UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000039401
Receipt number R000044924
Scientific Title Prospective Observational Study Identifying Intestinal Flora Associated with Inflammatory Carcinogenesis
Date of disclosure of the study information 2020/02/05
Last modified on 2023/08/11 11:28:50

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Basic information

Public title

Prospective Observational Study Identifying Intestinal Flora Associated with Inflammatory Carcinogenesis

Acronym

Prospective Observational Study Identifying Intestinal Flora Associated with Inflammatory Carcinogenesis

Scientific Title

Prospective Observational Study Identifying Intestinal Flora Associated with Inflammatory Carcinogenesis

Scientific Title:Acronym

Prospective Observational Study Identifying Intestinal Flora Associated with Inflammatory Carcinogenesis

Region

Japan


Condition

Condition

Colorectal cancer

Classification by specialty

Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to identify the specific bacterial flora that colonizes the colonic mucosal surface and the surface of cancer tissue by removing the mucus layer from surgically removed specimens of human inflammatory carcinogenesis cases by 16S rRNA gene analysis.

Basic objectives2

Others

Basic objectives -Others

To identify the association between colorectal cancer and specific bacterial flora

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Differences in bacterial flora composition between colorectal cancer with ulcerative colitis and sporadic colorectal cancer

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

16 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

cT2-T4 colorectal cancer

Key exclusion criteria

cTis or cT1 colorectal cancer
cT2-T4 small colorectal cancer

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Ichiro
Middle name
Last name Uyama

Organization

Fujita Health University

Division name

Gastrointestinal Surgery

Zip code

470-1192

Address

1-98, Dengakugakubo, Kutsukake-cho, Toyoake, Aichi

TEL

0562-93-9254

Email

yosuketajimajpn@gmail.com


Public contact

Name of contact person

1st name Yosuke
Middle name
Last name Tajima

Organization

Fujita Health University

Division name

Gastrointestinal Surgery

Zip code

470-1192

Address

1-98, Dengakugakubo, Kutsukake-cho, Toyoake, Aichi

TEL

0562-93-9254

Homepage URL


Email

yosuketajimajpn@gmail.com


Sponsor or person

Institute

Fujita Hearth University

Institute

Department

Personal name



Funding Source

Organization

Ministry of Education, Culture, Sports, Science and Technology

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Fujita Health University

Address

1-98, Dengakugakubo, Kutsukake-cho, Toyoake, Aichi

Tel

0562-93-2865

Email

f-irb@fujita-hu.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

2020 Year 02 Month 05 Day


Related information

URL releasing protocol

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9616824/pdf/41598_2022_Article_21928.pdf

Publication of results

Published


Result

URL related to results and publications

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9616824/pdf/41598_2022_Article_21928.pdf

Number of participants that the trial has enrolled

18

Results

Sutterella and Enterobacteriaceae were enriched in the mucus covering the mucosa relative to the mucosa. Rikenellaceae was enriched in the mucus covering cancer tissues compared with those same cancer tissues. Ruminococcaceae, Enterobacteriaceae, and Erysipelotrichaceae were enriched in the mucus covering the mucosa compared with the mucus covering cancers. Fusobacterium was enriched in the mucus covering cancers compared with the mucus covering the mucosa.

Results date posted

2023 Year 08 Month 11 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

A total of 18 CRC patients who underwent primary tumor resection between February 2020 and January 2021 at the Fujita University Hospital were enrolled. Patients who received preoperative chemotherapy or radiotherapy were excluded. Patients with familial adenomatous polyposis or inflammatory bowel disease were excluded. None of the patients had received antibiotics within a month before surgery.

Participant flow

A total of 18 CRC patients who underwent primary tumor resection between February 2020 and January 2021 at the Fujita University Hospital were enrolled. Patients who received preoperative chemotherapy or radiotherapy were excluded. Patients with familial adenomatous polyposis or inflammatory bowel disease were excluded. None of the patients had received antibiotics within a month before surgery.

Adverse events

None

Outcome measures

The mucus depth was compared between before and after washing by Wilcoxon signed-rank test to evaluate whether mucus was removed by high-pressure washing with sterile saline. Comparisons of the relative abundances of taxa between mucus and washed tissue samples were also assessed by the Wilcoxon signed-rank test. Only phyla or genera with a median relative abundance >0.01 in at least one group were selected for this analysis. The Benjamini-Hochberg method for controlling the false-discovery rate was used to account for multiple comparisons. The Shannon diversity index was used to evaluate alpha diversity and was compared between mucus and washed tissue samples once again by the Wilcoxon signed-rank test. PERMANOVA comparisons of beta diversity were run using the R package vegan [34]. Statistical analyses were performed using IBM SPSS Statistics 27 (IBM Japan Inc., Tokyo, Japan). P values less than 0.05 were considered statistically significant.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2019 Year 10 Month 01 Day

Date of IRB

2019 Year 10 Month 14 Day

Anticipated trial start date

2020 Year 02 Month 05 Day

Last follow-up date

2022 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Nothing in paticular


Management information

Registered date

2020 Year 02 Month 05 Day

Last modified on

2023 Year 08 Month 11 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000044924


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name