UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000056642
Receipt number R000064667
Scientific Title A Prospective multicenter study for evaluation of the Accuracy and clinical usefulness of the high-sensitivity NExt-generation sequencing panel using bronchial washing fluid from Lung cancer
Date of disclosure of the study information 2025/01/06
Last modified on 2025/01/06 20:51:01

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Basic information

Public title

A Prospective multicenter study for evaluation of the Accuracy and clinical usefulness of the high-sensitivity NExt-generation sequencing panel using bronchial washing fluid from Lung cancer

Acronym

cPANEL-2 trial

Scientific Title

A Prospective multicenter study for evaluation of the Accuracy and clinical usefulness of the high-sensitivity NExt-generation sequencing panel using bronchial washing fluid from Lung cancer

Scientific Title:Acronym

cPANEL-2 trial

Region

Japan


Condition

Condition

lung cancer

Classification by specialty

Pneumology

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

To verify the usefulness of lung cancer gene panel testing using bronchial washing fluids as a multicenter prospective study

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Detection rate of gene mutations in cytology-positive washing fluids (positive and negative agreement rates with the conventional method)

Key secondary outcomes

1. Correlation between gene mutation allele ratios using the conventional method and the washing method
2. Comparison of test success rates and nucleic acid yields (DNA/RNA) using the conventional method and the washing method
3. Gene mutation detection rate in cytology negative washing fluid
4. Gene mutation detection rate by disease stage/tumor size
5. Tumor cell count and tumor cell content in paired samples
6. Correlation between allele frequency and therapeutic effect of molecular targeted drugs
7. Correlation between positive/negative agreement rate and allele frequency of plasma compact panel test with conventional method
8. Positive/negative agreement rate of plasma compact panel test with Cobas test


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Diagnosis

Type of intervention

Maneuver

Interventions/Control_1

Bronchoscopy is performed for diagnostic purposes in patients suspected of malignant lung tumor. First, a radial EBUS is inserted into the access bronchus estimated by prior bronchus sketching or navigation software, and once the lesions is confirmed, the radial EBUS is removed. The scope is then wedged and washed with normal saline, and the washing fluids are collected in a container.

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

100 years-old >=

Gender

Male and Female

Key inclusion criteria

1. Patients suspected of having lung cancer (non-small cell lung cancer) and who require a cytological or tissue diagnosis.
2. Patients aged 20 years or older.
3. Patients who have given written informed consent to participate.
4. Patients expected to progress to clinical stage 3 (locally advanced stage) or advanced (stage 4).

Key exclusion criteria

Exclusion criteria (primary registration)
1) Patients who the principal investigator (physician) or co-investigator (physician) judges to be inappropriate for participation in this study.
Exclusion criteria (secondary registration)
1) Patients for whom saline injection is expected to affect subsequent direct procedures
2) Tumors clearly exposed under direct vision (epithelial changes due to lymphangiectasia carcinomatosis are acceptable)
3) Patients for whom identification of communicating bronchi or wedge of the scope is extremely difficult (the degree of wedge during bronchial lavage in daily practice is acceptable)
4) Tumor signals are not observed or are not within the tumor when rEBUS is inserted before saline injection
5) No malignant cells are confirmed by direct method (not a malignant lesion)
6) No malignant cells are confirmed by lavage fluid

Target sample size

93


Research contact person

Name of lead principal investigator

1st name Kei
Middle name
Last name Morikawa

Organization

St. Marianna University School of Medicine

Division name

Division of Respiratory Diseases, Department of Internal Medicine

Zip code

0449778111

Address

Miyamae-ku Sugao 2-16-1

TEL

+81449778111

Email

mokke@marianna-u.ac.jp


Public contact

Name of contact person

1st name Kei
Middle name
Last name Morikawa

Organization

St. Marianna University School of Medicine

Division name

Division of Respiratory Diseases, Department of Internal Medicine

Zip code

216-8511

Address

Miyamae-ku Sugao 2-16-1

TEL

+81449778111

Homepage URL


Email

mokke@marianna-u.ac.jp


Sponsor or person

Institute

St. Marianna University School of Medicine

Institute

Department

Personal name



Funding Source

Organization

DNA Chip Research Inc.

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)

Japan Society for Respiratory Endoscopy


IRB Contact (For public release)

Organization

St. Marianna University School of Medicine

Address

Miyamae-ku Sugao 2-16-1

Tel

+81449778111

Email

mokke@marianna-u.ac.jp


Secondary IDs

Secondary IDs

YES

Study ID_1

Clinical trial number #6621

Org. issuing International ID_1

St. Marianna University School of Medicine

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 06 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 12 Month 01 Day

Date of IRB

2025 Year 01 Month 06 Day

Anticipated trial start date

2025 Year 01 Month 06 Day

Last follow-up date

2026 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2025 Year 01 Month 06 Day

Last modified on

2025 Year 01 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000064667