UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000047005
Receipt number R000053624
Scientific Title Association between sarcopenia and a prognosis in patients undergoing percutaneous endoscopic gastrostomy
Date of disclosure of the study information 2022/02/25
Last modified on 2025/02/27 11:20:40

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Basic information

Public title

Association between sarcopenia and a prognosis in patients undergoing percutaneous endoscopic gastrostomy

Acronym

Association between sarcopenia and a prognosis in patients undergoing percutaneous endoscopic gastrostomy

Scientific Title

Association between sarcopenia and a prognosis in patients undergoing percutaneous endoscopic gastrostomy

Scientific Title:Acronym

Association between sarcopenia and a prognosis in patients undergoing percutaneous endoscopic gastrostomy

Region

Japan


Condition

Condition

Patients undergoing percutaneous endoscopic gastrostomy

Classification by specialty

Medicine in general Gastroenterology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the relationship between sarcopenia and prognosis in patients undergoing percutaneous endoscopic gastrostomy

Basic objectives2

Others

Basic objectives -Others

To evaluate whether the relationship between sarcopenia defined with skeletal muscle mass index at the third lumbar level (L3-SMI) and prognosis in patients undergoing percutaneous endoscopic gastrostomy

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

1) Overall survival between low and high groups of skeletal muscle mass index at the level of the third lumbar vertebra (L3-SMI)

Key secondary outcomes

1) Overall survival between low and high groups of psoas muscle mass index at the level of the third lumbar vertebra (L3-PMI)
2) Overall survival between low and high groups of skeletal muscle radiation attenuation at the level of the third lumbar vertebra (L3-MRA)
3) Overall survival between low and high group of L3-SMI in the covariate-balancing propensity score-matched subgroup

[Cut-off values]
L3-SMI: female, 29.6 cm2/m; male, 36.2 cm2/ m2
L3-PMI: female, 3.92 cm2/m2; male, 6.36 cm2/ m2
L3-MRA: female, 39.3 cm2/m2; male, 44.4 cm2/m2


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

Those who meet all of the following inclusion criteria

1. Consecutive patients who underwent PEG between March 2008 to April 2020 at the Jikei University Hospital (Tokyo, Japan)
2. 20 years of age or older

Key exclusion criteria

Those who meet at least one of the following inclusion criteria

1. Patients with advanced cancer
2. Patients who underwent PEG for the purpose of decompression of the gastrointestinal tract
3. Patients in which the cross-sectional CT images at the third lumber vertebra level were not available
4. Patients with missing body height data
5. Patients who refused to participate by opting out

Target sample size

127


Research contact person

Name of lead principal investigator

1st name Shigo
Middle name
Last name Ono

Organization

The Jikei University School of Medicine

Division name

Department of Endoscopy

Zip code

1058471

Address

3-25-8, Nishi-Shimbashi, Minato-ku, Tokyo

TEL

0336331111

Email

ms04furuhashi@jikei.ac.jp


Public contact

Name of contact person

1st name Hiroto
Middle name
Last name Furuhashi

Organization

The Jikei University School of Medicine

Division name

Department of Endoscopy

Zip code

1058471

Address

3-25-8, Nishi-Shimbashi, Minato-ku, Tokyo

TEL

0336331111

Homepage URL


Email

ms04furuhashi@jikei.ac.jp


Sponsor or person

Institute

The Jikei University School of Medicine

Institute

Department

Personal name



Funding Source

Organization

The Jikei University School of Medicine

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

The Jikei University School of Medicine

Address

3-25-8, Nishi-Shimbashi, Minato-ku, Tokyo

Tel

0336331111

Email

rinri@jikei.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

2022 Year 02 Month 25 Day


Related information

URL releasing protocol

https://center6.umin.ac.jp/cgi-bin/icdr/ctr_up_reg_f5.cgi

Publication of results

Published


Result

URL related to results and publications

https://www.mdpi.com/2077-0383/12/10/3360

Number of participants that the trial has enrolled

127

Results

Of 127 patients (99 men, 28 women), 71 (56%) were diagnosed with sarcopenia, and 64 patients died during the observation period. The median follow-up period did not differ between patients with and without sarcopenia (p = 0.5). The median survival time after PEG was 273 days in patients with sarcopenia and 1133 days in those without (p < 0.001). Sarcopenia was associated with poor prognosis in patients having undergone PEG.

Results date posted

2025 Year 02 Month 27 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

patients who underwent PEG consecutively from March 2008 to April 2020

Participant flow

We analyzed preoperative sarcopenia and the prognosis of patients after PEG. We defined sarcopenia as a skeletal muscle index at the level of the third lumbar vertebra of <29.6 cm2/m2 for women and <36.2 cm2/m2 for men

Adverse events

None

Outcome measures

The primary outcome was the difference in overall survival after PEG based on the status of sarcopenia.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2022 Year 02 Month 25 Day

Date of IRB

2022 Year 02 Month 25 Day

Anticipated trial start date

2022 Year 02 Month 25 Day

Last follow-up date

2022 Year 02 Month 25 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

No special notes


Management information

Registered date

2022 Year 02 Month 25 Day

Last modified on

2025 Year 02 Month 27 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000053624