Last reviewed · How we verify

NCT05180864: OMEGA-2

Omentum Preservation Versus Complete Omentectomy in Gastrectomy for Gastric Cancer

Recruiting now NA Last updated 4 September 2025
What this trial tests

NA trial testing Gastrectomy in Stomach Neoplasm in 654 participants. Currently enrolling.

Timeline
1 March 2024
Primary endpoint
1 January 2029
1 January 2031

Quick facts

Lead sponsorAmsterdam UMC
PhaseNA
StatusRecruiting now
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment654
Start date1 March 2024
Primary completion1 January 2029
Estimated completion1 January 2031
Sites16 locations across Italy, Netherlands, Germany, United Kingdom

Drugs / interventions tested

Conditions studied

Sponsor

Amsterdam UMC — full company profile →

Who can join

18 and older, any sex, with Stomach Neoplasm. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Curative therapy for gastric cancer usually consists of perioperative chemotherapy and a radical (R0) gastrectomy. A radical resection includes a modified D2 lymphadenectomy, and, generally, a complete omentectomy, to ensure the removal of omental metastatic lymph nodes and tumor deposits. The omentum has some essential functions within the peritoneal cavity. The omentum functions as regulator of regional immune responses to prevent infections and, additionally, it prevents adhesions that can lead to small bowel obstruction. Omentectomy is associated with increased incidence of early and late postoperative complications such as abdominal abscess, ileus, and wound infections in various types of surgery. There is little evidence regarding survival benefit of routine complete omentectomy during gastrectomy. The investigators hypothesize that omitting a complete omentectomy (and instead preserve the greater omentum distal of the gastroepiploic arcade) during gastrectomy for cancer does not negatively impact survival. OMEGA is a randomized controlled, open, parallel, non-inferiority, multicenter trial. Adult patients (\>18 years) with primary resectable gastric cancer, clinical stage T2-4a N0-3 M0 or cT1N+ scheduled for open or minimally invasive (sub)total gastrectomy are included. The primary study objective is to investigate whether omentum preservation in gastrectomy for cancer is non-inferior to complete omentectomy in terms of three-year overall survival.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Omentum preservation versus complete omentectomy in gastrectomy for gastric cancer (OMEGA trial): study protocol for a randomized controlled trial.
    Keywani K, Eshuis WJ, Borgstein ABJ, van Det MJ, et al · · 2024 · cited 1× · PMID 39232781 · DOI 10.1186/s13063-024-08396-z

Verify or expand the search:

Other trials of Gastrectomy

Trials testing the same drug.

Other recruiting trials for Stomach Neoplasm

Currently open trials in the same condition.

Other Amsterdam UMC trials

Trials by the same sponsor.

Verify against primary sources

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/NCT05180864.

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