UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000060599
Receipt number R000069316
Scientific Title Evaluation of the Acceptability of Endoscopic Gastric Cancer Screening
Date of disclosure of the study information 2026/04/01
Last modified on 2026/02/06 12:28:32

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Basic information

Public title

Evaluation of the Acceptability of Endoscopic Gastric Cancer Screening

Acronym

Evaluation of the Acceptability of Endoscopic Gastric Cancer Screening

Scientific Title

Evaluation of the Acceptability of Endoscopic Gastric Cancer Screening

Scientific Title:Acronym

Evaluation of the Acceptability of Endoscopic Gastric Cancer Screening

Region

Japan


Condition

Condition

Gastric cancer

Classification by specialty

Gastroenterology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

In Japan, endoscopic screening has been implemented as a population-based gastric cancer screening program since 2016, following the revision of the Ministry of Health, Labour and Welfare guidelines. The program targets adults aged 50 years or older, with biennial screening recommended. However, limited availability of medical institutions capable of providing endoscopic screening has prevented some municipalities from offering screening to all eligible residents. Moreover, the prevalence of Helicobacter pylori infection, a major risk factor for gastric cancer, has been declining, particularly among younger generations, potentially reducing the effectiveness and cost-effectiveness of the current screening strategy. Therefore, optimizing both screening strategies and delivery systems may require increasing the starting age or extending the screening interval to reduce the required number of endoscopic examinations. This study aims to assess screening participants' understanding, satisfaction, and acceptance of potential changes to the current gastric cancer endoscopic screening strategy through a questionnaire survey conducted in Japanese municipalities.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Percentage of individuals agreeing with the proposal to raise the age eligibility and extend the screening interval for endoscopic gastric cancer screening.

Key secondary outcomes

1. Percentage of individuals who know that Helicobacter pylori is a cause of stomach cancer.
2. Percentage of individuals who know that the infection rate of Helicobacter pylori is declining.
3. Percentage of individuals who know that the purpose of stomach cancer screening is not only early detection but also reducing stomach cancer mortality.
4. Percentage of individuals who know the target age group and screening interval for stomach cancer endoscopy.
5. Percentage of individuals agreeing to raise the age for gastric cancer endoscopic screening to 60.
6. Percentage of individuals agreeing to extend the interval for gastric cancer endoscopic screening to 5 or 10 years.


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

50 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Residents applying for gastric cancer endoscopic screening in Fuchu City, Tokyo and Ichikawa City, Chiba Prefecture, in fiscal year 2026

Key exclusion criteria

1. Individuals who do not consent to the questionnaire survey
2. Individuals who have undergone total gastrectomy
3. Individuals who undergo regular upper gastrointestinal endoscopy for any reason
4. Individuals with bleeding tendencies or suspected bleeding tendencies
5. Individuals with severe diseases of the pharynx, nasal cavity, etc., preventing endoscope insertion
6. Individuals with respiratory failure
7. Individuals whose general condition is deemed too poor to tolerate endoscopy
8. Individuals currently hospitalized, regardless of the type of disease

Target sample size

1000


Research contact person

Name of lead principal investigator

1st name Sho
Middle name
Last name Suzuki

Organization

International University of Health and Welfare Ichikawa Hospital

Division name

Department of Gastroenterology

Zip code

272-0827

Address

6-1-14, Konodai, Ichikawa-shi, Chiba, Japan

TEL

047-375-1111

Email

ishibashi-gast@iuhw.ac.jp


Public contact

Name of contact person

1st name Fumiaki
Middle name
Last name Ishibashi

Organization

International University of Health and Welfare Ichikawa Hospital

Division name

Department of Gastroenterology

Zip code

272-0827

Address

6-1-14, Konodai, Ichikawa-shi, Chiba, Japan

TEL

047-375-1111

Homepage URL


Email

ishibashi-gast@iuhw.ac.jp


Sponsor or person

Institute

International University of Health and Welfare Ichikawa 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

International University of Health and Welfare Institutional Reviw Board

Address

4-3, Kozunomori, Narita-shi, Chiba

Tel

0476-20-7708

Email

rinri_md@iuhw.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 04 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

2025 Year 11 Month 18 Day

Date of IRB

2025 Year 11 Month 25 Day

Anticipated trial start date

2026 Year 04 Month 01 Day

Last follow-up date

2027 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

<Inclusion and Mailing of the Questionnaire Invitation with Screening Materials>
In Fuchu City, when the Health Promotion Division prepares screening-related materials (e.g., screening forms) for applicants, a questionnaire invitation letter will be enclosed and mailed.
In Ichikawa City, when the Health Support Division prepares the screening voucher and information postcard for applicants, a QR code linking to the questionnaire, along with an invitation message, will be printed on the reverse side of the postcard and mailed.

<Access to the Google Form via QR Code by Applicants (Study Consent and Questionnaire Response)>
Applicants who receive the mailed materials will access a Google Form via the QR code provided in the questionnaire invitation, where they will provide online informed consent and complete the questionnaire. The questionnaire will assess the following items:

1. Age and sex
2. Basic knowledge of gastric cancer: awareness that Helicobacter pylori infection is the primary cause of gastric cancer and that the prevalence of H. pylori infection has markedly declined among individuals aged <60 years
3. Understanding of the purpose of screening
4. Understanding of the screening program: awareness of the current eligibility criteria for gastric cancer endoscopic screening (aged >49 years, biennial interval)
5. Acceptance of changes in screening strategy: willingness to accept raising the starting age to 60 years and/or extending the screening interval to 5 or 10 years

<Compilation of Questionnaire Data at the Data Center>
The data center (Medical Research Support Co., Ltd.) will compile responses collected through the Google Form and compare results by municipality, age group, and sex of the participants.


Management information

Registered date

2026 Year 02 Month 06 Day

Last modified on

2026 Year 02 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000069316