UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000054377
Receipt number R000061966
Scientific Title A prospective feasibility study of chemotherapy under covered HANAROSTENT placement in stage IV obstructive colon cancer
Date of disclosure of the study information 2024/06/01
Last modified on 2024/07/09 19:06:22

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Basic information

Public title

A prospective feasibility study of chemotherapy under covered HANAROSTENT placement in stage IV obstructive colon cancer

Acronym

A prospective study of chemotherapy with covered SEMS

Scientific Title

A prospective feasibility study of chemotherapy under covered HANAROSTENT placement in stage IV obstructive colon cancer

Scientific Title:Acronym

HANACO study

Region

Japan


Condition

Condition

Stage IV obstructive colon cancer

Classification by specialty

Gastroenterology Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To investigate feasibility of chemotherapy under SEMS placement for stage IV obstructive colon cancer

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase



Assessment

Primary outcomes

One-year SEMS-related adverse events

Key secondary outcomes

Progression-free survival of first-line chemotherapy, Overall response rate of first-line chemotherapy, Adverse events of first-line chemotherapy, Overall survival, Surgery-free survival, Overall SEMS-related adverse events, Duration of SEMS patency, Analysis of tumor markers


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

20 years-old <=

Age-upper limit

85 years-old >=

Gender

Male and Female

Key inclusion criteria

1. Age from 20 to 85 years old
2. Pathologically diagnosed colon adenocarcinoma
3. Obstructive colon cancer with successful decompression by placement of HANALOSTENT Naturfit Colon Cover
4. Colon cancer located from ascending to rectosigmoid colon
5. Surgeon has confirmed that the primary tumor is resectable
6. No primary tumor resection and colostomy
7. Explanation of colon resection and colostomy as the standard therapy
8. Oral intake is possible by successful decompression with SEMS placement
9. Confirmation of SEMS patency and no SEMS-related adverse events using CT scan after post-SEMS day 7
10. No history of chemotherapy for colorectal cancer (In recurrence cases, more than 6 months after final administration of adjuvant chemotherapy)
11. No history of radiation for the primary tumor
12. Standard chemotherapy (doublet or treplet cytotoxic agents, and immune checkpoint inhibitors) is possible
13. Life expectancy longer than 3 months
14. ECOG Performance Status 0-2
15. Patients who meet the following criteria on examination within 7 days prior to enrollment
(1) 3,000/mm3 =< WBC < 12,000/mm3
(2) Neutrophil => 1,500/mm3
(3) Platelet => 100,000/mm3
(4) Hemoglobin => 9.0 g/mm3
(5) Total bilirubin =< 2.0 mg/dL
(6) AST =< 100 U/L (Cases with liver metastasis =< 200 U/L)
(7) ALT =< 100 U/L (Cases with liver metastasis =< 200 U/L)
(8) Serum creatinine =< 1.5mg/dL
16. Agreement with signed informed consent

Key exclusion criteria

1. clinical stage T4b
2. Multiple SEMS placement
3. The presence of multiple malignancies
4. BT => 38.0 (celsius)
5. Infections disease that requires systemic treatment
6. The presence of massive body fluids (pleural, ascites, pericardial fluid, etc.)
7. Administration of anticoagulant drugs or multiple antiplatet drugs
8. Impossible cases that conduct surgery under general anesthesia
9. Sever heart and lung dysfunction
10. Administration of steroid or immune suppressive drugs
11. Uncontrolled diabetes mellitus
12. Active bleeding
13. History of serious drug hypersensitivity
14. Women who are pregnant, possibly pregnant, within 28 days postpartum, or lactating, or who are unwilling to use contraception. Men who do not intend to use contraception.
15. Severe mental disorder
16. Impossible confirmation of own will (ex. dementia)
17. Inappropriateness with physician's judgement

Target sample size

27


Research contact person

Name of lead principal investigator

1st name Takaya
Middle name
Last name Shimura

Organization

Nagoya City University Graduate School of Medical Sciences

Division name

Department of Gastroenterology and Metabolism

Zip code

467-8601

Address

1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, Japan

TEL

052-853-8211

Email

tshimura@med.nagoya-cu.ac.jp


Public contact

Name of contact person

1st name Naomi
Middle name
Last name Sugimura

Organization

Nagoya City University Graduate School of Medical Sciences

Division name

Department of Gastroenterology and Metabolism

Zip code

467-8601

Address

1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, Japan

TEL

052-853-8211

Homepage URL


Email

naomisug@med.nagoya-cu.ac.jp


Sponsor or person

Institute

Nagoya City University

Institute

Department

Personal name



Funding Source

Organization

M.I. Tech Co., Ltd.

Organization

Division

Category of Funding Organization

Outside Japan

Nationality of Funding Organization

South Koria


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Clinical Research Management Center, Nagoya City University Hospital

Address

1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, Japan

Tel

052-851-5511

Email

clinical_research@med.nagoya-cu.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

愛知医科大学病院(愛知県)、日本赤十字社愛知医療センター名古屋第二病院(愛知県)、岐阜県立多治見病院(岐阜県)、豊川市民病院(愛知県)、名古屋市立大学附属西部医療センター(愛知県)、名古屋市立大学附属東部医療センター(愛知県)、名古屋市立大学附属みどり市民病院(愛知県)


Other administrative information

Date of disclosure of the study information

2024 Year 06 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

2024 Year 04 Month 17 Day

Date of IRB

2024 Year 06 Month 14 Day

Anticipated trial start date

2024 Year 07 Month 01 Day

Last follow-up date

2029 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Study period: IRB approvement - 12/31, 2030
Study enrollment: IRB approvement - 12/31, 2026
Follow-up period: Enrollment of the first case - 12/31, 2029

All cases will be followed up for 3 years from the date of case enrollment.


Management information

Registered date

2024 Year 05 Month 12 Day

Last modified on

2024 Year 07 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000061966