UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000028297
Receipt number R000032243
Scientific Title A non-randomized confirmatory trial for the usefulness of endoscopic ultrasonography for diagnosing cancer invasion depth of clinical stage IA esophageal squamous cell carcinoma (JCOG1604, Odyssey trial)
Date of disclosure of the study information 2017/07/20
Last modified on 2023/10/11 18:42:19

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Basic information

Public title

A non-randomized confirmatory trial for the usefulness of endoscopic ultrasonography for diagnosing cancer invasion depth of clinical stage IA esophageal squamous cell carcinoma (JCOG1604, Odyssey trial)

Acronym

A non-randomized confirmatory trial for the usefulness of endoscopic ultrasonography for diagnosing cancer invasion depth of clinical stage IA esophageal squamous cell carcinoma (JCOG1604, Odyssey trial)

Scientific Title

A non-randomized confirmatory trial for the usefulness of endoscopic ultrasonography for diagnosing cancer invasion depth of clinical stage IA esophageal squamous cell carcinoma (JCOG1604, Odyssey trial)

Scientific Title:Acronym

A non-randomized confirmatory trial for the usefulness of endoscopic ultrasonography for diagnosing cancer invasion depth of clinical stage IA esophageal squamous cell carcinoma (JCOG1604, Odyssey trial)

Region

Japan


Condition

Condition

clinical stage IA esphageal cancer

Classification by specialty

Gastroenterology Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The objective of this study is to confirm superiority of conventional and magnifying endoscopy followed by endoscopic ultrasonography (EUS) over conventional and magnifying endoscopy in terms of diagnostic accuracy for patients with clinical T1[MM or SM]N0M0 esophageal cancer.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase

Phase III


Assessment

Primary outcomes

The proportion of pathological SM1 or shallower lesions in those with a diagnosis of clinical SM2 or deeper.

Key secondary outcomes

The proportion of pathological SM2 or deeper lesions in those with a diagnosis of clinical SM1 or shallower, sensitivity, specificity, positive predictive value, negative predictive value, adverse events


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Self control

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Diagnosis

Type of intervention

Device,equipment

Interventions/Control_1

Conventional and magnifying endoscopy, Endoscopic ultrasonography (EUS)

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

85 years-old >=

Gender

Male and Female

Key inclusion criteria

1st registration
1. Histologically proven squamous cell carcinoma or diagnosed as esophageal cancer (EC) by endoscopy according to Japanese Classification of Esophageal Cancer, 11th Edition. Also eligible in histologically proven high grade intraepithelial neoplasia according to 10th Edition
2. cN0M0 if CT examination is performed. Also eligible without imaging examination
3. Primary tumor is located in the thoracic esophagus
4. Depth of invasion of the deepest tumor is diagnosed as cT1 EC by conventional endoscopy. But ineligible when evidently diagnosed as cEP or cLPM
5. Length of the lesion is estimated <= 5 cm in longitudinal axis
6. Aged 20 to 85 years old
7. ECOG PS of 0-2
8. No evident entire circumferential lesion for patients with PS 2 and/or aged >= 81 years old
9. Magnifying endoscopy or EUS is judged to pass through by the endoscopic examination before 1st registration. Endoscopic dilation is allowed to pass through the magnifying endoscopy or EUS
10. No prior history of thoracic radiotherapy for any cancers
11. No prior history of esophagectomy for EC
12. Prior history of ER for EC is allowed. Ineligible if the scar after ER is located within <= 10 mm from the lesion
13. No preference of chemoradiotherapy or radiotherapy for primary treatment
14. Written informed consent
2nd registration
1. cN0M0 if examination is performed by CT before 2nd registration. Also eligible without imaging examination at 2nd registration
2. Depth of invasion is diagnosed as cMM or cSM by conventional and magnifying endoscopy
3. The upper end of the tumor is located at >= 2 cm from esophageal orifice, and the lower end of the tumor is located at >= 1 cm from esophagogastric junction
4. Length of the lesion is <= 5 cm in longitudinal axis
5. No entire circumferential lesion for patients with PS 2 and/or aged >= 81 years old
6. The scar after ER is located >= 10 mm from the lesion if the patient has prior history of ER

Key exclusion criteria

1. Active infection requiring systemic therapy
2. Body temperature >= 38 degrees Celsius
3. Pregnancy, possible pregnancy within 28 days after delivery or breastfeeding
4. Severe psychiatric disease
5. Poorly controlled hypertension
6. Unstable angina within 3 weeks, or with a history of myocardial infarction within 6 months

