UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000041823
Receipt number R000047273
Scientific Title Diagnostic yield Evaluation Studies of a real-time endoscopic Image diagNosis support system using Artificial Intelligence technology
Date of disclosure of the study information 2020/09/25
Last modified on 2023/03/20 10:30:25

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Basic information

Public title

Diagnostic yield Evaluation Studies of a real-time endoscopic Image diagNosis support system using Artificial Intelligence technology

Acronym

DESIGN AI-02 Pilot Study

Scientific Title

Diagnostic yield Evaluation Studies of a real-time endoscopic Image diagNosis support system using Artificial Intelligence technology

Scientific Title:Acronym

DESIGN AI-02 Pilot Study

Region

Japan


Condition

Condition

Colorectal Neoplasms

Classification by specialty

Gastroenterology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate an artificial intelligence (AI) system that automatically detects early signs of colorectal cancer, as well as to confirm effectiveness during colonoscopy, in multicenter.

Basic objectives2

Others

Basic objectives -Others

Feasibility

Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

Adenoma Detection Rate

Key secondary outcomes

1) Adenoma per Positive Colonoscopy
2) Polyp Detection Rate
3) Total procedure time
4) Insertion time
5) Withdrawal time
6) Acceptance (Questionnaire)
7) Sessile serrated lesion detection rate
8) Flat adenoma Detection Rate
9) Depressed lesion Detection Rate


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

90 years-old >=

Gender

Male and Female

Key inclusion criteria

1) Patients who undergo colonoscopy
2) Age: 20 to 90 (at the registry)
3) ECOG performance status: 0-2
4) No prior chemotherapy and radiation therapy for colorectal cancer
5) Patients who can follow Guidelines for gastroenterological endoscopy in patients undergoing antithrombotic treatment
6) Written informed consent

Key exclusion criteria

1) Familial adenomatous polyposis
2) Patients with complications, such as chronical hematological disease
3) Patients with active inflammatory bowel diseases, such as ulcerative colitis or Crohn's disease

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Masayoshi
Middle name
Last name Yamada

Organization

National Cancer Center Hospital

Division name

Endoscopy Division

Zip code

104-0045

Address

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

TEL

03-3542-2511

Email

masyamad@ncc.go.jp


Public contact

Name of contact person

1st name Masayoshi
Middle name
Last name Yamada

Organization

National Cancer Center Hospital

Division name

Endoscopy Division

Zip code

104-0045

Address

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

TEL

03-3542-2511

Homepage URL


Email

masyamad@ncc.go.jp


Sponsor or person

Institute

National Cancer Center Hospital

Institute

Department

Personal name



Funding Source

Organization

NEC Corporation

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

National Cancer Center Research Ethics Review Committee

Address

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

Tel

03-3542-2511

Email

irst@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

国立がん研究センター中央病院(東京都)
東京慈恵会医科大学附属病院(東京都)


Other administrative information

Date of disclosure of the study information

2020 Year 09 Month 25 Day


Related information

URL releasing protocol

none

Publication of results

Unpublished


Result

URL related to results and publications

none

Number of participants that the trial has enrolled

110

Results

The overall adenoma detection rate was 49.1% (95% CI: 39.4% to 58.8%), the polyp detection rate was 60.9% (51.1% to 70.1%), the average polyps per colonoscopy was 1.7 (1.33 to 2.10), the false detection rate was 36.4% (27.4% to 46.1%), the detection rate of diminutive polyps was 0% (0% to 3.3%), and the right-sided colon detection rate was 4.5% (1.5% to 10.3%). The median insertion time was 5.6 (ranging from 1.5 to 25) minutes, and the median observation time was 10.4 (ranging from 3.8 to 29.9) minutes.

Results date posted

2023 Year 03 Month 20 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Male/Female = 61/49, median age of 67 (ranging from 32 to 83) years old. The aim of the colonoscopies were fecal occult blood test, post-polypectomy surveillance, postoperative surveillance, screening, and symptomatic evaluation, with 10, 38, 32, 26, and 4 cases, respectively. Nineteen endoscopists conducted the colonoscopies, with specialists performing 60 cases (55%) and non-specialists performing 50 cases (45%). A total of 71 and 39 cases used endoscopes from companies A and B, respectively.

Participant flow

Not applicable

Adverse events

none

Outcome measures

overall adenoma detection rate (ADR), polyp detection rate (PDR), average polyps per colonoscopy (APPC) , false detection rate (FDR), detection rate of diminutive polyps (DDR), right-sided colon detection rate (SDR), median insertion time, median observation time, Patients' acceptance of AI-assisted examinations

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2020 Year 08 Month 01 Day

Date of IRB

2020 Year 08 Month 31 Day

Anticipated trial start date

2020 Year 11 Month 10 Day

Last follow-up date

2020 Year 12 Month 29 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Prospective observational study


Management information

Registered date

2020 Year 09 Month 17 Day

Last modified on

2023 Year 03 Month 20 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000047273


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name