GCSSG-SPNX: Trial to Evaluate Splenectomy in Total Gastrectomy for Proximal Gastric Carcinoma: JCOG0110

The recruitment status of this study is unknown because the information has not been verified recently.
Verified August 2009 by Japan Clinical Oncology Group.
Recruitment status was  Active, not recruiting
Ministry of Health, Labour and Welfare, Japan
Information provided by:
Japan Clinical Oncology Group
ClinicalTrials.gov Identifier:
First received: May 27, 2005
Last updated: August 2, 2009
Last verified: August 2009
The purpose of this study is to evaluate the role of splenectomy in potentially curative total gastrectomy for proximal gastric carcinoma in terms of survival benefit and post-operative morbidity.

Condition Intervention Phase
Gastric Neoplasm
Procedure: Surgery: Splenectomy
Procedure: Surgery: Spleen-preservation
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Randomized Controlled Trial to Evaluate Splenectomy in Total Gastrectomy for Proximal Gastric Carcinoma: JCOG0110

Resource links provided by NLM:

Further study details as provided by Japan Clinical Oncology Group:

Primary Outcome Measures:
  • Overall survival [ Time Frame: During the study conduct ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Post-operative morbidity [ Time Frame: 5 years ] [ Designated as safety issue: Yes ]
  • operation time [ Time Frame: day of the operation ] [ Designated as safety issue: Yes ]
  • perioperative blood loss [ Time Frame: 3 days after operation ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 500
Study Start Date: June 2002
Estimated Study Completion Date: March 2014
Estimated Primary Completion Date: March 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: 1
Procedure/Surgery: Surgery: Splenectomy
Procedure: Surgery: Splenectomy
Procedure/Surgery: Surgery: Splenectomy
Experimental: 2
Procedure/Surgery: Surgery: Spleen-preservation
Procedure: Surgery: Spleen-preservation
Procedure/Surgery: Surgery: Spleen-preservation

Detailed Description:

European clinical trials of gastrectomy showed that splenectomy is an important risk factor for post-operative morbidity and mortality. Retrospective comparisons suggested that splenectomy is associated with poor long term survival. However, Japanese studies revealed that 20 - 30 % of patients with non-early carcinoma in the proximal stomach have nodal metastasis in the splenic hilum and therefore, pancreas-preserving splenectomy is part of the standard operation in specialized centers where splenectomy is not considered a risk factor for operative mortality. There have been no prospective randomized trials to evaluate the survival benefit of splenectomy in total gastrectomy for proximal gastric cancer.

Comparison: Total gastrectomy with pancreas-preserving splenectomy versus total gastrectomy without splenectomy


Ages Eligible for Study:   20 Years to 75 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Inclusion Criteria:


  • Histologically proven adenocarcinoma
  • T2 or deeper lesion in the upper third of the stomach without involvement of the greater curvature or esophageal invasion, irrespective of the primary tumor location or existence of multiple foci
  • No distant metastasis, not linitis plastica ('Borrmann 4'), not stump carcinoma, no prior treatment for 364 Randomized trial for splenectomy gastric cancer
  • Sufficient organ function
  • Written informed consent.


  • T2/T3/T4 and N0/N1/N2, no tumor on the greater curvature, no direct invasion of the pancreas or spleen, negative peritoneal lavage cytology
  • No apparent nodal metastasis in the splenic hilum or along the splenic artery

Exclusion Criteria:

  • Liver cirrhosis or portal hypertension
  • Idiopathic thrombocytopenic purpura
  • Severe pulmonary dysfunction
  • Synchronous or metachronous (within 5 years) malignancy.
  Contacts and Locations
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Please refer to this study by its ClinicalTrials.gov identifier: NCT00112099

