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DEFINITIONS
Trial Review
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Trial registered on ANZCTR
Registration number
ACTRN12606000261516
Ethics application status
Approved
Date submitted
21/06/2006
Date registered
28/06/2006
Date last updated
4/03/2010
Type of registration
Retrospectively registered
Titles & IDs
Public title
LACE – Laparoscopic Approach to Cancer of the Endometrium: An International Multicenter Randomized Phase 3 Clinical Trial
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Scientific title
LACE - Laparoscopic Approach to Cancer of the Endometrium: An International Multicenter Randomized Phase 3 Clinical Trial. The primary objective is to assess disease free survival 4.5 years post-operatively.
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Secondary ID [1]
271
0
ClinicalTrials.gov: NCT00096408
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Universal Trial Number (UTN)
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Trial acronym
LACE
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Endometrial Adenocarcinoma - FIGO Stage 1
1237
0
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Condition category
Condition code
Cancer
1322
1322
0
0
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Womb (Uterine or endometrial cancer)
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Total Abdominal Hysterectomy (TAH) + pelvic/aortic lymph node dissection.
Total Laparoscopic Hysterectomy (TLH) + laparoscopic pelvic/aortic lymph node dissection
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Intervention code [1]
969
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Treatment: Surgery
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Comparator / control treatment
Total Abdominal Hysterectomy (TAH) + pelvic aortic lymph node dissection.
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Control group
Active
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Outcomes
Primary outcome [1]
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Disease-free survival
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Assessment method [1]
1807
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Timepoint [1]
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4.5 years after surgery
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Secondary outcome [1]
3167
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Intra/Peri/Post-operative and long-term morbidity
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Assessment method [1]
3167
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Timepoint [1]
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12 months after surgery
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Secondary outcome [2]
3168
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Patterns of recurrence
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Assessment method [2]
3168
0
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Timepoint [2]
3168
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4.5 years after surgery
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Secondary outcome [3]
6402
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Treatment Costs.
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Assessment method [3]
6402
0
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Timepoint [3]
6402
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4 weeks to 12 months.
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Secondary outcome [4]
6403
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Quality of Life.
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Assessment method [4]
6403
0
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Timepoint [4]
6403
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Preoperatively and 4.5 years postoperative.
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Secondary outcome [5]
6404
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Pelvic Floor Functioning.
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Assessment method [5]
6404
0
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Timepoint [5]
6404
0
Preoperatively and 4.5 years postoperative.
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Secondary outcome [6]
6405
0
Survival.
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Assessment method [6]
6405
0
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Timepoint [6]
6405
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At 4.5 years follow-up.
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Eligibility
Key inclusion criteria
Patients who may be included for this study must have the following:Histologically confirmed primary endometrioid adenocarcinoma of the endometrium; Clinical stage I disease; ECOG Performance status of 0-1; Signed written informed consent.
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Minimum age
18
Years
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Maximum age
Not stated
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients will be excluded from participating from the study if they have any of the following:Other histologic type than endometrioid adenocarcinoma of the endometrium; Clinically advanced disease (stages II-IV); Uterine size larger than 10 weeks gestation; Estimated life expectancy of less than 6 months; Enlarged aortic lymph nodes; Unfit for Surgery: serious concomitant systemic disorders incompatible with the study (at the discretion of the investigator); Patient compliance and geographic proximity that does not allow adequate follow-up; Unfit to complete QoL measurements.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation is not concealed
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Randomised permuted blocks will be used to allocate patients between the two treatment groups with an allocation ratio of 2:1, favouring the intervention of TLH (variable blocks sizes). Randomisations will be stratified according to treating centre and by grade of differentiation (as taken from the endometrial biopsy/D&C).
