UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000059363
Receipt number R000067874
Scientific Title Exploration of Molecular Biomarkers Predictive of Adverse Events and Therapeutic Efficacy in Patients with Thoracic Malignancies
Date of disclosure of the study information 2025/10/10
Last modified on 2025/10/10 11:36:53

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Basic information

Public title

A Study to Identify Biomarkers That Can Predict the Effectiveness and Side Effects of Cancer Treatment in Patients with Thoracic Tumors

Acronym

Molecular Biomarker Study of Thoracic Cancer

Scientific Title

Exploration of Molecular Biomarkers Predictive of Adverse Events and Therapeutic Efficacy in Patients with Thoracic Malignancies

Scientific Title:Acronym

Molecular Biomarker Study of Thoracic Malignancies

Region

Japan


Condition

Condition

Lung cancer, thymic carcinoma, thymoma, and malignant pleural mesothelioma

Classification by specialty

Pneumology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To explore blood and pleural effusion biomarkers predictive of adverse events associated with thoracic malignancy treatments, including cytotoxic chemotherapy, molecular targeted therapy, immune checkpoint inhibitors, antibody-drug conjugates, bispecific antibodies, bispecific T-cell engagers, and thoracic radiotherapy.

Basic objectives2

Others

Basic objectives -Others

Biomarker exploration

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Association between the occurrence of grade >=2 adverse events (according to CTCAE v5.0), stratified by clinically relevant adverse events previously reported for each treatment modality of thoracic malignancies (cytotoxic chemotherapy, molecular targeted therapy, immune checkpoint inhibitors, antibody-drug conjugates, bispecific antibodies, bispecific T-cell engagers, and radiotherapy), and both baseline serum biomarker levels and their changes at 3-4 weeks after treatment initiation.

Key secondary outcomes

To evaluate the associations between the occurrence of adverse events and therapeutic efficacy (objective response rate, progression-free survival, and overall survival) during treatment for thoracic malignancies and (i) serum and pleural fluid concentrations of humoral biomarkers, (ii) molecular marker expression in leukocytes from peripheral blood, pleural effusion, and tumor tissue, and (iii) natural killer (NK) cell activity at baseline and their relative changes at 3-4 weeks after treatment initiation.
To assess the associations between the occurrence of adverse events and therapeutic efficacy (objective response rate, progression-free survival, and overall survival) during treatment for thoracic malignancies and the expression levels of NKG2D ligands in pretreatment tumor tissues.
To compare serum and pleural fluid concentrations of humoral biomarkers, molecular marker expression in leukocytes from blood, pleural effusion, and tumor tissue, and NK cell activity among patients with thoracic malignancies (at pretreatment, 3-4 weeks after treatment initiation, and at the onset of adverse events) and control groups consisting of individuals with non-malignant respiratory diseases, autoimmune diseases, allergic diseases, infectious diseases, thoracic malignancy patients not scheduled for anticancer therapy or radiotherapy, and healthy volunteers.


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

16 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients aged 16 years or older at the time of consent who are diagnosed with thoracic malignancies (lung cancer, thymic carcinoma, thymoma, or malignant pleural mesothelioma) and are scheduled to receive treatment with cytotoxic chemotherapy, molecular targeted agents, immune checkpoint inhibitors, antibody-drug conjugates, bispecific antibodies, bispecific T-cell engagers, or thoracic radiotherapy at the Division of Respiratory Medicine and Rheumatology, Tottori University Hospital.
As control groups, patients aged 16 years or older at the time of consent who are diagnosed and treated at the Division of Respiratory Medicine and Rheumatology, Tottori University Hospital for non-malignant respiratory diseases, autoimmune diseases, allergic diseases, or infectious diseases, as well as those with thoracic malignancies not scheduled to undergo anticancer drug therapy or radiotherapy. In addition, healthy volunteers aged 18 years or older at the time of consent will be included.

Key exclusion criteria

Patients who do not have samples required for the evaluation of this study, those who decline the use of their samples or information, and those whom the principal investigator judges to be inappropriate for participation in the study.

Target sample size

400


Research contact person

Name of lead principal investigator

1st name Kosuke
Middle name
Last name Yamaguchi

Organization

Tottori University

Division name

Division of Respiratory Medicine and Rheumatology, Faculty of Medicine

Zip code

6838504

Address

36-1 Nishi-cho, Yonago, Tottori, Japan

TEL

0859386537

Email

kske2@tottori-u.ac.jp


Public contact

Name of contact person

1st name Kosuke
Middle name
Last name Yamaguchi

Organization

Tottori University

Division name

Division of Respiratory Medicine and Rheumatology, Faculty of Medicine

Zip code

6838504

Address

36-1 Nishi-cho, Yonago, Tottori

TEL

0859386537

Homepage URL


Email

kske2@tottori-u.ac.jp


Sponsor or person

Institute

Tottori University

Institute

Department

Personal name

Kosuke Yamaguchi


Funding Source

Organization

Ministry of Education, Culture, Sports, Science and Technology

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

Ethics Committee of the Faculty of Medicine, Tottori University

Address

36-1 Nishi-cho, Yonago, Tottori, Japan

Tel

0859387014

Email

me-rinshoukenkyu@ml.adm.tottori-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

Tottori


Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 10 Month 10 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

2025 Year 09 Month 12 Day

Date of IRB

2025 Year 10 Month 02 Day

Anticipated trial start date

2025 Year 10 Month 10 Day

Last follow-up date

2032 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This is an observational study analyzing the relationship between adverse events and biomarkers using clinical information and biological samples from patients with thoracic malignancies. No therapeutic intervention is performed. The study also includes retrospective analyses using previously collected samples and data from our past clinical studies under an opt-out consent procedure.


Management information

Registered date

2025 Year 10 Month 10 Day

Last modified on

2025 Year 10 Month 10 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000067874