UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000035118
Receipt number R000039991
Scientific Title Suicide, other externally caused injuries, and cardiovascular death following a cancer diagnosis: a nationwide population-based study in Japan
Date of disclosure of the study information 2018/12/03
Last modified on 2023/08/30 09:35:43

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Basic information

Public title

Suicide, other externally caused injuries, and cardiovascular death following a cancer diagnosis: a nationwide population-based study in Japan

Acronym

Suicide and cardiovascular death following a cancer diagnosis: a nationwide study in Japan

Scientific Title

Suicide, other externally caused injuries, and cardiovascular death following a cancer diagnosis: a nationwide population-based study in Japan

Scientific Title:Acronym

Suicide and cardiovascular death following a cancer diagnosis: a nationwide study in Japan

Region

Japan


Condition

Condition

Cancer

Classification by specialty

Medicine in general Psychosomatic Internal Medicine Psychiatry

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

We compare the risk of suicide, other externally caused injuries, and cardiovascular death during 5 year following a cancer diagnosis with that of the general population, using the National Cancer Registry in Japan.

Basic objectives2

Others

Basic objectives -Others

We will also aim at identifying higher risk patients and time period of suicide, other externally caused injuries, and cardiovascular death following a cancer diagnosis.

Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

Standardized mortality ratios (SMRs) and excess absolute risks (EARs) for suicide, other externally caused injuries, and cardiovascular death following a cancer diagnosis

Key secondary outcomes

SMRs and EARs will be calculated separately in relation to a number of factors: sex, age at diagnosis, time since cancer diagnosis, prefecture, primary tumor site, behavioral code in the ICD-O-3, tumor extent, presence/absence of the definitive surgery, and month of death.


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

Our study cohort will consist of all cancer cases, diagnosed in Japan from January 1, 2016 to December 31, 2022 and registered in the NCR.

Key exclusion criteria

(1)cancer cases diagnosed at autopsy incidentally
(2)cancer cases reported on death certificate only
(3)cancer cases with missing information on diagnosis date

Target sample size

7000000


Research contact person

Name of lead principal investigator

1st name Maiko
Middle name
Last name Fujimori

Organization

National Cancer Center Institute for Cancer Control

Division name

Division of Survivorship Research

Zip code

104-0045

Address

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

TEL

03-3547-5201

Email

mfujimor@ncc.go.jp


Public contact

Name of contact person

1st name Saki
Middle name
Last name Harashima

Organization

National Cancer Center Institute for Cancer Control

Division name

Division of Survivorship Research

Zip code

104-0045

Address

5-1-1 Tsukiji, Chuo-ku, Tokyo

TEL

03-3547-5201

Homepage URL


Email

sharashi@ncc.go.jp


Sponsor or person

Institute

National Cancer Center Japan

Institute

Department

Personal name



Funding Source

Organization

the Health Labor Sciences Research Grant and the Innovative Research Program on Suicide Countermeasures.

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

institutional review board and ethics committee of the National Cancer Center Japan

Address

5-1-1 Tsukiji, Chuo-ku, Tokyo

Tel

03-3542-2511

Email

irst@ml.res.ncc.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

2018 Year 12 Month 03 Day


Related information

URL releasing protocol

https://bmjopen.bmj.com/content/9/7/e030681.long

Publication of results

Partially published


Result

URL related to results and publications

https://academic.oup.com/jjco/article/51/5/744/6126762

Number of participants that the trial has enrolled

546148

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results

2021 Year 02 Month 03 Day

Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2018 Year 10 Month 29 Day

Date of IRB

2018 Year 10 Month 03 Day

Anticipated trial start date

2016 Year 01 Month 01 Day

Last follow-up date

2027 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Our study cohort will consist of all cancer cases, diagnosed from January 1, 2016 to December 31, 2022 in Japan and registered in the NCR and they will be followed up until 5 years after cancer diagnosis. We will identify cancer patients who died from suicide, ECIs, and cardiovascular causes based on cause of death registered in the NCR database. Outcomes will be classified according to the ICD-10 as follows: suicide (X60-X84 and Y87.0), other ECIs (V01-X59 and Y10-Y34), and cardiovascular diseases (I00-I99). We will calculate standardized mortality ratios (SMRs) and excess absolute risks (EARs) for suicide, other ECIs, and cardiovascular death in comparison with the general population in Japan, after adjustment for sex, age, and prefectures. SMRs and EARs will be calculated separately in relation to a number of factors: sex, age at diagnosis, time since cancer diagnosis, prefecture of residence at diagnosis, primary tumor site, behavioral code in the ICD-O-3, tumor extent, whether definitive surgery to the primary site was performed, and month of death.
We will also explore the suicide methods used by cancer patients and factors affecting choice of their suicide methods. We will also divide cancer patients who died during observation period into three groups according to main cause of death and compare characteristics of patients and tumors between each group: those whose main cause of death are cancer, those whose main cause are suicide, other ECIs, and cardiovascular diseases, and those with the other main cause of death.


Management information

Registered date

2018 Year 12 Month 03 Day

Last modified on

2023 Year 08 Month 30 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000039991


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name