UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000045479
Receipt number R000051921
Scientific Title A Phase II Single-Arm Study to Evaluate the Feasibility of Preoperative Rehabilitation and Nutrition Intervention in Patients Undergoing Neoadjuvant Chemotherapy for Esophageal Cancer
Date of disclosure of the study information 2021/09/24
Last modified on 2022/09/20 19:26:48

* 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

A Phase II Single-Arm Study to Evaluate the Feasibility of Preoperative Rehabilitation and Nutrition Intervention in Patients Undergoing Neoadjuvant Chemotherapy for Esophageal Cancer

Acronym

A Phase II Single-Arm Study to Evaluate the Feasibility of Preoperative Rehabilitation and Nutrition Intervention in Patients Undergoing Neoadjuvant Chemotherapy for Esophageal Cancer

Scientific Title

A Phase II Single-Arm Study to Evaluate the Feasibility of Preoperative Rehabilitation and Nutrition Intervention in Patients Undergoing Neoadjuvant Chemotherapy for Esophageal Cancer

Scientific Title:Acronym

RENUAL trial

Region

Japan


Condition

Condition

esophageal cancer

Classification by specialty

Surgery in general Gastrointestinal surgery Rehabilitation medicine

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the participation rate of preoperative rehabilitation and nutritional interventions in preoperative chemotherapy patients with esophageal cancer, and to examine the feasibility of implementing these interventions in actual clinical practice.

Basic objectives2

Others

Basic objectives -Others

feasibility

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Participation rate in preoperative intervention programs

Key secondary outcomes

1.Rate of exercise therapy and dietary guidance
2.Perioperative complication rate
3.Perioperative respiratory complication rate
4.Postoperative hospital stay
5.Sarcopenia assessment
1)Grip strength
2)Short Physical Performance Battery (SPPB)
3)SWT(Shuttle Walking Test)
4)Muscle mass
6.Frailty assessment
7.Activity level
8.Functional screening assessment for the elderly
9.Oral hygiene/feeding status/swallowing function assessment
10.Speech function assessment
11.Nutrition assessment
12.QOL assessment


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Educational,Counseling,Training

Type of intervention

Behavior,custom

Interventions/Control_1

Nutritional and rehabilitative interventions

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. Histologically diagnosed as squamous cell carcinoma, adenocarcinoma, adenosquamous cell carcinoma, or basal cell carcinoma on endoscopic biopsy of the primary esophageal lesion.
2. The main locus of the lesion (primary tumor, intraesophageal metastasis, or intraepithelial extension) is located within the thoracic esophageal cancer or at the esophagogastric junction.
3. Patients scheduled to receive preoperative chemotherapy for esophageal cancer.
4.Patients must be at least 20 years old on the date of enrollment.
5. Performance status (PS) of 0 or 1 according to ECOG criteria.
6.Patients must be eligible for open thoracotomy (or thoracoscopy or robot-assisted surgery) and open abdominal surgery (or laparoscopy or robot-assisted surgery) for radical esophageal cancer (R0).
7.The patient's written consent to participate in the study has been obtained.

Key exclusion criteria

1. Infectious disease requiring systemic treatment. (Because rehabilitation is difficult)
2. Patient has a fever of 38 degrees Celsius or higher. (Due to difficulty in rehabilitation)
Patient has poorly controlled diabetes mellitus (HbA1c of 6.5% or higher is the standard). (Due to difficulty in nutritional intervention)
4. Complicated psychosis or psychiatric symptoms, which will make it difficult to participate in the study. (Due to difficulty in rehabilitation)
5. Patient has poorly controlled hypertension. (Due to difficulty in rehabilitation)
6. Patient has unstable angina (angina pectoris with onset or worsening within the last 3 weeks) or myocardial infarction within the last 6 months. (Due to difficulty in rehabilitation)
7. Patient has interstitial pneumonia, pulmonary fibrosis, severe emphysema, or heart failure. (Due to difficulty in rehabilitation)
8. Patient has a history of cerebrovascular disease (cerebral infarction, intracerebral hemorrhage, transient ischemic attack, etc.) that occurred within 6 months. (Due to difficulty in rehabilitation)
9. Other patients who are deemed unsuitable for enrollment in this clinical trial by the physician in charge.

Target sample size

33


Research contact person

Name of lead principal investigator

1st name Hirofumi
Middle name
Last name Kawakubo

Organization

Keio University Hospital

Division name

General and Digestive Surgery

Zip code

160-8582

Address

Shinanomachi 35, Shinjuku-ku, Tokyo

TEL

03-5363-3802

Email

hkawakubo@z3.keio.jp


Public contact

Name of contact person

1st name Takayuki
Middle name
Last name Tsuji

Organization

Keio University Hospital

Division name

General and Digestive Surgery

Zip code

160-8582

Address

Shinanomachi 35, Shinjuku-ku, Tokyo

TEL

03-5363-3802

Homepage URL


Email

t.tsuji0504@gmail.com


Sponsor or person

Institute

Keio University

Institute

Department

Personal name



Funding Source

Organization

Keio University

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

Keio University School of Medicine, ethics committee

Address

Shinanomachi 35, Shinjuku-ku, Tokyo

Tel

03-5363-3879

Email

med-rinri-jimu@adst.keio.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



Other administrative information

Date of disclosure of the study information

2021 Year 09 Month 24 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


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

Open public recruiting

Date of protocol fixation

2021 Year 09 Month 08 Day

Date of IRB

2021 Year 09 Month 13 Day

Anticipated trial start date

2021 Year 10 Month 01 Day

Last follow-up date

2024 Year 09 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2021 Year 09 Month 14 Day

Last modified on

2022 Year 09 Month 20 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000051921


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name