UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000023437
Receipt number R000027002
Scientific Title Clinical study of combination local injection sclerotherapy of bleomycin and OK-432 for intractable lymphatic malformations
Date of disclosure of the study information 2016/08/05
Last modified on 2019/08/04 12:56:42

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Basic information

Public title

Clinical study of combination local injection sclerotherapy of bleomycin and OK-432 for intractable lymphatic malformations

Acronym

Study of combination sclerotherapy of bleomycin and OK-432 for LMs

Scientific Title

Clinical study of combination local injection sclerotherapy of bleomycin and OK-432 for intractable lymphatic malformations

Scientific Title:Acronym

Study of combination sclerotherapy of bleomycin and OK-432 for LMs

Region

Japan


Condition

Condition

Lymphangioma and other lymphatic diseases with similar lesion

Classification by specialty

Surgery in general Vascular surgery Pediatrics
Ophthalmology Dermatology Oto-rhino-laryngology
Oral surgery Plastic surgery Aesthetic surgery
Operative medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To examine efficacy and safety of combination local injection sclerotherapy of bleomycin and OK-432

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase III


Assessment

Primary outcomes

The proportion of subjects that the volume of therapeutic target area in the lesion is reduced 30% or more

Key secondary outcomes

Appearance, degree of uplift due to lesions, clinical symptoms such as lymph leakage and bleeding, pain, and frequency of fever / redness,the subjects' impression of their improvement and their degree of satisfaction. Changes in the lung shadows on chest X-ray.


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

Treatment

Type of intervention

Medicine

Interventions/Control_1

"OK-432 and bleomycin slolution" (0.05 kE / mL and 0.5 mg / mL, respectively) will be injected into the lesion with water-soluble contrast agent.
Maximum dose of bleomycin is 10 mg / dose and 5 mg/kgBW.
Cumulative maximum dose in repeated treatment is 10 mg/kgBW.

OK-432 concentration might be redued to the range from 0.01 to 0.05 kE / mL by the attending physician's judgment, for reasons such as reducing the inflammation induced by OK-432.

[Exit criteria]
When subjects and family members reach satisfaction with the level of reduction of the lesion.
When the cumulative dose reaches the maximum dose.

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

Patients requiring treatment in the National Center for Child Health and Development, diagnosed as lymphangioma (lymphatic malformation, common and cystic lymphatic malformation) or other lymphatic disease with similar pathological tissue.

Among the above-mentioned subject, patients satisfying the following conditions A and B, and having understood and agreed to the research by document, will be included.
Condition A; satisfying the following condition a or b.
a; spongy lesions remaining after the OK-432 therapy in the past
b; spongy lesion untreated with sclerotherapy and expected of no efficacy of OK-432
Condition B; surgical resection is difficult to apply.

Key exclusion criteria

Patients with any of the following diseases will be excluded.
Severe lung dysfunction, lung fibrosis lesions and significant lung lesions, history of hypersensitivity to bleomycin hydrochloride and similar compounds to the (peplomycin), severe renal dysfunction, severe heart disease, and history of radiation to the chest and the periphery

Target sample size

21


Research contact person

Name of lead principal investigator

1st name Akihiro
Middle name
Last name Fujino

Organization

National Center for Child Health and Development

Division name

Division of Pediatric Surgery

Zip code

157-8535

Address

2-10-1 Okura, Setagaya-Ku, Tokyo 157-8535

TEL

03-3416-0181

Email

fujino-a@ncchd.go.jp


Public contact

Name of contact person

1st name Akihiro
Middle name
Last name Fujino

Organization

National Center for Child Health and Development

Division name

Division of Pediatric Surgery

Zip code

157-8535

Address

2-10-1 Okura, Setagaya-Ku, Tokyo 157-8535

TEL

03-3416-0181

Homepage URL


Email

fujino-a@ncchd.go.jp


Sponsor or person

Institute

National Center for Child Health and Development

Institute

Department

Personal name



Funding Source

Organization

Japan Agency for Medical Research and Development

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Certified Review Board of National Center for Child Health and Development

Address

2-10-1 Okura, Setagaya-ku, Tokyo, Tokyo

Tel

03-3416-0181

Email

rinken@ncchd.go.jp


Secondary IDs

Secondary IDs

YES

Study ID_1

jRCTs031180265

Org. issuing International ID_1

jRCT

Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

国立成育医療研究センター(東京都)


Other administrative information

Date of disclosure of the study information

2016 Year 08 Month 05 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

29

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

No longer recruiting

Date of protocol fixation

2016 Year 07 Month 28 Day

Date of IRB

2016 Year 07 Month 28 Day

Anticipated trial start date

2016 Year 08 Month 10 Day

Last follow-up date

2023 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2016 Year 08 Month 01 Day

Last modified on

2019 Year 08 Month 04 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000027002


Research Plan
Registered date File name
2021/08/08 BLM for LM 研究計画書改訂5.1版20210408.docx

Research case data specifications
Registered date File name
2018/02/01 BLM for LM CRF ver2.0.xlsx

Research case data
Registered date File name
2018/02/01 BLM for LM CRF ver2.0.xlsx