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/10/2005
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
755
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,VIC,QLD,SA,WA
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Recruitment outside Australia
Country [1]
294
0
New Zealand
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State/province [1]
294
0
Christchurch
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Country [2]
295
0
Hong Kong
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State/province [2]
295
0
Pokfulam
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Country [3]
296
0
United Kingdom
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State/province [3]
296
0
Edinburgh
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Country [4]
297
0
United Kingdom
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State/province [4]
297
0
Edinburgh
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Funding & Sponsors
Funding source category [1]
1447
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Charities/Societies/Foundations
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Name [1]
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Qld Cancer Fund
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Address [1]
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PO Box 201, Spring Hill Qld 4004
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Country [1]
1447
0
Australia
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Funding source category [2]
1448
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Charities/Societies/Foundations
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Name [2]
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Cancer Council (NSW, WA, VIC)
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Address [2]
1448
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153 Dowling Street
Woolloomooloo, NSW 2011
PO Box 572
Kings Cross NSW 1340
Australia
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Country [2]
1448
0
Australia
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Funding source category [3]
1449
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Commercial sector/Industry
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Name [3]
1449
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Tyco
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Address [3]
1449
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2nd Floor, 90 Pitts Bay Road
Pembroke HM 08, Bermuda
United States
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Country [3]
1449
0
Australia
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Funding source category [4]
1450
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Commercial sector/Industry
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Name [4]
1450
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Johnson & Johnson
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Address [4]
1450
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Not available
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Country [4]
1450
0
United States of America
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Funding source category [5]
1451
0
Commercial sector/Industry
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Name [5]
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Genentech
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Address [5]
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Genentech, Inc.
1 DNA Way
South San Francisco, CA 94080-4990
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Country [5]
1451
0
United States of America
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Funding source category [6]
2958
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Government body
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Name [6]
2958
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NHMRC
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Address [6]
2958
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National Health and Medical Research Council
GPO Box 1421
Canberra ACT 2601
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Country [6]
2958
0
Australia
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Funding source category [7]
2959
0
Government body
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Name [7]
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QUEENSLAND HEALTH
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Address [7]
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Queensland Health Building
147-163 Charlotte Street
Brisbane Queensland 4000
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Country [7]
2959
0
Australia
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Funding source category [8]
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Government body
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Name [8]
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Cancer Australia
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Address [8]
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PO Box 1201,
Dickson, Canberra ACT 2602
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Country [8]
256571
0
Australia
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Funding source category [9]
256581
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Government body
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Name [9]
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Cancer Australia
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Address [9]
256581
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PO Box 1201,
Dickson, Canberra ACT 2602
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Country [9]
256581
0
Australia
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Primary sponsor type
Government body
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Name
Qld Centre for Gynaecological Cancer
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Address
Level 6, Ned Hanlon Building
Royal Brisbane and Womens Hospital
Herston QLD 4029
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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University of Queensland
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Address [1]
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The University of Queensland
Brisbane QLD 4072 Australia
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Country [1]
1280
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Royal Brisbane and Women's Hospital
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Ethics committee address [1]
2820
0
Herston, Qld
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Ethics committee country [1]
2820
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Australia
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Date submitted for ethics approval [1]
2820
0
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Approval date [1]
2820
0
20/09/2004
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Ethics approval number [1]
