UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000019024
Receipt number R000022004
Scientific Title Research for endocrinological disorders associated with immune checkpoint inhibitors
Date of disclosure of the study information 2015/12/01
Last modified on 2023/04/05 09:08:12

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Research for endocrinological disorders associated with immune checkpoint inhibitors

Acronym

Immune checkpoint inhibitors & endocrine adverse effects

Scientific Title

Research for endocrinological disorders associated with immune checkpoint inhibitors

Scientific Title:Acronym

Immune checkpoint inhibitors & endocrine adverse effects

Region

Japan


Condition

Condition

Cancer patients treated with immune checkpoint inhibitors

Classification by specialty

Medicine in general Pneumology Hematology and clinical oncology
Dermatology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To clarify clinical features in patients with endocrine disorders associated with immune checkpoint inhibitors

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Development of endocrine adverse events after treatment with immune checkpoint inhibitors

Key secondary outcomes

Changes in pituitary, thyroid, and diabetes hormones as well as the presence of anti-pituitary antibodies
Findings of pituitary MRI


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


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


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Cancer patients treated with immune checkpoint inhibitors

Key exclusion criteria

Cancer patients not treated with immune checkpoint inhibitors

Target sample size

300


Research contact person

Name of lead principal investigator

1st name Hiroshi
Middle name
Last name Arima

Organization

Nagoya University

Division name

Department of Endocrinology and Diabetes

Zip code

466-8550

Address

65 Tsurumai-cho, Showa-ku, Nagoya, Aichi 466-8550, Japan

TEL

+81-52-744-2142

Email

arima105@med.nagoya-u.ac.jp


Public contact

Name of contact person

1st name Shintaro
Middle name
Last name Iwama

Organization

Nagoya University Hospital

Division name

Department of Endocrinology and Diabetes

Zip code

466-8550

Address

65 Tsurumai-cho, Showa-ku, Nagoya, Aichi 466-8550, Japan

TEL

+81-52-744-2142

Homepage URL


Email

siwama@med.nagoya-u.ac.jp


Sponsor or person

Institute

Nagoya University, School of Medicine

Institute

Department

Personal name



Funding Source

Organization

A part of this research is funded by Ono Pharmaceutical Co., Ltd. and Bristol-Myers Squibb K.K. as an academia initiated sponsored research in Nagoya University.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

IRB, Nagoya University, School of Medicine

Address

65 Tsurumai-cho, Showa-ku, Nagoya, Aichi 466-8550, Japan

Tel

052-744-2479

Email

iga-shinsa@adm.nagoya-u.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



Other administrative information

Date of disclosure of the study information

2015 Year 12 Month 01 Day


Related information

URL releasing protocol


Publication of results

Partially published


Result

URL related to results and publications

https://www.nature.com/articles/s41416-020-0736-7

Number of participants that the trial has enrolled

451

Results

Of the 451 patients, 51 developed thyroid irAEs after immunotherapy [41 of 416 (9.9%) treated with PD-1-Ab, 0 of 8 (0%) treated with CTLA-4-Ab, and 10 of 27 (37.0%) treated with PD-1/CTLA-4-Abs]. The cumulative incidence of thyroid irAEs was significantly higher in patients who were positive vs negative for ATAs at baseline after both PD-1-Ab [28/87 (32.2%) vs 13/329 (4.0%), P < 0.001] and PD-1/CTLA-4-Abs [6/10
(60.0%) vs 4/17 (23.5%), P < 0.05] treatments.

Results date posted

2020 Year 06 Month 15 Day

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

Open public recruiting

Date of protocol fixation

2015 Year 09 Month 14 Day

Date of IRB

2015 Year 11 Month 02 Day

Anticipated trial start date

2015 Year 11 Month 10 Day

Last follow-up date

2026 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

The development of endocrinological disorders is monitored.
Study design; prospective study
Eligibility criteria; All subjects who show the informed consent and meet the eligibility criteria of the study since Nov. 2, 2015 will be included.
Monitored tests; Before and after administration of the immune checkpoint inhibitors, pituitary hormones, thyroid hormone, thyroid autoantibodies, thyroid ultrasonography adrenal hormone and parameters associated with diabetes are tested. Pituitary MRI is tested after treatment.
Data analysis;
Association of anti-thyroid antibodies (Thyroglobulin antibodies, TPO antibodies) with the development of thyroid dysfunction.
Association of anti-thyroid antibodies (Thyroglobulin antibodies, TPO antibodies) with the anti-tumor effects (overall survival, progression free survival, response rate).
Association of the findings of thyroid ultrasonography with the development of thyroid dysfunction.
Association of endocrine irAEs or all irAEs with the anti-tumor effects (overall survival, progression free survival, response rate).
Analyzed data will be published before we recruit 100 subjects, if they are clinically important.
We analyze the clinical practice data for up to 5 years to clarify the characteristics of irAEs and the association of irAEs with the anti-tumor effects.
300 patients will be collected in each regimen for each malignancy.


Management information

Registered date

2015 Year 09 Month 15 Day

Last modified on

2023 Year 04 Month 05 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000022004


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name