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 |
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
PCAB study
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
PCAB study
Japan |
early gastric cancer/gastric adenoma
Gastroenterology |
Malignancy
NO
To assess efficacy and safety of vonoprazan on prevention of hemorrhage and healing of ulcers after endoscopic submucosal dissection (ESD) for gastric neoplasms.
Safety,Efficacy
Exploratory
Pragmatic
Phase II
Post-ESD bleeding rate (soon after ESD to 28 days after ESD)
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)
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
YES
YES
NO
2
Prevention
Medicine |
Vonoprazan administration
Lansoprazole administration
20 | years-old | <= |
Not applicable |
Male and Female
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.
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.
140
1st name | |
Middle name | |
Last name | Noriya Uedo |
Osaka Medical Center for Cancer and Cardiovascular Diseases
Department of Gastrointestinal Oncology
1-3-3, Nakamichi, Higashinari-ku, Osaka, Japan
06-6972-1181
uedou-no@mc.pref.osaka.jp
1st name | |
Middle name | |
Last name | Kazuyuki Ito |
Osaka Medical Center for Cancer and Cardiovascular Diseases
Research Center, Osaka Medical Center for Cancer and Cardiovascular Diseases
1-3-3, Nakamichi, Higashinari-ku, Osaka, Japan
06-6972-1181
kbyori01@mc.pref.osaka.jp
Osaka Medical Center for Cancer and Cardiovascular Diseases
Osaka Medical Center for Cancer and Cardiovascular Diseases
Self funding
No
NO
大阪府立成人病センター(大阪府)
2015 | Year | 04 | Month | 30 | Day |
Unpublished
Completed
2015 | Year | 03 | Month | 31 | Day |
2015 | Year | 05 | Month | 01 | Day |
2017 | Year | 05 | Month | 31 | Day |
2017 | Year | 06 | Month | 30 | Day |
2017 | Year | 06 | Month | 30 | Day |
2017 | Year | 07 | Month | 31 | Day |
2015 | Year | 04 | Month | 29 | Day |
2017 | Year | 05 | Month | 13 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000019948