UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000045411
Receipt number R000051838
Scientific Title Observational study to investigate the correlations between the circulating tumor DNA and clinicopathological features of metastatic lesion
Date of disclosure of the study information 2021/10/01
Last modified on 2025/03/11 20:20:54

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Observational study to investigate the correlations between the circulating tumor DNA and clinicopathological features of metastatic lesion

Acronym

Observational study to investigate the correlations between the circulating tumor DNA and clinicopathological features of metastatic lesion

Scientific Title

Observational study to investigate the correlations between the circulating tumor DNA and clinicopathological features of metastatic lesion

Scientific Title:Acronym

Observational study to investigate the correlations between the circulating tumor DNA and clinicopathological features of metastatic lesion

Region

Japan


Condition

Condition

colorectal cancer

Classification by specialty

Gastroenterology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The aims of this study were to investigate the relationships of circulating tumor DNA (ctDNA) with tumor size and clinicopathological features in individuals with distant metastases from colorectal cancer and to determine the factors affecting the leakage of ctDNA into the blood. Additionally, we expect that measurement of mutations using next-generation sequencing and analysis of exosome-derived DNA and RNA will contribute to improving the precision of genetic tests using blood samples and the establishment of advanced testing technologies.

Basic objectives2

Bio-equivalence

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Correlations between pathological features and status of ctDNA detection in tissue samples of metastatic organs
Correlations between ctDNA detection status and clinical information, including radiological images
Significance of exosome analysis in cases in which ctDNA is difficult to detect

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

Eligibility criteria for the prospective cohort
1. Patients with colorectal cancer diagnosed with lung or liver metastases
2. Computed tomography (CT) scan performed within 60 days of registration
3. Patients who plan to undergo resection of lung metastasis with curative intent
4. Resection with curative intent is performed to remove primary lesions
5. 20 years or older at the time of obtaining informed consent
6. Provides written informed consent to participate in this study

Eligibility criteria for the retrospective cohort
1. Patients with colorectal cancer diagnosed with lung or liver metastases
2. Prior to biobank blood sampling, resection with curative intent was performed to remove the primary lesion
3. Interval from biobank blood sampling to excision of metastatic sites was less than 90 days
4. Those who have undergone curative resection of metastasis to other organs during the study period*
*Two-stage resection is acceptable in patients who have undergone curative resection.
5. Comprehensive consent for the use of surplus medical samples was obtained from the National Cancer Center.

Key exclusion criteria

Exclusion criteria for the prospective cohort
1. Active overlapping cancers noted at the time of curative resection.
However, patients with a recurrence-free period of at least 5 years; those with basal cell carcinoma or spinous cell carcinoma of the skin that was eventually cured after receiving local treatment; and those with superficial bladder cancer, cervical cancer, carcinoma in situ, intramucosal cancer (that can be treated endoscopically), and nonmetastatic prostate cancer (that does not require systematic treatment) can be registered.
2. Pre-operative treatment (chemotherapy, radiation therapy, immunotherapy) is administered or planned prior to metastasis resection

Exclusion criteria for the retrospective cohort
1. Active overlapping cancers noted at the time of curative resection.
*However, patients with a recurrence-free period of at least 5 years or those with basal cell carcinoma or spinous cell carcinoma of the skin that was eventually cured by local treatment, superficial bladder cancer, cervical cancer, carcinoma in situ (that can be treated endoscopically), and nonmetastatic prostate cancer (that does not require systematic treatment) can be registered.
2. Pre-operative treatment (chemotherapy, radiation therapy, immunotherapy) was administered prior to the curative resection of metastases.
**Adjuvant chemotherapy administered prior to the appearance of metastases is acceptable.

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Takayuki
Middle name
Last name Yoshino

Organization

National Cancer Center Hospital East

Division name

Department of Gastroenterology and Gastrointestinal Oncology

Zip code

277-8577

Address

6-5-1 Kashiwanoha, Kashiwa, Chiba

TEL

04-7333-1111

Email

tyoshino@east.ncc.go.jp


Public contact

Name of contact person

1st name Hiroki
Middle name
Last name Yukami

Organization

National Cancer Center Hospital East

Division name

Department of Gastroenterology and Gastrointestinal Oncology

Zip code

277-8577

Address

6-5-1 Kashiwanoha, Kashiwa, Chiba

TEL

04-7333-1111

Homepage URL


Email

hyukami@east.ncc.go.jp


Sponsor or person

Institute

National Research and Development Agency, National Cancer Center

Institute

Department

Personal name



Funding Source

Organization

Sysmex Corporation

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

National Cancer Center Institutional Review Board

Address

6-5-1, Kashiwanoha, Kashiwa, Chiba

Tel

04-7133-1111

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

2021 Year 10 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

46

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


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

2021 Year 08 Month 25 Day

Date of IRB

2021 Year 06 Month 17 Day

Anticipated trial start date

2021 Year 11 Month 01 Day

Last follow-up date

2026 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

The aims of this study were to investigate the relationships of circulating tumor DNA (ctDNA) with tumor size and clinicopathological features in individuals with distant metastases from colorectal cancer and to determine the factors affecting the leakage of ctDNA into the blood. Additionally, we expect that measurement of mutations using next-generation sequencing and analysis of exosome-derived DNA and RNA will contribute to improving the precision of genetic tests using blood samples and the establishment of advanced testing technologies.


Management information

Registered date

2021 Year 09 Month 07 Day

Last modified on

2025 Year 03 Month 11 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000051838