Target sample size

360


Research contact person

Name of lead principal investigator

1st name Manabu
Middle name
Last name Muto

Organization

Graduate School of Medicine, Kyoto University

Division name

Department of Therapeutic Oncology

Zip code

606-8507

Address

54 Kawaharacho, Shogoin, Sakyo, Kyoto, 606-8507, Japan

TEL

075-751-4592

Email

mmuto@kuhp.kyoto-u.ac.jp


Public contact

Name of contact person

1st name Ryu
Middle name
Last name Ishihara

Organization

JCOG1604 Coordinating Office

Division name

Gastrointestinal Oncology Division, Osaka International Cancer Institute

Zip code

541-8567

Address

3-1-69, Otemae, Chuo-ku, Osaka, Osaka prefecture, 541-8567, Japan

TEL

06-6945-1181

Homepage URL

http://www.jcog.jp/

Email

JCOG_sir@ml.jcog.jp


Sponsor or person

Institute

Japan Clinical Oncology Group (JCOG)

Institute

Department

Personal name



Funding Source

Organization

National Cancer Center

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

National Cancer Center Institutional Review Board

Address

5-1-1 Tsukiji, Chuo-ku, Tokyo

Tel

03-3542-2511

Email

NCC_IRBoffice@ml.res.ncc.go.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

北海道大学病院(北海道)
岩手県立中央病院(岩手県)
山形県立中央病院(山形県)
福島県立医科大学附属病院(福島県)
茨城県立中央病院・茨城県地域がんセンター(茨城県)
栃木県立がんセンター(栃木県)
国立がん研究センター東病院(千葉県)
千葉県がんセンター(千葉県)
国立がん研究センター中央病院(東京都)
慶應義塾大学病院(東京都)
昭和大学病院(東京都)
がん研究会有明病院(東京都)
虎の門病院(東京都)
NTT東日本関東病院(東京都)
神奈川県立病院機構神奈川県立がんセンター(神奈川県)
横浜市立市民病院(神奈川県)
北里大学医学部(神奈川県)
横浜市立大学附属市民総合医療センター(神奈川県)
新潟大学医歯学総合病院(新潟県)
富山県立中央病院(富山県)
石川県立中央病院(石川県)
佐久総合病院佐久医療センター(長野県)
静岡県立静岡がんセンター(静岡県)
愛知県がんセンター中央病院(愛知県)
愛知県がんセンター愛知病院(愛知県)
京都大学医学部附属病院(京都府)
大阪国際がんセンター(大阪府)
大阪市立総合医療センター(大阪府)
大阪医科大学(大阪府)
兵庫医科大学(兵庫県)
兵庫県立がんセンター(兵庫県)
広島大学病院(広島県)
広島市立広島市民病院(広島県)
広島市立安佐市民病院(広島県)
国立病院機構四国がんセンター(愛媛県)
高知医療センター(高知県)


Other administrative information

Date of disclosure of the study information

2017 Year 07 Month 20 Day


Related information

URL releasing protocol

This protocol is not open to the public.

Publication of results

Published


Result

URL related to results and publications

https://pubmed.ncbi.nlm.nih.gov/34524432/

Number of participants that the trial has enrolled

372

Results

See the datails via "URL related to results and publications" above.

Results date posted

2023 Year 10 Month 11 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Please refer to the "clinical study report (CSR)" posted on the following website.
https://jcog.jp/clinicaltrial/index.html

Participant flow

Please refer to the "clinical study report (CSR)" posted on the following website.
https://jcog.jp/clinicaltrial/index.html

Adverse events

Please refer to the "clinical study report (CSR)" posted on the following website.
https://jcog.jp/clinicaltrial/index.html

Outcome measures

Please refer to the "clinical study report (CSR)" posted on the following website.
https://jcog.jp/clinicaltrial/index.html

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2017 Year 05 Month 16 Day

Date of IRB

2017 Year 06 Month 29 Day

Anticipated trial start date

2017 Year 07 Month 20 Day

Last follow-up date

2022 Year 01 Month 20 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded

2020 Year 11 Month 30 Day


Other

Other related information



Management information

Registered date

2017 Year 07 Month 20 Day

Last modified on

2023 Year 10 Month 11 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000032243


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name