UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000052643
Receipt number R000058283
Scientific Title Clinical performance evaluation of the landmark photo checker in upper gastrointestinal endoscopy
Date of disclosure of the study information 2023/12/31
Last modified on 2024/01/28 16:41:20

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Basic information

Public title

Clinical performance evaluation of the landmark photo checker in upper gastrointestinal endoscopy

Acronym

Clinical performance evaluation of the landmark photo checker in upper gastrointestinal endoscopy

Scientific Title

Clinical performance evaluation of the landmark photo checker in upper gastrointestinal endoscopy

Scientific Title:Acronym

Clinical performance evaluation of the landmark photo checker in upper gastrointestinal endoscopy

Region

Japan


Condition

Condition

Non-disabled individuals

Classification by specialty

Gastroenterology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To support proper photodocumentation during screening exams, a new artificial Intelligence system (AI) function called the Landmark Photo Checker (LMPC) has been implemented in CAD EYETM (FUJIFILM. Co, Tokyo). This endoscopic AI function facilitates endoscopic photodocumentation by providing a visual indication of completion when appropriate still images of seven anatomical landmarks in the stomach (including the oesophagogastric junction, cardia and fundus, cardia near field view, body greater curvature forward view, body lesser curvature retroflex view, angulus, and pylorus near field view) are captured during the exam. This study is an evaluation of the performance of the LMPC in clinical practice.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

This study aimed to evaluate the sensitivity of LMPC for these seven landmarks as the primary endpoint.

Key secondary outcomes

The secondary evaluation criteria were defined as the specificity and diagnostic accuracy of LMPC.


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Diagnosis

Type of intervention

Maneuver

Interventions/Control_1

The participants were randomly assigned to two groups of equal size: the sensitivity verification group and the specificity verification group. In the sensitivity verification group, the endoscopists captured appropriate still images of the seven landmarks during the examination. Conversely, in the specificity verification group, the endoscopists intentionally captured inappropriate images of the seven landmarks. Sensitivity was defined as the proportion of images marked as "good" by LMPC in the sensitivity verification group, while specificity was defined as the proportion of images not marked as "good" by LMPC in the specificity verification group.

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

28 years-old <=

Age-upper limit

79 years-old >=

Gender

Male and Female

Key inclusion criteria

Individuals who participated in this study, including asymptomatic individuals undergoing gastric endoscopy screening and upper gastrointestinal endoscopy recipients for surveillance purposes after Helicobacter pylori eradication, and provided written consent.

Key exclusion criteria

Patients after gastric surgery.

Target sample size

140


Research contact person

Name of lead principal investigator

1st name Hirotaka
Middle name
Last name Nakashima

Organization

Foundation for Detection of Early Gastric Carcinoma

Division name

Kayabacho clinic

Zip code

103-0025

Address

2-6-12, Nihombashikayabacho, Chuo Ward, Tokyo, Japan

TEL

03-3668-6803

Email

nakashima@soiken.or.jp


Public contact

Name of contact person

1st name Hirotaka
Middle name
Last name Nakashima

Organization

Foundation for Detection of Early Gastric Carcinoma

Division name

Kayabacho clinic

Zip code

103-0025

Address

2-6-12, Nihombashikayabacho, Chuo Ward, Tokyo, Japan

TEL

03-3668-6803

Homepage URL


Email

nakashima@soiken.or.jp


Sponsor or person

Institute

Foundation for Detection of Early Gastric Carcinoma

Institute

Department

Personal name



Funding Source

Organization

FUJIFILM 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

Foundation for Detection of Early Gastric Carcinoma

Address

2-6-12, Nihombashikayabacho, Chuo Ward, Tokyo, Japan

Tel

03-3668-6803

Email

nakashima@soiken.or.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

2023 Year 12 Month 31 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

64

Results

The sensitivity of the landmark was 85.7%. The specificity and accuracy rate, were 72.5% and 79.0%, respectively. The individual sensitivities (%) and specificities (%) for the seven landmarks were as follows: esophagogastric junction, 88.9 and 86.7; greater curvature of the cardia, 71.9 and 32.3; lesser curvature of the cardia, 84.4 and 53.1; greater curvature of the body, 90.6 and 90.3; lesser curvature of the body, 90.0 and 71.0; angle of the stomach, 86.2 and 87.5; and pylorus, 89.3 and 87.1.

Results date posted

2023 Year 09 Month 20 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures

This study aimed to evaluate the sensitivity of LMPC for these seven landmarks as the primary endpoint, with specificity and accuracy rate as secondary endpoints.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2023 Year 01 Month 15 Day

Date of IRB

2023 Year 02 Month 02 Day

Anticipated trial start date

2023 Year 03 Month 01 Day

Last follow-up date

2024 Year 01 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2023 Year 10 Month 29 Day

Last modified on

2024 Year 01 Month 28 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000058283


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name