UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000059630
Receipt number R000068002
Scientific Title A Randomized Controlled Trial Evaluating the Utility of Preserving the Posterior Pulmonary Nerve Plexus During Mediastinal Lymph Node Dissection for Esophageal Cancer
Date of disclosure of the study information 2025/11/04
Last modified on 2025/11/03 23:12:25

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Basic information

Public title

A Randomized Controlled Trial Evaluating the Utility of Preserving the Posterior Pulmonary Nerve Plexus During Mediastinal Lymph Node Dissection for Esophageal Cancer

Acronym

A Randomized Controlled Trial Evaluating the Utility of Preserving the Posterior Pulmonary Nerve Plexus During Mediastinal Lymph Node Dissection for Esophageal Cancer

Scientific Title

A Randomized Controlled Trial Evaluating the Utility of Preserving the Posterior Pulmonary Nerve Plexus During Mediastinal Lymph Node Dissection for Esophageal Cancer

Scientific Title:Acronym

A Randomized Controlled Trial Evaluating the Utility of Preserving the Posterior Pulmonary Nerve Plexus During Mediastinal Lymph Node Dissection for Esophageal Cancer

Region

Japan


Condition

Condition

esophageal cancer

Classification by specialty

Surgery in general Hepato-biliary-pancreatic surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To investigate whether preservation of the posterior pulmonary plexus of automatic nerve during thoracoscopic and robot-assisted subtotal esophagectomy for thoracic esophageal cancer reduces postoperative respiratory complications such as chronic cough and pneumonia.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Incidence rate of postoperative chronic cough

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

Preserve the Posterior Pulmonary Plexus of autonomic nerve
Preserving group

Interventions/Control_2

Not preserving the Posterior Pulmonary Plexus of autonomic nerve
None preserving group

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

Patients who are planned to undergo esophagectomy with middle to lower esophageal cancer with clinical stage I-IVA
Patients are older than 18 years old
Performance status (PS) is 0 to 2 according to ECOG criteria
Patients who consented with own free will to this study after receiving sufficient explanation and with adequate understanding

Key exclusion criteria

cases which tumor invaded to posterior pulmonary nerve plexus of autonomic nerve
Cases that are currently cancer-bearing other than esophageal cancer
Cases with severe respiratory disorders such as pulmonary emphysema, interstitial pneumonia, or bronchial asthma
Cases with severe liver dysfunction, cirrhosis, or active hepatitis
Cases with severe renal dysfunction
Cases with poorly controlled diabetes
Pregnant women or those who may be pregnant, women who are breastfeeding
Cases diagnosed inappropriate to conduct this research safely by principal investigator

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Makoto
Middle name
Last name Yamasaki

Organization

Kansai Medical University

Division name

Department of Upper Gastrointestinal Surgery

Zip code

573-1010

Address

2-5-1 Shinmachi, Hirakata, Osaka, 573-1010, Japan

TEL

072-804-0101

Email

yamasaki.mak@kmu.ac.jp


Public contact

Name of contact person

1st name Takuji
Middle name
Last name Sato

Organization

Kansai Medical University

Division name

Department of Upper Gastrointestinal Surgery

Zip code

573-1010

Address

2-5-1 Shinmachi, Hirakata, Osaka, 573-1010, Japan

TEL

072-804-0101

Homepage URL


Email

satou.tak@kmu.ac.jp


Sponsor or person

Institute

Kansai Medical University

Institute

Department

Personal name



Funding Source

Organization

Johnson And Johnson MedTech Research Grant

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kansai Medical University

Address

2-5-1 Shinmachi, Hirakata, Osaka, 573-1010, Japan

Tel

072-804-0101

Email

satou.tak@kmu.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 11 Month 04 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 11 Month 17 Day

Date of IRB


Anticipated trial start date

2026 Year 01 Month 01 Day

Last follow-up date

2026 Year 01 Month 01 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 11 Month 03 Day

Last modified on

2025 Year 11 Month 03 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000068002