UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000003579
Receipt number R000004335
Scientific Title Randomized controlled trial of metallic stent placement in patients with malignant vena cava syndrome (JIVROSG-0807)
Date of disclosure of the study information 2010/05/08
Last modified on 2018/10/31 16:57:54

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Basic information

Public title

Randomized controlled trial of metallic stent placement in patients with malignant vena cava syndrome (JIVROSG-0807)

Acronym

Randomized controlled trial of metallic stent placement in patients with malignant vena cava syndrome

Scientific Title

Randomized controlled trial of metallic stent placement in patients with malignant vena cava syndrome (JIVROSG-0807)

Scientific Title:Acronym

Randomized controlled trial of metallic stent placement in patients with malignant vena cava syndrome

Region

Japan


Condition

Condition

Malignant vena cava syndrome

Classification by specialty

Radiology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the clinical efficacy of stenting in patients with malignant vena cava syndrome comparing with other treatments in a randomized controlled trial.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase III


Assessment

Primary outcomes

Improvement of the symptoms from malignant vena cava syndrome.

Key secondary outcomes

Improvement of health-related QOL, toxicity profile, and survival time.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Device,equipment Maneuver

Interventions/Control_1

Placement of vena cava stent (VCS).

Interventions/Control_2

Treatments other than VCS.

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. Vena cava syndrome interfering the daily life.
2. Palliative prognosis index less than 6.
3. Written informed consent from the patients.
4. Twice measurement of symptom score and health-related quality-of-life.

Key exclusion criteria

1. Possible rapid reduction in symptom with chemotherapy or radiotherapy.
2. Not significant symptom from stenosis of vena cava.
3. Platelet count <50,000/mm3 or serum creatinine >=2.0mg/dL or total bilirubin >=3.0mg/dL.
4. Massive floating thrombus in periphery to stenosis.
5. (1) Significant cardiac disease, (2) deformity of the cardiac contour by tumor, (3) impaired cardiac function from cardiac tamponade or pulmonary thromboembolism evaluated with EKG and cardiac echo.
6. Symptomatic stenoses both in superior and inferior vena cava.
7. Candidate to bypass surgery for stenosis of vena cava.
8. Active infection.
9. Presence of acute bleeding conditions.
10. Difficulties in the evaluation of symptomatic score or quality-of-life.
11. Pregnancy.
12. Contraindication decided by the participating physician.

Target sample size

32


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yoshito Takeuchi

Organization

National Cancer Center Hospital

Division name

Division of Diagnostic Radiology

Zip code


Address

5-1-1,Tsukiji,Chuo-ku,Tokyo,104-0045,Japan

TEL

03-3542-2511

Email

arai-y3111@mvh.biglobe.ne.jp


Public contact

Name of contact person

1st name
Middle name
Last name Yasuaki Arai

Organization

National Cancer Center Hospital

Division name

Division of Diagnostic Radiology

Zip code


Address

5-1-1,Tsukiji,Chuo-ku,Tokyo,104-0045,Japan

TEL

03-3542-2511

Homepage URL

http://jivrosg.umin.jp/

Email

arai-y3111@mvh.biglobe.ne.jp


Sponsor or person

Institute

Japan Interventional Radiology in Oncology Study Group (JIVROSG)

Institute

Department

Personal name



Funding Source

Organization

Ministry of Health, Labour and Welfare

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



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

愛知県がんセンター中央病院(愛知県)、旭川厚生病院(北海道)、岩手医科大学(岩手県)、岡山大学病院(岡山県)、金沢大学附属病院(石川県)、京都第一赤十字病院(京都府)、群馬大学医学部附属病院(群馬県)、国立がんセンター中央病院(東京都)、静岡県立静岡がんセンター(静岡県)、栃木県立がんセンター(栃木県)、獨協医科大学(栃木県)、社会医療法人敬愛会中頭病院(沖縄県)、奈良県立医科大学(奈良県)、福岡大学病院(福岡県)、防衛医科大学校病院(埼玉県)、三重大学医学部附属病院(三重県)


Other administrative information

Date of disclosure of the study information

2010 Year 05 Month 08 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

https://www.ncbi.nlm.nih.gov/pubmed/30112721

Number of participants that the trial has enrolled


Results

In the phase II trial, the median patients' symptom scores significantly decreased from 10.50 before the procedure to 3.00 after the procedure. Technical success and technical feasibility rates were 96.4% and 100%, respectively. The incidence of treatment-related grade 3 or higher adverse events was 14.3%. In the phase III trial, significant superiority of stent placement was observed in the test, compared to that in the control, group. There was no significant difference in most other evaluations between the groups.

Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2009 Year 06 Month 08 Day

Date of IRB


Anticipated trial start date

2009 Year 11 Month 01 Day

Last follow-up date

2013 Year 06 Month 30 Day

Date of closure to data entry

2013 Year 08 Month 30 Day

Date trial data considered complete

2013 Year 09 Month 30 Day

Date analysis concluded

2013 Year 10 Month 30 Day


Other

Other related information



Management information

Registered date

2010 Year 05 Month 08 Day

Last modified on

2018 Year 10 Month 31 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000004335


Research Plan
Registered date File name
2018/10/31 JIVROSG0807計画書第1.1版_090811.pdf

Research case data specifications
Registered date File name
2018/10/31 付2_JIVROSG0807_CRF20090727.pdf

Research case data
Registered date File name