Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
COLOR II is a randomized, international, multi center study comparing the outcomes of laparoscopic and conventional resection of rectal carcinoma below 15 cm with curative intent. Clinical and operative data will be collected centrally in the coordinating centre in Halifax, Canada. Quality of life and costs will be assessed on a national basis.
The design involves allocation of all suitable consecutive patients with rectal carcinoma to either of the two procedures at a randomization ratio of 2:1 in favor of the laparoscopic procedure. Excluded are patients with a carcinoma treated by local resection and palliative resections. The trial will be stratified according to participating centre, resection type, and preoperative radiotherapy.
If the 95% CI for the difference of the 3-year locoregional recurrence rates excludes a difference greater than 5% in favor of the conventional procedure, non-inferiority of the laparoscopic procedure will be concluded. Assuming both rates are 10%, 1000 evaluable cases are required in total for a power of 80%.
Analysis will be primarily on an intention to treat basis. Definition of conversion is defined by protocol.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Other | surgery (open or laparoscopic) and observation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| surgery | Procedure | randomized to open or laparoscopic technique |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| locoregional recurrence rate | 3 years post operatively |
| Measure | Description | Time Frame |
|---|---|---|
| survival free of cancer recurrence | three, five and seven years post-operatively | |
| overall survival | three, five and seven years post-operatively | |
| port-site and wound-site recurrences |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Jaap Bonjer, MD, PhD | Dalhousie University, and VUMC, the Netherlands | Principal Investigator |
| Marius Hoogerboord | Nova Scotia Health Authority | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Universitair Ziekenjuis Leuven | Leuven | Belgium | ||||
| Royal Alexandra Hospital, University of Alberta |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38441657 | Derived | Andersson J, Angenete E, Gellerstedt M, Haglind E. Developing a multivariable prediction model of global health-related quality of life in patients treated for rectal cancer: a prospective study in five countries. Int J Colorectal Dis. 2024 Mar 5;39(1):35. doi: 10.1007/s00384-024-04605-y. | |
| 32224742 | Derived |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| annually for seven years |
| distant metastases rate | annually for seven years |
| operative mortality and morbidity | 8 week or in-hospital |
| macroscopic evaluation of the resected specimen | post-operative |
| duration of in-hospital stay | post-operative |
| duration of absence of work | 8 weeks and 6 months post-operatively |
| postoperative health related quality of life,including standardized questionnaires on sexual and bladder function | weekly for 8 weeks |
| in-hospital direct and indirect costs | seven years |
| out-of-hospital postoperative costs | seven years |
| Edmonton |
| Alberta |
| Canada |
| CDHA/ Dalhousie University | Halifax | Nova Scotia | B3H 2Y9 | Canada |
| University of Western Ontario | London | Ontario | Canada |
| Aalborg Hospital | Aalborg | Denmark |
| SVS Esbjerg | Esbjerg | Denmark |
| Amtssygehus i Gentofte | Gentofte Municipality | Denmark |
| Hilleröd Hospital | Hilleröd | Denmark |
| Odense Universitetshospital | Odense | Denmark |
| Roskilde Hospital | Roskilde | Denmark |
| Viborg | Viborg | Denmark |
| Ludwig-Maximilians Universität Klinikum Großhadern | München | Germany |
| Caritas-Krankenhaus St. Josef | Regensburg | Germany |
| University Hospital Regensburg | Regensburg | Germany |
| Marienhospital | Stuttgart | Germany |
| Wuerzburg University | Würzburg | Germany |
