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NCT01526655

Robot Assisted Laparoscopic Hysterectomy vs. Abdominal Hysterectomy in Endometrial Cancer

Completed NA Results posted Last updated 18 April 2024
What this trial tests

NA trial testing Abdominal total hysterectomy in Endometrial Cancer in 50 participants. Completed in 27 July 2016.

Timeline
25 January 2012
Primary endpoint
27 July 2016
27 July 2016

Quick facts

Lead sponsorUniversity Hospital, Linkoeping
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment50
Start date25 January 2012
Primary completion27 July 2016
Estimated completion27 July 2016
Sites2 locations across Sweden

Drugs / interventions tested

Conditions studied

Sponsor

University Hospital, Linkoeping

Who can join

18 and older, female only, with Endometrial Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Health Related Quality of Life (HRQoL) Primary · Days 0, 1, 2, 3, 4, 5, 6, 7, 14, 21, 28, 35, 42

Quality of life measured by means of the EuroQol form (EQ-5D). The EQ-5D form was completed daily during the first eight days after surgery, then once weekly for additional six weeks. The health state index has a possible range from 0 to 1 with a higher score meaning a better quality of life.

EQ-5D Day 0
GroupValue95% CI
Robotic Hysterectomy0.34± 0.40
Abdominal Hysterectomy0.30± 0.53
EQ-5D Day 1
GroupValue95% CI
Robotic Hysterectomy0.66± 0.24
Abdominal Hysterectomy0.48± 0.40
EQ-5D Day 2
GroupValue95% CI
Robotic Hysterectomy0.74± 0.19
Abdominal Hysterectomy0.56± 0.31
EQ-5D Day 3
GroupValue95% CI
Robotic Hysterectomy0.73± 0.19
Abdominal Hysterectomy0.59± 0.28
EQ-5D Day 4
GroupValue95% CI
Robotic Hysterectomy0.77± 0.19
Abdominal Hysterectomy0.63± 0.30
EQ-5D Day 5
GroupValue95% CI
Robotic Hysterectomy0.83± 0.18
Abdominal Hysterectomy0.64± 0.31
EQ-5D Day 6
GroupValue95% CI
Robotic Hysterectomy0.84± 0.17
Abdominal Hysterectomy0.67± 0.25
EQ-5D Day 7
GroupValue95% CI
Robotic Hysterectomy0.83± 0.22
Abdominal Hysterectomy0.66± 0.29
Changes in Biomarkers for Tissue Damage (C-reactive Protein (hsCRP)) Secondary · One week and just before surgery. Two, 24 and 48 hours postoperatively. One and six weeks after surgery.

The biomarker was measured on seven occasions. Time 1: one week before surgery. Time 2: just before surgery. Time 3: two hours postoperatively. Time 4: 24 hours postoperatively. Time 5: 48 hours postoperatively. Time 6: one week after surgery. Time 7: six weeks after surgery.

hsCRP time 1
GroupValue95% CI
Robotic Hysterectomy2.5± 2.1
Abdominal Hysterectomy6.0± 17.0
hsCRP time 2
GroupValue95% CI
Robotic Hysterectomy2.7± 2.6
Abdominal Hysterectomy4.7± 11.4
hsCRP time 3
GroupValue95% CI
Robotic Hysterectomy2.3± 2.3
Abdominal Hysterectomy3.5± 6.7
hsCRP time 4
GroupValue95% CI
Robotic Hysterectomy29.0± 29.4
Abdominal Hysterectomy52.3± 27.0
hsCRP time 5
GroupValue95% CI
Robotic Hysterectomy46.3± 49.8
Abdominal Hysterectomy75.4± 43.7
hsCRP time 6
GroupValue95% CI
Robotic Hysterectomy10.5± 8.6
Abdominal Hysterectomy9.3± 8.6
hsCRP time 7
GroupValue95% CI
Robotic Hysterectomy2.9± 2.6
Abdominal Hysterectomy1.9± 1.5
Changes in Biomarkers for Tissue Damage (White Blood Cells (WBC)) Secondary · One week and just before surgery. Two, 24 and 48 hours postoperatively. One and six weeks after surgery.

The biomarker was measured on seven occasions. Time 1: one week before surgery. Time 2: just before surgery. Time 3: two hours postoperatively. Time 4: 24 hours postoperatively. Time 5: 48 hours postoperatively. Time 6: one week after surgery. Time 7: six weeks after surgery.

