UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000060326
Receipt number R000068983
Scientific Title A multicenter study evaluating the efficacy of immune checkpoint inhibitor based combination chemotherapy according to molecular subtypes in patients with advanced or recurrent pulmonary large cell neuroendocrine carcinoma
Date of disclosure of the study information 2026/03/01
Last modified on 2026/01/11 14:50:03

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Basic information

Public title

A multicenter study evaluating the efficacy of immune checkpoint inhibitor based combination chemotherapy according to molecular subtypes in patients with advanced or recurrent pulmonary large cell neuroendocrine carcinoma

Acronym

LCNEC-ICI Study

Scientific Title

A multicenter study evaluating the efficacy of immune checkpoint inhibitor based combination chemotherapy according to molecular subtypes in patients with advanced or recurrent pulmonary large cell neuroendocrine carcinoma

Scientific Title:Acronym

LCNEC MAP Study

Region

Japan


Condition

Condition

advanced or recurrent pulmonary large cell neuroendocrine carcinoma

Classification by specialty

Pneumology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The primary objective of this study is to investigate the efficacy of immune checkpoint inhibitor based combination chemotherapy and to elucidate molecular subtypes in patients diagnosed with advanced or recurrent pulmonary large cell neuroendocrine carcinoma who have received immune checkpoint inhibitor based combination chemotherapy.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

To evaluate the association between molecular subtypes and the efficacy of immune checkpoint inhibitor based combination chemotherapy in patients diagnosed with advanced or recurrent pulmonary large cell neuroendocrine carcinoma and to clarify progression free survival PFS in this patient population.

Key secondary outcomes



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

1. Patients with a histologically confirmed diagnosis of advanced or recurrent pulmonary large cell neuroendocrine carcinoma who received immune checkpoint inhibitor based combination systemic therapy as first line treatment.
2. Definition of advanced or recurrent disease. Patients meeting at least one of the following criteria.
Patients meeting at least one of the following criteria:
- Unresectable stage III disease not amenable to definitive radiotherapy limited to cases in which the radiation field is excessively extensive and definitive radiotherapy is not feasible. Patients for whom chemotherapy was selected due to interstitial lung disease or poor performance status are excluded.
- Stage IV disease.
- Recurrent disease.
Recurrent disease includes the following.
- Recurrence after surgical resection.
- Recurrence after definitive radiotherapy alone.
In patients who received adjuvant chemotherapy after surgery the first systemic chemotherapy administered after recurrence is defined as first line treatment.

3. Pulmonary large cell neuroendocrine carcinoma is defined as meeting all of the following criteria.
1) Morphologically classified as non small cell lung carcinoma lacking features of squamous cell carcinoma and adenocarcinoma.
2) Positive immunohistochemical staining for at least two of the following neuroendocrine markers synaptophysin chromogranin A and CD56.
4. Patients for whom information on clinical course treatment details and prognosis can be obtained from medical records.
5. Patients aged 20 years or older at the time of diagnosis.

Key exclusion criteria

1. Patients who have indicated their refusal to participate in this study based on publicly disclosed study information (opt-out).
2. Patients deemed inappropriate for inclusion in this study by the principal investigator.

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Motoko
Middle name
Last name Tachihara

Organization

Kobe University Hospital

Division name

Department of Respiratory Medicine

Zip code

650-0017

Address

7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Hyogo, Japan

TEL

078-382-5668

Email

mt0318@med.kobe-u.ac.jp


Public contact

Name of contact person

1st name Mariko
Middle name
Last name Okamoto

Organization

Kobe University Hospital

Division name

Department of Respiratory Medicine

Zip code

650-0017

Address

7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Hyogo, Japan

TEL

078-382-5668

Homepage URL


Email

mokamoto@med.kobe-u.ac.jp


Sponsor or person

Institute

Department of Respiratory Medicine, Kobe University Hospital

Institute

Department

Personal name



Funding Source

Organization

Department of Respiratory Medicine, Kobe University Hospital

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

Ethics Committee, Kobe University Hospital

Address

7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Hyogo, Japan

Tel

078-382-6669

Email

kansatsu@med.kobe-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



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2026 Year 03 Month 01 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

2026 Year 03 Month 01 Day

Date of IRB


Anticipated trial start date

2026 Year 03 Month 01 Day

Last follow-up date

2027 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 is a retrospective observational study of patients with advanced or recurrent pulmonary large cell neuroendocrine carcinoma and does not involve any interventional procedures. Analyses will be conducted using data obtained from medical records and existing biopsy specimens. The study will be initiated after approval by the Ethics Committee of Kobe University Hospital. Participation will be based on an opt out approach, and no external funding is involved.


Management information

Registered date

2026 Year 01 Month 11 Day

Last modified on

2026 Year 01 Month 11 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000068983