KLASS 04



ClinicalTrials.gov Identifier | NCT02595086(RTC)

FULL NAME Multicenter randomized controlled trial comparing
laparoscopic pylorus preserving gastrectomy (LPPG) versus laparoscopic distal gastrectomy (LDG) for the middle third early gastric cancer
STUDY DESIGN Multicenter, Prospective randomized controlled trial
Primary endpoint: Incidence of Dumping syndrome, assessed by Sigstad score (≥7)
at 1 year postoperatively
Estimated sample size – 256 patients

PRINCIPLE
INVESTIGATOR
Hyuk-Joon Lee (Seoul National University College of Medicine)
e-mail: appe98@snu.ac.kr
CHRONOLOGY 2014.06.12 Approval of KLASS-04 by KLASS review committee
2014.07.30 1st investigator meeting of KLASS-04 was held at Seoul National University Hospital
2014.12.23 Protocol of KLASS-04 was discussed and approved at 1st steering committee of KLASS-04
2015.06.11 First approval of investigator for KLASS-04 by LPPG video review at 2nd steering committee of KLASS-04 (8 surgeons)
2015.07.01 1st patient was enrolled at Seoul National University Hospital
2017.07.31 All patients were enrolled (256/256) by 16 surgeons from 9 institutes
2020.07.31 Last follow up was finished
2021.09.27 Short-term outcome was published in British Journal of Surgery
2025.04.01 Long-term outcome was published in Annals of Surgery
PUBLICATED
ARTICLES
1. Park DJ, Kim YW, Yang HK, Ryu KW, Han SU, Kim HH, Hyung WJ, Park JH, Suh YS, Kwon OK, Yoon HM, Kim W, Park YK, Kong SH, Ahn SH, Lee HJ. Short-term outcomes of a multicentre randomized clinical trial comparing laparoscopic pylorus-preserving gastrectomy with laparoscopic distal gastrectomy for gastric cancer (the KLASS-04 trial). Br J Surg. 2021 Sep 27;108(9):1043-1049. doi: 10.1093/bjs/znab295. PMID: 34487147.
PHOTO 1st investigator meeting of KLASS-04 at SNUH (2014.07.30)