UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000058712
Receipt number R000066249
Scientific Title Therapeutic Option for Nintedanib related diArrhea in patients with progressive fibrosing interstitial lung disease a multicenter Clinical triAl
Date of disclosure of the study information 2025/08/06
Last modified on 2025/08/06 13:01:18

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Basic information

Public title

Therapeutic Option for Nintedanib related diArrhea in patients with progressive fibrosing interstitial lung disease a multicenter Clinical triAl

Acronym

ONACA study

Scientific Title

Therapeutic Option for Nintedanib related diArrhea in patients with progressive fibrosing interstitial lung disease a multicenter Clinical triAl

Scientific Title:Acronym

ONACA study

Region

Japan


Condition

Condition

Patients with PF-ILD, excluding scleroderma

Classification by specialty

Pneumology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Validating the nintedanib dose reduction group versus MiyaBM addition group treating nintedanib-associated diarrhea in patients with PF-ILD, excluding scleroderma, in a randomized comparison using the diarrhea index.

Basic objectives2

Others

Basic objectives -Others

Comparing changes in gut microbiota between the two groups and to examine the gut microbiota in the group of patients who discontinued nintedanib other than for diarrhea.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Change in diarrhea index in patients with nintedanib-associated diarrhea in the nintedanib dose reduction group and MiyaBM addition group

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Cluster

Blinding

Open -no one is blinded

Control

Dose comparison

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

After onset of nintedanib-associated diarrhea, nintedanib dose was reduced (nintedanib 150 mg twice a day in the morning and evening is reduced to 100 mg twice a day).

Interventions/Control_2

After onset of nintedanib-associated diarrhea, MIYA BM (two MIYA BM tablets three times a day after breakfast, lunch and dinner) is added without reducing nintedanib dose.

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

80 years-old >

Gender

Male and Female

Key inclusion criteria

Patients with PF-ILD, excluding scleroderma
20 to 80 years old at the time consent is obtained
Any previous treatment is included
Written informed consent is obtained

Key exclusion criteria

Those who consume yogurt (including beverages) within 1 week prior to the start of nintedanib
Those who already taking MIYA BM or Biofermin before starting nintedanib
Patients allergic to digestive medications
Those who are deemed by the attending physician to be ineligible for this study

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Yasutaka
Middle name
Last name Hirasawa

Organization

Shinmatsudo central general Hospital

Division name

Pulmonary medicine

Zip code

2700034

Address

1-380,Shinmatsudo,Matsudo city,Chiba,Japan

TEL

0473451111

Email

yashirasaw@gmail.com


Public contact

Name of contact person

1st name Kazuko
Middle name
Last name Tanaka

Organization

Shinmatsudo central general Hospital

Division name

Pulmonary medicine

Zip code

2700034

Address

1-380,Shinmatsudo,Matsudo city,Chiba,Japan

TEL

0473451111

Homepage URL


Email

kazuko.m.tanaka@gmail.com


Sponsor or person

Institute

Shinmatsudo central general Hospital

Institute

Department

Personal name



Funding Source

Organization

Non

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Shinmatsudo central general Hospital

Address

1-380,Shinmatsudo,Matsudo city,Chiba,Japan

Tel

0473451111

Email

takano.keiji@ims.gr.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 08 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

Preinitiation

Date of protocol fixation

2025 Year 06 Month 02 Day

Date of IRB


Anticipated trial start date

2025 Year 06 Month 30 Day

Last follow-up date

2030 Year 09 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

2025 Year 08 Month 06 Day

Last modified on

2025 Year 08 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000066249