UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000028533
Receipt number R000032653
Scientific Title An observational validation study of the impact of Frailty on posttreatment adverse events and poor prognosis in patients with a patient with urological diseases
Date of disclosure of the study information 2017/08/06
Last modified on 2022/12/06 09:07:37

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Basic information

Public title

An observational validation study of the impact of Frailty on posttreatment adverse events and poor prognosis in patients with a patient with urological diseases

Acronym

An observational validation study of the impact of Frailty on posttreatment adverse events and poor prognosis in patients with a patient with urological diseases

Scientific Title

An observational validation study of the impact of Frailty on posttreatment adverse events and poor prognosis in patients with a patient with urological diseases

Scientific Title:Acronym

An observational validation study of the impact of Frailty on posttreatment adverse events and poor prognosis in patients with a patient with urological diseases

Region

Japan


Condition

Condition

Urological diseases

Classification by specialty

Nephrology Endocrine surgery Urology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the validity of Frailty for posttreatment adverse events and poor prognosis in patients with patient with urological diseases in multicenter setting

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Primary outcomes: Predicting frailty related post-treatment adverse events using Frailty Discriminant score
Secondary outcomes: Comparison of previously reported frailty assessment tools for diagnostic accuracy for frailty, Overall survival, Cancer-specific survival, Postoperative complication, Chemotherapy related to severe adverse events, Clinical indication for definitive therapies (surgery, chemotherapy and/or radiotherapy), Relationship between frailty and quality of life

Key secondary outcomes

This study is a part of our prospective observational study (UMIN000025057). We planned the inter-group difference of frailty among the patients with prostate cancer (PC), renal cell carcinoma (RCC), and urothelial carcinoma (UC) when we successfully developed our CGA tool.


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

20 years-old <=

Age-upper limit

100 years-old >=

Gender

Male and Female

Key inclusion criteria

Patients with urological diseases who undergo frailty assessments. Urological diseases include both malignant and non-malignant diseases.

Key exclusion criteria

Patients with urological diseases who could not undergo frailty assessments.

Target sample size

600


Research contact person

Name of lead principal investigator

1st name SHINGO
Middle name
Last name Hataeyama

Organization

Hirosaki University

Division name

Urology

Zip code

036-8562

Address

5 zaifu

TEL

0172395091

Email

shingorilla2@gmail.com


Public contact

Name of contact person

1st name SHINGO
Middle name
Last name Hatakeyama

Organization

Hirosaki University Graduate School of Medicine

Division name

Urology

Zip code

0368562

Address

5 zaifu

TEL

0172395091

Homepage URL


Email

shingorilla2@gmail.com


Sponsor or person

Institute

Hirosaki University Graduate School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Hirosaki University Graduate School of Medicine

Organization

Division

Category of Funding Organization

Government offices of other countries

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Hirosaki University School of Medicine

Address

5 Zaifu-chou

Tel

+81172395091

Email

rinri@hirosaki-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

2017 Year 08 Month 06 Day


Related information

URL releasing protocol

https://pubmed.ncbi.nlm.nih.gov/31520152/

Publication of results

Published


Result

URL related to results and publications

https://pubmed.ncbi.nlm.nih.gov/31520152/

Number of participants that the trial has enrolled

559

Results

The FDS is a reliable and valid tool for assessing frailty and prognosis in patients with urological cancers.

Results date posted

2022 Year 12 Month 06 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

We prospectively validate the efficacy of the frailty discriminant score (FDS) in individuals with urological cancers, as there has been growing importance in evaluating frailty in clinical practice.

Participant flow

A prospective, multicenter study was conducted from February 2017 to April 2019. We enrolled 258 patients with urological cancers and 301 community-dwelling participants who were assessed for frailty. Frailty was assessed using FDS that includes ten items, such as physical, mental, and blood biochemical tests.

Adverse events


Outcome measures

The primary outcome was the non-inferiority (margin 5%) of FDS in discriminating patients with urological cancers from controls (Ctrl). The sensitivity, specificity, and area under the receiver operating characteristic (AUROC) curve for each predictive test were calculated. The secondary endpoints included the prediction of overall survival between patients with urological cancer who have high and low FDS. FDS was significantly higher in patients with urological cancers than that in the Ctrl.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2017 Year 07 Month 01 Day

Date of IRB

2016 Year 01 Month 06 Day

Anticipated trial start date

2017 Year 07 Month 02 Day

Last follow-up date

2022 Year 07 Month 02 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This study is an observational prospective validation study of the impact of Frailty Discriminant score on post-treatment adverse events and poor prognosis in patients with patient with urological diseases in multicenter setting. Patients in this study undergo frailty assessment including G8, gait speed, handgrip strength, fatigue and depression questionnaire, and basic blood biochemical test. Frailty Discriminant score were calculated, and outcomes are prospectively evaluated. Study interval is estimated for 5 years.


Management information

Registered date

2017 Year 08 Month 04 Day

Last modified on

2022 Year 12 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000032653


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name