UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000056675
Receipt number R000062805
Scientific Title Multicenter Prospective Observational Study to Investigate the Tolerability of Long-Term HFNC in Patients with Advanced Cancer and Poor Performance Status Experiencing Dyspnea at Rest
Date of disclosure of the study information 2025/01/09
Last modified on 2025/01/09 17:20:41

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Basic information

Public title

Multicenter Prospective Observational Study to Investigate the Tolerability of Long-Term HFNC in Patients with Advanced Cancer and Poor Performance Status Experiencing Dyspnea at Rest

Acronym

CJLSG2302 Study

Scientific Title

Multicenter Prospective Observational Study to Investigate the Tolerability of Long-Term HFNC in Patients with Advanced Cancer and Poor Performance Status Experiencing Dyspnea at Rest

Scientific Title:Acronym

CJLSG2302 Study

Region

Japan


Condition

Condition

Patients who have received a pathological or clinical diagnosis of advanced cancer before registration
Patients with an ECOG PS of 3 or 4 (as determined by at least two physicians)
Patients with subjective symptoms of dyspnea that have worsened over the two weeks prior to registration
Patients who experience dyspnea at rest with an mBorg scale score of 3 or higher at the time of registration (initial eligibility assessment)
Patients who cannot maintain an arterial oxygen partial pressure (PaO2) of 60 Torr or more or an SpO2 of 90% or more on room air at rest
Patients who are 18 years of age or older at the time of consent acquisition

Classification by specialty

Medicine in general Pneumology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

An exploratory study to investigate the long-term tolerability of High-flow Nasal Cannula (HFNC) in patients who have completed a phase III study of High-Flow Nasal Cannula for relieving dyspnea in advanced cancer patients.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Total duration of HFNC use over six days from the end of a phase III study of High-Flow Nasal Cannula for relieving dyspnea in advanced cancer patients.
The duration of HFNC use is defined as the period from the start of observation until the criteria for discontinuing HFNC are met.
The discontinuation of HFNC in this study is defined as not using HFNC continuously for more than 12 hours.

Key secondary outcomes

Evaluate the changes in the mBorg Scale for dyspnea at rest over six days.
Assess the response rate.
Evaluate the desire to continue HFNC therapy.


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

Eligibility Criteria (The same as those of A phase III study of High-Flow Nasal Cannula for relieving dyspnea in advanced cancer patients, and evaluated simultaneously with the eligibility criteria for that trial, followed by patient registration)

Patients who meet all of the following criteria are eligible:
Patients who have received a pathological or clinical diagnosis of advanced cancer before registration
Patients with an ECOG PS of 3 or 4 (as determined by at least two physicians)
Patients with subjective symptoms of dyspnea that have worsened over the two weeks prior to registration
Patients who experience dyspnea at rest with an mBorg scale score of 3 or higher at the time of registration (initial eligibility assessment)
Patients who cannot maintain an arterial oxygen partial pressure (PaO2) of 60 Torr or more or an SpO2 of 90% or more on room air at rest
Patients who are 18 years of age or older at the time of consent acquisition

Additional Eligibility Criteria (These are additional eligibility criteria for this observational study and are evaluated at the end of A phase III study of High-Flow Nasal Cannula for relieving dyspnea in advanced cancer patients. Patients who met the initial eligibility criteria but do not meet the additional eligibility criteria at the time of evaluation can still be included in the observational study. If the additional eligibility criteria are not met, the six-day observation will not be conducted.)

Patients who have completed the 24-hour evaluation in A phase III study of High-Flow Nasal Cannula for relieving dyspnea in advanced cancer patients.
Patients who are scheduled to start or continue HFNC in routine clinical practice

Key exclusion criteria

Exclusion Criteria (The same as those of A phase III study of High-Flow Nasal Cannula for relieving dyspnea in advanced cancer patients, and evaluated simultaneously with the eligibility criteria for that trial)
1.Patients currently receiving mechanical ventilation, including NPPV, where the continuation of mechanical ventilation is deemed medically appropriate
2.Patients scheduled to receive mechanical ventilation, including NPPV
3.Patients using HFNC at the time of registration
4.Patients with impaired consciousness, cognitive dysfunction, or mental illness that prevents appropriate communication
5.Patients receiving continuous sedation
6.Patients using opioid rescue medication more than eight times a day
7.Patients participating in other clinical trials that could affect the evaluation and results of this study
8.Patients who started the following treatments within 28 days before registration or are scheduled to start these treatments during the trial period:
Surgical treatments, anticancer therapies, or chest radiotherapy for the primary disease that could improve dyspnea
9.Patients who started the following treatments within seven days before registration or are scheduled to start these treatments during the trial period:
Intravenous antibiotics for bacteremia or pneumonia that could improve dyspnea
10.Patients who started the following treatments within 24 hours before registration or are scheduled to start these treatments during the trial period:
Thoracentesis, drainage of the pleural cavity, or pericardiocentesis
11.Other cases deemed inappropriate for participation in this clinical study by the principal investigator or sub-investigator
Additional Exclusion Criteria
Patients with impaired consciousness, cognitive dysfunction, or mental illness at the start of the observational study that prevents appropriate communication for clinical study evaluation

Target sample size

54


Research contact person

Name of lead principal investigator

1st name Satoshi
Middle name
Last name Hagimoto

Organization

Tosei General Hospital

Division name

Department of Respiratory Medicine and Allergy

Zip code

489-8642

Address

160, nishioiwake-cho, Seto, Aichi, Japan.

TEL

0561-82-5101

Email

satoshi.hagimoto@gmail.comgmail.com


Public contact

Name of contact person

1st name satoshi
Middle name
Last name hagimoto

Organization

Tosei General Hospital

Division name

Department of Respiratory Medicine and Allergy

Zip code

489-8642

Address

160, nishioiwake-cho, Seto, Aichi, Japan.

TEL

0561-82-5101

Homepage URL


Email

lung@tosei.or.jp


Sponsor or person

Institute

Tosei General Hospital

Institute

Department

Personal name



Funding Source

Organization

none

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Department of Respiratory Medicine and Allergy

Address

160, nishioiwake-cho, Seto, Aichi, Japan.

Tel

0561825101

Email

lung@tosei.or.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

和歌山県立医科大学附属病院(和歌山県)、神戸市立医療センター中央市民病院(兵庫県)、松江医療センター(島根県)、近畿中央呼吸器センター(大阪府)、東北大学病院(宮城県)、済生会宇都宮病院(栃木県)、藤田医科大学病院(愛知県)、名古屋医療センター(愛知県)、中京病院(愛知県)、大垣市民病院(愛知県)、松波総合病院(岐阜県)、公立那賀病院(和歌山県)


Other administrative information

Date of disclosure of the study information

2025 Year 01 Month 09 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

Enrolling by invitation

Date of protocol fixation

2024 Year 05 Month 16 Day

Date of IRB

2024 Year 06 Month 17 Day

Anticipated trial start date

2024 Year 07 Month 26 Day

Last follow-up date

2027 Year 07 Month 26 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

none


Management information

Registered date

2025 Year 01 Month 09 Day

Last modified on

2025 Year 01 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000062805