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RecruitingNCT06945718Updated May 8, 2025

Clinical Outcomes of Indocyanine Green Tracer Using in Laparoscopic Gastrectomy With Extended Lymphadenectomy Beyond D2 for Locally Advanced Gastric Cancer (FUGES-30)

An observational study in Gastric Cancer and Surgery, sponsored by Fujian Medical University. Recruiting at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2025-05-08.

Sponsored by Fujian Medical University · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
760
Ages
18 Years to 75 Years
Sex
All
01

Study summary

Taking patients with locally advanced gastric adenocarcinoma (cT2-4a, N-/+, M0) as the research subjects, to evaluate whether the clinical efficacy of laparoscopic beyond D2 regional lymph node dissection for gastric cancer with indocyanine green tracer is better or not.

02

Conditions studied

  • Gastric Cancer
  • Surgery

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Keywords

  • Gastric Cancer
  • Laparoscopic Gastrectomy
  • Indocyanine Green Tracer
03

In context

Stomach Neoplasms

2,914 studies on the registry are indexed under Stomach Neoplasms; 881 are open to participants now.

This study's planned enrollment of 760 is above the median of 281 across 684 observational studies indexed under Stomach Neoplasms.

Browse Stomach Neoplasms studies →

Lead sponsor

Fujian Medical University is the lead sponsor of 148 studies on the registry; 52 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Age from 18 to 75 years Primary gastric adenocarcinoma (papillary, tubular, mucinous, signet ring cell, or poorly differentiated) confirmed pathologically by endoscopic biopsy cT2-4a, N-/+, M0 at preoperative evaluation according to the AJCC Cancer Staging Manual, 8th Edition

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

Age from 18 to 75 years Primary gastric adenocarcinoma (papillary, tubular, mucinous, signet ring cell, or poorly differentiated) confirmed pathologically by endoscopic biopsy cT2-4a, N-/+, M0 at preoperative evaluation according to the AJCC Cancer Staging Manual, 8th Edition No distant metastasis, no direct invasion of pancreas, spleen or other adjacent organs in the preoperative examinations Performance status of 0 or 1 on the ECOG (Eastern Cooperative Oncology Group) scale ASA (American Society of Anesthesiology) class I to III Written informed consent

Exclusion criteria

Exclusion Criteria:

Women during pregnancy or breast-feeding Severe mental disorder History of previous upper abdominal surgery (except for laparoscopic cholecystectomy) History of previous gastric surgery (including ESD/EMR for gastric cancer) Enlarged or bulky regional lymph node (diameter over 3cm) supported by preoperative imaging including enlarged or bulky lymph nodes in D3 region.

Other malignant disease within the past 5 years History of unstable angina or myocardial infarction within past six months History of cerebrovascular accident within past six months History of continuous systematic administration of corticosteroids within one month Requirement for simultaneous surgery for other disease Emergency surgery due to complication (bleeding, obstruction or perforation) caused by gastric cancer FEV1 (forced expiratory volume in one second)\<50% of predicted values Diffuse invasive gastric cancer Tumors preoperatively confirmed to involve the squamocolumnar junction or duodenum History of an iodine allergy Patients who declined laparoscopic surgery

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
760 participants (estimated)
Patient registry
No

Groups and cohorts

  • laparoscopic gastrectomy with beyond D2 regional fluorescent lymph node dissection with ICG group

    ICG with D2+ group

    Procedure: beyond D2 regional lymph node dissection

  • laparoscopic gastrectomy with D2 regional lymph node dissection with ICG group

    ICG with D2 group

    Procedure: beyond D2 regional lymph node dissection

Interventions

  • Procedurebeyond D2 regional lymph node dissection

    dissect the lymph nodes outside the extent of D2 LN region.

06

What researchers measure

Primary outcomes

  1. 3-year disease free survival rate

    Disease-free survival is calculated from the day of surgery to the day of recurrence or death

    Time frame: 3 years

Secondary outcomes

  1. Total number of retrieved lymph nodes

    Total number of retrieved lymph nodes

    Time frame: 30 days

  2. Noncompliance rate of lymph node dissection

    The LN dissection rate was determined by the number of patients in whom a LN station was harvested divided by the total number of patients who required retrieval at the corresponding LN station. Within the scope of D2 dissection, LN noncompliance was defined as the absence of LNs that should have been resected from \> 1 LN station.

    Time frame: 30 days

  3. Relationship between fluorescent lymph nodes in group A and total number of lymph nodes in group A

    Relationship between the number of fluorescent lymph nodes in group A and total number of lymph nodes in group A

    Time frame: 30 days

  4. Relationship between fluorescent lymph nodes in Group A and positive lymph nodes in Group A (positive rate)

    The number of positive lymph nodes in fluorescent lymph nodes is divided by the number of total fluorescent lymph nodes in Group A (True positive rate).

    Time frame: 30 days

  5. Relationship between fluorescent lymph nodes in Group A and negative lymph nodes in Group A (false positive rate)

    The number of negative lymph nodes in fluorescent lymph nodes is divided by the number of total fluorescent lymph nodes in Group A (false positive rate).

