UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000052829
Receipt number R000060292
Scientific Title Trial of improvement of cachexia by ghrelin with enhanced rehabilitaion and synbiotics in patients with pancreatic cancer
Date of disclosure of the study information 2023/11/17
Last modified on 2023/11/17 18:42:06

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Basic information

Public title

Trial of improvement of cachexia by ghrelin with enhanced rehabilitaion and synbiotics in patients with pancreatic cancer

Acronym

TIGERS-PC

Scientific Title

Trial of improvement of cachexia by ghrelin with enhanced rehabilitaion and synbiotics in patients with pancreatic cancer

Scientific Title:Acronym

TIGERS-PC

Region

Japan


Condition

Condition

Unresectable pancreatic cancer

Classification by specialty

Surgery in general Hepato-biliary-pancreatic surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To enhance the anti-tumor effect against pancreatic cancer and to improve the survival rate by preventing the loss of muscle mass by administering anamorelin during chemotherapy for patients with unresectable pancreatic cancer with cachexia, enhancing physical performance by exercise therapy, and continuing supportive care to improve intestinal flora by synbiotics for a long time.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

Progression-free survival
Rate of Conversion Surgery

Key secondary outcomes

Sarcopenia/nutritional status
Gut microbiota
Inflammatory cytokines
Comprehensive circulating cell-free tumor DNA mutation
Overall survival
Relative dose intensity


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine Food Behavior,custom

Interventions/Control_1

Anamorelin is started before chemotherapy and continued until progression or conversion surgery.

Interventions/Control_2

Anamorelin and Symbiotix (Clostridium butyricum miyairi 588 and fiber) and exercise therapy are started before chemotherapy until progression or conversion surgery.

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

Patients with unresectable pancreatic cancer with cachexia who are not taking either anamorelin or synbiotics and who understand and agree to participate in this study.

Key exclusion criteria

Patients already taking bowel regulators, fiber, or synbiotic foods at the time consent is obtained. Patients for whom exercise therapy does not appear to be feasible.

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Seiko
Middle name
Last name Hirono

Organization

Hyogo Medical University

Division name

Division of Hepato-Biliary-Pancreatic Surgery, Department of Gastroenterological Surgery

Zip code

663-8501

Address

1-1, Mukogawa town, Nishinomiya city, Hyogo prefecture, Japan

TEL

0798-45-6582

Email

se-hirono@hyo-med.ac.jp


Public contact

Name of contact person

1st name Tomohiro
Middle name
Last name Okamoto

Organization

Hyogo Medical University

Division name

Division of Hepato-Biliary-Pancreatic Surgery, Department of Gastroenterological Surgery

Zip code

663-8501

Address

1-1, Mukogawa town, Nishinomiya city, Hyogo prefecture, Japan

TEL

0798-45-6582

Homepage URL


Email

s-okamoto@hyo-med.ac.jp


Sponsor or person

Institute

Hyogo Medical University

Institute

Department

Personal name



Funding Source

Organization

Hyogo Medical 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

Institutional review board Hyogo Medical University

Address

1-1, Mukogawa town, Nishinomiya city, Hyogo prefecture, Japan

Tel

0798-45-6066

Email

rinri@hyo-med.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 17 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

2023 Year 08 Month 11 Day

Date of IRB

2023 Year 10 Month 05 Day

Anticipated trial start date

2023 Year 11 Month 06 Day

Last follow-up date

2025 Year 03 Month 31 Day

Date of closure to data entry

2026 Year 03 Month 31 Day

Date trial data considered complete

2026 Year 03 Month 31 Day

Date analysis concluded

2027 Year 03 Month 31 Day


Other

Other related information



Management information

Registered date

2023 Year 11 Month 17 Day

Last modified on

2023 Year 11 Month 17 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000060292


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name