UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000056183
Receipt number R000051591
Scientific Title Single-center prospective study of the relationship between the changes of immunological and nutritional values before and after radiation therapy and prognosis
Date of disclosure of the study information 2024/11/18
Last modified on 2026/05/10 09:46:38

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Basic information

Public title

Single-center prospective study of the relationship between the changes of immunological and nutritional values before and after radiation therapy and prognosis

Acronym

Single-center prospective study of the relationship between the changes of immunological and nutritional values before and after radiation therapy and prognosis

Scientific Title

Single-center prospective study of the relationship between the changes of immunological and nutritional values before and after radiation therapy and prognosis

Scientific Title:Acronym

immunological and nutritional study

Region

Japan


Condition

Condition

Lung cancers

Classification by specialty

Radiology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

A prospective analysis of how the changes of immunological and nutritional values before and after chest radiation therapy affected the prognosis of patients.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Others

Developmental phase

Not applicable


Assessment

Primary outcomes

Overall survival, Local control rate, Progression free survival, Local/regional lymphatic recurrence rate, Distant metastatic rate.

Key secondary outcomes

The occurrence rate of radiation-induced lung injury and esophagitis


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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients who underwent radiation therapy for chest disease from Jan 1, 2020 to December 31, 2023

Key exclusion criteria

Patients for whom the principal investigator and the research coordinator are deemed unsuitable for participation in this study

Target sample size

250


Research contact person

Name of lead principal investigator

1st name Mitsuhiko
Middle name
Last name Oguri

Organization

Shizuoka General Hospital

Division name

Department of radiology

Zip code

420-8527

Address

4-27-1 Kita Ando Aoi-ku, Shizuoka City

TEL

+81-54-247-6111

Email

kurikuriayumi@gmail.com


Public contact

Name of contact person

1st name Zhe
Middle name
Last name Chen

Organization

University of Yamanashi Hospital

Division name

Department of radiology

Zip code

409-3898

Address

1110 Shimokato, Chuo, Yamanashi

TEL

+81-55-273-1111

Homepage URL


Email

z.chenmd@live.com


Sponsor or person

Institute

Department of radiology, Shizuoka General Hospital

Institute

Department

Personal name



Funding Source

Organization

Department of radiology, Shizuoka General Hospital

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Shizuoka General Hospital

Address

4-27-1 Kita Ando Aoi-ku, Shizuoka City

Tel

+81-54-247-6111

Email

z.chenmd@live.com


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

2024 Year 11 Month 18 Day


Related information

URL releasing protocol

The study protocol has not been publicly released.

Publication of results

Published


Result

URL related to results and publications

https://www.nature.com/articles/s41598-026-45248-z

Number of participants that the trial has enrolled

92

Results

Eighty-two patients were analyzed. At a median follow-up of 30.2 months, 2-year OS, LCR, and DFFR were 85.4%, 86.5%, and 80.1%. High mGPS was significantly associated with inferior OS and remained an independent prognostic factor in both the overall and SBRT cohorts.

Results date posted

2026 Year 05 Month 10 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2026 Year 03 Month 19 Day

Baseline Characteristics

The median age was comparable between the low and high mGPS groups (78 vs. 79 years, p = 0.432). Patients in the high mGPS group were more frequently male than those in the low mGPS group (84.8% vs. 61.2%, p = 0.027). The distribution of disease stage and the presence or absence of pathological confirmation did not significantly differ between groups. However, SBRT was less frequently administered in the high mGPS group than in the low mGPS group (54.5% vs. 79.6%, p = 0.030).

Participant flow

A total of 92 patients were enrolled between January 2021 and March 2023. After excluding 4 patients who withdrew consent and 6 patients with incomplete data, 82 patients were included in the final analysis.

Adverse events

Adverse events were not predefined as study endpoints and were not collected or analyzed in this analysis.

Outcome measures

The primary endpoint was 2-year overall survival (OS). Secondary endpoints included 2-year local control rate (LCR) and distant failure-free rate (DFFR).

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2020 Year 10 Month 19 Day

Date of IRB

2021 Year 01 Month 07 Day

Anticipated trial start date

2021 Year 04 Month 01 Day

Last follow-up date

2023 Year 12 Month 31 Day

Date of closure to data entry

2024 Year 09 Month 01 Day

Date trial data considered complete

2024 Year 09 Month 01 Day

Date analysis concluded

2025 Year 05 Month 01 Day


Other

Other related information

Observation and inspection items
1. Patient background (age, sex, complications, medical history, smoking history, family history, presence or absence of allergies)
2. Physical findings (lesion site, height, weight, BMI)
3. Nutrition status questionnaire (Patient Generated-Subjective Global Assessment)
4. Peripheral blood test findings (peripheral blood findings, white blood cell image, biochemical test findings)
5. Physiological test findings (respiratory function test findings)
6. Histopathological results (tumor diameter, histological type, disease findings, background lung findings)
7. Radiation therapy related indicators (irradiation dose, number of irradiations, lung dose, cardiac dose, esophageal dose, etc.)
8. Prognosis description (presence or absence of recurrence, presence or absence of adverse events, date of final survival confirmation, live or death, date and time of death)


Management information

Registered date

2024 Year 11 Month 18 Day

Last modified on

2026 Year 05 Month 10 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000051591