Stomach cancer surgery may get simpler: omentum preservation under study
NCT ID NCT05180864
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study compares two surgical approaches for stomach cancer: removing the entire omentum (a fatty layer in the abdomen) versus preserving it. The omentum helps fight infections and prevent bowel blockages. Researchers want to see if keeping it leads to fewer complications without affecting survival. About 654 adults with resectable stomach cancer will be randomly assigned to one of the two procedures.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- gastrectomy (surgery to remove part or all of the stomach)
- What this could lead to
- If successful, this could show that preserving the omentum during stomach cancer surgery is just as effective as removing it, while reducing complications like infections and bowel blockages.
- What could go wrong
- This is a non-inferiority trial, meaning it aims to prove that preserving the omentum is not worse than removing it. However, it is still recruiting and results are not yet available, so there is no guarantee of benefit or safety.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 654 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2024
- Expected to finish
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Jan 2031
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion criteria * Primary resectable gastric adenocarcinoma, clinical stage T1-4aN0-3M0 * ASA 1-3 (able to undergo surgery) * Scheduled for open or minimally invasive (sub)total gastrectomy with modified D2-lymphadenectomy, with or without perioperative chemotherapy * Age above 18 * Able to complete questionnaires in Dutch, English or Italian * Written informed consent * Esophageal invasion \< 2 cm defined from the upper margin of the gastric rugae as determined by endoscopy Exclusion Criteria: * Gastric cancer clinically staged as T1N0 * Locally advanced gastric cancer requiring multi-visceral resection * Pregnancy * Previous malignancy (excluding non-melanoma skin cancer, pancreatic neuroendocrine tumor (pNET) \<2cm, and gastrointestinal stromal tumor (GIST) \<2cm), unless no evidence of disease and diagnosed more than three years before diagnosis of gastric cancer, or with a life expectancy of more than five years from date of inclusion * Serious concomitant systemic disorders that would compromise the safety of the patient or his/her ability to complete the study, at the discretion of the investigator * Previous gastric or omental surgery, with the exclusion of a gastric perforation Indication for thoracotomy/thoracoscopy
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
16 sites in 4 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Amsterdam UMC
RECRUITINGAmsterdam, North Holland, 1081 HV, Netherlands
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Antoni van Leeuwenhoek
NOT_YET_RECRUITINGAmsterdam, Netherlands
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Azienda Ospedaliera Universitaria
NOT_YET_RECRUITINGSiena, Italy
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Catharina Ziekenhuis
RECRUITINGEindhoven, Netherlands
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Elisabeth Tweesteden ziekenhuis
NOT_YET_RECRUITINGTilburg, Netherlands
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Erasmus Medisch Centrum
NOT_YET_RECRUITINGRotterdam, Netherlands
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Gelre ziekenhuis
NOT_YET_RECRUITINGApeldoorn, Netherlands
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Leids Universitair Medisch Centrum
NOT_YET_RECRUITINGLeiden, Netherlands
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Medisch Centrum Leeuwarden
NOT_YET_RECRUITINGLeeuwarden, Netherlands
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Oxford University Hospitals
NOT_YET_RECRUITINGOxford, United Kingdom
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Rijnstate ziekenhuis
NOT_YET_RECRUITINGArnhem, Netherlands
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Universitair Medisch Centrum Utrecht
NOT_YET_RECRUITINGUtrecht, Netherlands
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Universitait Medisch Centrum Groningen
NOT_YET_RECRUITINGGroningen, Netherlands
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University Medical Center of the Johannes Gutenberg University
NOT_YET_RECRUITINGMainz, Germany
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Ziekenhuis Groep Twente
NOT_YET_RECRUITINGAlmelo, Netherlands
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Zuyderland ziekenhuis
NOT_YET_RECRUITINGHeerlen, Netherlands
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