UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000049658
Receipt number R000056554
Scientific Title Study on host immune response during treatment of patients with pulmonary nontuberculous mycobacterial disease
Date of disclosure of the study information 2022/12/01
Last modified on 2022/12/01 12:35:05

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Basic information

Public title

Study on host immune response during treatment of patients with pulmonary nontuberculous mycobacterial disease

Acronym

PNTM study

Scientific Title

Study on host immune response during treatment of patients with pulmonary nontuberculous mycobacterial disease

Scientific Title:Acronym

PNTM study

Region

Japan


Condition

Condition

pulmonary nontuberculous mycobacterial disease

Classification by specialty

Pneumology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To clarify the role of peripheral blood immune cells in pulmonary NTM patients in terms of their response to antimicrobial therapy. RNA will be collected from whole blood cells before and after treatment. The comprehensive gene expression analyses will be performed by RNA-seq.

Basic objectives2

Others

Basic objectives -Others

To identify whole blood cell-associated genes associated with response to standard therapy in patients with pulmonary NTM disease.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The primary endpoint of the study is to identify the gene expression profiles in whole blood cells and serum proteins that predict the response to treatment in pulmonary NTM patients, who will be divided into a treatment (CAM+EB+RFP or EM) response group and a treatment non-response group during a 1-year observation period. Then, the validity of the biomarker will be clarified in relation to the clinical information.

Key secondary outcomes

The secondary endpoints of this study are to determine the effect of treatment (CAM/AZM+EB+RFP or EM) on pulmonary NTM disease by comparing the pre-treatment samples and post-treatment samples in terms of the gene expression in whole blood cells and serum protein levels. RNA-seq in this study will be performed at the University of Tsukuba.


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


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1, Patients who have been diagnosed with pulmonary NTM disease by the diagnostic criteria of ATS 2020 (NTM positive in sputum culture twice or culture positive in bronchial lavage fluid) before registration.

2, Patients who are not on any medication at the time of registration. In addition, at the time of enrollment in this study, the therapeutic drug must have been decided as a result of consultation and medical practice with the attending physician.

Key exclusion criteria

1. Comorbid respiratory disease: presence of any existing clinically significant known respiratory disease other than pulmonary NTM disease.
2. Malignancy: current malignancy or history of cancer that has just gone into remission less than 12 months prior to entry.
3. Liver disease: known pre-existing unstable liver disease.
4. Cardiovascular: Patients with severe or clinically significant cardiovascular disease that cannot be controlled with standard therapy.
5. Other co-morbidities: patients with known clinically significant endocrine, autoimmune, metabolic, neurologic, renal, gastrointestinal, hepatic, or hematologic disease that cannot be controlled with standard therapy. patients receiving systemic steroids for more than 4 weeks. However, patients receiving prednisolone equivalent of 10 mg/day or less of steroids will be subject to observation.
6. Pregnancy: subjects who are pregnant or lactating.

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Masashi
Middle name
Last name Matsuyama

Organization

Tsukuba university hospital

Division name

Department of Respiratory Medicine

Zip code

305-8576

Address

2-1-1, Amakubo, Tsukuba, Ibaraki, Japan

TEL

029-853-3144

Email

mmatsuyama@md.tsukuba.ac.jp


Public contact

Name of contact person

1st name Masashi
Middle name
Last name Matsuyama

Organization

Tsukuba university hospital

Division name

Department of Respiratory Medicine

Zip code

305-8576

Address

2-1-1, Amakubo, Tsukuba, Ibaraki, Japan

TEL

029-853-3144

Homepage URL


Email

mmatsuyama@md.tsukuba.ac.jp


Sponsor or person

Institute

Department of Respiratory Medicine, University of Tsukuba

Institute

Department

Personal name



Funding Source

Organization

Takeda Science Foundation

Insmed Incorporated, INVESTIGATOR-INITIATED RESEARCH grant

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

Tsukuba clinical research and development organization

Address

2-1-1, Amakubo, Tsukuba, Ibaraki, Japan

Tel

029-853-3914

Email

t-credo.adm@un.tsukuba.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 12 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


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

2020 Year 05 Month 15 Day

Date of IRB

2020 Year 05 Month 15 Day

Anticipated trial start date

2020 Year 05 Month 15 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

Macrolides, key drugs in pulmonary NTM disease, are not only antibiotics but also immune modulators. Therefore, it may be possible to identify whole blood cell-associated genes (immune-related genes) associated with response to standard therapy in patients with pulmonary NTM disease.


Management information

Registered date

2022 Year 12 Month 01 Day

Last modified on

2022 Year 12 Month 01 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000056554


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name