UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000052808
Receipt number R000060159
Scientific Title Prospective observational study of factors contributing to the incidence of Fontan associated liver disease (FALD) and fibrosis after Fontan procedure
Date of disclosure of the study information 2023/11/16
Last modified on 2023/11/15 22:35:36

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Basic information

Public title

Prospective observational study of factors contributing to the incidence of Fontan associated liver disease (FALD) and fibrosis after Fontan procedure

Acronym

Prospective observational study of Fontan associated liver disease

Scientific Title

Prospective observational study of factors contributing to the incidence of Fontan associated liver disease (FALD) and fibrosis after Fontan procedure

Scientific Title:Acronym

Prospective observational study of FALD

Region

Japan


Condition

Condition

Fontan associated liver disease

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To identify factors contributing to FALD morbidity and fibrosis.

Basic objectives2

Others

Basic objectives -Others

Exploratory analysis of factors contributing to hepatocellular carcinoma incidence, survival, fibrosis, carcinogenesis, and survival (various biochemical tests, fibrosis score, MR elastography, ultrasound elastography, and liver parenchymal contrast time on contrast abdominal ultrasound)

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Incidence of liver fibrosis after Fontan surgery

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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. postoperative patients after Fontan procedure
2. patients who are outpatients or hospitalized in our hospital
3. Patients who are at least 18 years of age at the time of consent, regardless of gender.
4. Patients who can provide written consent to participate in this study.

Key exclusion criteria

Patients deemed unsuitable by the principal investigator or principal investigator to participate in this study

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Nobuhiro
Middle name
Last name Nakamoto

Organization

Keio University School of Medicine

Division name

Division of Gastroenterology and Hepatology, Department of Internal medicine

Zip code

160-8582

Address

35 Shinanomachi, Shinjuku-ku, Tokyo

TEL

03-3353-1211

Email

nobuhiro@z2.keio.jp


Public contact

Name of contact person

1st name Nobuhito
Middle name
Last name Taniki

Organization

Keio University School of Medicine

Division name

Division of Gastroenterology and Hepatology, Department of Internal medicine

Zip code

160-8582

Address

35 Shinanomachi, Shinjuku-ku, Tokyo

TEL

03-3353-1211

Homepage URL


Email

nobuhitotaniki@keio.jp


Sponsor or person

Institute

Keio University

Institute

Department

Personal name



Funding Source

Organization

Keio University

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

Keio University School of Medicine Ethics Committee

Address

35 Shinanomachi, Shinjuku-ku,Tokyo

Tel

03-5363-3503

Email

med-rinri-jimu@adst.keio.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

2023 Year 11 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


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

Enrolling by invitation

Date of protocol fixation

2023 Year 08 Month 29 Day

Date of IRB

2023 Year 09 Month 26 Day

Anticipated trial start date

2023 Year 11 Month 10 Day

Last follow-up date

2033 Year 09 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

In this study, blood, image, pathology, and other laboratory test results obtained from patients in the target population during the observation period will be extracted from their medical records and analyzed.

Blood
1) Approximately 16 mL of blood should be collected in addition to the usual examination.
2) Separate blood cells, serum or plasma. Peripheral blood lymphocytes within blood cells are separated by specific gravity centrifugation, and immune cell fractions of T cells, B cells, macrophages, and dendritic cells are analyzed using flow cytometry. Analyze antigens/antibodies, proteins, peptides, and low molecular weight compounds in serum or plasma.

Feces
1) Collect approximately 20 g of feces.
2) Mix 10 ml of saline solution per 1 g of feces and filter it through a mesh.
3) Comprehensive analysis of the intestinal microflora will be performed on the processed fecal specimens. A portion of the samples will be orally administered to sterile mice to examine their direct involvement in the disease.
4) Some of the specimens will be stored frozen.

Liver specimens
1) Tissues that will not affect the histopathological examination will be collected from patients undergoing hepatectomy and liver tissue biopsy according to medical necessity.
2) Extract DNA, RNA, immune cells, etc. from the collected tissue. In addition, DNA will be extracted from blood samples as a reference of the patient's normal genome. The obtained DNA will be subjected to comprehensive genomic analysis using a next-generation sequencer to examine differences in genetic variation from the blood DNA. The obtained RNA will be subjected to gene expression analysis by RT-PCR, microarray, and RNA-Seq methods. Genomic analysis of DNA that may identify individuals will not be performed. Immune cells will be analyzed by flow cytometry.
3) Additional immunostaining will be included in pathology.


Management information

Registered date

2023 Year 11 Month 15 Day

Last modified on

2023 Year 11 Month 15 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000060159


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name