UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000056392
Receipt number R000064378
Scientific Title Prospective study on the development of computer-aided diagnostic systems focused on the JNET classifications for colorectal lesions
Date of disclosure of the study information 2025/01/01
Last modified on 2026/03/16 12:09:44

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Basic information

Public title

Prospective study on the development of computer-aided diagnostic systems focused on the JNET classifications for colorectal lesions

Acronym

Prospective study on development of computer-aided diagnostic systems focused on the JNET classifications

Scientific Title

Prospective study on the development of computer-aided diagnostic systems focused on the JNET classifications for colorectal lesions

Scientific Title:Acronym

Prospective study on development of computer-aided diagnostic systems focused on the JNET classifications

Region

Japan


Condition

Condition

colorectal neoplasia

Classification by specialty

Gastroenterology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

We aim to evaluate the effectiveness of the diagnostic performance of computer-aided diagnosis (CADx) system focused on the JNET classifications for colorectal lesions we developed, through a multicenter prospective cohort study.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Study 1:
Diagnostic concordance rate between CADx and expert endoscopists

Study 2:
Diagnostic concordance rate with expert endoscopists for both CADx and non-expert endoscopists

Key secondary outcomes

Study 1:
increase in confidence level among expert endoscopists
diagnostic accuracy for identifying jnet 1/2a lesions as resect-and-discard lesions (for lesions <10 mm)
concordance rate with surveillance intervals recommended by japanese guidelines
correlation with histopathological findings
withdrawal time

study 2:
diagnostic concordance rate with expert endoscopists when the real-time ai-assisted colonoscopy device (cadx) and non-expert endoscopists' diagnoses are consistent
increase in confidence level among non-expert endoscopists and diagnostic concordance rate with expert endoscopists for high-confidence lesions
learning curve of non-expert endoscopists
diagnostic accuracy for identifying jnet 1/2a lesions as resect-and-discard lesions (for lesions <10 mm)
concordance rate with surveillance intervals recommended by japanese guidelines
correlation with histopathological findings
withdrawal time


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

(1) Patients with one or more colorectal neoplastic lesions (SSL, TSA, adenoma, cTis, or cT1a lesions) scheduled for endoscopic treatment.
(2) Patients with one or more lesions classified as cT1b or deeper scheduled for surgical treatment.
(3) Patients aged 18 years or older.

Key exclusion criteria

(1) Patients with polyposis symdrome (e.g., familial adenomatous polyposis, Lynch syndrome, or SPS [Serrated Polyposis Syndrome]).
(2) Patients with inflammatory bowel disease.
(3) Patients with coexisting advanced colorectal cancer.
(4) Patients with inadequate bowel preparation, indicated by a BBPS (Boston Bowel Preparation Scale) score of less than 6.
(5) Cases where the principal investigator or sub-investigators deem participation in the study to be inappropriate.

Target sample size

1500


Research contact person

Name of lead principal investigator

1st name Shiro
Middle name
Last name Oka

Organization

Hiroshima University Hospital

Division name

Department of Gastroenterology

Zip code

734-8551

Address

1-2-3, Kasumi, Minamiku, Hiroshima, Japan

TEL

082-257-5190

Email

oka4683@hiroshima-u.ac.jp


Public contact

Name of contact person

1st name Toshio
Middle name
Last name Kuwai

Organization

Hiroshima University Hospital, Hiroshima, Japan

Division name

Gastrointestinal Endoscopy and Medicine

Zip code

734-8551

Address

1-2-3, Kasumi, Minamiku, Hiroshima, Japan

TEL

082-257-5193

Homepage URL


Email

kuwai@hiroshima-u.ac.jp


Sponsor or person

Institute

Hiroshima University

Institute

Department

Personal name



Funding Source

Organization

Self-Procurement

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Department of Gastroenterology, Hiroshima University Hospital, Hiroshima, Japan

Address

1-2-3, Kasumi, Minamiku, Hiroshima, Japan

Tel

082-257-5190

Email

oka4683@hiroshima-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



Other administrative information

Date of disclosure of the study information

2025 Year 01 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 12 Month 01 Day

Date of IRB


Anticipated trial start date

2025 Year 01 Month 01 Day

Last follow-up date

2028 Year 05 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

None


Management information

Registered date

2024 Year 12 Month 08 Day

Last modified on

2026 Year 03 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000064378