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NCT07482566Recruiting

Proximal Versus Total Gastrectomy for Locally Advanced Siewert Type II-III Gastroesophageal Junction Cancer

A Multicenter Prospective Randomized Double-Blind Clinical Trial Comparing Proximal Gastrectomy and Total Gastrectomy in Patients With Locally Advanced Siewert Type II-III Gastroesophageal Junction Cancer

Source: ClinicalTrials.gov · Last updated 20 Mar 2026

Brief summary (registry, in English)

This multicenter prospective randomized clinical trial aims to compare the safety and oncological effectiveness of proximal gastrectomy and total gastrectomy in patients with locally advanced Siewert type II-III gastroesophageal junction cancer. Eligible patients will be randomly assigned to undergo either proximal gastrectomy or total gastrectomy using open, laparoscopic, or robotic surgical approaches according to clinical suitability. The primary outcome of the study is 3-year disease-free survival. Secondary outcomes include postoperative mortality, postoperative complications, and the number of metastatic lymph nodes retrieved. Patients will be followed for up to five years after surgery to evaluate long-term oncological outcomes.

Status (registry)
Recruiting
Study type
Interventional
Enrollment
120 (estimated)
First submitted
15 Mar 2026
Start date
1 Feb 2026
Primary completion date
1 Feb 2028
Lead sponsor
Nurettin Şahin
NCT number
NCT07482566

What you commit to

  • Study type: Interventional
  • Planned participants: 120
  • From 1 Feb 2026 to the primary completion date, 1 Feb 2028
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Other illness

  • Early-stage gastroesophageal junction cancer
  • Gastric cancers located in the antrum or corpus

Other

  • Severe anesthetic risk (American Society of Anesthesiologists \[ASA\] class IV or higher)
  • Pregnancy
  • Patients unwilling or unable to provide informed consent

Who the study is looking for

  • Age between 18 and 90 years
  • Histologically confirmed locally advanced Siewert type II-III gastroesophageal junction cancer
  • Considered operable after multidisciplinary tumor board evaluation
  • Candidate for curative surgical resection with D2 lymphadenectomy
  • Provision of written informed consent

Age in the registry: 18 years to 90 years · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Bakirkoy Dr. Sadi Konuk Training and Research Hospital
Coordinator of this site? Confirm its status
IstanbulTurkey (Türkiye)Recruiting

This page is information, not medical advice. Discuss any trial with your doctor.