UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000029612
Receipt number R000033757
Scientific Title The prospective multicenter observational study of tissue acquisition by endoscopic ultrasound-guided fine-needle aspiration using the 25-gauge Franseen needle
Date of disclosure of the study information 2017/10/18
Last modified on 2020/03/20 11:54:57

* 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

The prospective multicenter observational study of tissue acquisition by endoscopic ultrasound-guided fine-needle aspiration using the 25-gauge Franseen needle

Acronym

The prospective multicenter observational study of tissue acquisition by endoscopic ultrasound-guided fine-needle aspiration using the 25-gauge Franseen needle

Scientific Title

The prospective multicenter observational study of tissue acquisition by endoscopic ultrasound-guided fine-needle aspiration using the 25-gauge Franseen needle

Scientific Title:Acronym

The prospective multicenter observational study of tissue acquisition by endoscopic ultrasound-guided fine-needle aspiration using the 25-gauge Franseen needle

Region

Japan


Condition

Condition

Lesions with Indication for EUS-FNA

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the efficacy of EUS-FNA using the 25-gauge Franseen needle in pathological diagnosis

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

The tissue acquisition rate in the initial puncture

Key secondary outcomes

(1) Quality of a tissue sample
(2) Diagnostic accuracy
Diagnostic accuracy, sensitivity, specificity, PPV, NPV in (3) pathological and (4) cytological malignancy or benignancy
(5) Success rate of puncture
(6) Adverse event rate in EUS-FNA


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


Not applicable

Gender

Male and Female

Key inclusion criteria

(1) Age =or >20
(2) Requirement of EUS-FNA of a solid lesion
(3) Use of the 25-gauge Franseen needle
(4) Providing written informed consent

Key exclusion criteria

(1) Cystic lesion
(2) PT-INR =or >1.5
(3) Platelate count < 50000/m3
(4) ASA =or >3
(5) ECOG-PS=4
(6) Pregnancy
(7) Unsuitable for inclusion at the discretion of the physician.

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Masaki
Middle name
Last name Kuwatani

Organization

Hokkaido University Hospital

Division name

Division of Endoscopy

Zip code

060-8648

Address

North 14, West 5, Kita-ku, Sapporo

TEL

011-716-1161

Email

mkuwatan@med.hokudai.ac.jp


Public contact

Name of contact person

1st name Ryo
Middle name
Last name Sugiura

Organization

Hokkaido University Faculty of Medicine and Graduate School of Medicine

Division name

Department of Gastroenterology and Hepatology

Zip code

060-8638

Address

North 15, West 7, Kita-ku, Sapporo

TEL

011-716-1161

Homepage URL


Email

rsugiura-hok@umin.ac.jp


Sponsor or person

Institute

Hokkaido University Hospital

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

Institutional Review Board of Hokkaido University Hospital

Address

North 14, West 5, Kita-ku, Sapporo

Tel

011-706-7636

Email

crjimu@huhp.hokudai.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 10 Month 18 Day


Related information

URL releasing protocol

http://www.eusjournal.com/preprintarticle.asp?id=254011

Publication of results

Published


Result

URL related to results and publications

http://www.eusjournal.com/preprintarticle.asp?id=254011

Number of participants that the trial has enrolled

100

Results

The patients were 57 males and 43 females with a median age of 70 years. The technical success rate was 100 %. The tissue acquisition rate at the first pass was 95.0 % and the acquisition rate of an adequate specimen for histological assessment was 82.0 %. The sensitivity, specificity, PPV, NPV and diagnostic accuracy were 87.0 %, 100 %, 100 %, 40.0 % and 88.0 %, respectively. The adverse event rate was 1.0 %, the detail of which was 1 moderate pancreatic fistula.

Results date posted

2019 Year 05 Month 03 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Patients with a solid lesion who required EUS-FNB for a diagnosis.

Participant flow

Patients with a solid lesion who required EUS-FNB for a diagnosis were registered. All patients provided written informed consent.

Adverse events

There was 1 adverse event in 1 patient (1.0 %), who underwent transgastric puncture.

Outcome measures

The primary outcome of the current study was a tissue acquisition rate in the initial pass. The secondary outcomes were an acquisition rate of an adequate specimen for histological assessment, quality of the tissue sample, sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), diagnostic accuracy of EUS-FNB, success rate of puncture, and adverse event rate.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2017 Year 08 Month 18 Day

Date of IRB

2017 Year 08 Month 31 Day

Anticipated trial start date

2017 Year 08 Month 31 Day

Last follow-up date

2018 Year 04 Month 02 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

1) Patient characteristics: age, gender, Performance status, commorbidity
2) Evaluation of the tumor: imaging (abdominal roentgenogram, CT, MRI, US, EUS)
3) Pathological findings of EUS-FNA specimen (diagnosis, sample quantity, sample quality, blood amount)
4) Procedure characteristics of EUS-FNA (target, puncture site, success rate, number of puncture, procedure time, with or without rapid on-site evaluation)
5) Adverse events of EUS-FNA
6) Hematological findings: WBC, Hb, Plt, blood fraction
7) Chemistry: ALP, total billirubin, Alb, AST, ALT, gamma-GT, total protein, LDH, creatinine, BUN, amylase, lipase, CRP
8) Coagulation: PT activity(%), PT-INR
9) Pathological findings of surgical specimen or biopsy specimen by ERCP


Management information

Registered date

2017 Year 10 Month 18 Day

Last modified on

2020 Year 03 Month 20 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000033757


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name