UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000059648
Receipt number R000067371
Scientific Title Exploratory study on biomarkers for chemotherapy resistance in unresectable or recurrent biliary tract cancer using whole genome analysis (KHBO2201-1B)
Date of disclosure of the study information 2025/11/05
Last modified on 2025/11/05 17:01:36

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Basic information

Public title

Exploratory study on biomarkers for chemotherapy resistance in unresectable or recurrent biliary tract cancer using whole genome analysis (KHBO2201-1B)

Acronym

Exploratory study on biomarkers in biliary tract cancer using whole genome analysis (KHBO2201-1B)

Scientific Title

Exploratory study on biomarkers for chemotherapy resistance in unresectable or recurrent biliary tract cancer using whole genome analysis (KHBO2201-1B)

Scientific Title:Acronym

Exploratory study on biomarkers in biliary tract cancer using whole genome analysis (KHBO2201-1B)

Region

Japan


Condition

Condition

unresectable or recurrent biliary tract cancer

Classification by specialty

Hepato-biliary-pancreatic medicine Hepato-biliary-pancreatic surgery

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

To elucidate the molecular biological characteristics of biliary tract cancer and identify novel biomarkers associated with chemotherapy responsiveness on it, whole genome analysis is conducted using specimens from patients with unresectable or recurrent biliary tract cancer enrolled in a randomized controlled phase III trial (KHBO-2201 study) comparing gemcitabine/cisplatin/S-1 therapy versus gemcitabine/cisplatin/immune checkpoint inhibitor therapy for unresectable or recurrent biliary tract cancer.

Basic objectives2

Others

Basic objectives -Others

To interpret the clinical significance of analysis results through expert panels, provide appropriate return of results to patients, and establish a personalized medicine platform that utilizes the genomic information of each individual patient in clinic. Final goal is contribution to improve diagnostic and therapeutic outcomes for biliary tract cancer.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Identification of novel biomarkers

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

Patients enrolled in the KHBO-2201 study (a randomized controlled phase III trial comparing gemcitabine/cisplatin/S-1 therapy versus gemcitabine/cisplatin/immune checkpoint inhibitor therapy for unresectable or recurrent biliary tract cancer) , who consented to this study and meet any of the following criteria:

1. Patients whose tissue specimens and peripheral blood specimens are obtained through surgery or examinations conducted at Nagoya University Hospital and collaborative research institutions, are available from the approval date until March 31, 2027, and are suitable for genomic analysis
2. Cases whose frozen existing tissue specimens and peripheral blood specimens were obtained through surgery or examinations conducted at Nagoya University Hospital and collaborative research institutions since April 1, 2015, are available, can be confirmed alive and contactable until March 31, 2027, and whose specimens are suitable for submission for genomic analysis
3. Patients participating in the research study 'Gene profiling of cholangiocarcinoma concerning the sensitivity of anti-cancer drugs' (Approval Number: 2016-02688716) or 'Analysis of the regulatory system concerning the telomere instability in several diseases, such as malignant tumor, lifestyle related disease, viral hepatitis, hematologic disease, neurodegenerative disorder or mental disorders' (Approval Number: 2016-02748747)

Key exclusion criteria

1. Cases with inadequate or insufficient tissue specimens and peripheral blood specimens suitable for the study
2. Cases deemed ineligible at the investigator's or co-investigator's discretion
3. Cases who declined to participate or failed to provide informed consent for the study

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Toshio
Middle name
Last name Kokuryo

Organization

Nagoya University Graduate School of Medicine

Division name

Division of Surgical Oncology

Zip code

466-8550

Address

65 Tsurumai-cho, Showa-ku, Nagoya, Japan.

TEL

052-744-2222

Email

kokuryo.toshio.f8@f.mail.nagoya-u.ac.jp


Public contact

Name of contact person

1st name Toshio
Middle name
Last name Kokuryo

Organization

Nagoya University Graduate School of Medicine

Division name

Division of Surgical Oncology

Zip code

466-8550

Address

65 Tsurumai-cho, Showa-ku, Nagoya, Japan.

TEL

052-744-2222

Homepage URL


Email

kokuryo.toshio.f8@f.mail.nagoya-u.ac.jp


Sponsor or person

Institute

Nagoya University

Institute

Department

Personal name



Funding Source

Organization

Japan Agency for Medical Research and Development

Organization

Division

Category of Funding Organization

Government offices of other countries

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Review Committee Nagoya University Graduate School of Medicine /Nagoya University Hospital

Address

65 Tsurumai-cho, Showa-ku, Nagoya, Japan.

Tel

052-744-2479

Email

iga-shinsa@t.mail.nagoya-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



Other administrative information

Date of disclosure of the study information

2025 Year 11 Month 05 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 01 Day

Date of IRB


Anticipated trial start date

2025 Year 11 Month 05 Day

Last follow-up date

2031 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

1. Genomic Information: Whole genome sequence data, RNA sequence information, Somatic mutations, Germline mutations, Structural abnormalities and fusion genes
2. Clinical Information: Basic information: sex, age, height, weight, Past medical history and family history, Laboratory findings (pre- and post-chemotherapy), Imaging findings (CT, MRI, PET), Pathological findings, Treatment details: medications, examinations, etc.
3. Treatment Course and Prognosis: Treatment response, Adverse events and side effects, Recurrence status and timing, Progression-free survival, Overall survival, Last survival confirmation date


Management information

Registered date

2025 Year 11 Month 05 Day

Last modified on

2025 Year 11 Month 05 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000067371