UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000059730
Receipt number R000068308
Scientific Title Surrogate Endpoints for Overall Survival in Idiopathic Pulmonary Fibrosis Trials with Medical Interventions
Date of disclosure of the study information 2025/11/10
Last modified on 2025/11/10 21:33:53

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Basic information

Public title

Surrogate Endpoints for Overall Survival in Idiopathic Pulmonary Fibrosis Trials with Medical Interventions

Acronym

Surrogate Endpoints for Overall Survival in Idiopathic Pulmonary Fibrosis Trials with Medical Interventions

Scientific Title

Surrogate Endpoints for Overall Survival in Idiopathic Pulmonary Fibrosis Trials with Medical Interventions

Scientific Title:Acronym

Surrogate Endpoints for Overall Survival in Idiopathic Pulmonary Fibrosis Trials with Medical Interventions

Region

Japan


Condition

Condition

idiopathic pulmonary fibrosis

Classification by specialty

Pneumology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The aim of this systematic review is to evaluate the validity of surrogate endpoints in idiopathic pulmonary fibrosis trials by determining which of two endpoint categories better predicts overall survival: (i) exacerbation based endpoints (time to first exacerbation or exacerbation free survival) and (ii) composite survival endpoints (combining death with major clinical events such as hospitalization, physiologic decline, acute exacerbation, or lung transplantation). Specifically, we will assess how the hazard ratios for these endpoints (HR_ex and HR_comp) correlate with the hazard ratio for all cause mortality (HR_OS).

Basic objectives2

Others

Basic objectives -Others

To validate surrogate endpoints in IPF trials. We will quantify how HR_ex and HR_comp correlate with HR_OS using the weighted Pearson correlation coefficient, and identify which endpoint category better predicts overall survival.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The weighted Pearson's correlation coefficient (r) between the hazard ratios for surrogate endpoints - exacerbation-based (HR_ex) and composite survival endpoints (HR_comp) - and the hazard ratio for overall survival (HR_OS).

Key secondary outcomes



Base

Study type

Others,meta-analysis etc


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


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Population: patients with idiopathic pulmonary fibrosis (IPF).

Diagnostic certainty: possible, probable, or definite IPF will be treated collectively as IPF if permitted by the original study design.

Comorbidities: no restriction; comorbid conditions are not grounds for exclusion.

IPAF: included if diagnosed as IPF and without a confirmed diagnosis of any collagen vascular disease.

Key exclusion criteria

Studies that enroll patients with active or ongoing acute exacerbation at baseline.

Studies primarily recruiting non-IPF interstitial lung diseases (e.g., confirmed connective tissue disease-associated ILD).

Non-human, pediatric-only, or non-clinical studies that do not match the target patient population.

Target sample size



Research contact person

Name of lead principal investigator

1st name Nobuyuki
Middle name
Last name Horita

Organization

Yokohama City University Hospital

Division name

Department of Respiratory Medicine

Zip code

236-0004

Address

3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa, Japan

TEL

0457872800

Email

horitano@yokohama-cu.ac.jp


Public contact

Name of contact person

1st name Nobuyuki
Middle name
Last name Horita

Organization

Yokohama City University Hospital

Division name

Department of Respiratory Medicine

Zip code

236-0004

Address

3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa, Japan

TEL

0457872800

Homepage URL


Email

horitano@yokohama-cu.ac.jp


Sponsor or person

Institute

Yokohama City University Hospital

Institute

Department

Personal name



Funding Source

Organization

Nothing

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

Department of Respiratory Medicine, Yokohama City University Hospital

Address

3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa, Japan

Tel

0457872800

Email

horitano@yokohama-cu.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 10 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 10 Day

Date of IRB


Anticipated trial start date

2025 Year 11 Month 10 Day

Last follow-up date

2027 Year 01 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This is a systematic review and meta-analysis to validate surrogate endpoints in idiopathic pulmonary fibrosis (IPF). We include randomized controlled trials and relevant studies enrolling IPF patients; possible, probable, and definite IPF are allowed if permitted by the original design. Studies enrolling patients with active or ongoing acute exacerbation at baseline are excluded. The primary outcome is the weighted Pearson correlation coefficient (r) between hazard ratios for exacerbation-based endpoints (HR_ex) and composite survival endpoints (HR_comp) and the hazard ratio for overall survival (HR_OS). Planned sensitivity analyses: (1) definition of exacerbation-based endpoints (time to first exacerbation vs exacerbation-free survival), (2) adjusted vs unadjusted HRs, (3) intervention categories, and (4) risk-of-bias strata. Composite survival endpoints are standardized as death plus at least two of the following: hospitalization, physiologic decline, exacerbation, lung transplantation, or similar major events. Sources to be searched include MEDLINE, Embase, CENTRAL, ClinicalTrials.gov, and ICTRP. No individual-level data will be collected; therefore, ethics review is not required.


Management information

Registered date

2025 Year 11 Month 10 Day

Last modified on

2025 Year 11 Month 10 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000068308