UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000026262
Receipt number R000030056
Scientific Title Location of cystic lesion and the Incidence of Pancreatic Cancer Concomitant with Intraductal Papillary Mucinous Neoplasm(IPMN)
Date of disclosure of the study information 2017/02/22
Last modified on 2020/06/08 17:03:24

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Basic information

Public title

Location of cystic lesion and the Incidence of Pancreatic Cancer Concomitant with Intraductal Papillary Mucinous Neoplasm(IPMN)

Acronym

Cyst location and pancreatic cancer with IPMN

Scientific Title

Location of cystic lesion and the Incidence of Pancreatic Cancer Concomitant with Intraductal Papillary Mucinous Neoplasm(IPMN)

Scientific Title:Acronym

Cyst location and pancreatic cancer with IPMN

Region

Japan


Condition

Condition

intraductal papillary mucnous neoplasm

Classification by specialty

Hepato-biliary-pancreatic medicine Hepato-biliary-pancreatic surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Cancer-specific survival of PDAC with IPMN was significantly poorer compared with invasive IPMN. However, there was no description of the risk factors of PDAC concomitant with IPMN in The recent guideline for IPMNs. Therefore, we investigated the association of the location of cysts with the incidence of PDAC concomitant with IPMN.

Basic objectives2

Others

Basic objectives -Others

The relationship between location of cystic lesion and the Incidence of Pancreatic Cancer Concomitant with IPMN

Trial characteristics_1

Confirmatory

Trial characteristics_2

Others

Developmental phase

Not applicable


Assessment

Primary outcomes

The relationship between location of cystic lesion and the Incidence of Pancreatic Cancer Concomitant with IPMN

Key secondary outcomes

The relationship between family history of pancreatic cancer, diabetes mellitus, alcohol consumption, BMI and smoking history, and the incidence of IPMN with an associated invasive carcinoma or pancreatic cancer concomitant with IPMN


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

20 years-old <=

Age-upper limit

100 years-old >=

Gender

Male and Female

Key inclusion criteria

more than 20 years old

Key exclusion criteria

None

Target sample size

164


Research contact person

Name of lead principal investigator

1st name Atsuhiro
Middle name
Last name Masuda

Organization

Kobe University Hospital

Division name

Dep. of Gastroenterology

Zip code

6500017

Address

7-5-1 Kusunoki-cho Chuo-ku Kobe

TEL

078-382-6305

Email

atmasuda@med.kobe-u.ac.jp


Public contact

Name of contact person

1st name Atsuhiro
Middle name
Last name Masuda

Organization

Kobe University Hospital

Division name

Dep. of Gastroenterology

Zip code

6500017

Address

7-5-1 Kusunoki-cho Chuo-ku Kobe

TEL

078-382-6305

Homepage URL


Email

atmasuda@med.kobe-u.ac.jp


Sponsor or person

Institute

Division of Gastroenterology, Department of Internal medicine, Kobe University Graduate School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Division of Gastroenterology, Department of Internal medicine, Kobe University Graduate School of Medicine

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor

None

Name of secondary funder(s)

None


IRB Contact (For public release)

Organization

CTRC

Address

7-5-1, Kusunoki-cho, Kobe

Tel

078-382-6669

Email

rinri@med.kobe-u.ac.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

2017 Year 02 Month 22 Day


Related information

URL releasing protocol

https://www.med.kobe-u.ac.jp/gi/pdf/study/ipmn-mrcp.pdf

Publication of results

Published


Result

URL related to results and publications

https://pubmed.ncbi.nlm.nih.gov/29685673/?from_term=ikagawa+takuya&from_exact_term=ikegawa+takuya&fr

Number of participants that the trial has enrolled

141

Results

Multiple cyst-existing regions (two or more regions) correlated with the incidence of PDAC concomitant with IPMN (PDAC concomitant with IPMN in one region vs. two or more regions: 3/66 vs. 13/75, multivariable odds ratio [OR] = 4.11, 95% confidence interval [CI] = 1.22 to 18.8, P = 0.02). In contrast, multiple cyst-existing regions did not correlate with the incidence of IPMN (invasive IPMN in one region vs. two or more regions: 13/66 vs. 18/75, OR = 1.19, 95% CI = 0.52 to 2.76, P = 0.67).

Results date posted

2020 Year 06 Month 08 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Subjects comprised 141 patients undergoing resection for IPMN (Non-invasive IPMN (IPMN with low-to high-grade dysplasia): N = 94, invasive IPMN: N = 31, and PDAC concomitant with IPMN: N = 16) between November 2000 and February 2017.

Participant flow

Subjects comprised 141 patients undergoing resection for IPMN (Non-invasive IPMN (IPMN with low-to high-grade dysplasia): N = 94, invasive IPMN: N = 31, and PDAC concomitant with IPMN: N = 16) between November 2000 and February 2017.

Adverse events

none

Outcome measures

A logistic regression analysis was performed to assess the relationship between the number of cyst-existing regions (one region/two or more regions) and incidence of PDAC concomitant with IPMN, adjusted by clinical characteristics. Cyst-existing regions were defined by the number of anatomical parts of the pancreas: the head/body/tail of the pancreas.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Main results already published

Date of protocol fixation

2016 Year 11 Month 09 Day

Date of IRB

2016 Year 11 Month 05 Day

Anticipated trial start date

2016 Year 11 Month 09 Day

Last follow-up date

2018 Year 12 Month 31 Day

Date of closure to data entry

2018 Year 12 Month 31 Day

Date trial data considered complete

2018 Year 12 Month 31 Day

Date analysis concluded

2018 Year 12 Month 31 Day


Other

Other related information

retrospective study

164 consecutive patients of IPMN (N=142) or PDAC concomitant with IPMN (N=22) who underwent surgical resection at Kobe University Hospital between April 2008 and February 2017 were collected.

Survey items
age, body mass index (BMI), sex, diabetes mellitus (present or absent), family history of pancreatic cancer (present or absent), alcohol consumption (> 50 g/day or < 50 g/day), history of smoking, macroscopic type of IPMN (main duct type, mixed type, or branch duct type), mucin phenotype(gastric, intestinal, pancreatobiliary, or oncocytic), diameter of main pancreatic duct, nodule in cyst, diameter of cyst and location of cystic lesion.


Management information

Registered date

2017 Year 02 Month 22 Day

Last modified on

2020 Year 06 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000030056


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name