UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000030495
Receipt number R000034813
Scientific Title An exploratory study to determine the genetic polymorphisms or mutations associated with type 1 diabetes and interstitial lung disease induced by immune checkpoint inhibitor; nivolumab
Date of disclosure of the study information 2017/12/21
Last modified on 2021/07/02 17:00:22

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Basic information

Public title

An exploratory study to determine the genetic polymorphisms or mutations associated with type 1 diabetes and interstitial lung disease induced by immune checkpoint inhibitor; nivolumab

Acronym

An exploratory study to determine the irAE-related genes induced by immune checkpoint inhibitor; nivolumab

Scientific Title

An exploratory study to determine the genetic polymorphisms or mutations associated with type 1 diabetes and interstitial lung disease induced by immune checkpoint inhibitor; nivolumab

Scientific Title:Acronym

An exploratory study to determine the irAE-related genes induced by immune checkpoint inhibitor; nivolumab

Region

Japan


Condition

Condition

type 1 diabetes
interstitial lung disease

Classification by specialty

Pneumology Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

YES


Objectives

Narrative objectives1

The aim of study to identify the causal variants or mutations associated with immune-related adverse events (type 1 diabetes and interstitial lung disease) of anti-PD-1 antibody; nivolumab by whole genome analysis in multi-center cohort study.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

Allele frequency of causal variants or mutations associated with immune-related adverse events of nivolumab

Key secondary outcomes



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

The cohort includes the patients treated with nivolumab who develops type 1 diabetes (n=15) and interstitial lung disease(n=50) as case group and the patients without immune-related adverse events (n=65) as control group. Whole genome data in healthy subjects were utilized from Tohoku Medical Megabank or NBDC as a collaboration.

Key exclusion criteria

The patient whom the researcher consider to be inappropriate for the study.

Target sample size

130


Research contact person

Name of lead principal investigator

1st name Atsushi
Middle name
Last name Kawakami

Organization

Nagasaki University Hospital

Division name

Department of Immunology and Rheumatology

Zip code

852-8501

Address

1-7-1 Sakamoto Nagasaki, Japan

TEL

095-819-7260

Email

atsushik@nagasaki-u.ac.jp


Public contact

Name of contact person

1st name Norio
Middle name
Last name Abiru

Organization

Nagasaki University Hospital

Division name

Department of Endocrinology and Metabolism

Zip code

852-8501

Address

1-7-1 Sakamoto Nagasaki, Japan

TEL

095-819-7260

Homepage URL


Email

abirun@nagasaki-u.ac.jp


Sponsor or person

Institute

Nagasaki University Hospital

Institute

Department

Personal name



Funding Source

Organization

Investigators Supported Research Grants from ONO PHARMACEUTICAL CO. LTD. and Bristol-Myers Squibb

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor

National Cancer Center Hospital
Tochigi cancer center
Kyusyu University
Kurume University
University of Occupational and Environmental Health
Fukuoka University
Oita University
Kumamoto University
Kagoshima University
University of the Ryukyu
University of Miyazaki
Saga University
Tokai University School of Medicine
Japanese Red Cross Nagasaki Genbaku Hospital
National Hospital Nagasaki Medical Center
JCHO Isahaya General Hospital
Nagasaki Prefecture Shimabara Hospital
Sasebo City General Hospital
Kitakyusyu Munincipal Medical Center
NHO Fukuoka Higashi Medical Center
NHO Ureshino Medical Center
JCHO Kyusyu Hospital
Kagoshima City Hospital
Saitama Medical University International Medicak Center
Hokkaido University
Kanazawa University
Kyoto Prefectural University of Medicine
Okayama University
Chiba University

Name of secondary funder(s)



IRB Contact (For public release)

Organization

The Clinical Research Review Board in Nagasaki University

Address

1-7-1 Sakamoto Nagasaki-shi, Nagasaki-ken

Tel

095-819-7905

Email

gaibushikin@ml.nagasaki-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

長崎大学病院


Other administrative information

Date of disclosure of the study information

2017 Year 12 Month 21 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


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

Enrolling by invitation

Date of protocol fixation

2017 Year 12 Month 18 Day

Date of IRB

2017 Year 12 Month 19 Day

Anticipated trial start date

2018 Year 02 Month 01 Day

Last follow-up date

2020 Year 12 Month 14 Day

Date of closure to data entry

2021 Year 01 Month 31 Day

Date trial data considered complete

2021 Year 03 Month 31 Day

Date analysis concluded

2022 Year 03 Month 31 Day


Other

Other related information

Collecting information
1. for case and control
sex, age, height, weight, primary disease to nivolumab, the date of start of nivolumab, number of nivolumab injection

2-1. for type 1 diabetes case
Hyperglycemic symptom, the date of unconsciousness or diagnosis of type 1 diabetes
Exam on diagnosis;
Blood and biochemistry; WBC, RBC, Hb, Hct, Pelt, Plasma glucose, HbA1c, Urine or blood Ketone body, blood gas, pancreatic enzyme(Amylase, elastase1, lipase), anti-GAD antibody, serum and urine C-peptide,

2-2. for interstitial lung disease case
initial symptom (short of breath, dyspnea, cough), the date of audible of rale or diagnosis of interstitial lung disease
Treatment for interstitial lung disease
Exam on diagnosis;
Image;chest X-ray, HRCT
Blood and biochemistry; WBC, RBC, Hb, Hct, Plt, CRP, AST, ALT, g-GTP, KL-6,SP-A, SP-D, blood gas
Exam for differential diagnosis;
b-D-glucan, cytomegalo virus antigen, sputum examination (Bacterial smear or culture)

3.genome data;
Genomic DNA from obtained 10mL of blood sample is collected. The genome DNA is analyzed by whole genome analysis to serach for the causal variants or mutations associated with immune-related adverse events (type 1 diabetes and interstitial lung disease) of anti-PD-1 antibody; nivolumab.

4. Serum sample data
Serum sample is collected and the level of anti-GAD, serum-C-peptide, KL-6 and SP-D are measured to support the diagnosis of disease or non-disease.


Management information

Registered date

2017 Year 12 Month 20 Day

Last modified on

2021 Year 07 Month 02 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000034813


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name