UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000056086
Receipt number R000064054
Scientific Title A pragmatic randomized controlled trial to confirm systemic anticancer therapy for patients with advanced solid tumors in the end-stage
Date of disclosure of the study information 2024/11/07
Last modified on 2024/11/19 11:59:58

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Basic information

Public title

A pragmatic randomized controlled trial to confirm systemic anticancer therapy for patients with advanced solid tumors in the end-stage

Acronym

TRUE trial

Scientific Title

A pragmatic randomized controlled trial to confirm systemic anticancer therapy for patients with advanced solid tumors in the end-stage

Scientific Title:Acronym

TRUE trial

Region

Japan


Condition

Condition

Advanced solid tumors for which treatments recommended by practice guidelines have been completed or are no longer available (breast cancer, lung cancer, stomach cancer, colon cancer, hepatobiliary pancreatic cancer, gynecologic cancer, urologic cancer)

Classification by specialty

Gastroenterology Hepato-biliary-pancreatic medicine Pneumology
Breast surgery Obstetrics and Gynecology Urology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To compare the standard of care, best supportive care (BSC), with chemotherapy (physician's choice) in terms of the effectiveness on overall survival (OS) and quality of life (QOL) for patients in the late stages of cancer chemotherapy for whom aggressive chemotherapies are not recommended.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2

Pragmatic

Developmental phase

Phase III


Assessment

Primary outcomes

Overall survival

Key secondary outcomes

1) EORTC QLQ-C30 score
2) EQ-5D-5L score
3) Health Economics
4) Quality-adjusted life years (QALYs)
5) Length of hospital stay up to 12 weeks after enrollment
6) Number of scheduled outpatient visits up to 12 weeks after enrollment
7) Number of emergency room and unscheduled outpatient visits up to 12 weeks after enrollment


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

No treatment

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Physician's choice of drug therapy will be given to the study treatment group.

Interventions/Control_2

Best supportive care (BSC), the standard of care, will be given to the study control group.

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

1) Histologically or cytologically diagnosed with solid cancer (breast cancer, lung cancer, stomach cancer, colorectal cancer, hepatobiliary pancreatic cancer, gynecological cancer [ovarian cancer, fallopian tube cancer, peritoneal cancer, cervical cancer, uterine cancer (including sarcoma)], urological cancer [prostate cancer, renal cancer, urothelial cancer]).
2) Advanced, metastatic, or recurrent cancer that is not resectable or radically irradiated.
3) Judged by attending physician that drug therapy is not aggressively recommended since all therapies recommended in the practice guidelines have been completed or judged to be unavailable.
4) There are drug therapies that are not recommended by practice guidelines but can be used.
5) Not scheduled to undergo gene panel testing.
6) 18 years and over at enrollment.
7) Performance status (PS) is 0, 1, or 2 according to ECOG criteria.
8) No measurable lesions are required.
9) No symptomatic brain metastases and no spinal metastases requiring radiation or surgical procedures.
10) Able to make outpatient visits.
11) Preserved organ function to receive drug therapies.
12) Able to complete QOL surveys using an electronic device.
13) Patient's written consent to participate in the study has been obtained.

Key exclusion criteria

1) Infectious disease requiring physical treatment.
2) Psychiatric disorders/symptoms that interfere with daily life and make it difficult to participate in the study.
3) Pregnant, possibly pregnant, within 28 days postpartum, or breastfeeding.
4) Judged difficult to participate in the study by the attending physician.

Target sample size

300


Research contact person

Name of lead principal investigator

1st name Kei
Middle name
Last name Muro

Organization

Aichi Cancer Center

Division name

Department of Clinical Oncology

Zip code

464-8681

Address

1-1 Kanokoden, Chikusa, Nagoya, Aichi

TEL

052-762-6111

Email

kmuro@aichi-cc.jp


Public contact

Name of contact person

1st name Atsuko
Middle name
Last name Nakasato

Organization

Public Health Research Foundation

Division name

Comprehensive Support Project for Oncology Research

Zip code

169-0051

Address

1-1-7 Nishi-waseda, Shinjuku, Tokyo

TEL

03-5287-2636

Homepage URL


Email

csp-qol@csp.or.jp


Sponsor or person

Institute

Okayama University Hospital

Institute

Department

Personal name

Iwatani, Tsuguo


Funding Source

Organization

National Institute of Public Health

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

Aichi Cancer Center

Address

1-1 Kanokodono, Chikusa, Nagoya, Aichi

Tel

052-762-6111

Email

irb-jimu@aichi-cc.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



Other administrative information

Date of disclosure of the study information

2024 Year 11 Month 07 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 10 Month 11 Day

Date of IRB


Anticipated trial start date

2024 Year 11 Month 25 Day

Last follow-up date

2029 Year 11 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 11 Month 07 Day

Last modified on

2024 Year 11 Month 19 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000064054