    Time frame: 30 days

  6. Relationship between non-fluorescent lymph nodes in Group A and negative lymph nodes in group A (negative rate)

    The number of negative lymph nodes in not fluorescent lymph nodes is divided by the number of total not fluorescent lymph nodes in group A (True negative rate).

    Time frame: 30 days

  7. Relationship between nonfluorescent lymph nodes in Group A and positive lymph nodes in Group A (false negative rate)

    The number of positive lymph nodes in not fluorescent lymph nodes is divided by the number of total not fluorescent lymph nodes in Group A (false negative rate).

    Time frame: 30 days

  8. Relationship between fluorescent lymph nodes in group B and total number of lymph nodes in group B

    Relationship between the number of fluorescent lymph nodes in group B and total number of lymph nodes in group B

    Time frame: 30 days

  9. Relationship between fluorescent lymph nodes in Group B and positive lymph nodes in Group B (positive rate)

    The number of positive lymph nodes in fluorescent lymph nodes is divided by the number of total fluorescent lymph nodes in Group B (True positive rate).

    Time frame: 30 days

  10. Relationship between fluorescent lymph nodes in Group B and negative lymph nodes in Group B (false positive rate)

    The number of negative lymph nodes in fluorescent lymph nodes is divided by the number of total fluorescent lymph nodes in Group A (false positive rate).

    Time frame: 30 days

  11. Relationship between non-fluorescent lymph nodes in Group B and negative lymph nodes in group B (negative rate)

    The number of negative lymph nodes in not fluorescent lymph nodes is divided by the number of total not fluorescent lymph nodes in group B (True negative rate).

    Time frame: 30 days

  12. Relationship between nonfluorescent lymph nodes in Group B and positive lymph nodes in Group B (false negative rate)

    The number of positive lymph nodes in not fluorescent lymph nodes is divided by the number of total not fluorescent lymph nodes in Group B (false negative rate).

    Time frame: 30 days

  13. Number of metastatic lymph nodes

    Number of metastatic lymph nodes

    Time frame: 30 days

  14. Metastasis rate of lymph nodes

    Metastasis rate of lymph nodes

    Time frame: 30 days

  15. Postoperative complications

    Postoperative complications were evaluated within 30 days following surgery. These postoperative complications include gastrointestinal-related complications, incision-related complications, respiratory complications, cardiovascular and cerebrovascular complications, urinary system complications, infection complications, embolism complications, and other complications. The grading of postoperative complications adopts the Clavien-Dindo classification.

    Time frame: 30 days

  16. Mortality rates

    Patient died during hospitalization.

    Time frame: 30 days

  17. 3-year overall survival rate

    3-year overall survival rate

    Time frame: 3 years

  18. 3-year recurrence pattern

    3-year recurrence pattern

    Time frame: 3 years

  19. Postoperative recovery course

    Time to first flatus after surgery, time to first ambulation after surgery, time to first liquid diet after surgery, time to first semi-liquid diet after surgery, length of hospital stay after surgery.

    Time frame: 30 days

  20. The incidence of intraoperative complications

    Intraoperative complications were defined as bleeding due to named vessel injury, injury to visceral organs, mechanical factor-related problems, cardiopulmonary dysfunction due to hypercapnia, and other complications

    Time frame: 30 days

  21. Inflammatory and immune response

    the values of hemoglobin, prealbumin, albumin, C-reactive protein, and white blood cell count from peripheral blood before the operation and on postoperative day 1, 3, 5 are recorded.

    Time frame: 7 days

07

Study locations

1 of 1 sites recruiting
  • Fujian Medical University Union Hospital
    Fuzhou, Fujian 350001, China
    • Changming Huang, M.D., Ph.D. · Contact · hcmlr2002@163.com · +86-133-6591-0253
    • Changming Huang, M.D., Ph.D. · Principal investigator
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for May 2025; primary completion for Apr 2027, 23 months later.

Of 274 non-industry observational studies under Stomach Neoplasms, half reached primary completion within 59 months of starting (the median), counting those still running; a quarter within 30 and three quarters within 171. This study's planned 23 months is below that.

Counting every sponsor, half of 305 studies reached it within 56 months; a quarter within 30 and three quarters within 120.

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

Registered
Mar 21, 2025
First posted
Apr 25, 2025
StartEst.
May 1, 2025
Primary completionEst.
Apr 1, 2027
CompletionEst.
May 1, 2030
Last update
May 8, 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 May 8, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06945718
Responsible party
Chang-Ming Huang, Prof. (Chief doctor, phD, FACS, Fujian Medical University) — Principal investigator
First posted
Apr 25, 2025
Start date
May 1, 2025 (estimated)
Primary completion
Apr 1, 2027 (estimated)
Completion
May 1, 2030 (estimated)
Last update
May 8, 2025

Study contacts

Mi Lin, phD
Contact
silihuala@qq.com
13459152658
Hua-Long Zheng, phD
Contact
291167038@qq.com
18359190587
Chang-Ming Huang, Prof.
principal investigator · Fujian Medical University Union Hospital

Oversight

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

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