UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000010878
Receipt number R000012728
Scientific Title Safety and efficacy of steroid pulse therapy to prevent stricture after endoscopic submucosal dissection (ESD) for esophageal cancer
Date of disclosure of the study information 2013/06/05
Last modified on 2019/12/10 17:12:25

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Basic information

Public title

Safety and efficacy of steroid pulse therapy to prevent stricture after endoscopic submucosal dissection (ESD) for esophageal cancer

Acronym

Steroid pulse therapy after ESD for esophageal cancer

Scientific Title

Safety and efficacy of steroid pulse therapy to prevent stricture after endoscopic submucosal dissection (ESD) for esophageal cancer

Scientific Title:Acronym

Steroid pulse therapy after ESD for esophageal cancer

Region

Japan


Condition

Condition

early esophageal cancer

Classification by specialty

Gastroenterology Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The aim of this study is to examin safety and efficacy about steroid pulse therapy to prevent strictures after ESD of esophageal cancer

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Strictures after ESD

Key secondary outcomes

Safety of steroid pulse therapy


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

Medicine

Interventions/Control_1

We do the steroid pulse therapy to prevent strictures after endoscopic submucosal dissection (ESD) for esophageal cancer

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


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Patient who will be performed endoscopic treatment for esophageal cancer.
2. Absolute or relative indication of endoscopic treatment within the therapy guidelines for esophageal cancer.
3. ESD is planned for esophageal cancer, and expected to result of a size of not less than three quarters of the circumference.
4. Patient with no prior chemotherapy, radiotherapy, and surgical treatment.
5. ECOG-Perfomance Status is 0 or 1.
6. Adult Patients aged upper 20 years old.
7. Patient with adequate liver and renal function.
8. Patient must sign an informed consent.

Key exclusion criteria

1. Patient with active peptic ulcer in stomach and duodenum.
2. Patient has a history of tuberculosis.
3. Patients who had an acute myocardial infarction.
4. Patients with uncontrolled diabetes mellitus.
5. Patients with continuous systemic steroids medication.
6. Patients with continuous systemic NSAIDs.
7. Patients temporary interruption of antiplatelet agents and anticoagulants is not possible.
8. Patients with severe mental disease or psychotic manifestation.
9. Patients who have been judged as inappropriate for this study for any reasons by the concerning investigation.

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Ohira
Middle name
Last name Hiromasa

Organization

Fukushima Medical University School of Medicine

Division name

Department of Gastroenterology

Zip code

960-1295

Address

1 Hikarigaoka, Fukushima, Japan

TEL

024-547-1202

Email

h-ohira@fmu.ac.jp


Public contact

Name of contact person

1st name Hikichi
Middle name
Last name Takuto

Organization

Fukushima Medical University Hospital

Division name

Department of Endoscopy

Zip code

960-1295

Address

1 Hikarigaoka, Fukushima, Japan

TEL

024-547-1583

Homepage URL


Email

takuto@fmu.ac.jp


Sponsor or person

Institute

Fukushima Medical University School of Medicine, Department of Gastroenterology

Institute

Department

Personal name



Funding Source

Organization

Fukushima Medical University School of Medicine, Department of Gastroenterology.

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

IRB

Address

1 Hikarigaoka, Fukushima, Japan

Tel

024-547-1620

Email

rs@fmu.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

福島県立医科大学


Other administrative information

Date of disclosure of the study information

2013 Year 06 Month 05 Day


Related information

URL releasing protocol

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5554574/

Publication of results

Published


Result

URL related to results and publications

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5554574/

Number of participants that the trial has enrolled

11

Results

The stricture rate was 54.5% (6/11). The median time until stricture development was 15 days. The median number of EBD sessions required was 2.5. The median duration of EBD was 14.5 days. AEs related to steroid pulse therapy and postprocedure complications were not observed.

Results date posted

2019 Year 12 Month 10 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Of the 68 patients who underwent ESD for esophageal cancer during the period defined
above, 11 patients with 13 lesions who met the eligibility criteria and did not meet any of the exclusion criteria were
included in this study.

Participant flow

Of the 68 patients who underwent ESD for esophageal cancer during the period defined
above, 11 patients with 13 lesions who met the eligibility criteria and did not meet any of the exclusion criteria were
included in this study.

Adverse events

No AE.

Outcome measures

The primary endpoint was the rate of stricture after esophageal ESD.
Secondary endpoints were the rate of adverse events (AEs) associated with steroid pulse therapy, the time until stricture development in the stricture cases, the frequency and duration of EBD, and the complications of EBD.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2012 Year 11 Month 22 Day

Date of IRB

2012 Year 11 Month 22 Day

Anticipated trial start date

2012 Year 11 Month 22 Day

Last follow-up date

2017 Year 06 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2013 Year 06 Month 05 Day

Last modified on

2019 Year 12 Month 10 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000012728


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name