Aichi Cancer Center Hospital
1-1,Kanokoden,Chikusa-ku,Nagoya, Aichi, Japan, 464-8681
Fujita Health University
1-98,Dengakugakubo,Kutsukake-cho,Toyoake, Aichi, Japan, 470-1192
National Cancer Center Hospital East
6-5-1,Kashiwanoha,Kashiwa, Chiba, Japan, 277-8577
National Hospital Organization Shikoku Cancer Center
13,Horinouchi,Matsuyama, Ehime, Japan, 790-0007
Gifu Municipal Hospital
7-1,Kashima-cho,Gifu, Gifu, Japan, 500-8323
Hiroshima City Hospital
7-33,Motomachi,Naka-ku,Hiroshima, Hiroshima, Japan, 730-8518
Itami City Hospital
1-100,Koyaike,Itami, Hyogo, Japan, 664-8540
Iwate Medical University
19-1,Uchimaru,Morioka, Iwate, Japan, 020-8505
Kagoshima University,Faculty of Medicine
8-35-1,Sakuragaoka,Kagoshima, Kagoshima, Japan, 890-8520
Kanagawa Cancer Center
1-1-2,Nakao,Asahi-ku,Yokohama, Kanagawa, Japan, 241-0815
Kyoto Second Red Cross Hospital
355-5,Kamanza-Marutamachi,Kamigyo-ku,Kyoto, Kyoto, Japan, 602-8026
National Hospital Organization, Sendai Medical Center
2-8-8,Miyagino,Miyagino-ku,Sendai, Miyagi, Japan, 983-8520
Miyagi Cancer Center
47-1,Nodayama,Medeshima-Shiode,Natori, Miyagi, Japan, 981-1293
Niigata Cancer Center Hospital
2-15-3,Kawagishi-cho,Niigata, Niigata, Japan, 951-8566
Nagaoka Chuo General Hospital
2041,Kawasaki,Nagaoka, Niigata, Japan, 940-8653
Tsubame Rosai Hospital
633,Sawatari,Tsubame, Niigata, Japan, 959-1228
Oita University Fuculty of Medicine
1-1,Oogaoka,Hasama-machi,Oita, Oita, Japan, 879-5593
Sakai Municipal Hospital
1-1-1,Minamiyasuicho,Sakai, Osaka, Japan, 590-0064
Osaka Medical Center for Cancer and Cardiovascular Diseases
1-3-3,Nakamichi,Higashinari-ku,Osaka, Osaka, Japan, 537-8511
Osaka National Hospital
2-1-14,Hoenzaka,Chuo-ku,Osaka, Osaka, Japan, 540-0006
Osaka Medical College
2-7,Daigakucho,Takatsuki, Osaka, Japan, 569-0801
Kinki University School of Medicine
377-2,Ohno-higashi,Osaka-Sayama, Osaka, Japan, 589-8511
Toyonaka Municipal Hospital
4-14-1,Shibaharacho,Toyonaka, Osaka, Japan, 560-0055
National Defense Medical College
3-2,Namiki,Tokorozawa, Saitama, Japan, 359-8513
Saitama Cancer Center
818,Komuro,Ina,Kita-adachi, Saitama, Japan, 362-0806
Shizuoka General Hospital
4-27-1,Kitaando,Aoi-ku,Shizuoka, Sizuoka, Japan, 420-8527
International Medical Center of Japan
1-21-1,Toyama,Shinjuku-ku, Tokyo, Japan, 162-8655
Tokyo Medical and Dental University Hospital
1-5-45,Yushima,Bunkyo-ku, Tokyo, Japan, 113-8519
Cancer Institute Hospital
3-10-6,Ariake,Koto-ku, Tokyo, Japan, 135-8550
Tokyo Metropolitan Komagome Hospital
3-18-22,Honkomagome,Bunkyo-ku, Tokyo, Japan, 113-8677
Tokyo Metropolitan Bokutoh Hospital
4-23-15,Koutoubashi,Sumida-ku, Tokyo, Japan, 130-8575
National Cancer Center Hospital
5-1-1,Tsukiji,Chuo-ku, Tokyo, Japan, 104-0045
Toyama Prefectural Central Hospital
2-2-78,Nishinagae,Toyama, Toyama, Japan, 930-8550
Wakayama Medical University, School of Medicine
811-1,Kimiidera,Wakayama, Wakayama, Japan, 641-8510
Yamagata Prefectural Central Hospital
1800,Aoyagi,Yamagata, Yamagata, Japan, 990-2292
Sponsors and Collaborators
Japan Clinical Oncology Group
Ministry of Health, Labour and Welfare, Japan
Study Chair: Mitsuru Sasako, MD, PhD Hyogo College of Medicine
  More Information

Additional Information:
Responsible Party: Mitsuru Sasako, MD, PhD, Japan Clinical Oncology Group
ClinicalTrials.gov Identifier: NCT00112099     History of Changes
Other Study ID Numbers: JCOG 0110  C000000004 
Study First Received: May 27, 2005
Last Updated: August 2, 2009
Health Authority: Japan: Ministry of Health, Labor and Welfare

Keywords provided by Japan Clinical Oncology Group:
gastric neoplasm
randomized trial
T2, T3 and T4 carcinoma in the proximal third of the stomach

Additional relevant MeSH terms:
Stomach Neoplasms
Digestive System Diseases
Digestive System Neoplasms
Gastrointestinal Diseases
Gastrointestinal Neoplasms
Neoplasms by Site
Stomach Diseases

ClinicalTrials.gov processed this record on February 10, 2016