UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000039205
Receipt number R000044197
Scientific Title Genetic Alterations and clinical record in radically resected colorectal cancer revealed by Liquid biopsy And whole eXome analYsis
Date of disclosure of the study information 2020/01/20
Last modified on 2024/06/03 09:53:59

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Basic information

Public title

Genetic Alterations and clinical record in radically resected colorectal cancer revealed by Liquid biopsy And whole eXome analYsis

Acronym

GALAXY trial

Scientific Title

Genetic Alterations and clinical record in radically resected colorectal cancer revealed by Liquid biopsy And whole eXome analYsis

Scientific Title:Acronym

GALAXY trial

Region

Japan Asia(except Japan)


Condition

Condition

Colon and Rectal cancer that can be treated radically

Classification by specialty

Gastroenterology Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

A registry pertaining to the relationship between a clinical course and genetic alteration detected from tumor and blood samples will be established through performing the entire exon analysis using tumor samples in patients with colon and rectal cancer planned for radical surgical treatment.

Basic objectives2

Others

Basic objectives -Others

Disease Registry database construction

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

All: Disease-free Survival
Cohort D: Sensitivity and specificity of ctDNA for the presence of lymph node metastases in additional colorectal resections

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

Eligible subjects shall meet all of the following. Patients who have recurrence after the initial registration and are eligible for radical surgical resection again can be re-registered.
(1)Histopathologically diagnosed with adenocarcinoma.
(2)The primary location of the tumor is the colon or rectum.
(3)
CohortA
The clinical stage is equivalent to stage II, III colon cancer (including rectosigmoid) for which R0 resection has been scheduled.
CohortB
The clinical stage is equivalent to stage II, III rectal cancer (excluding rectosigmoid) for which R0 resection has been scheduled. Patients with lateral lymph node metastasis can be included in this cohort.
CohortC
The clinical stage is equivalent to stage IV or relapse (M1) colorectal cancer for which R0 resection has been scheduled.
CohortD
pT1 colorectal cancer after local resection, and additional colorectal resection with lymph node dissection is planned due to non-curative factors.
Non-curative factors are as follows
1.T1b (SM invasiveness >1000 um)
2.Positive vascular invasion
3.Poorly differentiated adenocarcinoma, signet-ring cell carcinoma, mucinous carcinoma
4.Presence of individual cells and small clusters of tumor cells at the invasive front of carcinoma (budding) Grade 2/3
CohortE
The pathological stage is equivalent to stage IIB, IIC, III colorectal cancer for which R0 resection was performed within 48 weeks prior to enrollment. Rectal cancer (excluding rectosigmoid) with lateral lymph node metastasis can be included in this study. And a standard peri-operative (neoadjuvant/adjuvant) chemotherapy according to the country guideline and/or medical practice is scheduled to be performed, is being performed, or has been performed.
(4)The age at the time of acquisition of informed consent is 20 years or older.
(5)Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) is 0 or 1.
(6)The subject has given a written informed consent for participation in this study.

Key exclusion criteria

(1) Two or more synchronous colorectal cancer (multiple cancer) *
* In case of patients with stage II, III, IV or recurrent (M1) colorectal cancer according to the 8th edition of the UICC, patients with clinical stage Tis or T1a colorectal cancer judged to be cured by local treatment may be included in this study.
* If patients with pT1 colorectal cancer after local resection (complete en bloc resection with negative margins), have other cancers up to clinical stage T1a that can be judged to be cured by local treatment, registration is possible only if it is confirmed that the cancer was radically resected by local treatment.
(2) Active double cancer.
(3) In case of enrolled in Cohort A or Cohort D, history of surgery, chemotherapy, immunotherapy, or radiotherapy within 6 months before enrollment.
(4) Pregnant or breastfeeding women.
(5) Serious complication.
(6) Positive for HBs antigen or positive for HCV antibody*.
*Patients who are positive for HCV antibody but negative for HCV-RNA is eligible.
(7) HIV antibody positive (a patient may enroll even if HIV antibody has not been tested).
(8) Active novel coronavirus infection (COVID-19) is present*.
* Patients with positive SARS-CoV-2 PCR or suspected COVID-19 based on clinical symptoms; patients with confirmed negative SARS-CoV-2 PCR or other tests and no symptoms of COVID-19 may be include in this study. However, if the physician deem that the patients will affect the evaluation of this study, the patients are ineligible. (COVID-19 testing is not required).
(9) The study doctor deemed that it is ineligible for this study.

Target sample size

6300


Research contact person

Name of lead principal investigator

1st name Daisuke
Middle name
Last name Kotani

Organization

National Cancer Center

Division name

Hospital East, Department of Gastroenterology and GI Oncology

Zip code

277-8577

Address

6-5-1 Kashiwanoha, Kashiwa, Chiba

TEL

04-7133-1111

Email

dkotani@east.ncc.go.jp


Public contact

Name of contact person

1st name Saori
Middle name
Last name Mishima

Organization

National Cancer Center

Division name

Hospital East, Department of Gastroenterology and GI Oncology

Zip code

277-8577

Address

6-5-1 Kashiwanoha, Kashiwa, Chiba

TEL

04-7133-1111

Homepage URL


Email

smishima@east.ncc.go.jp


Sponsor or person

Institute

National Research and Development Agency, National Cancer Center

Institute

Department

Personal name



Funding Source

Organization

Japan Agency for Medical Research and Development.
National Research and Development Agency, National Cancer Center.
Alpha-A Inc.

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

National Cancer Center Institutional Review Board

Address

5-1-1 Tsukiji, Chuo-ku, Tokyo 104-0045, Japan

Tel

03-3542-2511

Email

NCC_IRBoffice@ml.res.ncc.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

2020 Year 01 Month 20 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

No longer recruiting

Date of protocol fixation

2020 Year 01 Month 09 Day

Date of IRB

2020 Year 01 Month 09 Day

Anticipated trial start date

2020 Year 04 Month 01 Day

Last follow-up date

2031 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

A total of 6,300 subjects are planned for enrollment in the following five cohorts.
A. Colon cancer at Stage II/III (at the time of surgery in the UICC 8th edition) (including RS)
B. Rectal cancer at Stage II/III (B1 at surgery, Bs and B2 at diagnosis in the UICC 8th edition)
C. Radically resectable colon and rectal cancer at Stage IV or relapse (M1)
D. pT1 colorectal cancer after local resection (complete en bloc resection with negative margins).
Rationale for the setting of the subject number: In consideration of the limitations of research budgets and the study period, a total of 5,000 subjects were considered able to be accumulated within the study period.
E. The pathological stage is equivalent to stage IIB, IIC, III (at the time of surgery in the UICC 8th edition) colorectal cancer for which R0 resection was performed within 48 weeks prior to enrollment.


Management information

Registered date

2020 Year 01 Month 20 Day

Last modified on

2024 Year 06 Month 03 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000044197