UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000053438
Receipt number R000059599
Scientific Title Diagnostic yield Evaluation Studies of a real-time endoscopic Image diaGNosis support system using Artificial Intelligence technology
Date of disclosure of the study information 2024/10/28
Last modified on 2026/02/05 09:20:44

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Basic information

Public title

A multicenter randomized controlled study to evaluate efficacy of a real-time endoscopic diagnosis support system using artificial intelligence technology for the detection of colorectal precancerous lesions and early colorectal cancer

Acronym

DESIGN AI-05 Study

Scientific Title

Diagnostic yield Evaluation Studies of a real-time endoscopic Image diaGNosis support system using Artificial Intelligence technology

Scientific Title:Acronym

DESIGN AI-05 Study

Region

Japan


Condition

Condition

Colorectal precancerous lesions and colorectal cancer (confirmed and suspected)

Classification by specialty

Gastroenterology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate diagnostic performance to detect colorectal precancerous lesions and colorectal cancer automatically during colonoscopy using WISE VISION, endoscopic image artificial intelligence diagnosis support system, (hereinafter referred to as endoscopic AI diagnosis support system) in a multicenter setting.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase III


Assessment

Primary outcomes

PDR (Polyp Detection Rate)

Key secondary outcomes

1) ADR (Adenoma Detection Rate)
2) APPC (Adenomas Per Positive Colonoscopy: number of adenomas detected per positive test)
3) Total examination time
4) Endoscopy insertion time
5) Observation time
6) SSL (Sessile Serrated Lesion) detection rate in whole colon and right colon
7) FDR (Flat adenoma detection rate): Flat adenoma includes macroscopic type IIa, IIb, and IIc
8) DDR (Depressed lesion Detection Rate): Depressed lesion includes macroscopic type IIc alone


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is considered as a block.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Prevention

Type of intervention

Device,equipment

Interventions/Control_1

Normal monitor (no AI group)

Interventions/Control_2

Normal monitor + AI monitor (group with AI)

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

90 years-old >=

Gender

Male and Female

Key inclusion criteria

1) The physician in charge of the examination has a cumulative experience of 500 cases or more
2) Patients undergoing colonoscopy
3) Age: 20 years old or older and 90 years old or younger (age at the time of registration)
4) ECOG performance status score: 0-2
5) Purpose of examination:
・Examination after positive fecal occult blood results
・Surveillance after polypectomy
・Surveillance after colorectal cancer surgery
・Screening
6) Restrictions on concomitant drugs/concomitant therapy:
・Patients who can discontinue anticoagulant/antiplatelet agents according to the clinical practice guidelines for gastrointestinal endoscopy
7)Written informed consent has been obtained from the patient to participate in the study

Key exclusion criteria

1) Restrictions on medical history and comorbidities:
・Patients who are currently undergoing chemotherapy or radiotherapy for colorectal cancer
・Patients with familial adenomatous polyposis
・Patients with comorbidities (such as chronic hematological disorders) that make lesion resection difficult
・Patients with active inflammatory bowel disease (ulcerative colitis, Crohn's disease, etc.)

Target sample size

1000


Research contact person

Name of lead principal investigator

1st name Yutaka
Middle name
Last name Saito

Organization

National Cancer Center Hospital

Division name

Division of Endoscopy

Zip code

104-0045

Address

5-1-1 Tsukiji, Chuo-ku Tokyo, 104-0045 Japan

TEL

03-3542-2511

Email

ytsaito@ncc.go.jp


Public contact

Name of contact person

1st name Masayoshi
Middle name
Last name Yamada

Organization

National Cancer Center Hospital

Division name

Division of Endoscopy

Zip code

104-0045

Address

5-1-1 Tsukiji, Chuo-ku Tokyo, 104-0045 Japan

TEL

03-3542-2511

Homepage URL


Email

masyamad@ncc.go.jp


Sponsor or person

Institute

National Cancer Center Hospital

Institute

Department

Personal name



Funding Source

Organization

NEC Corporation

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

National Cancer Center Institutional Review Board

Address

5-1-1 Tsukiji, Chuo-ku Tokyo, 104-0045 Japan

Tel

03-3542-2511

Email

NCC_IRBoffice@ml.res.ncc.go.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

国立がん研究センター中央病院(東京都)
National Cancer Center Hospital(Tokyo)

東京慈恵会医科大学附属病院(東京都)
Jikei University Hospital(Tokyo)

東京医科大学病院(東京都)
Tokyo Medical University Hospital(Tokyo)

昭和大学医学部内科学講座(東京都)
Department of Medicine, Showa University School of Medicine(Tokyo)

群馬大学医学部附属病院(群馬県)
Gunma University Hospital (Gunma Prefecture)


Other administrative information

Date of disclosure of the study information

2024 Year 10 Month 28 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

752

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 08 Month 24 Day

Date of IRB

2023 Year 08 Month 31 Day

Anticipated trial start date

2024 Year 10 Month 28 Day

Last follow-up date

2025 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

2024 Year 01 Month 25 Day

Last modified on

2026 Year 02 Month 05 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000059599