UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000052391
Receipt number R000059808
Scientific Title Validity of next-generation sequencing (NGS)-based gene panel testing in endoscopic ultrasound with endobronchial ultrasound-guided transbronchial needle aspiration or endobronchial ultrasound-guided transbronchial needle aspiration specimens in patients with lung cancer: a prospective study
Date of disclosure of the study information 2023/10/03
Last modified on 2023/10/03 14:14:25

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Basic information

Public title

Validity of next-generation sequencing (NGS)-based gene panel testing in endoscopic ultrasound with endobronchial ultrasound-guided transbronchial needle aspiration or endobronchial ultrasound-guided transbronchial needle aspiration specimens in patients with lung cancer: a prospective study

Acronym

Validity of next-generation sequencing (NGS)-based gene panel testing in endoscopic ultrasound with endobronchial ultrasound-guided transbronchial needle aspiration or endobronchial ultrasound-guided transbronchial needle aspiration specimens in patients with lung cancer: a prospective study

Scientific Title

Validity of next-generation sequencing (NGS)-based gene panel testing in endoscopic ultrasound with endobronchial ultrasound-guided transbronchial needle aspiration or endobronchial ultrasound-guided transbronchial needle aspiration specimens in patients with lung cancer: a prospective study

Scientific Title:Acronym

Validity of next-generation sequencing (NGS)-based gene panel testing in endoscopic ultrasound with endobronchial ultrasound-guided transbronchial needle aspiration or endobronchial ultrasound-guided transbronchial needle aspiration specimens in patients with lung cancer: a prospective study

Region

Japan


Condition

Condition

Primary lung cacner

Classification by specialty

Pneumology Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

The purpose of this study is to validate cytology specimens by endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) or endoscopic ultrasound with bronchoscope-guided fine needle aspiration (EUS-B-FNA) performed for the diagnosis of lung cancer as specimens for gene panel testing using a next-generation sequencer (Lung Cancer Compact Panel Dx. DNA Chip Research Inc.).

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Lung cancer compact panel test success rate: Percentage of cases with successful gene panel test in Lung Cancer Compact Panel Dx among those diagnosed with class IV or higher non-small cell lung cancer by EBUS-TBNA or EUS-B-FNA cytology.

Key secondary outcomes

Association between the amount of DNA and RNA extracted in the Lung Cancer Compact Panel Dx and cytological diagnosis of class IV and V.
Percentage of tumor cell content using Papanicolaou stained specimens for cytology diagnosis and association with class IV and V in cytology and success rate of the Lung Cancer Compact Panel.
At the time of the examination, investigate whether there are any changes in vital signs (e.g., decreased SpO2 or blood pressure changes), uncontrolled bleeding, or other complications that may require interruption of the examination. The presence or absence of complications (e.g., mediastinitis or other serious infections) that may develop late on the day following the examination and one week later will be evaluated.


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

(i) Age: Patients who are at least 18 years old at the time of consent.
(ii) Gender: any gender.
(iii) Inpatient/outpatient: Inpatient only.
(iv) Patients confirmed by prior radiological examination (chest CT, FDG-PET, etc.) to have a lesion strongly suspected to be lung cancer that can be punctured by EBUS-TBNA or EUS-B-FNA.
(v) Patients who have received a thorough explanation of their participation in this study, and who have given their or their surrogate's written consent based on a thorough understanding of the study.

Key exclusion criteria

(i) Pregnant women or patients who may be pregnant.
(ii) Patients who should be analyzed with a gene panel assay other than the Lung Cancer Compact Panel Dx.
(iii) Patients with bleeding tendency or unable to discontinue anticoagulants or antiplatelet agents.
(iv) Patients deemed inappropriate as research subjects by the principal investigator.

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Yukihiro
Middle name
Last name Umeda

Organization

Faculty of Medical Sciences, University of Fukui

Division name

Third Department of Internal Medicine

Zip code

9101193

Address

23-3 Matsuoka-Shimoaizuki, Eiheiji-cho, Fukui

TEL

+81776613111

Email

umeda@u-fukui.ac.jp


Public contact

Name of contact person

1st name Yukihiro
Middle name
Last name Umeda

Organization

Faculty of Medical Sciences, University of Fukui

Division name

Third Department of Internal Medicine

Zip code

9101193

Address

23-3 Matsuoka-Shimoaizuki, Eiheiji-cho, Fukui

TEL

+81776613111

Homepage URL


Email

umeda@u-fukui.ac.jp


Sponsor or person

Institute

University of Fukui

Institute

Department

Personal name

Yukihiro Umeda


Funding Source

Organization

Self founding

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor

Japanese Red Cross Fukui Hospital, Municipal Tsuruga Hospital

Name of secondary funder(s)



IRB Contact (For public release)

Organization

The Research Ethics Committee of University of Fukui

Address

23-3 Matsuoka-Shimoaizuki, Eiheiji-cho, Fukui

Tel

+81776613111

Email

rinsho-rinri@ml.u-fukui.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

福井赤十字病院(福井県)、市立敦賀病院(福井県)


Other administrative information

Date of disclosure of the study information

2023 Year 10 Month 03 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

2023 Year 10 Month 02 Day

Date of IRB

2023 Year 09 Month 25 Day

Anticipated trial start date

2023 Year 10 Month 03 Day

Last follow-up date

2025 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Observation Items
<Before the examination>
Patient background: gender, age, performance status (ECOG-PS), comorbidities, medical history, smoking history
Confirmation of subjective symptoms: Respiratory symptoms, etc., should be confirmed by interview, etc.
Other findings (vital signs): blood pressure, pulse rate, respiratory rate
Hematological examination: white blood cell count, red blood cell count, hemoglobin, platelet count, PT, APTT
Blood biochemical tests: total protein, albumin, CRP, total bilirubin, AST, ALT, LDH, BUN, Cre
Arterial blood gas or transcutaneous oxygen saturation
Chest CT: puncture site and long/short diameter of puncture lesion
FDG-PET: FDG accumulation in puncture lesion
<During the examination>
Examination time (time from scope insertion to scope removal), sedation dose, number of puncture, site of punctured lesion
Presence or absence of adverse events
<After the examination>
Pathology and cytology diagnosis results of the specimen obtained by EBUS-TBNA or EUS-B-FNA, percentage of tumor cells in the cytology findings (percentage of nuclei of tumor cells among nucleated cells in the tissue)
Clinical stage and TNM classification
Amount of DNA and RNA extracted, percentage of successful analysis, and results of analysis in the Lung Cancer Compact Panel Dx


Management information

Registered date

2023 Year 10 Month 03 Day

Last modified on

2023 Year 10 Month 03 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000059808