UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000060032
Receipt number R000068658
Scientific Title Abemaciclib-induced diarrhea and loperamide use during the second and third cycles of abemaciclib: a single-center prospective observational study (AID2 study)
Date of disclosure of the study information 2025/12/10
Last modified on 2025/12/10 00:31:08

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Basic information

Public title

Investigation of abemaciclib-induced diarrhea during the second and third cycles of abemaciclib

Acronym

AID2 study

Scientific Title

Abemaciclib-induced diarrhea and loperamide use during the second and third cycles of abemaciclib: a single-center prospective observational study (AID2 study)

Scientific Title:Acronym

AID2 study

Region

Japan


Condition

Condition

Hormone Receptor-Positive, HER2-Negative Breast Cancer (Advanced/Recurrent or Adjuvant)

Classification by specialty

Breast surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The objective of this study is to describe the occurrence of abemaciclib-induced diarrhea (AID) and the actual use of loperamide during the second and third cycles of abemaciclib in patients with hormone receptor-positive, HER2-negative breast cancer.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Number of Bristol stool scale type 6 or 7 bowel movements per day

Key secondary outcomes

<Diarrhea-related>
- Number of days with Bristol stool scale type 6 or 7 bowel movements and their proportion among all observation days
- Proportion of patients with Bristol stool scale type 6 or 7 bowel movements
- Proportion of patients with grade 2 or higher diarrhea

<Loperamide use>
- Total dose of loperamide and total number of loperamide administrations
- Proportion of days with loperamide use among days with Bristol Stool Scale type 6 or 7 bowel movements
- Proportion of days with scheduled loperamide 1 mg twice daily among days with Bristol Stool Scale type 6 or 7 bowel movements and loperamide use

<Others(safety, treatment continuation, and quality of life)>
- Proportion of patients with grade 2 or higher constipation
- Proportions of patients with dose omission, dose reduction, or discontinuation of abemaciclib primarily due to diarrhea
- Changes in EORTC QLQ-C30 scores (diarrhea, physical functioning, and global health status/QoL scales)


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

- Patients with hormone receptor-positive, HER2-negative breast cancer receiving abemaciclib treatment
- Patients who were enrolled in the previous AID1 study and completed the first-cycle observation period of abemaciclib
- Patients who are expected to continue abemaciclib through the third cycle at the time of enrollment in AID2
- Patients aged 20 years or older
- Patients with an ECOG Performance Status (PS) of 0 to 2
- Patients deemed by the principal investigator to be able to complete the study diary and questionnaires and to participate in this study

Key exclusion criteria

- Patients who did not complete treatment or observation during the first cycle of abemaciclib in the AID1 study
- Patients receiving concomitant medications contraindicated with abemaciclib or loperamide
- Patients with active infections
- Patients with infectious or hemorrhagic enteritis, or pseudomembranous colitis
- Pregnant or lactating women, and women of childbearing potential who are unwilling to use effective contraception
- Patients with a history of obstructive bowel disease
- Patients with inflammatory bowel disease (e.g., Crohn's disease, ulcerative colitis) or a history thereof
- Patients who have grade 2 or higher diarrhea at the time of enrollment in AID2 that is considered unrelated to abemaciclib
- Patients deemed inappropriate for participation in this study by the principal investigator

Target sample size

20


Research contact person

Name of lead principal investigator

1st name Shiro
Middle name
Last name Kawada

Organization

Yokohama Asahi Chuo General Hospital

Division name

Department of Pharmacy

Zip code

241-0801

Address

4-20-1 Wakabadai, Asahi-ku, Yokohama, Kanagawa, Japan

TEL

0459216111

Email

kawadashirokawada@gmail.com


Public contact

Name of contact person

1st name Shiro
Middle name
Last name Kawada

Organization

Yokohama Asahi Chuo General Hospital

Division name

Department of Pharmacy

Zip code

241-0801

Address

4-20-1 Wakabadai, Asahi-ku, Yokohama, Kanagawa, Japan

TEL

0459216111

Homepage URL


Email

kawadashirokawada@gmail.com


Sponsor or person

Institute

Yokohama Asahi Chuo General Hospital

Institute

Department

Personal name



Funding Source

Organization

None

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

Yokohama Asahi Chuo General Hospital

Address

4-20-1 Wakabadai, Asahi-ku, Yokohama, Kanagawa, Japan

Tel

0459216111

Email

cds122@crest.ocn.ne.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 12 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 12 Month 08 Day

Date of IRB

2025 Year 12 Month 08 Day

Anticipated trial start date

2025 Year 12 Month 10 Day

Last follow-up date

2030 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This study (AID2) enrolls patients who participated in the previous study, "Exploratory Single-Arm Interventional Study of Scheduled, Continued Loperamide for Abemaciclib-Induced Diarrhea: Evaluation of Diarrhea and Impact on Daily Activities" (AID1 study).

The UMIN trial ID of the AID1 study is UMIN000059172


Management information

Registered date

2025 Year 12 Month 10 Day

Last modified on

2025 Year 12 Month 10 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000068658