Ask to take part

Contact the study team using the details below to take part. If there are no contact details below please ask your doctor in the first instance.

Contact Information:

Suzanne S. Gisbertz, MD, PhD 0031204444444
s.s.gisbertz@amsterdamumc.nl


Kammy Keywani, MD 0031681518816
k.keywani@amsterdamumc.nl


Study Location:

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Be Part of Research - Trial Details - Omentum Preservation Versus Complete Omentectomy in Gastrectomy for Gastric Cancer

Omentum Preservation Versus Complete Omentectomy in Gastrectomy for Gastric Cancer

Recruiting

Open to: ALL

Age: 18.0 - N/A

Medical Conditions

Stomach Neoplasms


This information is provided directly by researchers, and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information. In some summaries, you may come across links to external websites. These websites will have more information to help you better understand the study.


Curative therapy for gastric cancer usually consists of perioperative chemotherapy and a radical (R0) gastrectomy. A radical resection includes a modified D2 lymphadenectomy, and, generally, a complete omentectomy, to ensure the removal of omental metastatic lymph nodes and tumor deposits.

The omentum has some essential functions within the peritoneal cavity. The omentum functions as regulator of regional immune responses to prevent infections and, additionally, it prevents adhesions that can lead to small bowel obstruction. Omentectomy is associated with increased incidence of early and late postoperative complications such as abdominal abscess, ileus, and wound infections in various types of surgery.

There is little evidence regarding survival benefit of routine complete omentectomy during gastrectomy. The investigators hypothesize that omitting a complete omentectomy (and instead preserve the greater omentum distal of the gastroepiploic arcade) during gastrectomy for cancer does not negatively impact survival.

OMEGA is a randomized controlled, open, parallel, non-inferiority, multicenter trial. Adult patients (\>18 years) with primary resectable gastric cancer, clinical stage T2-4a N0-3 M0 or cT1N+ scheduled for open or minimally invasive (sub)total gastrectomy are included. The primary study objective is to investigate whether omentum preservation in gastrectomy for cancer is non-inferior to complete omentectomy in terms of three-year overall survival.

Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

Mar 2024 Jan 2029

INTERVENTIONAL

Intervention Type : PROCEDURE
Intervention Description : Open or minimally invasive (sub)total gastrectomy

Intervention Arm Group : Complete omentectomy;Omentum presevation;



You can take part if:



You may not be able to take part if:


This is in the inclusion criteria above


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

  • Oxford University Hospitals
    Oxford


The study is sponsored by Amsterdam UMC




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Read full details for Trial ID: NCT05180864
Last updated 28 March 2024

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