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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00096408
Registration number
NCT00096408
Ethics application status
Date submitted
9/11/2004
Date registered
9/11/2004
Titles & IDs
Public title
Laparoscopic Approach to Cancer of the Endometrium
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Scientific title
LACE - Laparoscopic Approach to Cancer of the Endometrium: An International Multicenter Randomized Phase 3 Clinical Trial
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Secondary ID [1]
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LACE001
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Endometrial Cancer
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Condition category
Condition code
Cancer
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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
Treatment: Surgery - Total Abdominal Hysterectomy
Treatment: Surgery - Total Laparoscopic Hysterectomy
Active comparator: 1 - Total Abdominal Hysterectomy
Experimental: 2 - Total Laparoscopic Hysterectomy
Treatment: Surgery: Total Abdominal Hysterectomy
For patients with clinical stage I disease, removal of the uterus and both tubes and ovaries are considered current standard treatment in Australia.
Treatment: Surgery: Total Laparoscopic Hysterectomy
The technique of total laparoscopic hysterectomy (TLH), utilising the McCartney tube, has been developed by Anthony J. McCartney over the last 10 years. It allows the completion of the hysterectomy entirely laparoscopically, without the need for additional vaginal surgery.
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Intervention code [1]
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Treatment: Surgery
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Disease free survival
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Assessment method [1]
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Timepoint [1]
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4.5 years from surgery
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Secondary outcome [1]
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Intra/Peri/Post-operative and long-term morbidity
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Assessment method [1]
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Timepoint [1]
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30 days from surgery
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Secondary outcome [2]
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Patterns of recurrence
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Assessment method [2]
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Timepoint [2]
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4.5 years from surgery
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Secondary outcome [3]
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Pain and analgesia
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Assessment method [3]
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Timepoint [3]
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1 week, 1 month, 3 months and 6 months postoperative.
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Secondary outcome [4]
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Quality of Life
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Assessment method [4]
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Timepoint [4]
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Measured at baseline, then again 1 week, 6 weeks, 3 months and 6 months postoperatively.
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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;
* Females, aged 18 years or older.
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Minimum age
18
Years
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Maximum age
No limit
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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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
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/10/2005
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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
1/12/2018
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Sample size
Target
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Accrual to date
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Final
760
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,VIC,WA
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Recruitment hospital [1]
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Royal Prince Alfred Hospital - Camperdown
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Recruitment hospital [2]
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Newcastle Private Hospital - New Lambton Heights
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Recruitment hospital [3]
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John Hunter Hospital - New Lambton
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Recruitment hospital [4]
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Royal Hospital for Women - Randwick
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Recruitment hospital [5]
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Royal North Shore Hospital - St Leonards
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Recruitment hospital [6]
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Westmead Hospital - Westmead
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Recruitment hospital [7]
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The Wesley Hospital - Auchenflower
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Recruitment hospital [8]
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Greenslopes Private Hospital - Greenslopes
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Recruitment hospital [9]
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Royal Brisbane and Women's Hospital - Herston
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Recruitment hospital [10]
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Mater Adult Public Hospital - South Brisbane
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Recruitment hospital [11]
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Mater Misericordiae Hospital Townsville - Townsville
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Recruitment hospital [12]
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Townsville Hospital - Townsville
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Recruitment hospital [13]
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Royal Adelaide Hospital - Adelaide
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Recruitment hospital [14]
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Box Hill Hospital - Box Hill
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Recruitment hospital [15]
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Royal Women's Hospital - Carlton
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Recruitment hospital [16]
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Monash Medical Centre - Clayton
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Recruitment hospital [17]
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Cabrini Health - Malvern
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Recruitment hospital [18]
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King Edward Memorial Hospital for Women - Perth
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Recruitment hospital [19]
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St John of God Hospital - Subiaco
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Recruitment postcode(s) [1]
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2050 - Camperdown
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Recruitment postcode(s) [2]
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2305 - New Lambton Heights
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Recruitment postcode(s) [3]
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2305 - New Lambton
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Recruitment postcode(s) [4]
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2031 - Randwick
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Recruitment postcode(s) [5]
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2065 - St Leonards
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Recruitment postcode(s) [6]
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2050 - Westmead
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Recruitment postcode(s) [7]
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4066 - Auchenflower
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Recruitment postcode(s) [8]
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4120 - Greenslopes
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Recruitment postcode(s) [9]
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4029 - Herston
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Recruitment postcode(s) [10]
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4101 - South Brisbane
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Recruitment postcode(s) [11]
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4810 - Townsville
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Recruitment postcode(s) [12]
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5000 - Adelaide
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Recruitment postcode(s) [13]
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3128 - Box Hill
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Recruitment postcode(s) [14]
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3168 - Carlton
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Recruitment postcode(s) [15]
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3168 - Clayton
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Recruitment postcode(s) [16]
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3144 - Malvern
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Recruitment postcode(s) [17]
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6008 - Perth
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Recruitment postcode(s) [18]
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6904 - Subiaco
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Recruitment outside Australia
Country [1]
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Hong Kong
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State/province [1]
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Pok Fu Lam
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Country [2]
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New Zealand
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State/province [2]
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Canterbury
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Country [3]
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New Zealand
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State/province [3]
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Christchurch
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Country [4]
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United Kingdom
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State/province [4]
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Edinburgh
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Funding & Sponsors
Primary sponsor type
Government body
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Name
Queensland Centre for Gynaecological Cancer
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Address
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Country
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Other collaborator category [1]
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Commercial sector/industry
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Name [1]
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Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
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Address [1]
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Other collaborator category [2]
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Commercial sector/industry
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Name [2]
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Tyco Healthcare Group
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Address [2]
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Other collaborator category [3]
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Commercial sector/industry
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Name [3]
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Gynetech
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Address [3]
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Other collaborator category [4]
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Other
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Name [4]
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Queensland Government - Smart Health Research Grant
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Address [4]
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Other collaborator category [5]
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Other
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Name [5]
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National Health and Medical Research Council, Australia
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Address [5]
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Country [5]
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Other collaborator category [6]
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Other
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Name [6]
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Cancer Council Queensland
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Address [6]
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Country [6]
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Other collaborator category [7]
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Other
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Name [7]
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Cancer Council New South Wales
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Address [7]
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Country [7]
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Other collaborator category [8]
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Other
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Name [8]
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Cancer Council Victoria
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Address [8]
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Other collaborator category [9]
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Other
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Name [9]
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Cancer Council Western Australia
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Address [9]
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Other collaborator category [10]
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Other
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Name [10]
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Cancer Australia
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Address [10]
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Ethics approval
Ethics application status
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Summary
Brief summary
The primary objective of this study is to assess disease-free survival at 4.5 years postoperatively for women with apparent Stage 1 endometrial cancer, comparing patients who are randomised to receive Total Laparoscopic Hysterectomy (TLH) and patients who are randomised to receive Total Abdominal Hysterectomy (TAH).