2820
0
2004/025
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Ethics committee name [2]
2821
0
Mater Health Services
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Ethics committee address [2]
2821
0
South Brisbane Qld
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Ethics committee country [2]
2821
0
Australia
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Date submitted for ethics approval [2]
2821
0
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Approval date [2]
2821
0
26/11/2004
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Ethics approval number [2]
2821
0
777P
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Ethics committee name [3]
2822
0
Greenslopes Private Hospital
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Ethics committee address [3]
2822
0
Greenslopes Qld
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Ethics committee country [3]
2822
0
Australia
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Date submitted for ethics approval [3]
2822
0
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Approval date [3]
2822
0
14/12/2004
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Ethics approval number [3]
2822
0
04/12
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Ethics committee name [4]
2823
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Wesley Hospital
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Ethics committee address [4]
2823
0
Auchenflower, Qld
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Ethics committee country [4]
2823
0
Australia
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Date submitted for ethics approval [4]
2823
0
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Approval date [4]
2823
0
25/08/2005
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Ethics approval number [4]
2823
0
2004/60
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Ethics committee name [5]
2824
0
Monash Medical Centre
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Ethics committee address [5]
2824
0
East Bentleigh, Vic
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Ethics committee country [5]
2824
0
Australia
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Date submitted for ethics approval [5]
2824
0
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Approval date [5]
2824
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18/11/2004
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Ethics approval number [5]
2824
0
04144C
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Ethics committee name [6]
2825
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St John of God Hopsital
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Ethics committee address [6]
2825
0
Subiaco WA
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Ethics committee country [6]
2825
0
Australia
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Date submitted for ethics approval [6]
2825
0
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Approval date [6]
2825
0
02/06/2005
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Ethics approval number [6]
2825
0
213
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Ethics committee name [7]
2826
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King Edward Memorial Hospital
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Ethics committee address [7]
2826
0
Subiaco, WA
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Ethics committee country [7]
2826
0
Australia
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Date submitted for ethics approval [7]
2826
0
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Approval date [7]
2826
0
05/07/2005
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Ethics approval number [7]
2826
0
EC05-42.3
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Ethics committee name [8]
2827
0
Westmead Hospital
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Ethics committee address [8]
2827
0
Westmead, NSW
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Ethics committee country [8]
2827
0
Australia
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Date submitted for ethics approval [8]
2827
0
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Approval date [8]
2827
0
30/03/2006
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Ethics approval number [8]
2827
0
2006/12/4.27
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Ethics committee name [9]
4899
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The Townsville Health Service District Institutional Ethics Committee
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Ethics committee address [9]
4899
0
PO Box 670 TOWNSVILLE QLD 4810
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Ethics committee country [9]
4899
0
Australia
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Date submitted for ethics approval [9]
4899
0
21/09/2006
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Approval date [9]
4899
0
05/10/2006
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Ethics approval number [9]
4899
0
55/06
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Ethics committee name [10]
4900
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Mater Misericordiae Hospital Townsville Research & Ethics Committee
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Ethics committee address [10]
4900
0
Locked Bag 1000 TOWNSVILLE DC QLD 4810
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Ethics committee country [10]
4900
0
Australia
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Date submitted for ethics approval [10]
4900
0
23/05/2007
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Approval date [10]
4900
0
17/07/2007
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Ethics approval number [10]
4900
0
NA
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Ethics committee name [11]
4901
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The Royal Women's Hospital Human Ethics Committee
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Ethics committee address [11]
4901
0
The Royal Women's Hospital 132 Grattan Street CARLTON VIC 3053
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Ethics committee country [11]
4901
0
Australia
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Date submitted for ethics approval [11]
4901
0
06/06/2006
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Approval date [11]
4901
0
24/10/2006
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Ethics approval number [11]
4901
0
06/30
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Ethics committee name [12]
4902
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Cabrini Hospital Human Research Ethics Committee
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Ethics committee address [12]
4902
0
183 Wattletree Road MALVERN VIC 3144
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Ethics committee country [12]
4902
0
Australia
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Date submitted for ethics approval [12]