WBC time 1
GroupValue95% CI
Robotic Hysterectomy6.7± 1.7
Abdominal Hysterectomy7.7± 2.1
WBC time 2
GroupValue95% CI
Robotic Hysterectomy6.2± 1.7
Abdominal Hysterectomy6.6± 1.7
WBC time 3
GroupValue95% CI
Robotic Hysterectomy6.8± 3.0
Abdominal Hysterectomy11.4± 3.7
WBC time 4
GroupValue95% CI
Robotic Hysterectomy9.4± 3.3
Abdominal Hysterectomy10.1± 2.8
WBC time 5
GroupValue95% CI
Robotic Hysterectomy7.2± 2.3
Abdominal Hysterectomy9.2± 2.3
WBC time 6
GroupValue95% CI
Robotic Hysterectomy7.2± 2.0
Abdominal Hysterectomy7.6± 2.0
WBC time 7
GroupValue95% CI
Robotic Hysterectomy6.5± 1.5
Abdominal Hysterectomy6.8± 1.6
Changes in Biomarkers for Tissue Damage (Interleukin 6 (IL-6)) Secondary · One week and just before surgery. Two, 24 and 48 hours postoperatively. One and six weeks after surgery.

The biomarker was measured on seven occasions. Time 1: one week before surgery. Time 2: just before surgery. Time 3: two hours postoperatively. Time 4: 24 hours postoperatively. Time 5: 48 hours postoperatively. Time 6: one week after surgery. Time 7: six weeks after surgery.

IL-6 time 1
GroupValue95% CI
Robotic Hysterectomy15.0± 29.8
Abdominal Hysterectomy10.9± 19.0
IL-6 time 2
GroupValue95% CI
Robotic Hysterectomy15.7± 29.0
Abdominal Hysterectomy9.6± 13.8
IL-6 time 3
GroupValue95% CI
Robotic Hysterectomy21.0± 28.7
Abdominal Hysterectomy47.6± 24.5
IL-6 time 4
GroupValue95% CI
Robotic Hysterectomy28.0± 31.0
Abdominal Hysterectomy37.9± 19.0
IL-6 time 5
GroupValue95% CI
Robotic Hysterectomy15.3± 21.8
Abdominal Hysterectomy17.3± 9.4
IL-6 time 6
GroupValue95% CI
Robotic Hysterectomy18.4± 31.2
Abdominal Hysterectomy10.0± 12.1
IL-6 time 7
GroupValue95% CI
Robotic Hysterectomy13.1± 25.7
Abdominal Hysterectomy12.2± 28.8
Changes in Biomarkers for Tissue Damage (Creatin Kinase (CK)) Secondary · One week and just before surgery. Two, 24 and 48 hours postoperatively. One and six weeks after surgery.

The biomarker was measured on seven occasions. Time 1: one week before surgery. Time 2: just before surgery. Time 3: two hours postoperatively. Time 4: 24 hours postoperatively. Time 5: 48 hours postoperatively. Time 6: one week after surgery. Time 7: six weeks after surgery.

CK time 1
GroupValue95% CI
Robotic Hysterectomy1.8± 1.1
Abdominal Hysterectomy1.6± 1.1
CK time 2
GroupValue95% CI
Robotic Hysterectomy1.9± 1.1
Abdominal Hysterectomy1.6± 1.0
CK time 3
GroupValue95% CI
Robotic Hysterectomy1.5± 0.9
Abdominal Hysterectomy2.5± 1.0
CK time 4
GroupValue95% CI
Robotic Hysterectomy3.3± 2.5
Abdominal Hysterectomy6.2± 4.9
CK time 5
GroupValue95% CI
Robotic Hysterectomy3.0± 2.4
Abdominal Hysterectomy4.5± 2.1
CK time 6
GroupValue95% CI
Robotic Hysterectomy1.0± 0.6
Abdominal Hysterectomy0.9± 0.6
CK time 7
GroupValue95% CI
Robotic Hysterectomy1.6± 1.1
Abdominal Hysterectomy1.3± 0.8
Changes in Biomarkers for Tissue Damage (Cortisol) Secondary · One week and just before surgery. Two, 24 and 48 hours postoperatively. One and six weeks after surgery.

The biomarker was measured on seven occasions. Time 1: one week before surgery. Time 2: just before surgery. Time 3: two hours postoperatively. Time 4: 24 hours postoperatively. Time 5: 48 hours postoperatively. Time 6: one week after surgery. Time 7: six weeks after surgery.

