UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000050530
Receipt number R000057517
Scientific Title Overall survival and cause of death in Japanese patients with chronic lymphocytic leukemia
Date of disclosure of the study information 2023/03/09
Last modified on 2025/02/19 18:10:30

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Basic information

Public title

Overall survival and cause of death in Japanese patients with chronic lymphocytic leukemia

Acronym

Overall survival and cause of death in Japanese patients with chronic lymphocytic leukemia

Scientific Title

Overall survival and cause of death in Japanese patients with chronic lymphocytic leukemia

Scientific Title:Acronym

Overall survival and cause of death in Japanese patients with chronic lymphocytic leukemia

Region

Japan


Condition

Condition

Chronic lymphocytic leukemia

Classification by specialty

Medicine in general Hematology and clinical oncology Adult

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Primary objective of this study is to describe the survivals and primary causes of deaths in CLL patients in real-world clinical practice in Japan.

Basic objectives2

Others

Basic objectives -Others

The Secondary objectives of the study are to identify the clinical characteristics and comorbidities diagnosed prior to or simultaneously with CLL diagnosis of patients and how these affected their cause of deaths or survival.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

To identify survival and cause of death of CLL in Japanese real clinical practice. The causes of death are classified into four categories: 1. Progressive CLL of CLL, 2. Infection, 3. Other cancers, and 4. Comorbid health condition (in the absence of progression of CLL), of which 1, 2, and 3 are considered as CLL-related causes of death for this analysis.

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


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Consecutive CLL patients diagnosed at Kameda Medical Center, Hiroshima Red-Cross Hospital and Atomic Bomb Survivor Hospital, from 2005 to 2022.

Key exclusion criteria

Exclusion criteria of this study include human immunodeficiency virus infection and end stage solid cancer at diagnosis patients.

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Kosei
Middle name
Last name Matsue

Organization

Kameda Medical Center

Division name

Division of Hematology/Oncology

Zip code

296-0041

Address

929 Higashi-cho, Kamogawa City, Chiba Prefecture

TEL

+81-04-7092-2211

Email

koseimatsue@gmail.com


Public contact

Name of contact person

1st name Kosei
Middle name
Last name Matsue

Organization

Kameda Medical Center

Division name

Division of Hematology/Oncology

Zip code

296-0041

Address

929 Higashi-cho, Kamogawa City, Chiba Prefecture

TEL

+81-04-7092-2211

Homepage URL


Email

koseimatsue@gmail.com


Sponsor or person

Institute

Kameda Medical Center

Institute

Department

Personal name



Funding Source

Organization

AstraZeneca

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kameda Medical Center, Research Ethics Committee

Address

929 Higashi-cho,Kamogawa City,Chiba Prefecture,Japan 296-8602

Tel

04-7092-2211

Email

clinical_research@kameda.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

亀田総合病院、広島赤十字・原爆病院


Other administrative information

Date of disclosure of the study information

2023 Year 03 Month 09 Day


Related information

URL releasing protocol

Unpublished

Publication of results

Published


Result

URL related to results and publications

https://onlinelibrary.wiley.com/doi/10.1002/cam4.70613

Number of participants that the trial has enrolled

121

Results

Our study showed that CLL itself was the leading COD, and comorbidity burden was associated with non-CLL-specific deaths. This highlights the importance of better disease control and effective management of comorbidities.

Results date posted

2025 Year 02 Month 19 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

The median age was 69 years, with 47.9% having at least one comorbidity listed in the Charlson Comorbidity Index (CCI), and 12.4% were multimorbid.

Participant flow

We retrospectively analyzed patients with CLL/small lymphocytic leukemia (SLL) who were diagnosed between 1995 and 2022 at Kameda Medical Center and Hiroshima Red Cross Hospital and Atomic-bomb Survivors Hospital and followed up at least once since 2005.

Adverse events

NA

Outcome measures

With a median follow-up of 74 months, the 5-and 10-year overall survival rates were 80.6% and 60.1%, respectively. Among the 44 deaths observed, CLL progression was the leading COD (38.6%), which together with infections and other malignancies accounted for nearly 80%. Patients with higher CCI risk categories had significantly higher 5-year all-cause mortality and non-CLL specific mortality compared to those without, whereas CLL-specific mortality was not influenced.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2023 Year 02 Month 22 Day

Date of IRB

2023 Year 02 Month 22 Day

Anticipated trial start date

2023 Year 04 Month 01 Day

Last follow-up date

2023 Year 07 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Data for this study will be extracted from all patients diagnosed with CLL at Kameda General Hospital and Hiroshima Red Cross Hospital and Atomic-Bomb Survivors Hospital over a 18-year period from 2005 to 2022, including age, sex, complications, clinical laboratory values, clinical stage, treatment, and prognosis, to determine factors that influenced patient outcomes and treatment.


Management information

Registered date

2023 Year 03 Month 07 Day

Last modified on

2025 Year 02 Month 19 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000057517