UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000009569
Receipt number R000011225
Scientific Title Evaluation on the detection of gastrointestinal tumors after oral administration of aminolevulinic acid-a pilot study
Date of disclosure of the study information 2012/12/17
Last modified on 2016/07/28 00:17:22

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Basic information

Public title

Evaluation on the detection of gastrointestinal tumors after oral administration of aminolevulinic acid-a pilot study

Acronym

Evaluation on the detection of gastrointestinal tumors after oral administration of ALA

Scientific Title

Evaluation on the detection of gastrointestinal tumors after oral administration of aminolevulinic acid-a pilot study

Scientific Title:Acronym

Evaluation on the detection of gastrointestinal tumors after oral administration of ALA

Region

Japan


Condition

Condition

Gastrointestinal tumors

Classification by specialty

Gastroenterology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate on the detection of gastrointestinal tumors after oral administration of aminolevulinic acid.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Detection and visibility of gastrointestinal tumors after oral administration of ALA

Key secondary outcomes



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

Diagnosis

Type of intervention

Medicine Device,equipment

Interventions/Control_1

ALA (10-20mg/kg) is administered orally 3-4 hours before endoscopy. Using a fluorescence detection system with violet laser diode (VLD-EX)

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

85 years-old >=

Gender

Male and Female

Key inclusion criteria

1) =>20 years old, <=85 years old.
2) Treatment is scheduled for the lesion. Without distinction the size.
3) Adapted estimated depth for endoscopic treatment case.
4) Endoscopic treatments are including EMR, hybrid EMR, ESD, EMRC, etc. Excluding ablation.
5) Within 60 days of study initiation.
WBC => 3,500/mm3
Hb => 8.5 g/dl
Plt => 100,000/mm3
T-bil <= 1.5 mg/dl
AST (GOT) <= 100 IU/l
ALT (GPT) <= 100 IU/l
Cr <= 1.2mg/dl
7) Written informed consent.


Key exclusion criteria

1) Patients who can not intake oral medicine.
2) A history of photosensitivity.
3) Porphyria.
4) With malignant hypertension and severe congestive heart failure. Past history of myocardial infraction within the last three months.
5) Poor control of diabetes mellitus.
6) With severe pulmonary fibrosis and acute interstitial pneumonia.
7) Poor control of infection.
8) Patient taking anticoagulants and antiplatelet agents.
9) Patient receiving ferrotherapy.
10) Participating in the study of other division.
11) Patient who is difficult to understand the informed consent.
12) Woman during pregnancy or breast-feeding.
13) Patient is judged to be inappropriate for study participation for any reason by the investigator.

Target sample size

160


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yutaka Saito

Organization

National Cancer Center Hospital

Division name

Endoscopy division

Zip code


Address

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

TEL

03-3542-2511

Email

ytsaito@ncc.go.jp


Public contact

Name of contact person

1st name
Middle name
Last name Eriko So

Organization

National Cancer Center Hospital

Division name

Endoscopy division

Zip code


Address

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

TEL

03-3542-2511

Homepage URL


Email

esou@ncc.go.jp


Sponsor or person

Institute

National Cancer Center Hospital

Institute

Department

Personal name



Funding Source

Organization

National Cancer Center Research and Development Fund

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor

The Jikei University School of Medicine

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

国立がん研究センター中央病院(東京都)


Other administrative information

Date of disclosure of the study information

2012 Year 12 Month 17 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0041-110432

Number of participants that the trial has enrolled


Results

Twenty-three patients with a total of 27 known colorectal lesions were enrolled in the study. Eleven of the lesions were flat or depressed lesions and 16 were sessile. Red fluorescence was observed in 22 out of 27 lesions. Red fluorescence was negative in 4 out of 11 flat or depressed lesions.In comparison with histopathologic findings, the rates of red fluorescence visibility were 62.5?% in low-grade intraepithelial neoplasia, 77.8?% in high-grade neoplasia, and 100?% in submucosal carcinoma. Red fluorescence visibility increased with the degree of dysplasia. There were no significant adverse events identified in this study.

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

2012 Year 11 Month 27 Day

Date of IRB


Anticipated trial start date

2012 Year 12 Month 17 Day

Last follow-up date

2015 Year 04 Month 30 Day

Date of closure to data entry

2015 Year 04 Month 30 Day

Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2012 Year 12 Month 17 Day

Last modified on

2016 Year 07 Month 28 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000011225


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name