UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000041710
Receipt number R000047611
Scientific Title Integrated genomic and epigenomic analysis of circulating tumor DNA from hepatocellular carcinoma patients
Date of disclosure of the study information 2020/09/07
Last modified on 2023/03/30 16:36:16

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Basic information

Public title

Integrated genomic and epigenomic analysis of circulating tumor DNA from hepatocellular carcinoma patients

Acronym

COSMOS-HCC-01

Scientific Title

Integrated genomic and epigenomic analysis of circulating tumor DNA from hepatocellular carcinoma patients

Scientific Title:Acronym

COSMOS-HCC-01

Region

Japan


Condition

Condition

hepatocellular carcinoma

Classification by specialty

Hepato-biliary-pancreatic medicine Hematology and clinical oncology Hepato-biliary-pancreatic surgery

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

Positive rates of LUNAR assays in hepatocellular carcinoma

Basic objectives2

Others

Basic objectives -Others

*LUNAR Assay Positivity by Stage (IA / IB / II / IIIA)
*Preoperative LUNAR assay positivity for ctDNA and prognosis
*Association of positive ctDNA and recurrence in the preoperative LUNAR assay
*Association of tumor markers (AFP, PIVKA-II, AFP-L3) with ctDNA positivity in LUNAR assays
*Agreement between LUNAR assay and genomic abnormalities in tumor tissue

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Positive rates of LUNAR assay in stage IA-IIIA hepatocellular carcinoma

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

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1.The age at the date of obtaining the consent is 20 years or older
2.ECOG performance status is 0 or 1
3.Hepatocellular carcinoma has been diagnosed by abdominal ultrasonography, contrast-enhanced CT scan, contrast-enhanced MRI imaging*1 or histopathological examination.
4.Diagnosed with either a. through d. within 60 days prior to enrollment*2.
a. Clinical stage IA hepatocellular carcinoma (T1aN0M0)
b. Clinical stage IB hepatocellular carcinoma (T1bN0M0)
c. Clinical stage II hepatocellular carcinoma (T2N0M0)
d. Clinical stage IIIA hepatocellular carcinoma (T3N0M0)
5.No treatment prior to enrollment for hepatocellular carcinoma with eligibility criteria 3-4. and hepatic resection or ablation is planned after enrollment.
6.Child-Pugh score classification of A or B.
7.Willingness to submit blood and tissue specimens in accordance with the research protocol.
8.Consent has been obtained in writing.

*1 Abdominal ultrasound, contrast-enhanced CT or contrast-enhanced MRI imaging studies are all acceptable. However, it is preferable that all imaging tests be performed and comprehensively evaluated.

*2 A thoracoabdominal and pelvic CT or MRI scan to evaluate lymph node metastases and to exclude distant metastases must be performed.

*3 In cases where ablation is being contemplated, transcatheter arterial chemoembolization (TACE) or transcatheter arterial embolization (TAE) may be performed prior to ablation as an additional treatment.

Key exclusion criteria

1. a history of malignancy (excluding intraepithelial cancer) with a disease-free period of 5 years or less. *1
2. Clinically diagnosed cancer of another organ.
3. the presence of multiple tumors for which different treatments of hepatic resection and ablation are contemplated for each.
4. Preoperative adjuvant therapy is contemplated prior to liver resection or ablation.*2
5.women who are pregnant or intend to become pregnant.
6. deemed unsuitable for enrollment in the study by the attending physician.

*1 Even if the disease-free period is less than 5 years, a history of cancer with a 5-year relative survival rate equivalent to 95% or higher, such as stage I prostate cancer, stage 0 and stage I laryngeal cancer with complete response to radiotherapy, and the following pathological stages of cancer that have been completely resected, can be registered without exclusion. Gastric cancer (adenocarcinoma (general type)): stage 0-I, colon cancer (adenocarcinoma): stage 0-I, rectal cancer (adenocarcinoma): stage 0-I, esophageal cancer (squamous cell carcinoma, adenosquamous cell carcinoma, basal cell carcinoma): stage 0, breast cancer (non-invasive ductal carcinoma, non-invasive lobular carcinoma): stage 0, breast cancer (invasive ductal carcinoma, invasive lobular carcinoma, Paget's disease): stage 0-IIA Uterine cancer (endometrial adenocarcinoma, mucinous adenocarcinoma): stage IA, Prostate cancer (adenocarcinoma): stage I-II, Cervical cancer (squamous cell carcinoma): stage IA, Thyroid cancer (papillary carcinoma, follicular carcinoma): stage I, II, III, Renal cancer (panniculocarcinoma, anaplastic pigment cell carcinoma): stage I, Other intramucosal cancer equivalent lesions

*2 Postoperative adjuvant therapy after liver resection or ablation is contemplated is acceptable.

Target sample size

200


Research contact person

Name of lead principal investigator

1st name Yoshiaki
Middle name
Last name Nakamura

Organization

National Cancer Center Hospital East

Division name

Department of Gastroenterology and Gastrointestinal Oncology

Zip code

277-8577

Address

6-5-1, Kashiwanoha, Kashiwa, Chiba

TEL

04-7133-1111

Email

yoshinak@east.ncc.go.jp


Public contact

Name of contact person

1st name Yoshiaki
Middle name
Last name Nakamura

Organization

National Cancer Center Hospital East

Division name

Department of Gastroenterology and Gastrointestinal Oncology

Zip code

277-8577

Address

6-5-1, Kashiwanoha, Kashiwa, Chiba

TEL

04-7133-1111

Homepage URL


Email

yoshinak@east.ncc.go.jp


Sponsor or person

Institute

National Cancer Center Hospital East

Institute

Department

Personal name



Funding Source

Organization

*Department for the Promotion of Drug and Diagnostic Development,Translational Research Support Office

*Guardant Health, Inc

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


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, Japan

Tel

03-3542-2511

Email

NCC_IRBoffice@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

2020 Year 09 Month 07 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


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

Open public recruiting

Date of protocol fixation

2020 Year 09 Month 07 Day

Date of IRB

2020 Year 11 Month 26 Day

Anticipated trial start date

2021 Year 03 Month 05 Day

Last follow-up date

2029 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

none


Management information

Registered date

2020 Year 09 Month 07 Day

Last modified on

2023 Year 03 Month 30 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000047611


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name