Cortisol time 1
GroupValue95% CI
Robotic Hysterectomy273.4± 75.0
Abdominal Hysterectomy266.0± 123.2
Cortisol time 2
GroupValue95% CI
Robotic Hysterectomy489.0± 137.0
Abdominal Hysterectomy510.1± 131.2
Cortisol time 3
GroupValue95% CI
Robotic Hysterectomy301.0± 267.0
Abdominal Hysterectomy533.2± 249.0
Cortisol time 4
GroupValue95% CI
Robotic Hysterectomy392.0± 201.0
Abdominal Hysterectomy383.0± 178.1
Cortisol time 5
GroupValue95% CI
Robotic Hysterectomy358.1± 128.0
Abdominal Hysterectomy379.0± 125.4
Cortisol time 6
GroupValue95% CI
Robotic Hysterectomy309.1± 98.0
Abdominal Hysterectomy331.0± 76.0
Cortisol time 7
GroupValue95% CI
Robotic Hysterectomy307.0± 129.0
Abdominal Hysterectomy331.1± 125.4
Health Economics (With 300 Robotic Procedures Annually) Secondary · From the day of surgery until six weeks after surgery.

Total costs (direct and indirect) for hospital stay and recovery period until six weeks postoperatively.

Direct costs per procedure
GroupValue95% CI
Robotic Hysterectomy65,728
Abdominal Hysterectomy46,776
Indirect costs per procedure
GroupValue95% CI
Robotic Hysterectomy12,451
Abdominal Hysterectomy18,318
Total costs (direct + indirect) per procedure
GroupValue95% CI
Robotic Hysterectomy78,179
Abdominal Hysterectomy65,094
Health Economics (With 500 Robotic Procedures Annually) Secondary · From the day of surgery until six weeks after surgery.

Total costs (direct and indirect) for hospital stay and recovery period until six weeks postoperatively.

Direct costs per procedure
GroupValue95% CI
Robotic Hysterectomy61,862
Abdominal Hysterectomy46,769
Indirect costs per procedure
GroupValue95% CI
Robotic Hysterectomy12,451
Abdominal Hysterectomy18,318
Total costs (direct + indirect) per procedure
GroupValue95% CI
Robotic Hysterectomy74,313
Abdominal Hysterectomy65,087

Adverse events — posted to ClinicalTrials.gov

Time frame: From the day of surgery until six weeks postoperatively.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Robotic Hysterectomy
Serious: 0/25 (0%)
Deaths: 0/25
Abdominal Hysterectomy
Serious: 2/24 (8%)
Deaths: 0/24

Serious adverse events (2 terms)

ReactionSystemRobotic HysterectomyAbdominal Hysterectomy
Reoperation vaginal vault bleedingBlood and lymphatic system disorders
Bladder injuryInjury, poisoning and procedural complications
Other adverse events (9 terms — click to expand)

ReactionSystemRobotic HysterectomyAbdominal Hysterectomy
Wound complicationsInfections and infestations
NeuralgiaNervous system disorders
Urinary tract infectionInfections and infestations
ConstipationGastrointestinal disorders
Spinal punction not possibleSurgical and medical procedures
Urinary retentionRenal and urinary disorders
Vaginal vault hematomaBlood and lymphatic system disorders
Red blood cell transfusionBlood and lymphatic system disorders
Intubation difficultiesSurgical and medical procedures

Most-reported serious reactions: Reoperation vaginal vault bleeding, Bladder injury.

Data from ClinicalTrials.gov NCT01526655 adverse events section.

Sponsor's own description

The purpose of the trial is to determine whether robot assisted laparoscopic hysterectomy compared with abdominal hysterectomy in a fast track program gives a faster recovery postoperatively, causes less tissue damage and less effects on the immunological system, and is health economically cost-effective.

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Robot-assisted surgery in gynaecology.
    Lawrie TA, Liu H, Lu D, Dowswell T, et al · · 2019 · cited 59× · PMID 30985921 · DOI 10.1002/14651858.cd011422.pub2
  2. Robot-assisted surgery in gynaecology.
    Liu H, Lawrie TA, Lu D, Song H, et al · · 2014 · cited 27× · PMID 25493418 · DOI 10.1002/14651858.cd011422

Verify or expand the search:

Other recruiting trials for Endometrial Cancer

Currently open trials in the same condition.

Other University Hospital, Linkoeping trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01526655.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing