UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000016184
Receipt number R000018739
Scientific Title Clinical trial on Efficacy and Safey of dual bronchodilator (glycopyronium and indacaterol) in perioperative management of chest surgery
Date of disclosure of the study information 2015/01/12
Last modified on 2019/02/04 14:50:03

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Basic information

Public title

Clinical trial on Efficacy and Safey of dual bronchodilator (glycopyronium and indacaterol) in perioperative management of chest surgery

Acronym

Phase II study of glycopyronium and indacaterol in chest surgery

Scientific Title

Clinical trial on Efficacy and Safey of dual bronchodilator (glycopyronium and indacaterol) in perioperative management of chest surgery

Scientific Title:Acronym

Phase II study of glycopyronium and indacaterol in chest surgery

Region

Japan


Condition

Condition

Lung cancer, thoracic malignant diseases (metastatic tumors due to breast cancer, colon cancer, and other malignancies), and benign pulmonary tumors

Classification by specialty

Chest surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

As a perioperative management in chest surgery, to elucidate an efficacy on improvement of pulmonary function by intervention of dual bronchodilator (glycopyrronium and indacaterol).

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

1)Pre- and postoperative pulmonary function test (FVC, FEV1, inspiratory capacity, flow volume curve)
2)Changed rates of actual FEV1 value (pre- and postoperative values),(COPD-group and non-obstructive groups with and without intervention of bronchodilators)
3)Improvement of the residual lung volume by analysis of computed tomographic volumetry (changed and expanded rates)
4)Changes of QOL
5)'Lung age'

Key secondary outcomes

1)Changes of QOL
2)Safety, adverse event(NCI-CTCAE, ver 4.0)
3)Postoperative complications
4)Analysis of free-radical productives (oxidative stress and anti-oxidative capacity)
5)Changes of postoperative intrapleural pressure
6)Changes based on the resected location (Lt. vs Rt., Upper lobe vs middle lobe vs lower lobe)


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

No treatment

Stratification

YES

Dynamic allocation

NO

Institution consideration


Blocking


Concealment

Numbered container method


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

1)Non-obstructive airflow group (normal pulmonary function group). One is group of glycopyrronium and indacaterol (LAMA/LABA) without glaucoma, prostatomegaly, and dysuria, after randamization of the above group, which are divided in two groups of control and LAMA/LABA groups. The other group of indacaterol (LABA) with glaucoma, prostatomegaly, and dysuria. Intervention of bronchodilator is between preoperative 1 week and postoperative 4 weeks.

Interventions/Control_2

2)Obstructive airflow group (COPD group, %FEV1<70%, GOLD-I, II, III). One is group of glycopyrronium and indacaterol (LAMA/LABA) without glaucoma, prostatomegaly, and dysuria. The other group of indacaterol (LABA) with glaucoma, prostatomegaly, and dysuria. Intervention of bronchodilator is between preoperative 1 week and postoperative 4 weeks.

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)wedge resection, lobectomy, peumonectomy, with video-assisted thoracic surgery and/or open thoracotomy
2)pulmonary emphysematous disease, COPD, untreated patient with flow-obstructive disease
3)no smoking patients (past smoker, current smoker, non-smoker)
4)toleratable patient for lung resection with normal or decreased lung function
5)interstitial pneumonia
6)emphysematous changes in lung field by CT-images
7)no complication of viable double cancers
8)Performance status 0-2
(Eastern Cooperative Oncology Group)
9)organ function before 2 weeks. WBC>=4,000/mm3, Hemoglobin>=9.0g/dl, Platelet>=100,000/mm3, AST<=100IU/L, ALT<=100IU/L, Total-bil<=1.5 mg/dl, Serum creatinin<=1.5mg/dl (Ccr>=45ml/min), Urine protein<=1+, arterial blood gas >=60 Torr(or > =SPO2 90%
10)Informed consent(document)
11)expected survival >= 3 months
12)Informed consent for clinical trial (document)
13)based on the preoperative examination and on the above criteria from 1) to 12), available and bearable for general anesthesia, video-assisted thoracic surgery or open thoracotomy, and lobectomy.

Key exclusion criteria

1)closed angle glaucoma
2)prostatomegaly and dysuria
3)past medical history of hypersensitivity, allergy
4)bronchodilator treatment except for LAMA/LABA and LABA
5)under treatment of Bronchial asthma
6)severe hypokalemia
7)atrial fibrillation
8)Others. Patients judged for inappropriation by attending physician or lead principal investigator

Target sample size

160


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Takanori AYABE

Organization

University of Miyazaki
Faculty of Medicine

Division name

Department of Surgery II

Zip code


Address

5200, Kihara, Kiyotake, Miyazaki, Miyazaki, 889-1692, JAPAN

TEL

0985-85-2291

Email

tayabe@med.miyazaki-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Takanori AYABE

Organization

University of Miyazaki, Faculty of Medicine

Division name

Depatment of Surgery II

Zip code


Address

5200, Kihawa, Kiyotake, Miyazaki, Miyazaki, 889-1692, JAPAN

TEL

0985-85-2291

Homepage URL


Email

tayabe@med.miyazaki-u.ac.jp


Sponsor or person

Institute

University of Miyazaki Hospital
Department of Surgery II

Institute

Department

Personal name



Funding Source

Organization

University of Miyazaki Hospital
Department of Surgery II

Organization

Division

Category of Funding Organization

Other

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

2015 Year 01 Month 12 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


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

Completed

Date of protocol fixation

2015 Year 03 Month 01 Day

Date of IRB


Anticipated trial start date

2015 Year 04 Month 01 Day

Last follow-up date

2017 Year 08 Month 10 Day

Date of closure to data entry

2017 Year 08 Month 10 Day

Date trial data considered complete

2017 Year 08 Month 10 Day

Date analysis concluded

2018 Year 03 Month 31 Day


Other

Other related information



Management information

Registered date

2015 Year 01 Month 12 Day

Last modified on

2019 Year 02 Month 04 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000018739


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name