4902
0
01/08/2006
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Approval date [12]
4902
0
21/08/2006
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Ethics approval number [12]
4902
0
01-21-08-06
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Ethics committee name [13]
4903
0
Hunter New England Human Research Ethics Committee
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Ethics committee address [13]
4903
0
Locked Bag 1 Lookout Road NEW LAMBTON NSW 2305
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Ethics committee country [13]
4903
0
Australia
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Date submitted for ethics approval [13]
4903
0
23/03/2007
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Approval date [13]
4903
0
03/04/2007
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Ethics approval number [13]
4903
0
07/03/21/3.04
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Ethics committee name [14]
4904
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Royal Adelaide Hospital Research Ethics Committee
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Ethics committee address [14]
4904
0
Royal Adelaide Hospital Research Ethics Committee Level 3, Hanson Institute North Terrace ADELAIDE SA 5000
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Ethics committee country [14]
4904
0
Australia
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Date submitted for ethics approval [14]
4904
0
06/03/2007
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Approval date [14]
4904
0
04/05/2007
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Ethics approval number [14]
4904
0
070413
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Ethics committee name [15]
4905
0
Upper B South Regional Ethics Committee
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Ethics committee address [15]
4905
0
Ministry of Health 4th Floor, 250 Oxford Terrace PO Box 3877 Christchurch New Zealand
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Ethics committee country [15]
4905
0
New Zealand
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Date submitted for ethics approval [15]
4905
0
01/07/2006
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Approval date [15]
4905
0
21/07/2006
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Ethics approval number [15]
4905
0
URB/06/06/049
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Ethics committee name [16]
4906
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Institutional Review Board of the University of Hong Kong
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Ethics committee address [16]
4906
0
Hong Kong West Cluster, Queen Mary Hospital, 102 Pokfulam Road Pokfulam Hong Kong
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Ethics committee country [16]
4906
0
Hong Kong
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Date submitted for ethics approval [16]
4906
0
01/02/2008
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Approval date [16]
4906
0
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Ethics approval number [16]
4906
0
New ethics HREC. Please modify.
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Summary
Brief summary
Phase 3 This study compares standard abdominal surgery with laparoscopic (keyhole) surgery for women with early stage cancer of the endometrium (lining of the womb). Who is it for? You can join this study if you have early stage cancer of the endometrium (lining of the womb) that has not spread beyond the wall of the womb. This is determined by scans before the operation. Trial details Participants will be randomly divided into two groups. One group receives standard abdominal surgery and the other receives laparoscopic (keyhole) surgery for removing the uterus (womb). Women will have an equal chance of being offered one or other surgical approaches and will be followed for up to 4 ½ years to trace any women whose cancers return. Normally, surgery is carried out through a cut just above the pelvic bone, and the womb is removed together with ovaries and fallopian tubes. Lymph nodes may also have to be removed. For almost all women, this is curative surgery. This new technique may reduce some of the problems that people may experience immediately after surgery and in the longer term. The study is seeking to understand whether the same excellent outcomes can be achieved with surgery that is usually better tolerated.
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Trial website
delete web site, no longer valid
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
35329
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Address
35329
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Country
35329
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Phone
35329
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Fax
35329
0
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Email
35329
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Contact person for public queries
Name
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Ms Trudi Cattley
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Address
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QCGC
Teaching and Research Level 6
Ned Hanlon Building
Royal Brisbane and Women's Hospital
Herston Qld 4026
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Country
10158
0
Australia
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Phone
10158
0
+61 7 3636 0447
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Fax
10158
0
+61 7 3636 1721
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Email
10158
0
[email protected]
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Contact person for scientific queries
Name
1086
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Professor Andreas Obermair
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Address
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QCGC
Teaching and Research Level 6
Ned Hanlon Building
Royal Brisbane and Women's Hospital
Herston Qld 4026
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Country
1086
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Australia
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Phone
1086
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+61 7 3636 5485
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Fax
1086
0
+61 7 3636 2307
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Email
1086
0
[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Lower preoperative quality of life increases postoperative risk of adverse events in women with endometrial cancer: Results from the LACE trial.
2015
https://dx.doi.org/10.1016/j.ygyno.2015.02.008
Embase
Effect of total laparoscopic hysterectomy vs total abdominal hysterectomy on disease-free survival among women with stage i endometrial cancer: A randomized clinical trial.
2017
https://dx.doi.org/10.1001/jama.2017.2068
N.B. These documents automatically identified may not have been verified by the study sponsor.
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