UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000019852
Receipt number R000022932
Scientific Title Evaluation of the risk of metachronous squamous cell carcinoma of the esophagus and the head and neck after endoscopic resection for squamous cell carcinoma of the esophagus according to genetic polymorphisms of alcohol dehydrogense-1B and aldehyde dehydrogenase-2.
Date of disclosure of the study information 2015/11/19
Last modified on 2020/05/22 21:55:32

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Basic information

Public title

Evaluation of the risk of metachronous squamous cell carcinoma of the esophagus and the head and neck after endoscopic resection for squamous cell carcinoma of the esophagus according to genetic polymorphisms of alcohol dehydrogense-1B and aldehyde dehydrogenase-2.

Acronym

Evaluation of the risk of metachronous squamous cell carcinoma of the esophagus and the head and neck after endoscopic resection for squamous cell carcinoma of the esophagus according to genetic polymorphisms of ADH1B and ALDH2.

Scientific Title

Evaluation of the risk of metachronous squamous cell carcinoma of the esophagus and the head and neck after endoscopic resection for squamous cell carcinoma of the esophagus according to genetic polymorphisms of alcohol dehydrogense-1B and aldehyde dehydrogenase-2.

Scientific Title:Acronym

Evaluation of the risk of metachronous squamous cell carcinoma of the esophagus and the head and neck after endoscopic resection for squamous cell carcinoma of the esophagus according to genetic polymorphisms of ADH1B and ALDH2.

Region

Japan


Condition

Condition

squamous cell carcinoma of the esophagus and the head and neck

Classification by specialty

Gastroenterology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Evaluation of the risk of metachronous squamous cell carcinoma of the esophagus and the head and neck after endoscopic resection for squamous cell carcinoma of the esophagus according to genetic polymorphisms of alcohol dehydrogense-1B and aldehyde dehydrogenase-2.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The incidence of metachronous squamous cell carcinoma of the esophagus and the head and neck according to genetic polymorphisms of alcohol dehydrogense-1B and aldehyde dehydrogenase-2.

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

Other

Interventions/Control_1

It collected the saliva in all cases.

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 It is possible to take a saliva.
2 Written informed consent was obtained from all patients.

Key exclusion criteria

1 Surgery was added.
2 Officer has determined to be inappropriate.
3 Less than 20 years old.
4 During pregnancy.

Target sample size

300


Research contact person

Name of lead principal investigator

1st name Yuichi
Middle name
Last name Shimizu

Organization

Hokkaido University Graduate School of Medicine

Division name

Department of Gastroenterology

Zip code

060-8638

Address

kita 14 jyou nishi 5 chome, kitaku, Sapporo

TEL

011-716-1161

Email

abiko1982@gmail.com


Public contact

Name of contact person

1st name Satoshi
Middle name
Last name Abiko

Organization

Hokkaido University Graduate School of Medicine

Division name

Department of Gastroenterology

Zip code

060-8638

Address

kita 14 jyou nishi 5 chome, kitaku, Sapporo

TEL

011-716-1161

Homepage URL


Email

abiko1982@gmail.com


Sponsor or person

Institute

Hokkaido University Graduate School of Medicine

Institute

Department

Personal name



Funding Source

Organization

None

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

Hokkaido University Graduate School of Medicine

Address

kita 14 jyou nishi 5 chome, kitaku, Sapporo

Tel

011-716-1161

Email

abiko1982@gmail.com


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 11 Month 19 Day


Related information

URL releasing protocol

https://pubmed.ncbi.nlm.nih.gov/29423536/?from_term=abiko+S+hokudai&from_pos=2

Publication of results

Published


Result

URL related to results and publications

https://pubmed.ncbi.nlm.nih.gov/29423536/?from_term=abiko+S+hokudai&from_pos=2

Number of participants that the trial has enrolled

158

Results

Results: Multivariate analyses revealed that inactive heterozygous ALDH2 [hazard ratio (HR) 2.25] and alcohol consumption after ER (HR 1.94) were independently associated with the risk of developing secondary SCC. Moreover, inactive heterozygous ALDH2 (HR 4.39) and alcohol consumption after the ER (HR 2.82) were independently associated with the risk of a third SCC.

Results date posted

2020 Year 05 Month 22 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Background: Metachronous multiple squamous cell carcinoma (SCC) of the esophagus and the head and neck is commonly observed in patients who have previously undergone endoscopic resection (ER) for SCC of the esophagus (ESCC). We evaluated the risk for developing metachronous SCC following ER for ESCC based on the genetic polymorphisms for alcohol dehydrogenase-1B (ADH1B) and aldehyde dehydrogenase-2 (ALDH2) as well as the alcohol consumption and smoking habits.

Participant flow

Methods: We studied 158 patients who underwent ER for ESCC (median follow-up 80 months). Genotyping of ADH1B/ALDH2 was performed using saliva sampling. The alcohol consumption and smoking histories of the patients before and after the ER were documented.

Adverse events

no

Outcome measures

Results: Multivariate analyses revealed that inactive heterozygous ALDH2 [hazard ratio (HR) 2.25] and alcohol consumption after ER (HR 1.94) were independently associated with the risk of developing secondary SCC. Moreover, inactive heterozygous ALDH2 (HR 4.39) and alcohol consumption after the ER (HR 2.82) were independently associated with the risk of a third SCC. We analyzed 110 patients who had a history of moderate or heavy alcohol consumption before the ER. The 3-year cumulative incidence rates of secondary SCC in the temperance (n = 65) and non-temperance groups (n = 45) were 14.0 and 42.1% (p = 0.0002). Further, the 5-year cumulative incidence rates of a third SCC in the temperance and non-temperance groups were 0 and 15.6% (p = 0.0011), respectively. In addition, the 7-year cumulative incidence rates of a fourth SCC in the temperance and non-temperance groups were 0 and 15.3% (p = 0.0015), respectively.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2015 Year 08 Month 01 Day

Date of IRB

2016 Year 07 Month 01 Day

Anticipated trial start date

2015 Year 11 Month 19 Day

Last follow-up date

2016 Year 09 Month 01 Day

Date of closure to data entry

2016 Year 12 Month 01 Day

Date trial data considered complete


Date analysis concluded



Other

Other related information

Exploratory studies using new specimens


Management information

Registered date

2015 Year 11 Month 18 Day

Last modified on

2020 Year 05 Month 22 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000022932


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name
2018/05/31 JG完成品10.1007_s00535-018-1441-7.pdf