UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000057295
Receipt number R000065496
Scientific Title A study of the association between varicella-zoster virus (VZV) in patients with esophageal motility disorder
Date of disclosure of the study information 2025/03/15
Last modified on 2026/07/30 07:04:59

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Basic information

Public title

A study of the association between varicella-zoster virus (VZV) in patients with esophageal motility disorder

Acronym

A study of the association between varicella-zoster virus (VZV) in patients with esophageal motility disorder

Scientific Title

A study of the association between varicella-zoster virus (VZV) in patients with esophageal motility disorder

Scientific Title:Acronym

A study of the association between varicella-zoster virus (VZV) in patients with esophageal motility disorder

Region

Japan


Condition

Condition

esophageal motility disorder

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Others

Genomic information

YES


Objectives

Narrative objectives1

To determine the association between esophageal motility disorders and VZV reactivation by studying saliva from patients with esophageal motility disorders and normal subjects for the presence of VZV infection.

Basic objectives2

Others

Basic objectives -Others

Assessment of Pathophysiology

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Salivary VZV-DNA, VZV-IgM, VZV-IgG, Results of High Resolution Manometry

Key secondary outcomes

Age, gender, onset of esophageal motility disorder, history, history of VZV vaccination


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

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

The applicant must satisfy all of the following 1) to 2).
1) Patients who have undergone esophageal endopressure test at the Department of Gastroenterology, Chiba University Hospital.
2) Patients who have received a full explanation of their participation in this study, and who have given written consent of their own free will based on full understanding.

Key exclusion criteria

1) Those who have expressed their refusal to participate in this research through the information disclosure document
2) Other persons deemed unsuitable by the principal investigator.

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Tomoaki
Middle name
Last name Matsumura

Organization

Chiba University Hospital

Division name

Gastroenterology

Zip code

2648677

Address

1-8-1 Inohana, Chuo Ward, Chiba City, Chiba Prefecture

TEL

0432227171

Email

matsumura@chiba-u.jp


Public contact

Name of contact person

1st name Satsuki
Middle name
Last name Takahashi

Organization

Chiba University Hospital

Division name

Gastroenterology

Zip code

2648677

Address

1-8-1 Inohana, Chuo Ward, Chiba City, Chiba Prefecture

TEL

0432227171

Homepage URL


Email

takahashi-satsuki@chiba-u.jp


Sponsor or person

Institute

Chiba University

Institute

Department

Personal name



Funding Source

Organization

Nothing

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

Chiba University Hospital

Address

1-8-1 Inohana, Chuo Ward, Chiba City, Chiba Prefecture

Tel

0432227171

Email

takahashi-satsuki@chiba-u.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 03 Month 15 Day


Related information

URL releasing protocol

https://pubmed.ncbi.nlm.nih.gov/40788375/

Publication of results

Published


Result

URL related to results and publications

https://pubmed.ncbi.nlm.nih.gov/40788375/

Number of participants that the trial has enrolled

72

Results

32 (44.4%) were in the normal group and 40 (55.6%) were in the EMD group, including 22 with esophagogastric junction (EGJ) outflow disorders and 18 with peristalsis disorders. One patient with absent contractility had a concurrent herpes zoster infection, and VZV DNA was detected in this patient's saliva. However, all other patients tested negative for VZV DNA. No significant difference in VZV antibody titers was observed between the two groups.

Results date posted

2026 Year 07 Month 30 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2025 Year 08 Month 11 Day

Baseline Characteristics

Of the 78 patients who underwent HRM, six were excluded due to missing blood test data. A total of 72 patients were included in our analysis, of whom, 40 (55.6%) were male. The median age was 59 years. The primary indications were as follows: dysphagia or suspected achalasia in 21 patients (29.2%), non-cardiac chest pain in 15 (20.8%), GERD symptoms in 14 (19.4%), laryngopharyngeal reflux symptoms in 9 (12.5%), follow-up after peroral endoscopic myotomy (POEM) or pneumatic dilation in 4 (5.6%), and other indications in 9 (12.5%). The normal group comprised 32 (44.4%) of the sample. The remaining 40 (55.6%) were in the EMD group. The EMD group included 22 patients with EGJ outflow disorders and 18 with peristalsis disorders.

Participant flow

Patients who underwent high-resolution manometry (HRM) for the evaluation of suspected esophageal abnormalities at Chiba University Hospital between May 2022 and July 2024 were included. Patients who did not provide consent to participate in the study and those younger than 20 years were excluded. Saliva and blood samples were collected from all participants, who also completed a questionnaire regarding their history of varicella, herpes zoster, and VZV vaccination. Patients with active herpes zoster were excluded from the main analysis.
Based on the HRM findings, patients were classified into a normal group and an esophageal motility disorder (EMD) group. The EMD group was further stratified into patients with esophagogastric junction (EGJ) outflow disorders and those with peristaltic disorders.

Adverse events

nothing

Outcome measures

DNA concentration
VZV-IgM titers
VZV-IgG titers

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2022 Year 04 Month 01 Day

Date of IRB

2022 Year 03 Month 31 Day

Anticipated trial start date

2022 Year 05 Month 06 Day

Last follow-up date

2025 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Nothing


Management information

Registered date

2025 Year 03 Month 15 Day

Last modified on

2026 Year 07 Month 30 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000065496