| Jeroen Bosch Ziekenhuis | 's-Hertogenbosch | Netherlands |
| Academisch Medisch Centrum | Amsterdam | Netherlands |
| Onze Lieve Vrouwe Gasthuis | Amsterdam | Netherlands |
| VU Medisch Centrum | Amsterdam | Netherlands |
| Rijnland Ziekenhuis | Leiderdorp | Netherlands |
| Erasmus Medical Centre | Rotterdam | Netherlands |
| Medisch Centrum Rijnmond-Zuid | Rotterdam | Netherlands |
| Jagiellonian University | Krakow | Poland |
| Korea University Anam Hospital | Seoul | South Korea |
| Hospital Clinic i Provencial de Barcelona | Barcelona | Spain |
| Hospital de Sant Pau | Barcelona | Spain |
| Hospital S.A.S. de Jerez | Cadiz | Spain |
| Hospital del Sureste de Madrid | Madrid | Spain |
| Arrixaca Hospital Universitario | Murcia | Spain |
| Sahlgrenska University Hospital | Gothenburg | Sweden |
| Örebro Hospital | Örebro | Sweden |
| Kärnsjukhuset | Skvöde | Sweden |
| Ersta Hospital | Stockholm | Sweden |
| Uddevalla Hospital | Uddevalla | Sweden |
| Koedam TWA, Bootsma BT, Deijen CL, van de Brug T, Kazemier G, Cuesta MA, Furst A, Lacy AM, Haglind E, Tuynman JB, Daams F, Bonjer HJ; on behalf of the COLOR COLOR II study group. Oncological Outcomes After Anastomotic Leakage After Surgery for Colon or Rectal Cancer: Increased Risk of Local Recurrence. Ann Surg. 2022 Feb 1;275(2):e420-e427. doi: 10.1097/SLA.0000000000003889. |
| 29746337 | Derived | Petersson J, Koedam TW, Bonjer HJ, Andersson J, Angenete E, Bock D, Cuesta MA, Deijen CL, Furst A, Lacy AM, Rosenberg J, Haglind E; COlorectal cancer Laparoscopic or Open Resection (COLOR) II Study Group. Bowel Obstruction and Ventral Hernia After Laparoscopic Versus Open Surgery for Rectal Cancer in A Randomized Trial (COLOR II). Ann Surg. 2019 Jan;269(1):53-57. doi: 10.1097/SLA.0000000000002790. |
| 25830422 | Derived | Bonjer HJ, Deijen CL, Abis GA, Cuesta MA, van der Pas MH, de Lange-de Klerk ES, Lacy AM, Bemelman WA, Andersson J, Angenete E, Rosenberg J, Fuerst A, Haglind E; COLOR II Study Group. A randomized trial of laparoscopic versus open surgery for rectal cancer. N Engl J Med. 2015 Apr 2;372(14):1324-32. doi: 10.1056/NEJMoa1414882. |
| 24924798 | Derived | Andersson J, Abis G, Gellerstedt M, Angenete E, Angeras U, Cuesta MA, Jess P, Rosenberg J, Bonjer HJ, Haglind E. Patient-reported genitourinary dysfunction after laparoscopic and open rectal cancer surgery in a randomized trial (COLOR II). Br J Surg. 2014 Sep;101(10):1272-9. doi: 10.1002/bjs.9550. Epub 2014 Jun 12. |
| 23640671 | Derived | Andersson J, Angenete E, Gellerstedt M, Angeras U, Jess P, Rosenberg J, Furst A, Bonjer J, Haglind E. Health-related quality of life after laparoscopic and open surgery for rectal cancer in a randomized trial. Br J Surg. 2013 Jun;100(7):941-9. doi: 10.1002/bjs.9144. |
| 23395398 | Derived | van der Pas MH, Haglind E, Cuesta MA, Furst A, Lacy AM, Hop WC, Bonjer HJ; COlorectal cancer Laparoscopic or Open Resection II (COLOR II) Study Group. Laparoscopic versus open surgery for rectal cancer (COLOR II): short-term outcomes of a randomised, phase 3 trial. Lancet Oncol. 2013 Mar;14(3):210-8. doi: 10.1016/S1470-2045(13)70016-0. Epub 2013 Feb 6. |
| 19486621 | Derived | Color II Study Group; Buunen M, Bonjer HJ, Hop WC, Haglind E, Kurlberg G, Rosenberg J, Lacy AM, Cuesta MA, D'Hoore A, Furst A, Lange JF, Jess P, Bulut O, Poornoroozy P, Jensen KJ, Christensen MM, Lundhus E, Ovesen H, Birch D, Iesalnieks I, Jager C, Kreis M, van riet Y, van der Harst E, Gerhards MF, Bemelman WA, Hansson BM, Neijenhuis PA, Prins HA, Balague C, Targarona E, Lujan Mompean JA, Franco Osorio JD, Garcia Molina FJ, Skullman S, Lackberg Z, Kressner U, Matthiessen P, Kim SH, Poza AA. COLOR II. A randomized clinical trial comparing laparoscopic and open surgery for rectal cancer. Dan Med Bull. 2009 May;56(2):89-91. |
| ID | Term |
|---|---|
| D012004 | Rectal Neoplasms |
| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| D013514 | Surgical Procedures, Operative |
Not provided
Not provided
Not provided