UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000036985
Receipt number R000042135
Scientific Title Seamless Monitoring of Illness after Lung surgery for Enhanced support (SMILE-001 study)
Date of disclosure of the study information 2019/06/06
Last modified on 2023/06/19 19:34:28

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Basic information

Public title

Seamless Monitoring of Illness after Lung surgery for Enhanced support (SMILE-001 study)

Acronym

SMILE-001 study

Scientific Title

Seamless Monitoring of Illness after Lung surgery for Enhanced support (SMILE-001 study)

Scientific Title:Acronym

SMILE-001 study

Region

Japan


Condition

Condition

Pulmonary malignancy (Lung cancer or metastatic lung tumor)

Classification by specialty

Chest surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

1) To describe the course of postoperative symptoms

Basic objectives2

Others

Basic objectives -Others

2) To describe patients' anxiety and the efficacy of discharge instruction on it
3) To specify the risk factor of unintentional re-admission after discharge by big-data analysis
4) To investigate usefulness of tablet hardware for self-management of patients undergoing lung cancer surgery

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Recovery rate of MDASI scores at the first outpatient visit after lung cancer surgery

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

No treatment

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Prevention

Type of intervention

Other

Interventions/Control_1

To score patients' symptoms by MDASI using paper-based questionnaire

Interventions/Control_2

To score patients' symptoms by MDASI using tablet application- based questionnaire

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 patients undergoing lung resection
between the date of KMU-REB approval and February 28th, 2021 who fulfill the inclusion criteria and deny the exclusion criteria as follows;

1) 20 years of age or older at the time of informed consent.
2) Pulmonary malignancy is diagnosed or suspected at the time of surgery

* The patient needs to express his/her consent to participate this study based on his/her own will by signed documentation.

Key exclusion criteria

The patients who shows either of following must be excluded;

1) Rejection to participate this study.
2) Decline of formely expressed consent to participate this study
3) Any inappropriate condition which necessitate research director to exclude the patient.

Target sample size

350


Research contact person

Name of lead principal investigator

1st name Tomohito
Middle name
Last name SAITO

Organization

Kansai Medical University Hospital

Division name

Department of Thoracic Surgery

Zip code

573-1191

Address

2-3-1 Shinmachi, Hirakata, Osaka 5731191, JAPAN

TEL

072-804-0101

Email

saitotom@hirakata.kmu.ac.jp


Public contact

Name of contact person

1st name Tomohito
Middle name
Last name SAITO

Organization

Kansai Medical University Hospital

Division name

Department of Thoracic Surgery

Zip code

573-1191

Address

2-3-1 Shinmachi, Hirakata, Osaka 5731191, JAPAN

TEL

072-804-0101

Homepage URL


Email

saitotom@hirakata.kmu.ac.jp


Sponsor or person

Institute

Department of Thoracic Surgery,
Kansai Medical University Hospital

Institute

Department

Personal name



Funding Source

Organization

1) Osaka Cancer Society
2) Department of Thoracic Surgery,
Kansai Medical University Hospital

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kansai Medical University Hospital Clinical Research Ethics Board

Address

2-3-1 Shinmachi, Hirakata, Osaka 5731191, JAPAN

Tel

072-804-0101

Email

rinriirb@hirakata.kmu.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

2019 Year 06 Month 06 Day


Related information

URL releasing protocol

https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0281998

Publication of results

Published


Result

URL related to results and publications

https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0281998

Number of participants that the trial has enrolled

130

Results

Duration of symptom was the leading cause of postoperative distress. Several core symptoms after thoracoscopic lung resection showed a rebound in the trajectory. Specifically, a rebound in pain trajectory may be associated with unrecovered pain; pain severity on day 4 may predict early pain recovery. Further clarification of symptom severity trajectories is essential for patient-centered care.

Results date posted

2023 Year 06 Month 19 Day

Results Delayed

Delay expected

Results Delay Reason

It took longer time for manuscript publication process than expected.

Date of the first journal publication of results

2023 Year 02 Month 22 Day

Baseline Characteristics

There were 75 patients. The median age was 70 years, and females accounted for 48%. The median interval from surgery to the first post-discharge clinic visit was 20 days.

Participant flow

Patients undergoing thoracoscopic lung resection for diagnosed or suspected pulmonary malignancy prospectively recorded daily symptom severity on a 0-10 scale based on MDASI.

Adverse events

None

Outcome measures

Symptom recovery

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Main results already published

Date of protocol fixation

2019 Year 03 Month 06 Day

Date of IRB

2019 Year 03 Month 06 Day

Anticipated trial start date

2019 Year 06 Month 01 Day

Last follow-up date

2020 Year 09 Month 30 Day

Date of closure to data entry

2020 Year 10 Month 31 Day

Date trial data considered complete

2020 Year 11 Month 30 Day

Date analysis concluded

2022 Year 03 Month 31 Day


Other

Other related information



Management information

Registered date

2019 Year 06 Month 06 Day

Last modified on

2023 Year 06 Month 19 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000042135


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name