UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000061153
Receipt number R000068610
Scientific Title Evaluating the Diagnostic Accuracy and Safety of Endoscopic Ultrasound (EUS) Using a Gel for Early Colorectal Cancer Staging: A Multicenter Prospective Observational Study.
Date of disclosure of the study information 2026/05/01
Last modified on 2026/04/03 15:05:13

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Basic information

Public title

Evaluating the Diagnostic Accuracy and Safety of Endoscopic Ultrasound (EUS) Using a Gel for Early Colorectal Cancer Staging: A Multicenter Prospective Observational Study.

Acronym

Evaluating the Diagnostic Accuracy and Safety of Endoscopic Ultrasound (EUS) Using a Gel for Early Colorectal Cancer Staging: A Multicenter Prospective Observational Study.

Scientific Title

Evaluating the Diagnostic Accuracy and Safety of Endoscopic Ultrasound (EUS) Using a Gel for Early Colorectal Cancer Staging: A Multicenter Prospective Observational Study.

Scientific Title:Acronym

Evaluating the Diagnostic Accuracy and Safety of Endoscopic Ultrasound (EUS) Using a Gel for Early Colorectal Cancer Staging: A Multicenter Prospective Observational Study.

Region

Japan


Condition

Condition

Early Colorectal Cancer

Classification by specialty

Gastroenterology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Objectives The primary objective of this study is to evaluate the diagnostic accuracy and safety of endoscopic ultrasonography (EUS) for determining the invasion depth in early colorectal cancer, utilizing a viscous, colorless, and transparent endoscopic field-of-view securing gel as a substitute for water to distend the gastrointestinal lumen.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Specificity for the differential diagnosis of cTis, cT1.

Key secondary outcomes

Accuracy, sensitivity, positive predictive value (PPV), and negative predictive value (NPV) for the diagnosis of cTis, cT1.

Accuracy, sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) for diagnosing a VM (distance from the tumor invasion front to the muscularis propria) of >= 500 um in endoscopically or surgically resected specimens, based on the Tumor-free distance (EUS-TFD) classification (Type I: EUS-TFD >= 1 mm vs. Type II: EUS-TFD < 1 mm).


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

90 years-old >=

Gender

Male and Female

Key inclusion criteria

Selection (Inclusion) Criteria: Patients must meet all of the following criteria:
(1) Colorectal neoplastic lesions diagnosed as JNET Type 2B. (2) Lesions measuring 5 to 30 mm in diameter. (3) Patients expected to undergo endoscopic or surgical treatment within 3 months after the Gel-EUS examination. (4) Patients aged 20 to 90 years at the time of informed consent acquisition. (5) Patients with a Performance Status (PS; ECOG) of 0, 1, or 2. (6) Gender is not a factor (Irrespective of gender). (7) Patients who have provided voluntary written informed consent from themselves or a legally acceptable representative.

Key exclusion criteria

Patients who meet any of the following criteria will not be included in this study:
(1) Lesions diagnosed as cT2 cancer or deeper on conventional and magnifying endoscopic observation. (2) Lesions diagnosed as an adenoma on conventional and magnifying endoscopic observation. (3) Lesions with a macroscopic type of 0-Ip (pedunculated type). (4) Residual or recurrent lesions after prior endoscopic treatment. (5) Patients with a complication or history of inflammatory bowel disease (IBD). (6) Patients with colonic polyposis. (7) Females who are pregnant or have the potential to become pregnant. (8) Patients who have a history of prior registration in this study. (9) Cases judged to be inappropriate for participation in this study by the Principal Investigator or Sub-investigator.

Target sample size

134


Research contact person

Name of lead principal investigator

1st name Shiro
Middle name
Last name Oka

Organization

Hiroshima University Hospital

Division name

Department of Gastroenterology

Zip code

734-8551

Address

1-2-3, Kasumi, Minamiku, Hiroshima, Japan

TEL

082-257-5190

Email

oka4683@hiroshima-u.ac.jp


Public contact

Name of contact person

1st name Toshio
Middle name
Last name Kuwai

Organization

Hiroshima University Hospital

Division name

Gastrointestinal Endoscopy and Medicine

Zip code

734-8551

Address

1-2-3, Kasumi, Minamiku, Hiroshima, Japan

TEL

082-257-5193

Homepage URL


Email

kuwai@hiroshima-u.ac.jp


Sponsor or person

Institute

Hiroshima University Hospital

Institute

Department

Personal name



Funding Source

Organization

none

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

Hiroshima University hospital IRB, Hiroshima, Japan

Address

1-2-3, Kasumi, Minamiku, Hiroshima, Japan

Tel

082-257-5190

Email

iryo-sinsa@office.hiroshima-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

2026 Year 05 Month 01 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 04 Month 01 Day

Date of IRB


Anticipated trial start date

2026 Year 05 Month 01 Day

Last follow-up date

2030 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Before starting


Management information

Registered date

2026 Year 04 Month 03 Day

Last modified on

2026 Year 04 Month 03 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000068610