second Primary
  • Neoplasm Metastasis
  • Digestive System Diseases
  • Gastrointestinal Diseases
  • Colonic Disease
  • Intestinal Diseases
  • Rectal Diseases

Keywords

  • Colorectal cancer
  • Primary tumor resection
  • Minimally symptomatic primary tumor
  • Unresectable metastases
  • Chemotherapy
03

In context

Colorectal Neoplasms

6,541 studies on the registry are indexed under Colorectal Neoplasms; 1,667 are open to participants now.

This study's planned enrollment of 200 is below the median of 250 across 1,440 observational studies indexed under Colorectal Neoplasms.

Browse Colorectal Neoplasms studies →

Lead sponsor

State Scientific Centre of Coloproctology, Russian Federation is the lead sponsor of 26 studies on the registry; 6 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
Probability sample

Study population

Patients who were diagnosed with colorectal cancer and synchronous unresectable metastases between 2016 and 2022 from our institutional database.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. confirmed colorectal adenocarcinoma
  2. Resectable minimally symptomatic primary tumor with unresectable synchronous
  3. Age ≥ 18 years

Exclusion criteria

Exclusion Criteria:

  1. Synchronous cancers
  2. Carcinomatosis
  3. Prior surgery, chemotherapy, radiation therapy for the primary tumor or distant
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
200 participants (estimated)
Patient registry
No

Groups and cohorts

  • Primary tumour resection group.

    Surgical resection of the primary tumour followed by chemotherapy +/- targeted therapy regime.

    Procedure: surgery of the primary tumour · Drug: chemotherapy

  • Chemotherapy group.

    Chemotherapy +/- targeted therapy alone.

    Drug: chemotherapy

Interventions

  • Proceduresurgery of the primary tumour

    Surgical resection of the colon tumour, R0. No surgical intervention on metastasis.

  • Drugchemotherapy

    Chemotherapy with or without biological drugs.

06

What researchers measure

Primary outcomes

  1. Overall survival

    Time frame: 3 years

Secondary outcomes

  1. Thirty-day mortality

    Time frame: 30 days

  2. Rate of surgical intervention due to complication of treatment

    Time frame: 1 year

  3. Progression free survival (PFS)

    PFS is defined as the time interval between the date of diagnosis and the first date of progression of the metastatic disease or death in both treatment arms.

    Time frame: 3 years

07

Study locations

1 of 1 sites recruiting
  • Ryzhikh National Medical Research Center of Coloproctology
    Moscow, Russian Federation
    Recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Oct 2020 (actual). Primary completion is estimated for Dec 2022, 26 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 2, 2022
First posted
Apr 11, 2022
StartActual
Oct 29, 2020
Primary completionEst.
Dec 2022
CompletionEst.
Dec 2022
Last update
Apr 11, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 11, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05322486
Lead sponsor
State Scientific Centre of Coloproctology, Russian Federation
Responsible party
Sponsor
First posted
Apr 11, 2022
Start date
Oct 29, 2020
Primary completion
Dec 2022 (estimated)
Completion
Dec 2022 (estimated)
Last update
Apr 11, 2022

Study contacts

Iuliia Alimova, MD
Contact
doctoralimova@gmail.com
+7 (916) 868-80-25

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 Apr 2022. You cannot join it, but the record below documents what was studied.

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