UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000017320
Receipt number R000019948
Scientific Title A randomized phase II study to assess the efficacy of acid blocker on prevention of hemorrhage and healing of ulcers after endoscopic submucosal dissection(ESD) for gastric neoplasms
Date of disclosure of the study information 2015/04/30
Last modified on 2017/05/13 18:28:55

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Basic information

Public title

A randomized phase II study to assess the efficacy of acid blocker on prevention of hemorrhage and healing of ulcers after endoscopic submucosal dissection(ESD) for gastric neoplasms

Acronym

PCAB study

Scientific Title

A randomized phase II study to assess the efficacy of acid blocker on prevention of hemorrhage and healing of ulcers after endoscopic submucosal dissection(ESD) for gastric neoplasms

Scientific Title:Acronym

PCAB study

Region

Japan


Condition

Condition

early gastric cancer/gastric adenoma

Classification by specialty

Gastroenterology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To assess efficacy and safety of vonoprazan on prevention of hemorrhage and healing of ulcers after endoscopic submucosal dissection (ESD) for gastric neoplasms.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

Post-ESD bleeding rate (soon after ESD to 28 days after ESD)

Key secondary outcomes

1) Healing rate of ulcer at follow - up endoscopy (56 days after ESD +- 3 days)
2) Post-ESD bleeding rate according to tumor location, tumor size and ulcerative findings (soon after ESD to 28 days after ESD)


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration


Blocking

NO

Concealment



Intervention

No. of arms

2

Purpose of intervention

Prevention

Type of intervention

Medicine

Interventions/Control_1

Vonoprazan administration

Interventions/Control_2

Lansoprazole administration

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

1) Clinical diagnosis of Stage IA gastric cancer or gastric adenoma, and suspicion for Stage IA gastric cancer or gastric adenoma.
2) Performance of endoscopic treatment for only one lesion.
3) 20 years old or older.
4) Performance status (ECOG) of 0 to 2.
5) Meeting all of the following criteria without blood transfusion in the past 14 days.
i) Hb: >=9g/dl
ii) Plt: >=100000/mm3
iii) AST, ALT: <=100U/l
iv) Cre: <=2.0mg/dl
v) PT%: >=70%
6) Available to be observed more than 28 days after ESD.
7) Written informed consent.

Key exclusion criteria

1) History of gastrectomy or reconstruction of gastric tube.
2) History of radiation therapy to the upper abdominal region.
3) Undifferentiated-type cancer
4) Schedule of endoscopic treatment for esophageal or duodenal lesion concurrently.
5) History of endoscopic treatment for upper GI lesion in the past 28 days.
6) Schedule of endoscopic treatment for upper GI lesion within 28 days after the gastric ESD.
7) Allergy to vonoprazan and lansoprazole.
8) Systemic administration (intravenously or orally) of either one or more drugs of corticosteroid, anticoagulant agent or antiplatelet agent.
9) Systemic administration of non-steroid anti-inflammatory drug which cannot be suspended through 7 days before to 28 days after gastric ESD.
10) Pregnant or lactation woman.
11) Diagnosis of psychiatric diseases.
12) With active bacterial or fungus infection.
13) History of myocardial infarction or unstable angina pectoris within 3 months.
14) With uncontrollable hypertension.
15) With severe respiratory disease requiring continuous oxygen therapy.

Target sample size

140


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Noriya Uedo

Organization

Osaka Medical Center for Cancer and Cardiovascular Diseases

Division name

Department of Gastrointestinal Oncology

Zip code


Address

1-3-3, Nakamichi, Higashinari-ku, Osaka, Japan

TEL

06-6972-1181

Email

uedou-no@mc.pref.osaka.jp


Public contact

Name of contact person

1st name
Middle name
Last name Kazuyuki Ito

Organization

Osaka Medical Center for Cancer and Cardiovascular Diseases

Division name

Research Center, Osaka Medical Center for Cancer and Cardiovascular Diseases

Zip code


Address

1-3-3, Nakamichi, Higashinari-ku, Osaka, Japan

TEL

06-6972-1181

Homepage URL


Email

kbyori01@mc.pref.osaka.jp


Sponsor or person

Institute

Osaka Medical Center for Cancer and Cardiovascular Diseases

Institute

Department

Personal name



Funding Source

Organization

Osaka Medical Center for Cancer and Cardiovascular Diseases

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor

No

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

大阪府立成人病センター(大阪府)


Other administrative information

Date of disclosure of the study information

2015 Year 04 Month 30 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

Completed

Date of protocol fixation

2015 Year 03 Month 31 Day

Date of IRB


Anticipated trial start date

2015 Year 05 Month 01 Day

Last follow-up date

2017 Year 05 Month 31 Day

Date of closure to data entry

2017 Year 06 Month 30 Day

Date trial data considered complete

2017 Year 06 Month 30 Day

Date analysis concluded

2017 Year 07 Month 31 Day


Other

Other related information



Management information

Registered date

2015 Year 04 Month 29 Day

Last modified on

2017 Year 05 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000019948


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name