UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000038894
Receipt number R000044348
Scientific Title Development of biomarker to predict postpoerative delirium and postoperative cognitive decline in cancer patients
Date of disclosure of the study information 2019/12/16
Last modified on 2021/06/17 22:04:57

* 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

Development of biomarker to predict postpoerative delirium and postoperative cognitive decline in cancer patients

Acronym

Delirium Mechanism (DM) study

Scientific Title

Development of biomarker to predict postpoerative delirium and postoperative cognitive decline in cancer patients

Scientific Title:Acronym

Delirium Mechanism (DM) study

Region

Japan


Condition

Condition

Postoperative delirium
Postoperative cognitive decline

Classification by specialty

Psychiatry

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To develop a predictive biomarker to predict postoperative delirium and postoperative cognitive decline in cancer patients.

Basic objectives2

Others

Basic objectives -Others

This prospective observational study aims to 1) build a cohort of cancer patients undergoing invasive cancer resection, 2) explore the mechanism of postoperative delirium and postoperative cognitive decline, and 3) develop a biomarker to predict postoperative delirium and postoperative cognitive decline in cancer patients based on the pathology.

Trial characteristics_1

Exploratory

Trial characteristics_2

Others

Developmental phase

Not applicable


Assessment

Primary outcomes

Immunological factor associated with the onset of postoperative delirium and postoperative cognitive decline.

Key secondary outcomes

Metabolomics, epigenome, gene expression, clinical factor, physical remark, electroencephalography associated with the onset of postoperative delirium and postoperative cognitive decline.


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

Patients who plan to undertake highly invasive cancer resection, surgery under general anesthesia generally considered to take over 6 hours or surgery considered as highly invasive based on expert opinion from a surgeon among those come to an outpatient clinic or are admitted to the national cancer center hospital (regardless of the actual surgical time as long as surgical procedure is not substantially changed).

Key exclusion criteria

1. Delirium diagnosis at informed consent
2. Judgement of inappropriateness by the manager or member of research project

Target sample size

320


Research contact person

Name of lead principal investigator

1st name Teruhiko
Middle name
Last name Yoshida

Organization

National Cancer Center Japan

Division name

Department of Clinical Genomics

Zip code

1040045

Address

5-1-1, Tsukiji, Chuo-ku, Tokyo

TEL

0335422511

Email

tyoshida@ncc.go.jp


Public contact

Name of contact person

1st name Ryoichi
Middle name
Last name Sadahiro

Organization

National Cancer Center Japan

Division name

National Cancer Center Hospital, Department of Psycho-oncology

Zip code

1040045

Address

5-1-1, Tsukiji, Chuo-ku, Tokyo

TEL

0335422511

Homepage URL


Email

rsadahir@ncc.go.jp


Sponsor or person

Institute

National Cancer Center Japan

Institute

Department

Personal name



Funding Source

Organization

the Japan Science and Technology Agency

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor

Keio University School of Medicine
University of Exeter Medical School

Name of secondary funder(s)



IRB Contact (For public release)

Organization

National Cancer Center Institutional review board

Address

5-1-1, Tsukiji, Chuo-ku, Tokyo

Tel

0335422511

Email

irst@ml.res.ncc.go.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 12 Month 16 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

327

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

No longer recruiting

Date of protocol fixation

2018 Year 03 Month 15 Day

Date of IRB

2018 Year 03 Month 27 Day

Anticipated trial start date

2018 Year 04 Month 27 Day

Last follow-up date

2022 Year 07 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Observation
A Characteristics, Clinical information
B Biological signature and Electroencephalography
C Psychological symptoms

A Characteristics, Clinical information
Sex, Age, Clinical diagnosis, subtype of diagnosis, duration of disease, comorbidity, Alcohol abuse, Performance Status, Education, vital sign, Charlson comorbidity index, American Society of Anesthesiologists classification, medication, exercise

B Biological signature and Electroencephalography
B-1 Biological signature
Analysis using perioperative (Before surgery, immediately after surgery, postoperative day1 morning, postoperative day4 - day7 morning) plasma and peripheral blood mononuclear cells
B-2 Electroencephalography
Analysis of perioperative electroencephalogram at rest using a wireless electroencephalogram sensor.

C. Psychological symptoms
C-1 delirium (diagnosis, severity)
DSM-5: The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition
DRS-R-98: Delirium Rating Scale-R-98
C-2 Preoperative anxiety
HADS-A: Hospital Anxiety and Depression Scale
C-3 Cognitive function
MMSE: Mini-Mental State Examination
Subjective cognitive function (0-10)
Objective brain function (olfactory perception, palmomental reflex)


Management information

Registered date

2019 Year 12 Month 16 Day

Last modified on

2021 Year 06 Month 17 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000044348


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name