UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000061160
Receipt number R000069989
Scientific Title A multicenter prospective observational study evaluating the utility of gastric aspirate culture and post-bronchoscopy sputum for the diagnosis of pulmonary nontuberculous mycobacterial disease
Date of disclosure of the study information 2026/04/15
Last modified on 2026/04/08 08:30:47

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Bronchoscopy plus post-bronchoscopy sputum and gastric fluid for improved NTM diagnosis

Acronym

BOOST-NTM Study

Scientific Title

A multicenter prospective observational study evaluating the utility of gastric aspirate culture and post-bronchoscopy sputum for the diagnosis of pulmonary nontuberculous mycobacterial disease

Scientific Title:Acronym

BOOST-NTM Study

Region

Japan


Condition

Condition

nontuberculous mycobacterial pulmonary disease

Classification by specialty

Pneumology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to evaluate, in a multicenter prospective observational setting, the incremental diagnostic yield obtained by adding gastric aspirate culture and post-bronchoscopy sputum (PBS) to bronchoscopy in patients with suspected pulmonary nontuberculous mycobacterial disease who undergo bronchoscopic examination.

Furthermore, this study aims to assess the usefulness of a diagnostic approach combining these specimens and to clarify the optimal bronchoscopy-based diagnostic protocol for NTM-PD.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

To evaluate the incremental diagnostic yield of adding gastric aspirate culture and post-bronchoscopy sputum (PBS) to bronchoscopy for the diagnosis of pulmonary nontuberculous mycobacterial disease.

Key secondary outcomes

1.Microbiological test results for each specimen (bronchoscopic specimens, gastric aspirate, and post-bronchoscopy sputum [PBS])
2.Time to culture positivity (TTP) for each specimen
3.Proportion and details of additional diagnostic cases newly diagnosed by the addition of PBS and/or gastric aspirate culture
4.Clinical characteristics of additional diagnostic cases
5.Final diagnostic classification (Definite NTM, Probable NTM, Indeterminate, and Not NTM)
6.Frequency and details of adverse events related to bronchoscopy and collection of PBS and gastric aspirate


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 suspected of having pulmonary nontuberculous mycobacterial disease (NTM-PD) based on clinical findings, including imaging findings such as nodular opacities, branching opacities, diffuse homogeneous opacities, cavitary opacities, or bronchial/bronchiolar dilatation.
2. Patients who are scheduled to undergo bronchoscopy as part of routine clinical care for the diagnosis of NTM-PD, with planned collection of post-bronchoscopy sputum (PBS) and gastric aspirate for culture.
3. Patients aged 20 years or older at the time of enrollment.
4. Patients who are unable to submit sputum for culture before bronchoscopy, or who have not had the same mycobacterial species identified as positive on two or more occasions.
5. Patients from whom written informed consent to participate in this study has been obtained.

Key exclusion criteria

1. Patients who already meet the diagnostic criteria for pulmonary nontuberculous mycobacterial disease (NTM-PD) before bronchoscopy, or who have a history of treatment for NTM-PD.
2. Patients in whom any of the following specimens were not obtained: bronchoscopic specimens, gastric aspirate for culture, or post-bronchoscopy sputum (PBS).
3. Patients in whom diseases other than NTM-PD, such as pulmonary tuberculosis or lung cancer, are strongly suspected based on clinical findings including imaging findings.
4. Patients who are otherwise considered inappropriate for participation in this study by the principal investigator or the attending physician.

Target sample size

150


Research contact person

Name of lead principal investigator

1st name Kohei
Middle name
Last name Yamamoto

Organization

University Hospital Kyoto Prefectural University of Medicine

Division name

Department of Respiratory Medicine

Zip code

602-8566

Address

465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-8566, Japan

TEL

075-251-5111

Email

yama@koto.kpu-m.ac.jp


Public contact

Name of contact person

1st name Tatsuya
Middle name
Last name Imabayashi

Organization

Japanese Red Cross Kyoto Daiichi Hospital

Division name

Department of Respiratory Medicine

Zip code

605-0981

Address

15-749 Honmachi, Higashiyama-ku, Kyoto 605-0981, Japan

TEL

075-561-1121

Homepage URL


Email

imabayas@koto.kpu-m.ac.jp


Sponsor or person

Institute

Japanese Red Cross Kyoto Daiichi Hospital

Institute

Department

Personal name

KOHEI YAMAMOTO


Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Committee of Kyoto First Red Cross Hospital

Address

15-749 Honmachi, Higashiyama-ku, Kyoto 605-0981, Japan

Tel

075-561-1121

Email

soumuka@kyoto1.jrc.or.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

京都第一赤十字病院(京都府)


Other administrative information

Date of disclosure of the study information

2026 Year 04 Month 15 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

Open public recruiting

Date of protocol fixation

2026 Year 03 Month 18 Day

Date of IRB

2026 Year 03 Month 18 Day

Anticipated trial start date

2026 Year 03 Month 19 Day

Last follow-up date

2028 Year 03 Month 19 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This study is a multicenter prospective observational study of patients with suspected pulmonary nontuberculous mycobacterial disease undergoing bronchoscopy. No study-specific allocation, intervention, randomization, or blinding will be performed. Microbiological results of bronchoscopic specimens, gastric aspirate, and post-bronchoscopy sputum (PBS) obtained in routine clinical practice will be collected to evaluate the incremental diagnostic yield.This study will be conducted as a multicenter prospective observational study. Participating institutions will be added sequentially after ethics approval has been obtained at each institution.


Management information

Registered date

2026 Year 04 Month 04 Day

Last modified on

2026 Year 04 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000069989