UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000010136
Receipt number R000010772
Scientific Title Prospective cohort study evaluating the long-term outcome after endoscopic submucosal dissection for colorectal neoplasia.
Date of disclosure of the study information 2013/02/28
Last modified on 2025/09/05 09:51:08

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Prospective cohort study evaluating the long-term outcome after endoscopic submucosal dissection for colorectal neoplasia.

Acronym

Long-term outcome after colorectal ESD.

Scientific Title

Prospective cohort study evaluating the long-term outcome after endoscopic submucosal dissection for colorectal neoplasia.

Scientific Title:Acronym

Long-term outcome after colorectal ESD.

Region

Japan


Condition

Condition

Colorectal neoplasia can be treated endoscopically

Classification by specialty

Gastroenterology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Evaluation of the long-term outcome after ESD for colorectal neoplasia

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

% 5-year survival without surgical resection in patients with pathological curative resection, % 5-year survival, proportion of one-piece resection, local recurrence, adverse effects

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


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

All patients who undergo colorectal ESD.

Key exclusion criteria

none

Target sample size

1400


Research contact person

Name of lead principal investigator

1st name Yutaka
Middle name
Last name Saito

Organization

National cancer center hospital

Division name

Endoscopy

Zip code

104-0045

Address

5-1-1 Tsukiji, Chuoku, Tokyo, Japan

TEL

03-3542-2511

Email

ytsaito@ncc.go.jp


Public contact

Name of contact person

1st name Nozomu
Middle name
Last name Kobayashi

Organization

Tochigi cancer center

Division name

Diagnostic imaging

Zip code

320-0834

Address

4-9-13 Yonan, Utsunomiya, Tochigi, Japan

TEL

028-658-5151

Homepage URL


Email

nkobayas@tcc.pref.tochigi.lg.jp


Sponsor or person

Institute

National cancer center hospital

Institute

Department

Personal name



Funding Source

Organization

National cancer center

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

Tochigi Cancer Center

Address

4-9-13 Yonan, Utsunomiya, Tochigi, Japan

Tel

028-658-5151

Email

chiken@tcc.pref.tochigi.lg.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

2013 Year 02 Month 28 Day


Related information

URL releasing protocol

https://pubmed.ncbi.nlm.nih.gov/35810779/

Publication of results

Published


Result

URL related to results and publications

https://pubmed.ncbi.nlm.nih.gov/35810779/

Number of participants that the trial has enrolled

1883

Results

The 5-year overall survival rate was 93.6%, the disease-specific survival rate was 99.6%, and the intestinal preservation rate was 88.6%. No metastases were observed in cases classified as curative resection, whereas 4 cases of metastasis were confirmed in the non-curative resection group. The curative resection group showed significantly higher overall survival and disease-specific survival rates than the non-curative resection group (P < .001 and P = .009, respectively).

Results date posted

2025 Year 09 Month 05 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2022 Year 07 Month 08 Day

Baseline Characteristics

In the 1814 cases, the mean tumor diameter was 32.4 mm, and more than one-half of the lesions (55.5%) were located in the right colon. Regarding morphology, 1612 (88.9%) corresponded to LST.

Participant flow

From February 2013 to January 2015, ESD was performed on 1,883 patients with 1,965 lesions. Among these, 1,740 patients with 1,814 colorectal epithelial tumors measuring 20 mm or larger were included in the analysis.

Adverse events

Seven emergent surgeries were conducted to treat patients with delayed perforation.

Outcome measures

The primary endpoint, the 5-year overall survival rate for all cases, was 93.6%.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Main results already published

Date of protocol fixation

2012 Year 08 Month 31 Day

Date of IRB

2013 Year 02 Month 14 Day

Anticipated trial start date

2013 Year 02 Month 28 Day

Last follow-up date

2020 Year 04 Month 30 Day

Date of closure to data entry


Date trial data considered complete

2020 Year 10 Month 15 Day

Date analysis concluded



Other

Other related information

All patients who undergo colorectal ESD are enrolled before treatment and will follow for 5 years, prospectivily.


Management information

Registered date

2013 Year 02 Month 28 Day

Last modified on

2025 Year 09 Month 05 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000010772