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Trial Title: RATT Vs. VATT for Early-stage TETs

NCT ID: NCT06654830

Condition: Thymic Epithelial Tumor

Conditions: Official terms:
Neoplasms, Glandular and Epithelial
Thymus Neoplasms

Conditions: Keywords:
thymic epithelial tumor
robot-assisted
video-assisted
thoracoscopic thymectomy

Study type: Interventional

Study phase: Phase 2

Overall status: Not yet recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: Single (Participant)

Intervention:

Intervention type: Procedure
Intervention name: RATT
Description: Robotic-assisted thoracoscopic thymectomy (RATT) will be performed using Da Vinci Robotic Surgical Systems.
Arm group label: RATT

Intervention type: Procedure
Intervention name: VATT
Description: Video-assisted thoracoscopic thymectomy (VATT) was performed using traditional thoracoscopic systems.
Arm group label: VATT

Summary: This study is a prospective, multicenter, phase II randomized controlled trial. We plan to screen 100 eligible thymoma patients for robotic-assisted thoracoscopic thymectomy (RATT) or video-assisted thoracoscopic thymectomy (VATT) at three medical centers in China. The trial was aimed to compare the perioperative outcomes between the two approaches.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Thymoma was diagnosed by chest enhanced CT or MRI (clinical stage: Masaoka Koga I-II) with AJCC/UICC TNM grade system (9th edition). The patients whose tumor diameter was not larger than 8 cm; The patients with the estimated survival time should be over 12 months; ASA grade:1-2; The patients should have no functional disorders in main organs; The patients should be able to understand our research and sign the informed consent. Exclusion Criteria: - Imaging examination showed that the tumor had invasion of surrounding organs, pleural or pericardial dissemination, lymphatic or hematogenous metastasis; Patients with myasthenia gravis; Patients had undergone a sternotomy; The patients have proved history of congestive heart failure, angina without good control with medicine; ECG-proved penetrating myocardial infarction; hypertension with bad control; valvulopathy with clinical significance; arrhythmia with high risk and out of control; The patients have severe systematic intercurrent disease, such as active infection or poorly controlled diabetes; coagulation disorders; hemorrhagic tendency or under treatment of thrombolysis or anticoagulant therapy; Female who is positive for serum pregnancy test or during lactation period; The patients have history of organ transplantation (including autologous bone marrow transplantation and peripheral stem cell transplantation; The patients have history of peripheral nerve system disorders, obvious mental disorders or central nerve system disorders; The patients attend other clinical trials.

Gender: All

Minimum age: 18 Years

Maximum age: 75 Years

Healthy volunteers: No

Start date: November 1, 2024

Completion date: November 30, 2027

Lead sponsor:
Agency: Shanghai Zhongshan Hospital
Agency class: Other

Collaborator:
Agency: Qilu Hospital of Shandong University
Agency class: Other

Collaborator:
Agency: The First Affiliated Hospital of Zhengzhou University
Agency class: Other

Source: Shanghai Zhongshan Hospital

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06654830

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