UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000037033
Receipt number R000042191
Scientific Title The feasibility study for screening of early stage of lung cancer by novel urinary biomarker using protein fragments: a prospective study
Date of disclosure of the study information 2019/06/12
Last modified on 2024/06/15 18:51:46

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Basic information

Public title

The feasibility study for screening of early stage of lung cancer by novel urinary biomarker using protein fragments: a prospective study

Acronym

The feasibility study for screening of early stage of lung cancer by novel urinary biomarker using protein fragments: a prospective study

Scientific Title

The feasibility study for screening of early stage of lung cancer by novel urinary biomarker using protein fragments: a prospective study

Scientific Title:Acronym

The feasibility study for screening of early stage of lung cancer by novel urinary biomarker using protein fragments: a prospective study

Region

Japan


Condition

Condition

Idiopathic pulmonary fibrosis (IPF)

Classification by specialty

Pneumology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The aim of this study is to investigate the detectability of lung cancer of urinary protein fragment and compare the detectability of the fragment with established blood tumour markers.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Comparison of detectability of lung cancer of urinary protein fragment and established blood tumour markers at the time of lung cancer diagnosis in patients with IPF

Key secondary outcomes

1)Comparison of detectability of lung adenocarcinoma of urinary protein fragment and CEA at the time of diagnosis of lung adenocarcinoma in patients with IPF
2) Comparison of detectability of lung squamous cell carcinoma of urinary protein fragment and established blood tumour markers (SCC, CYFRA) at the time of diagnosis of lung squamous cell carcinoma in patients with IPF
3)Comparison of the value of urinary protein fragments before and after diagnosis of lung cancer
4)Comparison of the value of urinary protein fragments in IPF patients with lung cancer and without lung cancer.
5)Comparison of the value of urinary protein fragments in IPF patients who experienced acute exacerbation and IPF patients without exacerbation


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

1)Patients aged equal to or greater than 20 years-old.
2)Patients diagnosed as IPF based of an Official ATS/ERS/JRS/ALAT Clinical Practice Guideline.
3)Patients who had a detailed briefing of the trial prior to the enrollment and voluntarily signed a consent form

Key exclusion criteria

1)Patients who have abnormal shadow (more than or equal to 1.0 cm) clinicaly suspected lung cancer by high resolution CT.
2)Patients who have proteinuria, positive urine sugar or urine occult blood in urinalysis (more than or equal to 2+).
3)Patients who have renal dysfunction (Serum levels of creatinine > 2.0 mg/dl).
4)Patients who have alcohol or drug dependence or who are suspected to have alcohol or drug dependence.
5)Patients who is pregnant or who is suspected to be pregnant.
6)Patients who was enrolled another clinical trial and was prescribed a study drug within one month.
7)Patients whose attending physicians consider to be inappropriate for this study.

Target sample size

120


Research contact person

Name of lead principal investigator

1st name Masamitsu
Middle name
Last name Nakazato

Organization

University of Miyazaki

Division name

Neurology, Respirology, Endocrinology and Metabolism, Internal Medicine, Faculty of Medicine

Zip code

889-1692

Address

5200 Kihara, Kiyotake, Miyazaki, Japan

TEL

0985-85-2965

Email

nakazato@med.miyazaki-u.ac.jp


Public contact

Name of contact person

1st name Hironobu
Middle name
Last name Tsubouchi

Organization

University of Miyazaki

Division name

Neurology, Respirology, Endocrinology and Metabolism, Internal Medicine, Faculty of Medicine

Zip code

889-1692

Address

5200 Kihara, Kiyotake, Miyazaki, Japan

TEL

0985-85-2965

Homepage URL


Email

hironobu_tsubouchi@med.miyazaki-u.ac.jp


Sponsor or person

Institute

University of Miyazaki

Institute

Department

Personal name



Funding Source

Organization

Japan Agency for Medical Research and Development

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

University of Miyazaki

Address

5200 Kihara, Kiyotake, Miyazaki, Japan

Tel

0985-85-9010

Email

igakubu_kenkyu@med.miyazaki-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

宮崎大学医学部附属病院
長崎大学病院
産業医科大学病院
鳥取大学医学部附属病院


Other administrative information

Date of disclosure of the study information

2019 Year 06 Month 12 Day


Related information

URL releasing protocol

unpublished

Publication of results

Unpublished


Result

URL related to results and publications

unpublished

Number of participants that the trial has enrolled

107

Results

The urine of 107 patients with idiopathic pulmonary fibrosis, who were at high risk of developing lung cancer, was prospectively collected (for two years) and the trend of urinary AMBP fragments in cases of lung cancer development was investigated. The results showed that AMBP fragment levels increased by 70% in patients who developed lung adenocarcinoma compared with those before the onset of the disease. These results suggest that AMBP fragments may be able to determine the disease status of lung cancer.

Results date posted

2024 Year 06 Month 15 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Patients with idiopathic pulmonary fibrosis attending or being admitted to the centres participating in the study will be included.

Inclusion criteria.
(1) Patients aged 20 years or older at the time of obtaining consent.
(ii) Patients with a clinical diagnosis of idiopathic pulmonary fibrosis (patients who meet the criteria for UIP or probable UIP in the HRCT pattern in the ATS/ERS/JRS/ALAT International Diagnostic Guidelines)
(iii) Patients who have given a full explanation of their participation in the study, and who have given their free written consent based on a full understanding of the study.

Participant flow

prospective observational study

Adverse events

No adverse effect

Outcome measures

Primary outcome.
Comparison of diagnostic accuracy of urinary protein fragments and serum tumour markers in patients with idiopathic pulmonary fibrosis who developed lung cancer at diagnosis

Secondary outcomes
1) Comparison of diagnostic accuracy of urinary protein fragments and serum tumour markers (CEA) in patients with idiopathic pulmonary fibrosis who developed lung adenocarcinoma (at diagnosis of lung adenocarcinoma)
2) Comparison of diagnostic accuracy of urinary protein fragments and serum tumour markers (SCC, CYFRA) in patients with idiopathic pulmonary fibrosis who developed lung squamous cell carcinoma (at diagnosis of lung squamous cell carcinoma)
3) Comparison of urinary protein fragment levels before the development of lung cancer (at the time of the most recent specimen collection from the diagnosis of lung cancer, 6 months before the time of the most recent specimen collection, or at the time of registration) and at the time of diagnosis
4) Differences in urinary protein fragment levels between the groups that developed lung cancer and those that did not (at the time of lung cancer diagnosis in the lung cancer group and at the time of registration in the non-development group)
5) Differences in urinary protein fragment levels in the group with exacerbation of idiopathic pulmonary fibrosis during the observation period and in the group without exacerbation (at enrolment).

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2019 Year 03 Month 25 Day

Date of IRB

2019 Year 06 Month 06 Day

Anticipated trial start date

2019 Year 06 Month 17 Day

Last follow-up date

2023 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded

2024 Year 03 Month 31 Day


Other

Other related information

No other related information


Management information

Registered date

2019 Year 06 Month 12 Day

Last modified on

2024 Year 06 Month 15 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000042191