UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000016909
Receipt number R000019607
Scientific Title Japanese observational study to evaluate the accuracy of preoperative imaging diagnosis for lateral pelvic lymph node metastasis in rectal cancer (JCOG1410-A, JUPITER study)
Date of disclosure of the study information 2015/03/25
Last modified on 2015/03/25 11:34:12

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Basic information

Public title

Japanese observational study to evaluate the accuracy of preoperative imaging diagnosis for lateral pelvic lymph node metastasis in rectal cancer
(JCOG1410-A, JUPITER study)

Acronym

Japanese observational study to evaluate the accuracy of preoperative imaging diagnosis for lateral pelvic lymph node metastasis in rectal cancer
(JCOG1410-A, JUPITER study)

Scientific Title

Japanese observational study to evaluate the accuracy of preoperative imaging diagnosis for lateral pelvic lymph node metastasis in rectal cancer
(JCOG1410-A, JUPITER study)

Scientific Title:Acronym

Japanese observational study to evaluate the accuracy of preoperative imaging diagnosis for lateral pelvic lymph node metastasis in rectal cancer
(JCOG1410-A, JUPITER study)

Region

Japan


Condition

Condition

Rectal cancer with rectal resection and lateral pelvic lymph node dissection

Classification by specialty

Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Herein, we examine the relationship between preoperative factors (including imaging findings [CT/MRI], patient factors, and tumor factors) and the presence of pathological lateral lymph nodes metastasis in patients with rectal cancer undergoing rectal resection with lateral pelvic lymph node dissection. From these results, we identify the predicting factors for positive lateral pelvic lymph node metastasis, and determine the criteria of lateral pelvic lymph node positivity in the preoperative diagnosis.

Basic objectives2

Others

Basic objectives -Others

Observational Study

Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

False discovery rate (C/C+D)* regarding the diagnosis of lateral pelvic lymph node metastasis. (*: see below colum)

Key secondary outcomes

<1>False omission rate (B/A+B), positive predictive value (D/C+D), negative predictive value (A/A+B), sensitivity (D/B+D), and specificity (A/A+C) regarding the diagnosis of lateral pelvic lymph node metastasis.
<2> False discovery rate (C/C+D), false omission rate (B/A+B), positive predictive value (D/C+D), negative predictive value (A/A+B), sensitivity (D/B+D), and specificity (A/A+C) regarding the diagnosis of lateral pelvic lymph node metastasis when adjusted for one or more patient and tumor factors (including gender, histological tumor type, invasion depth, lymph node metastasis in the mesorectum, and distance from the lower edge of the tumor to the anal verge, which were all determined as factors associated with lateral pelvic lymph node metastasis) and the size of the minor axis of the lateral pelvic lymph node in the imaging studies.
<3> The differences between the central review result and the imaging diagnosis of each institution.

A=preoperatively negative & pathologically negative
B= preoperatively negative & pathologically positive
C= preoperatively positive & pathologically negative
D= preoperatively positive& pathologically positive


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

1) Adenocarcinoma or adenosquamous carcinoma is pathologically diagnosed by preoperative biopsy.
2) Pelvic enhanced CT and MRI are performed for preoperative imaging (CT data of 1 mm/1.25 mm-thickness and 5 mm-thickness slices, and MRI data of 3 mm-thickness slices are required).
3) Satisfying either of the following criteria: the main tumor part is located either in the lower rectum or anal canal, or the lower edge of the tumor is located in the lower rectum.
<1> The tumor invasion depth is deeper than T2.
<2> Lateral pelvic lymph node metastasis is suspected by preoperative imaging.
<3> Lymph node metastasis in the mesorectum is suspected by preoperative imaging.
4) Chemotherapy and radiotherapy to the rectal cancer is not performed before the operation, and lateral pelvic lymph node dissection is planned simultaneously with rectal resection.
5) There is no past history of operation, chemotherapy, and radiotherapy to intrapelvic tumors (rectal cancer, gynecologic cancer, urologic cancer, etc.).
6) There is no finding of distant organ metastasis, distant lymph node metastasis, and peritoneal dissemination in the preoperative imaging studies (except for cStage IV).

