UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000034318
Receipt number R000039123
Scientific Title Non-inferiority study of GM142 compared to Seprafilm in patients with primary rectal cancer scheduled for temporary loop ileostomy during laparoscopic surgery -Multicenter, randomized, single blind, parallel-group comparison study-
Date of disclosure of the study information 2018/10/01
Last modified on 2022/04/07 13:31:35

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Basic information

Public title

Non-inferiority study of GM142 compared to Seprafilm in patients with primary rectal cancer scheduled for temporary loop ileostomy during laparoscopic surgery
-Multicenter, randomized, single blind, parallel-group comparison study-

Acronym

A clinical trial of GM142 in patients with intestinal surgery

Scientific Title

Non-inferiority study of GM142 compared to Seprafilm in patients with primary rectal cancer scheduled for temporary loop ileostomy during laparoscopic surgery
-Multicenter, randomized, single blind, parallel-group comparison study-

Scientific Title:Acronym

A clinical trial of GM142 in patients with intestinal surgery

Region

Japan


Condition

Condition

Rectal cancer

Classification by specialty

Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

This study aims to verify non-inferiority of GM142 compared to Seprafilm on the prevention of adhesion formation in patients with primary rectal cancer scheduled for temporary loop ileostomy during laparoscopic surgery by using GM142 or Seprafilm, and to compare the safety.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The evaluation of presence/absence of adhesion

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Single blind -participants are blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

GM142(Adhesion Barrier)

Interventions/Control_2

Seprafilm

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. Patients with initial and primary rectal cancer
2. Patients with cStage 0 to cStage III
3. Patients who are scheduled to undergo laparoscopic rectal resection in which a temporary ileostomy is performed.
4. Patients who are scheduled to undergo the closure of ileostomy 8 to 48 weeks after initial surgery.
5. Patients aged 20 years or older at the time of obtaining an informed consent
6. Patients who are fully informed about this study prior to the participation, understand the content, and give a written informed consent of their own free will

Key exclusion criteria

Patients who have the following symptoms, surgery, or problems, etc.:
(Preoperative criteria)
1. Scheduled to undergo laparotomy for rectal resection.
2. Having a history of surgery in peritoneal cavity, except operation for appendicitis.
3. cStage IV
4. Scheduled to remove specimens from the site other than the midline incision.
5. Scheduled to undergo ileostomy at umbilical region.
6. ECOG performance status of 3 or greater
7. Peritonitis
8. Subject to emergency operation
9. Gelatin hypersensitivity
10. A history of severe drug allergy
11. Severe diabetes or anomaly of saccharometabolism
12. Significant obesity (BMI of 35 or higher)
13. Requiring chronic treatment with corticosteroids.
14. Scheduled to undergo chemotherapy within 2 weeks after initial surgery.
15. Scheduled to undergo surgery requiring hospital stay during the period from rectal resection to ileostomy closure.
16. Administered unapproved medications or medical devices within 12 weeks prior to obtaining the informed consent.
17. Pregnant or lactating, or wanting to become pregnant during clinical trials.
18. Undergoing dialysis due to hepatic cirrhosis, active hepatitis, or chronic renal failure.
19. Positive for any infection inappropriate for inclusion in the study based on the judgment of the principal investigator or sub-investigators.
20. Gastrointestinal perforations
21. Cancer with no schedule for radical surgery.
22. Psychiatric disease or symptom for which the enrollment in the study is judged unsuitable.
23. Considered less than one year of life expectancy.
24. Any other patients regarded unsuitable by the principal investigator or sub-investigators.
(Perioperative/Discontinuance criteria)
25. Having undergone laparotomy for rectal resection.
26. Having not undergone ileostomy.
27. Having removed specimens from the site other than the midline incision.
28. Having undergone ileostomy at umbilical region.
29. Having not applied either GM142 or Seprafilm.

Target sample size

132


Research contact person

Name of lead principal investigator

1st name Yusuke
Middle name
Last name Kinugasa

Organization

Tokyo Medical and Dental University

Division name

Graduate School of Medical and Dental Sciences, Systemic Organ Regulation, Gastrointestinal Surgery

Zip code

113-8510

Address

1-5-45 Yushima,Bunkyo-ku,Tokyo

TEL

03-5803-5252

Email

kinugasa.srg1@tmd.ac.jp


Public contact

Name of contact person

1st name Muneaki
Middle name
Last name Ezu

Organization

GUNZE LIMITED

Division name

Medical Division

Zip code

103-0027

Address

2-10-4 Nihonbashi,Chuo-ku,Tokyo

TEL

03-3276-8685

Homepage URL


Email

GM142-all@gunze.co.jp


Sponsor or person

Institute

GUNZE LIMITED

Institute

Department

Personal name



Funding Source

Organization

GUNZE LIMITED

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kitasato University Medical Center

Address

6-100 Arai Kitamoto Saitama

Tel

048-593-7390

Email

kmc-ctc@insti.kitasato-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

2018 Year 10 Month 01 Day


Related information

URL releasing protocol

N/A

Publication of results

Published


Result

URL related to results and publications

https://onlinelibrary.wiley.com/doi/full/10.1002/ags3.12544

Number of participants that the trial has enrolled

146

Results

https://onlinelibrary.wiley.com/doi/full/10.1002/ags3.12544

Results date posted

2022 Year 04 Month 07 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

https://onlinelibrary.wiley.com/doi/full/10.1002/ags3.12544

Participant flow

https://onlinelibrary.wiley.com/doi/full/10.1002/ags3.12544

Adverse events

https://onlinelibrary.wiley.com/doi/full/10.1002/ags3.12544

Outcome measures

https://onlinelibrary.wiley.com/doi/full/10.1002/ags3.12544

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2018 Year 09 Month 12 Day

Date of IRB

2018 Year 09 Month 05 Day

Anticipated trial start date

2018 Year 10 Month 25 Day

Last follow-up date

2020 Year 07 Month 27 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2018 Year 09 Month 28 Day

Last modified on

2022 Year 04 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000039123


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name