UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000055500
Receipt number R000063360
Scientific Title The Usefulness of iTACT-HBcrAg Monitoring in Detecting HBV Reactivation Among HBV-resolved Patients with Hematological Tumors: a prospective multicenter observational study
Date of disclosure of the study information 2024/10/01
Last modified on 2024/09/13 17:39:15

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Basic information

Public title

The Usefulness of iTACT-HBcrAg Monitoring in Detecting HBV Reactivation Among HBV-resolved Patients with Hematological Tumors: a prospective multicenter observational study

Acronym

iTACT - HBV study

Scientific Title

The Usefulness of iTACT-HBcrAg Monitoring in Detecting HBV Reactivation Among HBV-resolved Patients with Hematological Tumors: a prospective multicenter observational study

Scientific Title:Acronym

iTACT - HBV study

Region

Japan


Condition

Condition

Hematological Tumors where the doctor considers there to be a high risk of HBV reactivation

Classification by specialty

Hepato-biliary-pancreatic medicine Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To perform iTACT-HBcrAg monitoring on the same day as HBV-DNA monitoring and evaluate the utility of iTACT-HBcrAg monitoring as a potential replacement for HBV-DNA monitoring in a prospective observational study.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Success rate of iTACT-HBcrAg monitoring

Key secondary outcomes

1) HBV reactivation rate
2) Incidence rate of HBV reactivation-related liver damage/hepatitis
3) Specificity of iTACT-HBcrAg
4) Rate of HBs antibody positivity
5) Success rate of iTACT-HBsAg monitoring (ancillary study)
6) Specificity of iTACT-HBsAg (ancillary study)


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


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Having a history of past HBV infection (HBc antibody-positive and/or HBs antibody-positive among HBs antigen-negative cases). However, cases with HBs antibody positivity alone and a history of HBV
vaccination are excluded.
2) The attending physician judges the patient to be at high risk of HBV reactivation, and the patient is either scheduled for treatment of a hematologic disease or is within 4 weeks of starting treatment. The type of hematologic disease or treatment is not specified. As a reference, treatments expected to carry a high risk of HBV reactivation include:
- Anti-CD20 monoclonal antibody therapy and steroid combination chemotherapy
- Initial or salvage chemotherapy for lymphoid malignancies (such as malignant lymphoma, multiple myeloma, acute and chronic lymphocytic leukemia)
- Autologous or allogeneic hematopoietic stem cell transplantation
- Cellular immunotherapy (such as CAR-T cell therapy or bispecific antibodies)
3) Plans are in place for HBV reactivation prevention through HBV-DNA monitoring as recommended by the Japan Society of Hepatology guidelines.
4) A history of HBV reactivation (defined as HBV-DNA of 1.3 Log IU/mL or higher) is irrelevant. Patients with a history of nucleotide analogue therapy for HBV reactivation are also eligible for enrollment.
5) Re-enrollment is permitted for cases where the 1.5-year follow-up period has been completed.

Key exclusion criteria

1) The pre-enrollment HBV-DNA level is 1.3 Log IU/mL or higher (if measured at the enrolling facility within 4 weeks prior to enrollment).
2) The diagnosis of previous HBV reactivation occurred within 12 months prior to enrollment.
3) There is a history of nucleotide analogue administration, and it has been within 6 months since its discontinuation.
4) Nucleotide analogue therapy is being administered at the time of enrollment.
5) It is clearly impossible to plan for a 1.5-year follow-up at the enrolling facility after enrollment.

Target sample size

375


Research contact person

Name of lead principal investigator

1st name Yasuhito
Middle name
Last name Tanaka

Organization

Kumamoto University Hospital

Division name

Department of Gastroenterology and Hepatology

Zip code

860-8556

Address

1-1-1 Honjo Chuo ku, Kumamoto, Kumamoto, Japan

TEL

096-373-5150

Email

ytanaka@kumamoto-u.ac.jp


Public contact

Name of contact person

1st name Hiro
Middle name
Last name Tatetsu

Organization

Kumamoto University Hospital

Division name

Department of Hematology, Rheumatology and Infectious Diseases

Zip code

860-8556

Address

1-1-1 Honjo Chuo ku, Kumamoto, Kumamoto, Japan

TEL

096-363-5156

Homepage URL


Email

tatetsu@kumamoto-u.ac.jp


Sponsor or person

Institute

Kumamoto University Hospital

Institute

Department

Personal name



Funding Source

Organization

Ministry of Health, Labour and Welfare

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Faculty of Life Sciences, Kumamoto University

Address

1-1-1 Honjo, Chuo-ku, Kumamoto

Tel

096-373-5657

Email

ski-shien@jimu.kumamoto-u.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

愛知県がんセンター(愛知県)、、 今村総合病院(鹿児島県)、 永寿総合病院(東京都)、 大分大学医学部附属病院(大分県)、 大分県立病院(大分県)、 大阪大学大学院 医学系研究科(大阪府)、 神奈川県立がんセンター(神奈川県)、 金沢大学附属病院(石川県)、 岐阜大学医学部附属病院(岐阜県)、 九州医療センター(福岡県)、 九州大学病院(福岡県)、 京都第一赤十字病院(京都府)、 京都府立医科大学附属病院(京都府)、 近畿大学病院(大阪府)、 くまもと森都総合病院(熊本県)、 倉敷中央病院(岡山県)、 群馬県立がんセンター(群馬県)、 慶應義塾大学病院(東京都)、 公益財団法人がん研究会有明病院(東京都)、 国立がん研究センター中央病院(東京都)、 国立病院機構熊本医療センター(熊本県)、 国立病院機構四国がんセンター(愛媛県)、 国立病院機構渋川医療センター(群馬県)、 国立病院機構長崎医療センター(長崎県)、 埼玉医科大学国際医療センター(埼玉県)、 埼玉医科大学総合医療センター(埼玉県)、 佐賀大学医学部附属病院(佐賀県)、 佐世保市総合医療センター(長崎県)、 島根大学医学部附属病院(島根県)、 順天堂大学医学部附属練馬病院(東京都)、 新百合ヶ丘総合病院(神奈川県)、 天使病院(北海道)、 東海大学医学部(神奈川県)、 東京慈恵会医科大学附属第三病院(東京都)、 東京慈恵会医科大学附属病院(東京都)、 東北大学病院(宮城県)、 徳島大学病院(徳島県)、 長崎大学病院(長崎県)、 名古屋市立大学病院(愛知県)、 名古屋大学医学部附属病院(愛知県)、 日本医科大学付属病院(東京都)、 浜田医療センター(島根県)、 兵庫県立尼崎総合医療センター(兵庫県)、 北海道大学病院(北海道)、 宮崎大学医学部附属病院(宮崎県)、 山形大学医学部附属病院(山形県)、 和歌山県立医科大学附属病院(和歌山県)、 JCHO熊本総合病院(熊本県)


Other administrative information

Date of disclosure of the study information

2024 Year 10 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

Preinitiation

Date of protocol fixation

2024 Year 08 Month 09 Day

Date of IRB

2024 Year 08 Month 09 Day

Anticipated trial start date

2024 Year 10 Month 01 Day

Last follow-up date

2029 Year 08 Month 08 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 09 Month 13 Day

Last modified on

2024 Year 09 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000063360