UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000001676
Receipt number R000002024
Scientific Title Multicenter cohort study to investigate the risk of metachronous multiple cancers and assess the period required for their development after EMR, using Lugol-voiding pattern as a biomarker in patients with esophageal squamous cell carcinoma
Date of disclosure of the study information 2009/01/31
Last modified on 2021/10/13 21:35:39

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Basic information

Public title

Multicenter cohort study to investigate the risk of metachronous multiple cancers and assess the period required for their development after EMR, using Lugol-voiding pattern as a biomarker in patients with esophageal squamous cell carcinoma

Acronym

Follow up study after EMR for esophageal squamous cell carcinoma

Scientific Title

Multicenter cohort study to investigate the risk of metachronous multiple cancers and assess the period required for their development after EMR, using Lugol-voiding pattern as a biomarker in patients with esophageal squamous cell carcinoma

Scientific Title:Acronym

Follow up study after EMR for esophageal squamous cell carcinoma

Region

Japan


Condition

Condition

Esophageal squamous cell carcinoma

Classification by specialty

Gastroenterology Oto-rhino-laryngology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Previous studies have reported that multiple Lugol-voiding lesions of the background esophageal mucosa are associated with a very high risk of multiple cancers in the esophagus, as well as the head and neck region. The ability to use Lugol-voiding pattern as a biomarker for the risk of second primary cancers in the esophagus and head and neck region after endoscopic mucosal resection (EMR) in patients with esophageal cancer would facilitate the early detection and treatment of metachronous multiple cancers, contribute to improved outcomes of EMR, and thereby approach a more ideal surveillance period after EMR.

Basic objectives2

Others

Basic objectives -Others

The aim of this study is to investigate the risk of metachronous multiple cancers and assess the period required for their development after EMR, using Lugol-voiding pattern as a biomarker in patients with esophageal squamous cell carcinoma.

Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

The cumulative incidence of metachronous multiple cancers of the esophagus as assessed by the Lugol-voiding pattern.

Key secondary outcomes

1) The total annual number of cases of metachronous multiple cancer of the esophagus as assessed by the Lugol-voiding pattern.
2) The cumulative incidence of metachronous multiple cancers of the head and neck region as assessed by the Lugol-voiding pattern.


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Prevention

Type of intervention

Behavior,custom

Interventions/Control_1

At study entry, patients will be instructed to abstain from smoking and drinking alcohol.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

(1) Newly diagnosed early squamous cell carcinoma of the esophagus.
(2) Complete endoscopic resection as assessed visually on Lugol chromoendoscopy immediately after EMR.
(3) A diagnosis of squamous cell carcinoma on histopathological examination of the resected specimen.
(4) Vertical margins of the resected specimen are confirmed to be tumor-negative.
(5) Tumor invasion is limited to the mucosa on histopathological examination of the resected specimen, and no additional treatment (surgical resection, radiotherapy, chemotherapy, etc.) is performed immediately after EMR.
(6) No active head or neck cancers.
(7) The investigator judges that patient can be observed for at least 2 years.
(8) Written informed consent is obtained from the patient.

Key exclusion criteria

(1) A history of chemotherapy for any other cancers or a history of surgical treatment or radiotherapy for head and neck cancers.
(2) A history of iodine allergy.
(3) Patients whom the investigator considers unsuitable as subjects for this study.

Target sample size

330


Research contact person

Name of lead principal investigator

1st name Manabu
Middle name
Last name Muto

Organization

Kyoto University Hospital

Division name

Department of Clinical Oncology

Zip code

606-8507

Address

54 Shogoinkawaharacho, Sakyo-ku, Kyoto, 606-8507, Japan.

TEL

075-751-4592

Email

mmuto@kuhp.kyoto-u.ac.jp


Public contact

Name of contact person

1st name Chikatoshi
Middle name
Last name Katada

Organization

Kitasato University Hospital

Division name

Department of Gastroenterology

Zip code

252-0374

Address

1-15-1 Kitasato, Sagamihara 228-8555, Japan.

TEL

042-778-8111

Homepage URL


Email

ckatada@med.kitasato-u.ac.jp


Sponsor or person

Institute

Kyoto University

Institute

Department

Personal name



Funding Source

Organization

Kyoto University

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Clinical research review board of the Kitasato Institute

Address

1-15-1 Kitasato, Minami, Sagamihara, Japan.

Tel

042-778-8111

Email

rinrib@med.kitasato-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2009 Year 01 Month 31 Day


Related information

URL releasing protocol

None

Publication of results

Partially published


Result

URL related to results and publications

Ongoing

Number of participants that the trial has enrolled

331

Results

Ongoing

Results date posted

2021 Year 10 Month 13 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Ongoing

Participant flow

Ongoing

Adverse events

Ongoing

Outcome measures

Ongoing

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2005 Year 05 Month 26 Day

Date of IRB

2005 Year 05 Month 26 Day

Anticipated trial start date

2005 Year 09 Month 01 Day

Last follow-up date

2025 Year 05 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2009 Year 01 Month 31 Day

Last modified on

2021 Year 10 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000002024


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name
2017/12/27 JEC経過観察データ固定20171227.xls