UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000005908
Receipt number R000006980
Scientific Title A phase II study of limited resection for the patient having pulmonary adenocarcinoma with groung glass opacity selected by HR-CT and PET findings
Date of disclosure of the study information 2011/07/03
Last modified on 2018/01/04 10:21:57

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Basic information

Public title

A phase II study of limited resection for the patient having pulmonary adenocarcinoma with groung glass opacity selected by HR-CT and PET findings

Acronym

A phase II study of limited resection for the patient having pulmonary adenocarcinoma with groung glass opacity selected by HR-CT and PET findings

Scientific Title

A phase II study of limited resection for the patient having pulmonary adenocarcinoma with groung glass opacity selected by HR-CT and PET findings

Scientific Title:Acronym

A phase II study of limited resection for the patient having pulmonary adenocarcinoma with groung glass opacity selected by HR-CT and PET findings

Region

Japan


Condition

Condition

pulmonary adenocarcinoma with ground glass opacity

Classification by specialty

Chest surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To estimate whether the prognosis of the patient having pulmonary adenocarcinoma with groung glass opacity and low FDG uptake is inferior or not after limited resction

Basic objectives2

Bio-equivalence

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

5-year survival rate

Key secondary outcomes

proportion of local recurrence, relapse-free survival, changes of the pulmonary function


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

Limited resection is performed for the patient having pulmonary adenocarcinoma with groung glass opacity, lower FDG uptake than mediastinum, and suspicion of the non-invasive carcinoma by intraoperative pathological examination.

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

25 years-old <=

Age-upper limit

80 years-old >=

Gender

Male and Female

Key inclusion criteria

pulmonary adenocarcinoma
20mm or smaller in HR-CT findings
gropund glass opacity is dominant in HR-CT findings
maximum diameter of the consolidation is shorter than 20% of the maximum diameter of the tumor in HR-CT findings
FDG uptake of the tumor is lower than that of mediastinum
cT1N0M0
possible for lobectomy
written informed consent
non-invasive carcinoma is suspected by intraoperative pathological examination

Key exclusion criteria

multiple cancer within 5 years
preoperative treatment

Target sample size

53


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Motoyasu Sagawa

Organization

Tohoku Medical and Pharmaceutical University

Division name

Department of Endoscopy

Zip code


Address

1-12-1 Fukumuro, Miyagino-ku, Sendai 983-8512, Japan

TEL

022-259-1221

Email

sagawam@hosp.tohoku-mpu.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Motoyasu Sagawa

Organization

Tohoku Medical and Pharmaceutical University

Division name

Department of Endoscopy

Zip code


Address

1-12-1 Fukumuro, Miyagino-ku, Sendai 983-8512, Japan

TEL

022-259-1221

Homepage URL


Email

sagawam@hosp.tohoku-mpu.ac.jp


Sponsor or person

Institute

Japanese Northern East Area Thoracic Surgery Study Group (JNETS)

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



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



Other administrative information

Date of disclosure of the study information

2011 Year 07 Month 03 Day


Related information

URL releasing protocol

https://academic.oup.com/ejcts/advance-article-abstract/doi/10.1093/ejcts/ezx418/4718127?redirectedF

Publication of results

Published


Result

URL related to results and publications

https://academic.oup.com/ejcts/advance-article-abstract/doi/10.1093/ejcts/ezx418/4718127?redirectedF

Number of participants that the trial has enrolled


Results

From November 2006 to April 2012, 73 patients were collected from 13 institutions. One patient was ineligible and remaining 72 patients were pre-registered. The tumors of 3 and 14 cases were intraoperatively diagnosed as benign lesions and adenocarcinomas with mixed subtype, respectively. Intraoperative cytological/histological examination of surgical margin was not performed in 2 cases, and remaining 53 patients were ultimately eligible for this study.
The mean tumour size was 14.0 mm and the mean GGO ratio was 95.9%. Thirty-nine and 14 patients underwent wedge resection and segmentectomy, respectively. Although all tumors were intraoperatively diagnosed as bronchioloalveolar carcinomas, 6 were ultimately diagnosed as adenocarcinoma with mixed subtype. No completion lobectomy was performed.
As of May 1, 2017, no recurrence of the original lung cancer was observed during 60.0-126.3 months after surgery. Two patients died from other diseases. The 5-year disease-specific and overall survival rates were 100% and 98.1%, respectively. The reduction in the pulmonary function after limited resection was minimal.
With these criteria, limited resection was performed safely without any recurrence, and the postoperative pulmonary function was well-preserved. The outcomes of limited resection for small-sized lung cancer with GGOs that met the criteria of this study were satisfactory.

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

2006 Year 01 Month 03 Day

Date of IRB


Anticipated trial start date

2006 Year 01 Month 04 Day

Last follow-up date

2017 Year 06 Month 01 Day

Date of closure to data entry

2017 Year 06 Month 01 Day

Date trial data considered complete

2017 Year 07 Month 01 Day

Date analysis concluded

2017 Year 08 Month 01 Day


Other

Other related information

None


Management information

Registered date

2011 Year 07 Month 02 Day

Last modified on

2018 Year 01 Month 04 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006980


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name