UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000053183
Receipt number R000060692
Scientific Title Multicenter prospective observational study of immune checkpoint inhibitor based therapy in advanced esophageal cancer patients with dysphagia
Date of disclosure of the study information 2023/12/21
Last modified on 2023/12/20 23:18:18

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Basic information

Public title

Multicenter prospective observational study of immune checkpoint inhibitor based therapy in advanced esophageal cancer patients with dysphagia

Acronym

Multicenter prospective observational study of immune checkpoint inhibitor based therapy in advanced esophageal cancer patients with dysphagia

Scientific Title

Multicenter prospective observational study of immune checkpoint inhibitor based therapy in advanced esophageal cancer patients with dysphagia

Scientific Title:Acronym

Multicenter prospective observational study of immune checkpoint inhibitor based therapy in advanced esophageal cancer patients with dysphagia

Region

Japan


Condition

Condition

Advanced esophageal cancer

Classification by specialty

Gastroenterology Hematology and clinical oncology Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The study aims to clarify the efficacy and safety of nivolumab/pembrolizumab + 5-FU + cisplatin, or nivolumab + ipilimumab therapy in unresectable esophageal cancer patients with dysphagia.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

The proportion of patients who have an improvement of dysphagia score and who can accommodate passage of an endoscope (endoscope with a diameter of 8.9-10.4 mm) at 8 weeks from the start of treatment.

Key secondary outcomes

1) Proportion of sustained efficacy at the primary site at 24 weeks
2) Proportion of primary tumor reduction equivalent to T1 within 24 weeks
3) Overall survival (OS) and the relationship between efficacy of primary tumor and OS
4) Overall response rate (ORR) and the relationship between efficacy of primary tumor and ORR
5) Progression-free survival (PFS)
6) Duration of sustained improvement in dysphagia score (Dysphagia PFS)
7) Proportion of patients weaned off supplemental nutrition
8) Proportion of patients receiving additional treatment for the primary tumor
9) Safety


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

) Histologically diagnosed with esophageal squamous cell carcinoma or adenosquamous carcinoma
2) Unresectable esophageal with primary tumor
3) Dysphagia with score of 1 or higher.
*Passability of upper gastrointestinal endoscopy is not a criterion
4) Age 20 or older
5) ECOG Performance Status (PS) of 0-2
6) Receives first-line treatment with checkpoint inhibitor combined chemotherapy (nivolumab + 5-FU + cisplatin, pembrolizumab + 5-FU + cisplatin), or nivolumab + ipilimumab therapy, with an expected treatment duration of at least 8 weeks
7) Written consent obtained

Key exclusion criteria

1) Expected prognosis of less than 3 months
2) History of receiving checkpoint inhibitor therapy
3) History of radiation therapy to the primary esophageal cancer, or planned concurrent chemoradiation therapy
4) Presence of uncontrollable comorbidities or serious complications
5) Presence of a mental disorder that makes it difficult to complete questionnaires
6) Considered unsuitable for enrollment in this study by the attending physician

Target sample size

40


Research contact person

Name of lead principal investigator

1st name Takayuki
Middle name
Last name Ando

Organization

Toyama University Hospital

Division name

Third department of internal medicine

Zip code

930-0194

Address

Sugitani 2630, Toyama, Japan

TEL

+81-76-434-7301

Email

takayuki@med.u-toyama.ac.jp


Public contact

Name of contact person

1st name Yurika
Middle name
Last name Nakayama

Organization

Toyama University Hospital

Division name

Third department of internal medicine

Zip code

930-0194

Address

Sugitani 2630, Toyama, Japan

TEL

+81-76-434-7301

Homepage URL


Email

yurika.pp0522@gmail.com


Sponsor or person

Institute

Toyama University Hospital

Institute

Department

Personal name



Funding Source

Organization

Toyama University Hospital

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor

Toyama Prefectural Central Hospital
JA Toyama Kouseiren Takaoka Hospital
University of Miyazaki Hospital
Ishikawa prefectural central hospital
Nagaoka Chuo General Hospita
Itoigawa General Hospital

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Committee, University of Toyama

Address

Sugitani 2630, Toyama, Japan

Tel

+81-76-415-8857

Email

rinri@adm.u-toyama.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 12 Month 21 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 22 Day

Date of IRB

2023 Year 11 Month 20 Day

Anticipated trial start date

2023 Year 12 Month 20 Day

Last follow-up date

2026 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Study design; Prospective observational study


Management information

Registered date

2023 Year 12 Month 20 Day

Last modified on

2023 Year 12 Month 20 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000060692


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name