ClinicalTrials.gg
RecruitingNCT06246448ROBOCOPUpdated Sep 5, 2025

Robotic-assisted Contra Open Resection for Suspected or Confirmed Gallbladder Cancer (ROBOCOP)

An interventional study of Robotic-assisted radical cholecystectomy and Open radical cholecystectomy in Gall Bladder Cancer, sponsored by Karolinska University Hospital. Recruiting at 1 site in Sweden. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-09-05.

Sponsored by Karolinska University Hospital · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Jan 2024; still recruiting 2 years 9 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
94
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

The Robocop trial is an international multi-centre, single blinded, randomized controlled superiority trial conducted in centres experienced in robotic-assisted liver surgery. Eligible patients for radical cholecystectomy will be randomized in a 1:1 ratio to undergo robotic-assisted or open resection within an enhanced recovery setting.

The primary endpoint is time to functional recovery. Secondary endpoints include length of hospital stay, resection margin, number of retrieved lymph nodes, postoperative complications, quality of life, abdominal wall complaints and direct and indirect costs.

Read the detailed description

Robotic-assisted surgery is hypothesised to reduce time to functional recovery by 2 days compared with open surgery. With a power of 80% and alpha of 0.05, the sample size needed in each arm to test superiority is 35 patients. With an expected 25% drop-out rate, 47 patients will be randomized in each group, with a total of 94 patients to be randomized in the trial.

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Conditions studied

  • Gall Bladder Cancer

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03

In context

Gallbladder Neoplasms

301 studies on the registry are indexed under Gallbladder Neoplasms; 65 are open to participants now.

This study's planned enrollment of 94 is above the median of 56 across 222 interventional studies indexed under Gallbladder Neoplasms.

Browse Gallbladder Neoplasms studies →

Lead sponsor

Karolinska University Hospital is the lead sponsor of 279 studies on the registry; 55 are open to participants now.

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

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Who can participate

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

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

  • Patient with radiologically suspected or confirmed (≥T1b) incidental gallbladder cancer after cholecystectomy with an indication of radical cholecystectomy, without the need for resection of extrahepatic bile ducts, as decided at a multidisciplinary team conference.
  • Patient sufficiently fit to undergo radical cholecystectomy according to surgeon and anaesthesiologist.

Exclusion criteria

Exclusion Criteria:

  • Previous extensive surgery in the upper abdomen (for example open liver surgery)
  • Pregnancy
  • Intraoperative findings of dissemination (patient is then excluded after randomization)
  • Intraoperative findings of the need to perform resection of extrahepatic bile ducts (patient is then excluded after randomization).
  • Intraoperative findings leading to a simple cholecystectomy only (patient is then excluded after randomization)
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
94 participants (estimated)

Study arms

  • Experimental
    Robotic-assisted radical cholecystectomy

    Procedure: Robotic-assisted radical cholecystectomy

  • Active comparator
    Open radical cholecystectomy

    Procedure: Open radical cholecystectomy

Interventions

  • ProcedureRobotic-assisted radical cholecystectomy

    Procedure will be performed robotic-assisted

  • ProcedureOpen radical cholecystectomy

    Procedure will be open

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What researchers measure

Primary outcomes

  1. Time to functional recovery

    As defined as: 1. has adequate pain control with oral analgesics only (NRS\<5) 2. is independently mobile at the preoperative level 3. is able to maintain sufficient oral caloric intake (minimum of 50% required calories) 4. has no need for intravenous fluid administration 5. has no clinical signs of infection or infection treated with peroral antibiotics only

    Time frame: Days from operation

Secondary outcomes

  1. Number of retrieved lymph nodes

    As reported by pathologists

    Time frame: Within 6 weeks after surgery

  2. Length of hospital stay

    Time from operation until hospital discharge (days)

    Time frame: Days

  3. Post-operative complications

    Classified according to Clavien-Dindo

    Time frame: Within 90 days from surgery

  4. Quality of life of patients

    Using quality of life formulaire EORTC QLQ-C30

    Time frame: 1 year

  5. Total cost

    Direct and indirect cost measured in euros

    Time frame: 1 year

  6. Abdominal wall complaints

    Using the ventral hernia pain questionnaire

    Time frame: 1 year

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Study locations

1 of 1 sites recruiting
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References and documents

Publications

  • Wallgren H, Gilg S, Ansorge C, Sparrelid E, Sturesson C. Initial experience with robotic-assisted resection for suspected or confirmed gallbladder cancer - comparison with open technique in a single centre retrospective observational cohort study. Scand J Gastroenterol. 2025 Jul 7:1-6. doi: 10.1080/00365521.2025.2525902. Online ahead of print. PubMed 40621784 ↗

Individual participant data

Plan to share: No

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Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jan 2024 (actual). Primary completion is estimated for Oct 2026, 33 months after the start.

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

Registered
Jan 22, 2024
First posted
Feb 7, 2024
StartActual
Jan 23, 2024
Primary completionEst.
Oct 2026
CompletionEst.
Mar 2027
Last update
Sep 5, 2025
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 Sep 5, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06246448
Responsible party
Christian Sturesson (Associate professor, Karolinska University Hospital) — Principal investigator
First posted
Feb 7, 2024
Start date
Jan 23, 2024
Primary completion
Oct 2026 (estimated)
Completion
Mar 2027 (estimated)
Last update
Sep 5, 2025

Study contacts

Christian Sturesson, PhD
Contact
christian.sturesson@regionstockholm.se
0046812380000
Christian Sturesson, PhD
principal investigator · Region Stockholm, Stockholm, Sweden

Oversight

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

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