UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000027300
Receipt number R000031231
Scientific Title Carbon-ion radiotherapy for solitary lymph node recurrence: a retrospective multicenter observational study
Date of disclosure of the study information 2017/05/10
Last modified on 2021/06/08 18:48:02

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Basic information

Public title

Carbon-ion radiotherapy for solitary lymph node recurrence: a retrospective multicenter observational study

Acronym

Carbon-ion radiotherapy for solitary lymph node recurrence: a retrospective multicenter observational study

Scientific Title

Carbon-ion radiotherapy for solitary lymph node recurrence: a retrospective multicenter observational study

Scientific Title:Acronym

Carbon-ion radiotherapy for solitary lymph node recurrence: a retrospective multicenter observational study

Region

Japan


Condition

Condition

Solitary lymph node recurrence

Classification by specialty

Radiology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To assess the efficacy and toxicity of carbon-ion radiotherapy for solitary lymph node recurrence, retrospectively.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

2-year local control, course-specfic survival, and overall survival rates.
Incidence of Grade 2 or worse late toxicities

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

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Among patients who underwent carbon-ion radiotherapy in participating facilities between December 1996 and December 2015, patients who meet the following eligible criteria.
1) Patients who had diagnosed histologically or clinically as solitary lymph node recurrence.
2) Recurrence in single one lymph node region.
3) Lymph node recurrence could be included in an irradiation field.
4) There are no other recurrent lesions except the lymph node recurrence.
5) Tumor diameter could be measured by CT or MRI.
6) The age at starting of the carbon-ion radiotherapy was 20 years old and older.
7) Carbon-ion radiotherapy was administered to the lymph node recurrence.

Key exclusion criteria

1)Tumor invasion to GI tract.
2)Severe or active nfections in the irradiated area.
3)Severe concomitant illness.

Target sample size

310


Research contact person

Name of lead principal investigator

1st name Tadashi
Middle name
Last name Kamada

Organization

National Institutes for Quantum and Radiological Sciences and Technology

Division name

Hospital of the National Institute of Radiological Sciences

Zip code

263-8555

Address

Anagawa 4-9-1, Inage-ku 263-8555 Chiba, Japan

TEL

043-206-3306

Email

kamada.tadashi@qst.go.jp


Public contact

Name of contact person

1st name Okonogi
Middle name
Last name Okonogi

Organization

National Institutes for Quantum and Radiological Sciences and Technology

Division name

Hospital of the National Institute of Radiological Sciences

Zip code

263-8555

Address

Anagawa 4-9-1, Inage-ku 263-8555 Chiba, Japan

TEL

043-206-3306

Homepage URL


Email

okonogi.noriyuki@qst.go.jp


Sponsor or person

Institute

Hospital of the National Institute of Radiological Sciences, National Institutes for Quantum and Radiological Sciences and Technology

Institute

Department

Personal name



Funding Source

Organization

Hospital of the National Institute of Radiological Sciences, National Institutes for Quantum and Radiological Sciences and Technology

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor

Gunma University Heavy Ion Medical Center
Hyogo Ion Beam Medical Center
Ion Beam Therapy Center, SAGA HIMAT Foundation

Name of secondary funder(s)

None


IRB Contact (For public release)

Organization

Certified Review Board, National Institutes for Quantum and Radiological Sciences and Technology

Address

Anagawa 4-9-1, Inage-ku 263-8555 Chiba, Japan

Tel

043-206-4709

Email

helsinki@qst.go.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 05 Month 10 Day


Related information

URL releasing protocol

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6687700/pdf/10147_2019_Article_1440.pdf

Publication of results

Published


Result

URL related to results and publications

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6687700/pdf/10147_2019_Article_1440.pdf

Number of participants that the trial has enrolled

323

Results

A total of 323 patients were enrolled. The 2-year local control (LC) and overall survival (OS) rates after C-ion RT were 85% and 63%, respectively. Only 1 patient developed grade 3 toxicity. Factors such as LN diameter, histology, and history of previous RT did not correlate with LC. Smaller diameters (<30 mm) and numbers of LN metastases as well as longer disease-free intervals post-primary therapy were associated with significantly better OS.

Results date posted

2021 Year 06 Month 08 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2019 Year 04 Month 09 Day

Baseline Characteristics

See the abstract/PDF above

Participant flow

See the abstract/PDF above

Adverse events

See the abstract/PDF above

Outcome measures

See the abstract/PDF above

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2017 Year 03 Month 27 Day

Date of IRB

2017 Year 05 Month 08 Day

Anticipated trial start date

2017 Year 07 Month 01 Day

Last follow-up date

2018 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This is a retrospective multicenter observational study of carbon-ion radiotherapy for solitary lymph node recurrence.
Among patients who underwent carbon-ion radiotherapy in participating facilities between December 1996 and December 2015, patients who meet the following eligible criteria are enrolled in this study.
Eligible criteria:
1) Patients who had diagnosed histologically or clinically as solitary lymph node recurrence.
2) Recurrence in single one lymph node region.
3) Lymph node recurrence could be included in an irradiation field.
4) There are no other recurrent lesions except the lymph node recurrence.
5) Tumor diameter could be measured by CT or MRI.
6) The age at starting of the carbon-ion radiotherapy was 20 years old and older.
7) Carbon-ion radiotherapy was administered to the lymph node recurrence.
Exclusion criteria:
1)Tumor invasion to GI tract.
2)Severe or active nfections in the irradiated area.
3)Severe concomitant illness.


Management information

Registered date

2017 Year 05 Month 10 Day

Last modified on

2021 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=R000031231