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Trial website
https://clinicaltrials.gov/study/NCT00096408
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Trial related presentations / publications
Janda M, Gebski V, Forder P, Jackson D, Williams G, Obermair A; LACE Trial Committee. Total laparoscopic versus open surgery for stage 1 endometrial cancer: the LACE randomized controlled trial. Contemp Clin Trials. 2006 Aug;27(4):353-63. doi: 10.1016/j.cct.2006.03.004. Epub 2006 May 5. Gebski V, Obermair A, Janda M. Toward Incorporating Health-Related Quality of Life as Coprimary End Points in Clinical Trials: Time to Achieve Clinical Important Differences and QoL Profiles. J Clin Oncol. 2022 Jul 20;40(21):2378-2388. doi: 10.1200/JCO.21.02750. Epub 2022 May 16. Janda M, Gebski V, Davies LC, Forder P, Brand A, Hogg R, Jobling TW, Land R, Manolitsas T, Nascimento M, Neesham D, Nicklin JL, Oehler MK, Otton G, Perrin L, Salfinger S, Hammond I, Leung Y, Sykes P, Ngan H, Garrett A, Laney M, Ng TY, Tam K, Chan K, Wrede CD, Pather S, Simcock B, Farrell R, Robertson G, Walker G, Armfield NR, Graves N, McCartney AJ, Obermair A. Effect of Total Laparoscopic Hysterectomy vs Total Abdominal Hysterectomy on Disease-Free Survival Among Women With Stage I Endometrial Cancer: A Randomized Clinical Trial. JAMA. 2017 Mar 28;317(12):1224-1233. doi: 10.1001/jama.2017.2068. Belavy D, Janda M, Baker J, Obermair A. Epidural analgesia is associated with an increased incidence of postoperative complications in patients requiring an abdominal hysterectomy for early stage endometrial cancer. Gynecol Oncol. 2013 Nov;131(2):423-9. doi: 10.1016/j.ygyno.2013.08.027. Epub 2013 Sep 3. Kondalsamy-Chennakesavan S, Janda M, Gebski V, Baker J, Brand A, Hogg R, Jobling TW, Land R, Manolitsas T, Nascimento M, Neesham D, Nicklin JL, Oehler MK, Otton G, Perrin L, Salfinger S, Hammond I, Leung Y, Sykes P, Ngan H, Garrett A, Laney M, Ng TY, Tam K, Chan K, Wrede DH, Pather S, Simcock B, Farrell R, Robertson G, Walker G, McCartney A, Obermair A. Risk factors to predict the incidence of surgical adverse events following open or laparoscopic surgery for apparent early stage endometrial cancer: results from a randomised controlled trial. Eur J Cancer. 2012 Sep;48(14):2155-62. doi: 10.1016/j.ejca.2012.03.013. Epub 2012 Apr 12. Janda M, Gebski V, Brand A, Hogg R, Jobling TW, Land R, Manolitsas T, McCartney A, Nascimento M, Neesham D, Nicklin JL, Oehler MK, Otton G, Perrin L, Salfinger S, Hammond I, Leung Y, Walsh T, Sykes P, Ngan H, Garrett A, Laney M, Ng TY, Tam K, Chan K, Wrede CD, Pather S, Simcock B, Farrell R, Obermair A. Quality of life after total laparoscopic hysterectomy versus total abdominal hysterectomy for stage I endometrial cancer (LACE): a randomised trial. Lancet Oncol. 2010 Aug;11(8):772-80. doi: 10.1016/S1470-2045(10)70145-5. Epub 2010 Jul 16.
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Public notes
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Contacts
Principal investigator
Name
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Andreas Obermair
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Address
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Queensland Centre for Gynaecological Cancer
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Phone
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Fax
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Email
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Contact person for public queries
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Undecided
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00096408