Key exclusion criteria

No exclusion criteria

Target sample size

550


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yukihide Kanemitsu

Organization

National Cancer Center Hospital

Division name

Division of medical oncology

Zip code


Address

5-1-1, Tsukiji, Chuo-ku, Tokyo, Japan 104-0045

TEL

03-3542-2511

Email

ykanemit@ncc.go.jp


Public contact

Name of contact person

1st name
Middle name
Last name Satoshi Ikeda

Organization

JCOG1410-A Coordinating Office

Division name

Department of gastroenterology, Hiroshima Prefectural Hospital

Zip code


Address

5-54, Uzinakannda 1-Chome, Minami-Ku, Hiroshima 734-8530

TEL

082-254-1818

Homepage URL

http://www.jcog.jp/

Email

JCOG_sir@ml.jcog.jp


Sponsor or person

Institute

Japan Clinical Oncology Group (JCOG)

Institute

Department

Personal name



Funding Source

Organization

Ministry of Health, Labour and Welfare

Organization

Division

Category of Funding Organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



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

札幌厚生病院(北海道)
岩手医科大学(岩手県)
宮城県立がんセンター(宮城県)
山形県立中央病院(山形県)
栃木県立がんセンター(栃木県)
防衛医科大学校(埼玉県)
埼玉県立がんセンター(埼玉県)
自治医科大学附属さいたま医療センター(埼玉県)
埼玉医科大学国際医療センター(埼玉県)
国立がん研究センター東病院(千葉県)
千葉県がんセンター(千葉県)
順天堂大学医学部附属浦安病院(千葉県)
国立がん研究センター中央病院(東京都)
杏林大学医学部(東京都)
東京医科大学病院(東京都)
がん・感染症センター都立駒込病院(東京都)
慶應義塾大学病院(東京都)
東京医科歯科大学(東京都)
東邦大学医療センター大橋病院(東京都)
北里大学東病院(神奈川県)
神奈川県立がんセンター(神奈川県)
横浜市立市民病院(神奈川県)
北里大学医学部(神奈川県)
昭和大学横浜市北部病院(神奈川県)
横浜市立大学附属市民総合医療センター(神奈川県)
済生会横浜市南部病院(神奈川県)
新潟県立がんセンター新潟病院(新潟県)
新潟県厚生連長岡中央綜合病院(新潟県)
石川県立中央病院(石川県)
長野市民病院(長野県)
岐阜大学医学部(岐阜県)
静岡県立静岡がんセンター(静岡県)
愛知県がんセンター中央病院(愛知県)
藤田保健衛生大学(愛知県)
大阪大学医学部(大阪府)
大阪府立病院機構大阪府立成人病センター(大阪府)
国立病院機構大阪医療センター(大阪府)
大阪府立病院機構大阪府立急性期・総合医療センター(大阪府)
大阪医科大学(大阪府)
市立堺病院(大阪府)
箕面市立病院(大阪府)
市立吹田市民病院(大阪府)
関西労災病院(兵庫県)
兵庫医科大学(兵庫県)
医療法人薫風会佐野病院(兵庫県)
岡山済生会総合病院(岡山県)
広島市立広島市民病院(広島県)
県立広島病院(広島県)
広島市立安佐市民病院(広島県)
国立病院機構四国がんセンター(愛媛県)
高知医療センター(高知県)
久留米大学医学部(福岡県)
熊本大学医学部(熊本県)
大分大学医学部附属病院(大分県)


Other administrative information

Date of disclosure of the study information

2015 Year 03 Month 25 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

2015 Year 02 Month 12 Day

Date of IRB


Anticipated trial start date

2015 Year 03 Month 25 Day

Last follow-up date

2016 Year 09 Month 25 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Herein, we examine the relationship between preoperative factors (including imaging findings [CT/MRI], patient factors, and tumor factors) and the presence of pathological lateral lymph nodes metastasis in patients with rectal cancer undergoing rectal resection with lateral pelvic lymph node dissection. From these results, we identify the predicting factors for positive lateral pelvic lymph node metastasis, and determine the criteria of lateral pelvic lymph node positivity in the preoperative diagnosis.


Management information

Registered date

2015 Year 03 Month 25 Day

Last modified on

2015 Year 03 Month 25 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000019607