UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000061237
Receipt number R000070070
Scientific Title A two-center prospective observational cohort study comparing 14-day treatment continuity of PICC versus subcutaneous route in hospitalized cancer patients receiving palliative care
Date of disclosure of the study information 2026/04/13
Last modified on 2026/04/11 15:17:38

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Basic information

Public title

A two-center prospective observational study of treatment continuity with PICC versus subcutaneous route in hospitalized cancer patients receiving palliative care

Acronym

PICC-SC study

Scientific Title

A two-center prospective observational cohort study comparing 14-day treatment continuity of PICC versus subcutaneous route in hospitalized cancer patients receiving palliative care

Scientific Title:Acronym

PICC-SC study

Region

Japan


Condition

Condition

Cancer

Classification by specialty

Not applicable

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To compare 14-day treatment continuity in real-world practice between peripherally inserted central catheter (PICC) and subcutaneous route (SC) selected as the main route of administration in hospitalized cancer patients who required an additional route because peripheral venous access was difficult or expected to become difficult.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Treatment continuity over 14 days. This is defined as maintenance of the selected main route from Day 0 (the day SC or PICC started as the main route) through Day 14 without access-related failure.

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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Cancer patients aged 18 years or older receiving palliative care.
Patients judged clinically to have difficulty in securing peripheral venous access, or expected to have such difficulty in the near future, and requiring continuation of injectable treatment.
Patients for whom either PICC or the subcutaneous route (SC) is considered a clinically appropriate option, and whose attending physician selected one of these routes (initiation of SC or PICC order/insertion).
The presence or absence of an implanted port is not restricted; however, only patients in whom the attending physician judged that the port alone was insufficient to continue the main injectable treatment of interest, or that an additional route was clinically necessary, and who were newly selected for PICC or SC, are eligible.

Key exclusion criteria

Patients in whom stable injectable treatment can be continued via peripheral venous access and for whom PICC or SC is not clinically considered.
Patients with a PICC already inserted by another department or service and already being continuously used as the main route for injectable treatment at the time of study allocation.
Patients with an absolute contraindication to PICC insertion, such as obvious infection at the planned insertion site, known deep vein thrombosis of the intended upper extremity or severe venous obstruction, uncontrolled major bleeding risk, or explicit patient refusal.
Patients who expressed refusal to participate in the study through the opt-out process.

Target sample size

900


Research contact person

Name of lead principal investigator

1st name Noriyuki
Middle name
Last name Kawabata

Organization

Osaka Rosai Hospital

Division name

Department of Palliative Care

Zip code

5918025

Address

1179-3 Nagasone-cho Kita-ku Sakai city Osaka

TEL

072-252-3561

Email

off.kawabata@gmail.com


Public contact

Name of contact person

1st name Noriyuki
Middle name
Last name Kawabata

Organization

Osaka Rosai Hospital

Division name

Department of Palliative Care

Zip code

5918025

Address

1179-3 Nagasone-cho Kita-ku Sakai city Osaka

TEL

072-252-3561

Homepage URL


Email

off.kawabata@gmail.com


Sponsor or person

Institute

Osaka Rosai 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

Osaka Rosai Hospital

Address

1179-3 Nagasone-cho Kita-ku Sakai city Osaka

Tel

072-252-3561

Email

somuk-osakah@m.johas.go.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 13 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 02 Month 04 Day

Date of IRB


Anticipated trial start date

2026 Year 06 Month 01 Day

Last follow-up date

2029 Year 05 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This is a two-center prospective observational cohort study. Eligible participants are hospitalized cancer patients who require a newly selected main administration route because peripheral venous access is difficult or expected to become difficult, and who start either PICC or the subcutaneous route (SC) as the main route. The exposure of interest is the selected main route (PICC or SC), and the primary outcome is treatment continuity from Day 0 through Day 14. No allocation is performed; route selection is left to treating physicians under routine clinical practice at each center. Consecutive case enrollment will be used. For analysis, propensity score-based confounding adjustment will be applied, with assessment of center effect and overlap, and methods accounting for death as a competing event.


Management information

Registered date

2026 Year 04 Month 12 Day

Last modified on

2026 Year 04 Month 11 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000070070