UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000004995
Receipt number R000005789
Scientific Title Single-arm confirmatory study of endoscopic submucosal dissection for expand indication to early gastric cancer of undifferentiated type (JCOG1009/1010, Undiff GC ESD)
Date of disclosure of the study information 2011/02/01
Last modified on 2022/08/30 16:18:25

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Basic information

Public title

Single-arm confirmatory study of endoscopic submucosal dissection for expand indication to early gastric cancer of undifferentiated type (JCOG1009/1010, Undiff GC ESD)

Acronym

Single-arm confirmatory study of endoscopic submucosal dissection for expand indication to early gastric cancer of undifferentiated type (JCOG1009/1010, Undiff GC ESD)

Scientific Title

Single-arm confirmatory study of endoscopic submucosal dissection for expand indication to early gastric cancer of undifferentiated type (JCOG1009/1010, Undiff GC ESD)

Scientific Title:Acronym

Single-arm confirmatory study of endoscopic submucosal dissection for expand indication to early gastric cancer of undifferentiated type (JCOG1009/1010, Undiff GC ESD)

Region

Japan


Condition

Condition

clinical T1a (M) gastric cancer

Classification by specialty

Gastroenterology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the efficacy and safety of endoscopic submucosal dissection (ESD) for intramucosal gastric cancer of undifferentiated type.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase

Phase III


Assessment

Primary outcomes

% 5-year overall survival in patients with undifferentiated dominant type diagnosed in the ESD specimen.

Key secondary outcomes

OS, relapse-free survival (RFS), distant metastasis-free survival, % 5-year survival without either reccurece or gastrectomy, % enbloc resection with ESD, % pathological curative resection with ESD, % 5-year OS in patients with differentiated dominant type diagnosed in the ESD specimen, % 5-year OS in patients with pathological curative resection with ESD, adverse events, serious adverse events


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

Endoscopic submucal dissection (Patients with non-curative resection by ESD undergo additional gastrectomy)

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

20 years-old <=

Age-upper limit

80 years-old >=

Gender

Male and Female

Key inclusion criteria

1) Histologically proven components of undifferentiated adenocarcinoma (por or sig).
2) Negative result of endoscopic biopsy around the lesion, which should be examined in the participating institution.
3) Non-recurrence and single tumor.
4) Clinical T1a (M)
5) Size of tumor is <= 2cm.
6) UL(-) in endoscopic findings.
7) The possibility of stenosis after ESD is low.
8) Clinical N0/M0 by abdominal CT.
9) Aged 20 to 80 years old.
10) PS (ECOG) of 0 or 1.
11) No gastrectomy and no reconstructive surgery of stomach tube for esophageal cancer.
12) No prior treatment of chemotherapy (including endocrinotherapy) or radiation therapy against any other malignancies.
13) Sufficient organ functions.
14) Written informed consent.

Key exclusion criteria

1) Simultaneous or metachronous (within 5 years) double cancers except intramucosal tumor curable with local therapy.
2) Infectious disease with systemic therapy indicated.
3) Body temperature of 38 or more degrees Celsius.
4) Women during pregnancy or breast-feeding.
5) Psychosis.
6) Systemic steroids medication.
7) History of myocardial infarction within 6 months or unstable angina pectoris within 3 weeks.
8) Uncontrollable hypertension.
9) Severe respiratory disease requiring continuous oxygen therapy.
10) Impossible to suspend anticoagulant or antiplatelet medications.
11) Uncontrollable diabetes millutus or administration of insulin.

Target sample size

325


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Hiroyuki Ono

Organization

Shizuoka Cancer Center

Division name

Division of Endoscopy

Zip code


Address

1007 Shimonagakubo, Nagaizumi-cho, Sunto-Gun, Shizuoka 411-8777, JAPAN

TEL

055-989-5222(2270)

Email

h.ono@scchr.jp


Public contact

Name of contact person

1st name
Middle name
Last name Kohei Takizawa

Organization

JCOG1009/1010 Coordinating Office

Division name

Division of Endoscopy, Shizuoka Cancer Center

Zip code


Address

1007 Shimonagakubo, Nagaizumi-cho, Sunto-Gun, Shizuoka 411-8777, JAPAN

TEL

055-989-5222

Homepage URL

http://www.jcog.jp/

Email

JCOG_sir@ml.jcog.jp


Sponsor or person

Institute

Japan Clinical Oncology Group (JCOG)

Institute

Department

Personal name



Funding Source

Organization

Ministry of Health, Labour and Welfare

Organization

Division

Category of Funding Organization

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

恵佑会札幌病院(北海道)
岩手医科大学(岩手県)
岩手県立中央病院(岩手県)
国立病院機構仙台医療センター(宮城県)
宮城県立がんセンター(宮城県)
山形県立中央病院(山形県)
茨城県立中央病院・茨城県地域がんセンター(茨城県)
栃木県立がんセンター(栃木県)
国立がん研究センター東病院(千葉県)
千葉県がんセンター(千葉県)
総合病院国保旭中央病院(千葉県)
国立がん研究センター中央病院(東京都)
昭和大学病院(東京都)
がん研究会有明病院(東京都)
虎の門病院(東京都)
NTT東日本関東病院(東京都)
都立墨東病院(東京都)
神奈川県立病院機構(神奈川県)
横浜市立市民病院(神奈川県)
北里大学医学部(神奈川県)
横浜市立大学附属市民総合医療センター(神奈川県)
新潟大学医歯学総合病院(新潟県)
新潟県立がんセンター新潟病院(新潟県)
富山県立中央病院(富山県)
石川県立中央病院(石川県)
佐久総合病院(長野県)
岐阜大学医学部(岐阜県)
岐阜市民病院(岐阜県)
静岡県立静岡がんセンター(静岡県)
静岡県立総合病院(静岡県)
愛知県がんセンター中央病院(愛知県)
愛知県がんセンター愛知病院(愛知県)
名古屋大学医学部(愛知県)
京都大学医学部附属病院(京都府)
国立病院機構京都医療センター(京都府)
大阪府立病院機構(大阪府)
大阪市立総合医療センター(大阪府)
大阪医科大学(大阪府)
大阪大学医学部(大阪府)
近畿大学医学部(大阪府)
国立病院機構大阪医療センター(大阪府)
市立堺病院(大阪府)
関西医科大学附属枚方病院(大阪府)
神戸大学医学部(兵庫県)
兵庫医科大学(兵庫県)
兵庫県立がんセンター(兵庫県)
医療法人薫風会佐野病院(兵庫県)
関西労災病院(兵庫県)
市立伊丹病院(兵庫県)
天理よろづ相談所病院(奈良県)
和歌山県立医科大学(和歌山県)
島根大学医学部(島根県)
広島市立広島市民病院(広島県)
広島市立安佐市民病院(広島県)
福山市民病院(広島県)
国立病院機構四国がんセンター(愛媛県)
高知医療センター(高知県)
大分大学医学部附属病院(大分県)


Other administrative information

Date of disclosure of the study information

2011 Year 02 Month 01 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

https://pubmed.ncbi.nlm.nih.gov/33161444/

Number of participants that the trial has enrolled

346

Results


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

Main results already published

Date of protocol fixation

2010 Year 12 Month 24 Day

Date of IRB

2011 Year 01 Month 27 Day

Anticipated trial start date

2011 Year 02 Month 01 Day

Last follow-up date

2023 Year 05 Month 17 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2011 Year 02 Month 01 Day

Last modified on

2022 Year 08 Month 30 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000005789


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name