UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000053975
Receipt number R000061608
Scientific Title Multi-institutional collaborative study aiming to elucidate the spatiotemporal molecular profiles for patients with malignant tumor
Date of disclosure of the study information 2024/03/27
Last modified on 2024/03/26 19:48:25

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Basic information

Public title

Multi-institutional collaborative study aiming to elucidate the spatiotemporal molecular profiles for patients with malignant tumor

Acronym

SCRUM-Japan MONSTAR-SCREEN-3

Scientific Title

Multi-institutional collaborative study aiming to elucidate the spatiotemporal molecular profiles for patients with malignant tumor

Scientific Title:Acronym

SCRUM-Japan MONSTAR-SCREEN-3

Region

Japan


Condition

Condition

Malignant tumor

Classification by specialty

Gastroenterology Hepato-biliary-pancreatic medicine Pneumology
Hematology and clinical oncology Nephrology Gastrointestinal surgery
Hepato-biliary-pancreatic surgery Chest surgery Breast surgery
Obstetrics and Gynecology Dermatology Oto-rhino-laryngology
Orthopedics Urology Radiology
Oral surgery Neurosurgery Laboratory medicine

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

For patients with malignant tumors, molecular profiling including spatial transcriptome analysis using tumor tissue over time can elucidate the molecular pathology of tumors, including spatiotemporal heterogeneity.
In addition, digital imaging of pathological specimens such as H&E staining and imaging profiling of radiographic diagnostic images such as CT/MRI are also being considered. By analyzing the relationship between molecular profiles or image profiles and clinical pathological factors and clinical course using artificial intelligence (AI), etc., biomarkers reflecting the molecular biological essence of malignant tumors can be created.

Basic objectives2

Others

Basic objectives -Others

Evaluate the association between molecular profiles such as genetic abnormalities and RNA expression profiles in tumor tissues and ctDNA, profiles of biomarkers like TMB, LOH, MSI, etc., MRD profiles, germline genetic abnormalities profiles, profiles of gut and oral microbiota, as well as image profiles like pathology and radiographic images, with clinical pathological factors and clinical course.

Trial characteristics_1


Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

i. Molecular profiles such as gene abnormalities, RNA expression profiles, and profiles of biomarkers such as TMB, LOH, MSI, MRD, profiles of genetic abnormalities in germ cell lines, and profiles of intestinal bacterial flora in tumor tissue and ctNA.

ii.Image profiles such as pathological image profiles and radiographic image profiles.

Key secondary outcomes

i. Molecular profiles such as gene abnormalities, RNA expression profiles, and profiles of biomarkers such as TMB, LOH, MSI, profiles of MRD, profiles of genetic abnormalities in germ cell lines, and profiles of intestinal bacterial flora in tumor tissue and ctNA, and their relationship with clinical pathological factors and clinical course.

ii. Image profiles such as pathological image profiles and radiographic image profiles, and their relationship with clinical pathological factors and clinical course.


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

1.18 or older when consent is obtained.
2. Pathologically diagnosed with malignant tumor.
3. Obtained written consent from the patient for this study.
4.One of the following applies:
Cohort A: Diagnosed with progressive inoperable malignant solid tumor and meets either of the following:
(i) Before the first drug therapy.
(ii)Preceding drug therapy has ended or is expected to end, and designated targeted therapy is planned as the next treatment.
Cohort B: Diagnosed with malignant solid tumor, and curative resection or curative chemotherapy, radiation therapy, or chemoradiotherapy is planned.
Cohort C: Diagnosed with hematopoietic malignant tumor and meets either of the following:
(i) Before the first drug therapy.
(ii)Preceding drug therapy has ended or is expected to end, and the next treatment is planned.
5.ECOG PS is 0 or 1.
6.Expected to survive for 12 weeks or more from the registration date.
7. Residual tissue that can be submitted for this study exists, or it is planned to collect tissue and submit residual tissue.
8.Willing to receive research-based treatment according to the analysis results in this study.

Key exclusion criteria

1.Has a history of allogeneic hematopoietic stem cell transplantation or organ transplantation (Cohorts A and B).
2.Is pregnant.
3.Has a history of or concurrent malignancy other than the target malignancy within 3 years prior to registration.
4.Has a severe comorbidity. (e.g., uncontrolled diabetes, infection, interstitial pneumonia, or pulmonary fibrosis with symptoms)
5.The attending physician determines that registration in this study is inappropriate.

Target sample size

3200


Research contact person

Name of lead principal investigator

1st name Takayuki
Middle name
Last name Yoshino

Organization

National Cancer Center Hospital East

Division name

Department for the Promotion of Drug and Diagnostic Development

Zip code

277-8577

Address

6-5-1 Kashiwanoha, Kashiwa-shi Chiba, Japan

TEL

04-7133-1111

Email

tyoshino@east.ncc.go.jp


Public contact

Name of contact person

1st name Takao
Middle name
Last name Fujisawa

Organization

National Cancer Center Hospital East

Division name

Department of Head and Neck Medical Oncology

Zip code

277-8577

Address

6-5-1 Kashiwanoha, Kashiwa-shi Chiba, Japan

TEL

04-7133-1111

Homepage URL


Email

tafujisa@east.ncc.go.jp


Sponsor or person

Institute

National Cancer Center Hospital East

Institute

Department

Personal name



Funding Source

Organization

SCRUM Japan

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor

iTMS Co., Ltd.

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

2024 Year 03 Month 27 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

Preinitiation

Date of protocol fixation

2024 Year 02 Month 16 Day

Date of IRB

2024 Year 02 Month 19 Day

Anticipated trial start date

2024 Year 05 Month 01 Day

Last follow-up date

2034 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

In this study, we perform longitudinal molecular profiling, including spatial transcriptome analysis using tumor tissues, to elucidate the molecular pathology of tumors, including their spatiotemporal heterogeneity. Additionally, we consider image profiling of digital pathologies, such as H&E staining of pathological specimens, and radiodiagnostic images like CT/MRI. By analyzing the correlation between these molecular and image profiles with clinicopathological factors and clinical course (treatment history, response rate, progression-free survival, treatment success period, overall survival, etc.) using Artificial Intelligence (AI), we aim to create biomarkers that reflect the molecular biological essence of malignant tumors.


Management information

Registered date

2024 Year 03 Month 26 Day

Last modified on

2024 Year 03 Month 26 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000061608


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name