UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000051145
Receipt number R000058310
Scientific Title A prospective observational study for the usefulness of Japan Esophageal Society Classification B2 for estimating cancer invasion depth in superficial esophageal squamous cell carcinomas
Date of disclosure of the study information 2023/05/29
Last modified on 2025/05/24 20:49:11

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Basic information

Public title

A prospective observational study for the usefulness of Japan Esophageal Society Classification B2 for estimating cancer invasion depth in superficial esophageal squamous cell carcinomas

Acronym

Japan BEES study

Scientific Title

A prospective observational study for the usefulness of Japan Esophageal Society Classification B2 for estimating cancer invasion depth in superficial esophageal squamous cell carcinomas

Scientific Title:Acronym

Japan BEES study

Region

Japan


Condition

Condition

esophageal squamous cell carcinoma

Classification by specialty

Gastroenterology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to verify the usefulness of considering the size and macroscopic type of the B2 vascular area in addition to the depth diagnosis based on the classification by a magnifying endoscopy of the Japan Esophageal Society for the depth diagnosis of clinical MM/SM1 esophageal cancer.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Accuracy (the proportion of cases where the preoperative depth diagnosis matches the histological depth diagnosis)

Key secondary outcomes

1. Ratio of pSM2-3 when the size of the area where B2 vessels are observed is 10 mm or more
2. Ratio of pSM2-3 when the macroscopic type of the area where B2 vessels are observed is 0-I or 0-III
3. Ratio of pSM2-3 when the size of the area where B2 vessels are observed is 10 mm or more, or the macroscopic type is 0-I or 0-III
4. Ratio of pEP/LPM when the size of the area where B2 vessels are observed is 4 mm or less
5. Positive predictive value
6. Sensitivity
7. Specificity
8. Likelihood ratio
9. Correlation between the size of the B2 vascular area and the histological depth
10. Correlation between the number of B2 vascular areas and the histological depth
11. Relationship between the macroscopic type of the B2 vascular area and the histological depth


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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Patients diagnosed with histologically confirmed squamous cell carcinoma or clinically diagnosed esophageal squamous cell carcinoma.
2. Clinical T1 esophageal cancer where B2 vessels are observed but B3 vessels are not observed.
3. The part where B2 vessels are observed is diagnosed as the deepest part of the tumor.
4. The main occupation site of the tumor is the cervical, thoracic, or abdominal esophagus (UICC-TNM 8th edition).
5. The maximum diameter of the tumor is 50 mm or less.
6. Patients who wish to undergo endoscopic or surgical resection as initial treatment. However, only those without planned preoperative chemotherapy for overlapping head and neck or gastric cancer cases are eligible.
7. No simultaneous esophageal advanced cancer.
8. No history of surgical esophagectomy.
9. No history of radiation therapy to the esophagus, lung field, or mediastinum, including treatment for other cancer types.
10. Past endoscopic resection for esophageal cancer is not a concern. However, if the lesion is located within 10mm of the scar from previous treatment, the patient is ineligible.
11. The age at registration is 18 years or older.
12. Performance status (PS) is assessed according to the ECOG criteria and is between 0 and 2.
13. The patient has provided written consent for participation in the trial.

Key exclusion criteria

1. Patients with systemic infections requiring treatment.
2. Women who are pregnant, may be pregnant, or are breastfeeding.
3. Patients with psychiatric disorders, psychiatric symptoms, or cognitive impairments that make participation in the trial difficult.
4. Patients deemed inappropriate by the registering physician.

Target sample size

135


Research contact person

Name of lead principal investigator

1st name Ryu
Middle name
Last name Ishihara

Organization

Osaka international Cancer Center

Division name

Gastrointestinal Oncology

Zip code

541-8567

Address

3-1-69 Otemae, Chuo-ku, Osaka, Japan

TEL

06-6945-1181

Email

ryu1486@gmail.com


Public contact

Name of contact person

1st name Masao
Middle name
Last name Yoshida

Organization

Shizuoka Cancer Center

Division name

Division of Endoscopy

Zip code

411-8777

Address

1007 Shimonagakubo, Nagaizumi, Shizuoka, Japan

TEL

055-989-5222

Homepage URL


Email

ma.yoshida@scchr.jp


Sponsor or person

Institute

Shizuoka Cancer Center

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Shizuoka Cancer Center

Address

1007 Shimonagakubo, Nagaizumi, Shizuoka, Japan

Tel

055-989-5222 / +81-55-989-5222

Email

tansaku_office@scchr.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

大阪国際がんセンター/Osaka International Cancer Center
鹿児島大学/Kagoshima University
がん研有明病院/Cancer Institute Hospital
恵佑会第2病院/Keiyukai Daini Hospital
国立がん研究センター中央病院/National Cancer Center Hospital
国立がん研究センター東病院/National Cancer Center Hospital East
静岡県立静岡がんセンター/Shizuoka Cancer Center
静岡県立総合病院/Shizuoka General Hospital
市立奈良病院/Nara City Hospital
仙台厚生病院/Sendai Kousei Hospital
長岡赤十字病院/Nagaoka Red Cross Hospital
広島大学/Hiroshima University
福岡大学筑紫病院/Fukuoka Umiversity Chikushi Hospital


Other administrative information

Date of disclosure of the study information

2023 Year 05 Month 29 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

136

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

2023 Year 05 Month 06 Day

Date of IRB

2023 Year 05 Month 17 Day

Anticipated trial start date

2023 Year 05 Month 29 Day

Last follow-up date

2027 Year 05 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This study is a prospective observational study. Data obtained within the scope of endoscopic examinations performed in daily clinical practice will be used to verify the usefulness of experimental preoperative depth diagnosis in addition to standard depth diagnosis methods. The clinical hypothesis of this study is "Improvement of the preoperative depth diagnosis accuracy by considering the size of the B2 vascular area and the macroscopic type of the B2 vascular area in addition to the conventional magnifying endoscopic classification based on the depth prediction of the standard preoperative depth diagnosis."


Management information

Registered date

2023 Year 05 Month 23 Day

Last modified on

2025 Year 05 Month 24 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000058310