UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000055081
Receipt number R000062921
Scientific Title Long-term observational study after GM-CSF inhalation therapy in patients with autoimmune pulmonary alveolar proteinosis.
Date of disclosure of the study information 2024/07/26
Last modified on 2024/07/26 09:45:55

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Basic information

Public title

Long-term observational study after GM-CSF inhalation therapy in patients with autoimmune pulmonary alveolar proteinosis

Acronym

Real PAP History

Scientific Title

Long-term observational study after GM-CSF inhalation therapy in patients with autoimmune pulmonary alveolar proteinosis.

Scientific Title:Acronym

Real PAP History Study

Region

Japan


Condition

Condition

Autoimmune Pulmonary Alveolar Proteinosis

Classification by specialty

Pneumology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

1.To observe the natural history of remission of autoimmune alveolar proteinosis after GM-CSF inhalation therapy
2.To explore background factors for responder/non-responder to GM-CSF inhalation therapy

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Remission rate after GM-CSF inhalation therapy
Definition of remission=AaDO2 more than 10 torr from baseline and no additional treatment (whole lung lavage or GM-CSF inhalation)

Key secondary outcomes

Search for predictors of treatment response (responder/non-responder)
Trends in %DLco
Changes in CT imaging score
Changes in mMRC
transition of oxygen requirement, and number of patients who were able to wean off LTOT
Trends in QOL score
Changes in anti-GM-CSF antibodies
Changes in serum biomarkers


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

12 years-old <=

Age-upper limit

85 years-old >

Gender

Male and Female

Key inclusion criteria

1)Patients with autoimmune pulmonary alveolar proteinosis enrolled in the PAGE II specified clinical research* (cohort A)
2)Patients with disease severity III or higher who newly start GM-CSF inhalation therapy after GM-CSF is launched (Cohort B)

*PAGE II Specified Clinical Study of Sargramostim for Autoimmune Pulmonary Alveolar Proteinosis in 2022-2024.

Key exclusion criteria

(1) Patients diagnosed with secondary pulmonary alveolar proteinosis or hereditary pulmonary alveolar proteinosis
(ii) Patients with severe symptoms due to heart or blood vessel disease such as congestive heart failure or angina pectoris
(iii) Patients diagnosed with cancer within the past 5 years (excluding those whose condition has stabilized and who are in the follow-up period)
(iv) Patients with bronchial asthma, pulmonary infection (including pulmonary tuberculosis), or other pulmonary diseases (including pulmonary tuberculosis). However, patients with non-tuberculous mycobacterial infection, pulmonary aspergillosis, or pulmonary nocardiosis who are under treatment or untreated and whose symptoms are stable may participate at the discretion of their physician), pulmonary fibrosis, interstitial pneumonia, bronchiectasis or other respiratory diseases that are expected to make it difficult to evaluate this study
(v) Patients treated with whole lung lavage, repeated area lavage therapy, or rituximab within 1 month of enrollment (Cohort B only)
(vi) Patients who received GM-CSF inhalation therapy within 1 month of enrollment (Cohort B only)
(vii) Other patients deemed inappropriate by the physician in charge.

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Takuro
Middle name
Last name Sakagami

Organization

Faculty of Life Sciences, Kumamoto University

Division name

Department of Respiratory Medicine

Zip code

860-8556

Address

1-1-1 Honjyo, Chuo-ku, Kumamoto, JAPAN

TEL

0963735012

Email

stakuro@kumamoto-u.ac.jp


Public contact

Name of contact person

1st name Chieko
Middle name
Last name Yoshida

Organization

Faculty of Life Sciences, Kumamoto University

Division name

Department of Respiratory Medicine

Zip code

860-8556

Address

1-1-1 Honjyo, Chuo-ku, Kumamoto, JAPAN

TEL

0963735012

Homepage URL


Email

c-yoshida@kumamoto-u.ac.jp


Sponsor or person

Institute

Kumamoto University

Institute

Department

Personal name



Funding Source

Organization

self funding

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

Kumamoto University Research Ethics Committee

Address

1-1-1 Honjyo, Chuo-ku, Kumamoto, JAPAN

Tel

0963735657

Email

ski-shien@jimu.kumamoto-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

北海道大学病院(北海道)、市立函館病院(北海道)、東北大学病院(宮城県)、福島県立医科大学病院(福島県)、新潟大学医歯学総合病院(新潟県)、千葉大学病院(千葉県)、杏林大学医学部付属病院(東京都)、さいたま赤十字病院(埼玉県)、愛知医科大学病院(愛知県)、京都大学医学部附属病院(京都府)、国立病院機機構近畿中央呼吸器センター(大阪府)、神戸市民病院機構神戸市立医療センター中央市民病院(兵庫県)、倉敷市立市民病院(岡山県)、広島大学病院(広島県)、福岡大学医学部付属病院(福岡県)、大分大学医学部付属病院(大分県)、長崎大学病院(長崎県)、琉球大学大学病院(沖縄県)、独立行政法人国立病院機構沖縄病院(沖縄県)


Other administrative information

Date of disclosure of the study information

2024 Year 07 Month 26 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

2024 Year 07 Month 11 Day

Date of IRB

2024 Year 07 Month 11 Day

Anticipated trial start date

2024 Year 07 Month 26 Day

Last follow-up date

2030 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Prospective observational study with one visit every 6 months at a collaborating institution for a total of 11 visits over 5 years


Management information

Registered date

2024 Year 07 Month 26 Day

Last modified on

2024 Year 07 Month 26 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000062921


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name